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Post-occupancy evaluation of primary healthcare facilities: guidelines for Evidence-Based Design

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Author(s):
Gabriela Henriques Camelo
Total Authors: 1
Document type: Master's Dissertation
Press: São Carlos.
Institution: Universidade de São Paulo (USP). Escola de Engenharia de São Carlos (EESC/SBD)
Defense date:
Examining board members:
Márcio Minto Fabricio; Gleice Virginia Medeiros de Azambuja Elali; Patricia Tzortzopoulos Fazenda; Givaldo Luiz Medeiros
Advisor: Márcio Minto Fabricio
Abstract

In a national context, there is a massive production situation of primary healthcare units, leading to repetitive design errors. It is of main relevance to have the specific area repertoire to improve the quality of such buildings, considering that a good design may positively influence the local service, such as the patients\' treatments, and also in the workplace quality to the professionals involved. In the Brazilian literature, there are also gaps in the Evidence-Based Design (EBD) theme, an internationally growing concept that proposes the systematic use of formal relevant research to the analysis of collected evidence in healthcare establishments, intending to develop a better design and help future maintenance. In Brazil, however, there is the consolidated methodology Post-Occupancy Evaluation (POE), an approach that proposes data collection and analysis of occupied buildings. This master\'s degree aimed at developing design guidelines for Primary Health Care units based on the multimethodological approach of POE and making them available for future evidence-based projects. Still, there is an effort to characterize the relationship, convergences, divergences, and integration between POE and EBD. It was found through a systematic review of the literature that the POE integrates the EBD process, especially after the design completion when measuring the proposed solutions based on evidence from the literature, feeding back the design cycle and promoting more data for the future. Through a field study, with three post-occupancy assessments conducted in health units in the city of Ribeirão Preto (state of São Paulo, Brazil), it was possible to permeate the stages of an APO, bringing evidence collected from the use of instruments analysis of building performance and user satisfaction (walkthrough with a checklist, behavioral map, and semi-structured interviews). In addition, these results were compared with others available in the literature. It was proposed, as a contribution to this research, the organization and discussion of potential solutions in parameterized revit files, highlighting the evidence that led to them, from this and other studies. The proposed guidelines are described and made available to help future primary healthcare projects that propose themselves to be evidence-based. (AU)

FAPESP's process: 20/03463-5 - Evidence-based design for healthcare establishment
Grantee:Gabriela Henriques Camelo
Support Opportunities: Scholarships in Brazil - Master