https://doi.org/10.24928/2026/0306

Understanding value generation attributes of the healthcare built environment and services

Giulie Baldissera1, Carlos Formoso2 & Patricia Tzortzopoulos3

1Building Innovation Research Unit (NORIE), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0002-2094-7731
2Professor, Building Innovation Research Unit (NORIE), Federal University of Rio Grande do Sul (UFRGS), Porto Alegre, Brazil, [email protected], orcid.org/0000-0002-4772-3746
3Professor, School of Architecture, Design and Built Environment, Nottingham Trent University (NTU), Nottingham, United Kingdom, [email protected], orcid.org/0000-0002-8740-6753

Abstract

Despite value generation in healthcare being a growing research field, simplistic approaches for transforming user requirements into design solutions are often used in project management. Existing knowledge on value generation in healthcare built-environments (HBE) is fragmented and often limited to narrow perspectives. This study proposes an integrated conceptual approach for value generation that considers both the built environment and healthcare services. Through a synthesis of literature, this investigation explores how users perceive different attributes in terms of value generation, as conceptualised in prior empirical studies. Patterns of recurrence, complementarity, and interrelation between the attributes are identified. Additionally, a hierarchical value map from an empirical study was analysed to compare the attributes and verify the applicability of the constructs identified in the literature. This results in an integrated theoretical contribution that combines HBE and service attributes, reinforcing a multidimensional understanding of value as an interconnected construct. Rather than proposing universal constructs applicable to all healthcare facilities, this research acknowledges the context-specific nature of value generation across healthcare units. The findings offer a theoretical contribution for modelling value generation in empirical studies, supporting strategic decision-making in healthcare facility design and management by aligning physical attributes, service demands, and user value.

Keywords

Value, value generation, healthcare-built environment, constructs, informed decision-making.

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Reference in APA 7th edition format:

Baldissera, G., Formoso, C. & Tzortzopoulos, P.. (2026). Understanding value generation attributes of the healthcare built environment and services. In Hamzeh, F., Poshdar, M., & Garcia-Lopez,, N. P. (Eds.), Proceedings of the 34th Annual Conference of the International Group for Lean Construction (IGLC 34) (pp. 1452–1463). https://doi.org/10.24928/2026/0306

Shortened reference for use in IGLC papers:

Baldissera, G., Formoso, C. & Tzortzopoulos, P.. (2026). Understanding value generation attributes of the healthcare built environment and services. IGLC34. https://doi.org/10.24928/2026/0306