Efthimia Pantzartzis - Academia.edu (original) (raw)
Papers by Efthimia Pantzartzis
European journal of public health, Sep 1, 2020
Sharing Value And Vision Among The Integrated Care Chain: How Puglia Region Fosters The Collaborative Capacity Of Different Stakeholders Starting From Integrated Care Maturity Assessment
International Journal of Integrated Care, Apr 8, 2022
Improving health and social care environments for people with dementia [Powerpoint presentation]
Introduce the key principles of dementia friendly design, in relation to the specific aspects of ... more Introduce the key principles of dementia friendly design, in relation to the specific aspects of this age group (i.e. senses, perceptions and cognitions) to improve quality and safety in elderly patient’s journey through the health and social care environments.
Built environment project and asset management, Nov 7, 2016
Purpose-Lord Carter's 2015 'Independent Review' stated that to improve NHS England's efficiency, ... more Purpose-Lord Carter's 2015 'Independent Review' stated that to improve NHS England's efficiency, operational productivity should be targeted in four main areas, one being estates management. NHS England's estate includes a variety of buildings some of which are considered no longer fit-forpurpose, thus creating risk to patients and staff. These built assets require continuous maintenance, adding pressures to NHS England's precarious financial situation. The aim of this paper is to identify positive strategies and major constraints to achieving sustainable management of backlog maintenance across the NHS assets, and thus suggest balanced actions. Design/methodology/approach-The research adopts a qualitative approach and combines: literature review of current backlog maintenance methodologies; interviews with Estates and Facilities Directors from seven NHS Trusts on backlog maintenance strategies; and a NHS Trust detailed case study. Findings-The major finding is that sustainable management of backlog maintenance is achievable if there is a consistent, pro-active and long-term strategic approach where critical levels of backlog maintenance are prioritised. Additional issues (i.e. appropriate methodology, performance metrics and links with clinical service delivery strategies) also need to be considered. Practical implications-This study is relevant to the management of the NHS estate including development and adoption of sustainable strategies. Originality/value-This paper offers original insights to the factors influencing healthcare estates' backlog maintenance at a time when the UK policy agenda is targeting infrastructure operational efficiency and organisations are seeking more comprehensive methodologies.
Construction Management and Economics, Oct 21, 2019
Latest developments in stakeholder management literature focus on dynamic stakeholder engagement ... more Latest developments in stakeholder management literature focus on dynamic stakeholder engagement and disengagement practices, and how these are facilitated towards reaching systemic outcomes. However, limited evidence support that this network-level approach can positively influence project success. The paper analyses this issue by considering the practices (how and when), rationales (why) and outcomes (so what) that evolve in the dynamic management of external stakeholders in dementiafriendly environments. This is a crucial area to explore as the ageing population and rising dementia prevalence has increased the need to engage external stakeholders, such as people living with dementia, to develop dementia-friendly health and social environments. The empirical study of the 2013/14 Department of Health National Dementia Capital Investment Programme involved a statistical and qualitative analysis of 98 pilot projects' final lessons learnt reports. The analysis advances the dynamic process of timely engaging and disengaging external stakeholders in a context not previously explored in the literature related to dementia-friendly environments. Eight recurring practices and six rationales, the latter characterised by their temporal dimension, are presented in a processual model of stakeholder management.
Journal of Financial Management of Property and Construction, Aug 1, 2016
Purpose-This paper identifies costs related to dementia care provision and explores how purposefu... more Purpose-This paper identifies costs related to dementia care provision and explores how purposeful built environment investments can help control these costs and improve Quality of Life and clinical outcomes. Design/methodology/approach-This research adopts a multi-method approach where the findings of a literature review drove the analysis of data obtained from the 115 pilot projects funded by the Department of Health England's National Dementia Capital Investment Programme. Findings-Under the UK government's new productivity challenge, it is fundamental to identify actions that provide Value for Money in order to prioritise policy and practice. This paper identifies healthcare spaces (e.g. bathroom) where the impact of the built environment on healthcare costs are most evident, and building elements (e.g. lighting) to which these costs can be directly associated. The paper advocates the development of evidence and decision support tools capable of: linking built environment interventions to the healthcare costs; and helping the health and social care sectors to develop effective and efficient capital investment strategies. Research limitations/implications-Further work needs to develop more systematic ways of rationalising pro-active and timely built environment interventions capable of mitigating dementia (and elderly) care cost escalation. Originality/value-This research takes an innovative view on capital investment for care environments and suggests that appropriate built environment interventions can have a profound impact on costs associated with dementia care provision.
International journal of sustainable built environment, Jun 1, 2017
Healthcare facilities throughout Europe are constantly changing to support efforts to provide eff... more Healthcare facilities throughout Europe are constantly changing to support efforts to provide efficient healthcare services with decreasing resources. Recent changes include larger and more specialist hospitals to achieve economies of scale. This approach has yet to be proven to sustainably respond to the demands, and efficiently satisfy the users' needs. The evidence that supports larger healthcare facilities as more cost effective is limited and contradictory as wider sustainability issues need to be given greater consideration. This information paper presents the findings of a comprehensive literature review that addresses aspects that can lead to sustainable small healthcare facilities. It also establishes sustainable-related factors, including economics and energy efficiency, which could be employed to evaluate the viability of healthcare facilities. A typical small-scale facility provides a case study that contextualises these factors, captures their interdependencies, and explores the viability and sustainability of small hospitals. The findings from the work suggest that small facilities can be viable and more comprehensive research that provides a balanced view of economies of scale is required to support future healthcare design policies, where large and more specialised hospitals may no longer be environmentally, technologically, socially and economically sustainable.
El entorno para el cuidado de personas con demencia
La poblacion de muchos paises esta envejeciendo a un ritmo rapido que se espera que aumente en lo... more La poblacion de muchos paises esta envejeciendo a un ritmo rapido que se espera que aumente en los proximos anos. La prestacion de salud y servicios sociales y la infraestructura fisica destinada a ello tienen que responder al envejecimiento de la poblacion y sus consecuencias, tales como la demencia. El entorno sanitario construido puede impactar en las personas con demencia, y la configuracion de los medios de atencion es altamente relevante para la calidad de vida de los pacientes, los residentes, la familia, el personal y los cuidadores. Las soluciones derivadas del “diseno basado en la evidencia” y las “buenas practicas” pueden ayudar a mejorar la calidad de vida y ofrecer un mayor valor a cambio del dinero invertido durante un periodo de rapidos cambios donde se requieren soluciones a largo plazo relacionadas con el entorno de los ambientes de atencion. El aporte de trabajos de investigacion y proyectos piloto puede ayudar a demostrar los beneficios del diseno basado en la evidencia y las mejores practicas para la prestacion de una atencion integrada. Esta ponencia explora la tendencia actual y las oportunidades futuras tendientes a la configuracion de ambientes amigables para los pacientes con demencia, y una atencion integrada mediante la deteccion de evidencias, la elaboracion de directrices de mejores practicas y la integracion de la prestacion. Populations in many countries are ageing at a rapid pace which is expected to rise over the coming years. Health and social care provision and infrastructure need to respond to the ageing population and its related conditions such as dementia. The healthcare built environment can impact on people with dementia and the care pathway is highly relevant to quality of life, patients, residents, family, staff and carers. Evidence-based design solutions and best practice can help to improve the quality of life and deliver value for money during a period of rapid change where long term solutions relating to the healthcare environment are requrired. Research and pilot studies can help to demonstrate the benefits of evidence-based design and best practice for integrated care delivery. This paper explores the current trend and future oportunities to deliver dementia-friendly environments and integrated care through gathering of evidence, development of best practice guidance and integration of care delivery.
Design of health and social care environments for people living with dementia
This research paper targets one of the most prominent design challenges in our society today: how... more This research paper targets one of the most prominent design challenges in our society today: how the built environment can respond to the increasing numbers of people living with dementia, which is a progressive condition for which there is currently no cure. People live with dementia in their own home, care homes and other residential settings; they also frequently need access to community settings and services including health care infrastructures, day centres and local communities, many of which are not dementia-friendly. However, available evidence and appropriate stakeholder consultation can improve understanding of the needs of people living with dementia and how to better design the built environment to make them more dementia-friendly.
International Journal of Strategic Property Management, Jun 19, 2015
NHS Trusts in England must adopt appropriate levels of continued investment in routine and backlo... more NHS Trusts in England must adopt appropriate levels of continued investment in routine and backlog maintenance if they are to ensure critical backlog does not accumulate. This paper presents the current state of critical backlog maintenance within the National Health Service (NHS) in England through the statistical analyses of 115 Acute NHS Trusts. It aims to find empirical support for a causal relationship between building portfolio age and year-on-year increases in critical backlog. It makes recommendations for the use of building portfolio age in strategic asset management. The current trend across this sample of NHS Trusts may be typical of the whole NHS built asset portfolio and suggests that most Trusts need to invest between 0.5 and 1.5 per cent of income (depending upon current critical backlog levels and Trust age profile) to simply maintain critical backlog levels. More robust analytics for building age, condition and risk-adjusted backlog maintenance are required.
International Journal of Disaster Resilience in The Built Environment, Sep 14, 2015
Purpose-This study aims to explore the challenges associated with the integration of resilience a... more Purpose-This study aims to explore the challenges associated with the integration of resilience and sustainability, and propose a workable solution that ensures resilient and sustainable buildings. Recent research outcomes suggest that the number of natural hazards, both environmental and geophysical, will increase due to the effect of global warming. Various approaches have been investigated to reduce environmental degradation and to improve the physical resilience to natural hazards. However, most of these approaches are fragmented and when combined with cultural barriers, they often result into less-efficient assessment tools. Design/methodology/approach-The primary source of information used to develop this paper has been research publications, policy papers, reports and tool guidelines. A set of questions were developed to guide the review which was complemented with information distilled from the HFA 2005-2015 to develop an integration process to evaluate 10 international sustainability appraisal tools. Findings-The major finding of this research is that, from a technical point of view, resilience and sustainability could be integrated. However, it requires a long and thorough process with a multidisciplinary stakeholder team including technical, strategic, social and political parties. A combination of incentives and policies would support this process and help people work towards the integration. The Japanese model demonstrates a successful case in engaging stakeholders in the process which led to the development of a comprehensive appraisal tool, CASBEE®, where resilience and sustainability are integrated. Practical implications-Although data have been sought through literature review (i.e. secondary data), the research is expected to have significant impact, as it provides a clear theoretical foundation and methods for those wishing to integrate resilience within current sustainability appraisal tools or develop new tools. Social implications-This paper provides original concepts that are required to reduce fragmentation in the way resilience and sustainability are addressed. It sets up a new research agenda which has the potential to have a strong impact due the fact that sustainability and resilience are getting higher on the political priority scale. Originality/value-This paper provides findings of an original idea to reduce fragmentation in the way resilience and sustainability are addressed. It sets up a new research agenda which has the
Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint presentation]
Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint pre... more Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint presentation]
Roadmap for resilience and sustainability of health and social care infrastructures
This thesis is closed access indefinitely. A Doctoral Thesis. Submitted in partial fulfilment of ... more This thesis is closed access indefinitely. A Doctoral Thesis. Submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.
Engineering, Construction and Architectural Management, Jun 4, 2019
http://mc.manuscriptcentral.com/ecaam Engineering, Construction and Architectural Management Road... more http://mc.manuscriptcentral.com/ecaam Engineering, Construction and Architectural Management Roadmap layers and processes: resilient and sustainable care facilities Abstract Purpose-Health and social care facilities are usually complex buildings that require continuous effort to provide resilient and sustainable responses to changes in demographics, technologies, diseases and models of care. Despite resilience and sustainability concepts being frequently used by practitioners and researchers, ambiguities in their definitions often result in a lack of operational solutions to record, monitor and improve the resilience and sustainability of health and social care facilities. Although the importance and complexity of the issues are widely acknowledged, there is little strategic guidance as to how they should be achieved. The aim of this paper is to: assess the suitability of developing a roadmap for improving the resilience and sustainability of UK health and social care facilities; and identify the layers and processes needed to construct such a roadmap. Design/methodology/approach-A qualitative approach was adopted, starting with a literature review of different types of roadmaps and their suitability to support the desired improvement objectives. Layers and processes were thus developed using the key issues identified in three recent research streams, and the roadmap was structured. Findings-The major findings have been captured within a three-layer, four-step process generic roadmap for improving the resilience and sustainability of health and social care facilities that can be used to monitor performance, plans future actions and implement response to change. Practical implications-This paper targets decision-makers, especially estate managers, but the proposed layers and processes can be modified for other stakeholders. Originality/value-This paper suggests an original approach for the development of a roadmap for resilience and sustainability of health and social care facilities, and specifically of how to structure layers and processes, envisioning a more integrated development of service provision and infrastructure asset management.
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
European Journal of Public Health, 2020
Have we progressed integrated care in Europe? The EU Health Programme funded project, SCIROCCO Ex... more Have we progressed integrated care in Europe? The EU Health Programme funded project, SCIROCCO Exchange addresses this question by providing online self-assessment tool for integrated care. Among the project partners, Puglia Region and the Strategic Regional Agency for Health and Social Care (AReSS), assessed the integrated care maturity level of the six Puglia' Local Health Authorities. The SCIROCCO Exchange project provides a 12-dimensions online tool for European regions to assess their maturity in the provision of integrated care, including identification of strengths, weaknesses and areas for improvement. The methodology provides the following steps: 1) selection of key stakeholders participating in the assessment; 2) conducting the individual assessments; 3) building the consensus among the involved stakeholders. The outcomes of the assessment were captured in the form of spider diagrams, highlighting Puglia' strengths and weaknesses in integrated care. The research ha...
International Journal of Disaster Resilience in the Built Environment, 2015
Purpose – This study aims to explore the challenges associated with the integration of resilience... more Purpose – This study aims to explore the challenges associated with the integration of resilience and sustainability, and propose a workable solution that ensures resilient and sustainable buildings. Recent research outcomes suggest that the number of natural hazards, both environmental and geophysical, will increase due to the effect of global warming. Various approaches have been investigated to reduce environmental degradation and to improve the physical resilience to natural hazards. However, most of these approaches are fragmented and when combined with cultural barriers, they often result into less-efficient assessment tools. Design/methodology/approach – The primary source of information used to develop this paper has been research publications, policy papers, reports and tool guidelines. A set of questions were developed to guide the review which was complemented with information distilled from the HFA 2005-2015 to develop an integration process to evaluate 10 international ...
Sharing Value And Vision Among The Integrated Care Chain: How Puglia Region Fosters The Collaborative Capacity Of Different Stakeholders Starting From Integrated Care Maturity Assessment
International Journal of Integrated Care
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
European journal of public health, Sep 1, 2020
Sharing Value And Vision Among The Integrated Care Chain: How Puglia Region Fosters The Collaborative Capacity Of Different Stakeholders Starting From Integrated Care Maturity Assessment
International Journal of Integrated Care, Apr 8, 2022
Improving health and social care environments for people with dementia [Powerpoint presentation]
Introduce the key principles of dementia friendly design, in relation to the specific aspects of ... more Introduce the key principles of dementia friendly design, in relation to the specific aspects of this age group (i.e. senses, perceptions and cognitions) to improve quality and safety in elderly patient’s journey through the health and social care environments.
Built environment project and asset management, Nov 7, 2016
Purpose-Lord Carter's 2015 'Independent Review' stated that to improve NHS England's efficiency, ... more Purpose-Lord Carter's 2015 'Independent Review' stated that to improve NHS England's efficiency, operational productivity should be targeted in four main areas, one being estates management. NHS England's estate includes a variety of buildings some of which are considered no longer fit-forpurpose, thus creating risk to patients and staff. These built assets require continuous maintenance, adding pressures to NHS England's precarious financial situation. The aim of this paper is to identify positive strategies and major constraints to achieving sustainable management of backlog maintenance across the NHS assets, and thus suggest balanced actions. Design/methodology/approach-The research adopts a qualitative approach and combines: literature review of current backlog maintenance methodologies; interviews with Estates and Facilities Directors from seven NHS Trusts on backlog maintenance strategies; and a NHS Trust detailed case study. Findings-The major finding is that sustainable management of backlog maintenance is achievable if there is a consistent, pro-active and long-term strategic approach where critical levels of backlog maintenance are prioritised. Additional issues (i.e. appropriate methodology, performance metrics and links with clinical service delivery strategies) also need to be considered. Practical implications-This study is relevant to the management of the NHS estate including development and adoption of sustainable strategies. Originality/value-This paper offers original insights to the factors influencing healthcare estates' backlog maintenance at a time when the UK policy agenda is targeting infrastructure operational efficiency and organisations are seeking more comprehensive methodologies.
Construction Management and Economics, Oct 21, 2019
Latest developments in stakeholder management literature focus on dynamic stakeholder engagement ... more Latest developments in stakeholder management literature focus on dynamic stakeholder engagement and disengagement practices, and how these are facilitated towards reaching systemic outcomes. However, limited evidence support that this network-level approach can positively influence project success. The paper analyses this issue by considering the practices (how and when), rationales (why) and outcomes (so what) that evolve in the dynamic management of external stakeholders in dementiafriendly environments. This is a crucial area to explore as the ageing population and rising dementia prevalence has increased the need to engage external stakeholders, such as people living with dementia, to develop dementia-friendly health and social environments. The empirical study of the 2013/14 Department of Health National Dementia Capital Investment Programme involved a statistical and qualitative analysis of 98 pilot projects' final lessons learnt reports. The analysis advances the dynamic process of timely engaging and disengaging external stakeholders in a context not previously explored in the literature related to dementia-friendly environments. Eight recurring practices and six rationales, the latter characterised by their temporal dimension, are presented in a processual model of stakeholder management.
Journal of Financial Management of Property and Construction, Aug 1, 2016
Purpose-This paper identifies costs related to dementia care provision and explores how purposefu... more Purpose-This paper identifies costs related to dementia care provision and explores how purposeful built environment investments can help control these costs and improve Quality of Life and clinical outcomes. Design/methodology/approach-This research adopts a multi-method approach where the findings of a literature review drove the analysis of data obtained from the 115 pilot projects funded by the Department of Health England's National Dementia Capital Investment Programme. Findings-Under the UK government's new productivity challenge, it is fundamental to identify actions that provide Value for Money in order to prioritise policy and practice. This paper identifies healthcare spaces (e.g. bathroom) where the impact of the built environment on healthcare costs are most evident, and building elements (e.g. lighting) to which these costs can be directly associated. The paper advocates the development of evidence and decision support tools capable of: linking built environment interventions to the healthcare costs; and helping the health and social care sectors to develop effective and efficient capital investment strategies. Research limitations/implications-Further work needs to develop more systematic ways of rationalising pro-active and timely built environment interventions capable of mitigating dementia (and elderly) care cost escalation. Originality/value-This research takes an innovative view on capital investment for care environments and suggests that appropriate built environment interventions can have a profound impact on costs associated with dementia care provision.
International journal of sustainable built environment, Jun 1, 2017
Healthcare facilities throughout Europe are constantly changing to support efforts to provide eff... more Healthcare facilities throughout Europe are constantly changing to support efforts to provide efficient healthcare services with decreasing resources. Recent changes include larger and more specialist hospitals to achieve economies of scale. This approach has yet to be proven to sustainably respond to the demands, and efficiently satisfy the users' needs. The evidence that supports larger healthcare facilities as more cost effective is limited and contradictory as wider sustainability issues need to be given greater consideration. This information paper presents the findings of a comprehensive literature review that addresses aspects that can lead to sustainable small healthcare facilities. It also establishes sustainable-related factors, including economics and energy efficiency, which could be employed to evaluate the viability of healthcare facilities. A typical small-scale facility provides a case study that contextualises these factors, captures their interdependencies, and explores the viability and sustainability of small hospitals. The findings from the work suggest that small facilities can be viable and more comprehensive research that provides a balanced view of economies of scale is required to support future healthcare design policies, where large and more specialised hospitals may no longer be environmentally, technologically, socially and economically sustainable.
El entorno para el cuidado de personas con demencia
La poblacion de muchos paises esta envejeciendo a un ritmo rapido que se espera que aumente en lo... more La poblacion de muchos paises esta envejeciendo a un ritmo rapido que se espera que aumente en los proximos anos. La prestacion de salud y servicios sociales y la infraestructura fisica destinada a ello tienen que responder al envejecimiento de la poblacion y sus consecuencias, tales como la demencia. El entorno sanitario construido puede impactar en las personas con demencia, y la configuracion de los medios de atencion es altamente relevante para la calidad de vida de los pacientes, los residentes, la familia, el personal y los cuidadores. Las soluciones derivadas del “diseno basado en la evidencia” y las “buenas practicas” pueden ayudar a mejorar la calidad de vida y ofrecer un mayor valor a cambio del dinero invertido durante un periodo de rapidos cambios donde se requieren soluciones a largo plazo relacionadas con el entorno de los ambientes de atencion. El aporte de trabajos de investigacion y proyectos piloto puede ayudar a demostrar los beneficios del diseno basado en la evidencia y las mejores practicas para la prestacion de una atencion integrada. Esta ponencia explora la tendencia actual y las oportunidades futuras tendientes a la configuracion de ambientes amigables para los pacientes con demencia, y una atencion integrada mediante la deteccion de evidencias, la elaboracion de directrices de mejores practicas y la integracion de la prestacion. Populations in many countries are ageing at a rapid pace which is expected to rise over the coming years. Health and social care provision and infrastructure need to respond to the ageing population and its related conditions such as dementia. The healthcare built environment can impact on people with dementia and the care pathway is highly relevant to quality of life, patients, residents, family, staff and carers. Evidence-based design solutions and best practice can help to improve the quality of life and deliver value for money during a period of rapid change where long term solutions relating to the healthcare environment are requrired. Research and pilot studies can help to demonstrate the benefits of evidence-based design and best practice for integrated care delivery. This paper explores the current trend and future oportunities to deliver dementia-friendly environments and integrated care through gathering of evidence, development of best practice guidance and integration of care delivery.
Design of health and social care environments for people living with dementia
This research paper targets one of the most prominent design challenges in our society today: how... more This research paper targets one of the most prominent design challenges in our society today: how the built environment can respond to the increasing numbers of people living with dementia, which is a progressive condition for which there is currently no cure. People live with dementia in their own home, care homes and other residential settings; they also frequently need access to community settings and services including health care infrastructures, day centres and local communities, many of which are not dementia-friendly. However, available evidence and appropriate stakeholder consultation can improve understanding of the needs of people living with dementia and how to better design the built environment to make them more dementia-friendly.
International Journal of Strategic Property Management, Jun 19, 2015
NHS Trusts in England must adopt appropriate levels of continued investment in routine and backlo... more NHS Trusts in England must adopt appropriate levels of continued investment in routine and backlog maintenance if they are to ensure critical backlog does not accumulate. This paper presents the current state of critical backlog maintenance within the National Health Service (NHS) in England through the statistical analyses of 115 Acute NHS Trusts. It aims to find empirical support for a causal relationship between building portfolio age and year-on-year increases in critical backlog. It makes recommendations for the use of building portfolio age in strategic asset management. The current trend across this sample of NHS Trusts may be typical of the whole NHS built asset portfolio and suggests that most Trusts need to invest between 0.5 and 1.5 per cent of income (depending upon current critical backlog levels and Trust age profile) to simply maintain critical backlog levels. More robust analytics for building age, condition and risk-adjusted backlog maintenance are required.
International Journal of Disaster Resilience in The Built Environment, Sep 14, 2015
Purpose-This study aims to explore the challenges associated with the integration of resilience a... more Purpose-This study aims to explore the challenges associated with the integration of resilience and sustainability, and propose a workable solution that ensures resilient and sustainable buildings. Recent research outcomes suggest that the number of natural hazards, both environmental and geophysical, will increase due to the effect of global warming. Various approaches have been investigated to reduce environmental degradation and to improve the physical resilience to natural hazards. However, most of these approaches are fragmented and when combined with cultural barriers, they often result into less-efficient assessment tools. Design/methodology/approach-The primary source of information used to develop this paper has been research publications, policy papers, reports and tool guidelines. A set of questions were developed to guide the review which was complemented with information distilled from the HFA 2005-2015 to develop an integration process to evaluate 10 international sustainability appraisal tools. Findings-The major finding of this research is that, from a technical point of view, resilience and sustainability could be integrated. However, it requires a long and thorough process with a multidisciplinary stakeholder team including technical, strategic, social and political parties. A combination of incentives and policies would support this process and help people work towards the integration. The Japanese model demonstrates a successful case in engaging stakeholders in the process which led to the development of a comprehensive appraisal tool, CASBEE®, where resilience and sustainability are integrated. Practical implications-Although data have been sought through literature review (i.e. secondary data), the research is expected to have significant impact, as it provides a clear theoretical foundation and methods for those wishing to integrate resilience within current sustainability appraisal tools or develop new tools. Social implications-This paper provides original concepts that are required to reduce fragmentation in the way resilience and sustainability are addressed. It sets up a new research agenda which has the potential to have a strong impact due the fact that sustainability and resilience are getting higher on the political priority scale. Originality/value-This paper provides findings of an original idea to reduce fragmentation in the way resilience and sustainability are addressed. It sets up a new research agenda which has the
Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint presentation]
Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint pre... more Health Building Note 08-02: dementia-friendly health and social care environments [Powerpoint presentation]
Roadmap for resilience and sustainability of health and social care infrastructures
This thesis is closed access indefinitely. A Doctoral Thesis. Submitted in partial fulfilment of ... more This thesis is closed access indefinitely. A Doctoral Thesis. Submitted in partial fulfilment of the requirements for the award of Doctor of Philosophy of Loughborough University.
Engineering, Construction and Architectural Management, Jun 4, 2019
http://mc.manuscriptcentral.com/ecaam Engineering, Construction and Architectural Management Road... more http://mc.manuscriptcentral.com/ecaam Engineering, Construction and Architectural Management Roadmap layers and processes: resilient and sustainable care facilities Abstract Purpose-Health and social care facilities are usually complex buildings that require continuous effort to provide resilient and sustainable responses to changes in demographics, technologies, diseases and models of care. Despite resilience and sustainability concepts being frequently used by practitioners and researchers, ambiguities in their definitions often result in a lack of operational solutions to record, monitor and improve the resilience and sustainability of health and social care facilities. Although the importance and complexity of the issues are widely acknowledged, there is little strategic guidance as to how they should be achieved. The aim of this paper is to: assess the suitability of developing a roadmap for improving the resilience and sustainability of UK health and social care facilities; and identify the layers and processes needed to construct such a roadmap. Design/methodology/approach-A qualitative approach was adopted, starting with a literature review of different types of roadmaps and their suitability to support the desired improvement objectives. Layers and processes were thus developed using the key issues identified in three recent research streams, and the roadmap was structured. Findings-The major findings have been captured within a three-layer, four-step process generic roadmap for improving the resilience and sustainability of health and social care facilities that can be used to monitor performance, plans future actions and implement response to change. Practical implications-This paper targets decision-makers, especially estate managers, but the proposed layers and processes can be modified for other stakeholders. Originality/value-This paper suggests an original approach for the development of a roadmap for resilience and sustainability of health and social care facilities, and specifically of how to structure layers and processes, envisioning a more integrated development of service provision and infrastructure asset management.
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
European Journal of Public Health, 2020
Have we progressed integrated care in Europe? The EU Health Programme funded project, SCIROCCO Ex... more Have we progressed integrated care in Europe? The EU Health Programme funded project, SCIROCCO Exchange addresses this question by providing online self-assessment tool for integrated care. Among the project partners, Puglia Region and the Strategic Regional Agency for Health and Social Care (AReSS), assessed the integrated care maturity level of the six Puglia' Local Health Authorities. The SCIROCCO Exchange project provides a 12-dimensions online tool for European regions to assess their maturity in the provision of integrated care, including identification of strengths, weaknesses and areas for improvement. The methodology provides the following steps: 1) selection of key stakeholders participating in the assessment; 2) conducting the individual assessments; 3) building the consensus among the involved stakeholders. The outcomes of the assessment were captured in the form of spider diagrams, highlighting Puglia' strengths and weaknesses in integrated care. The research ha...
International Journal of Disaster Resilience in the Built Environment, 2015
Purpose – This study aims to explore the challenges associated with the integration of resilience... more Purpose – This study aims to explore the challenges associated with the integration of resilience and sustainability, and propose a workable solution that ensures resilient and sustainable buildings. Recent research outcomes suggest that the number of natural hazards, both environmental and geophysical, will increase due to the effect of global warming. Various approaches have been investigated to reduce environmental degradation and to improve the physical resilience to natural hazards. However, most of these approaches are fragmented and when combined with cultural barriers, they often result into less-efficient assessment tools. Design/methodology/approach – The primary source of information used to develop this paper has been research publications, policy papers, reports and tool guidelines. A set of questions were developed to guide the review which was complemented with information distilled from the HFA 2005-2015 to develop an integration process to evaluate 10 international ...
Sharing Value And Vision Among The Integrated Care Chain: How Puglia Region Fosters The Collaborative Capacity Of Different Stakeholders Starting From Integrated Care Maturity Assessment
International Journal of Integrated Care
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]
Design of frailty-friendly Emergency Departments: Patients with dementia [Powerpoint presentation]