title: Integrated healthscape strategies: an ecological approach to evidence-based design.
abstract: OBJECTIVE
  This paper explores some of the premises of evidence-based design (EBD) and suggests that greater attention to and differentiation of the various purposes of research are needed, along with the development of an ecological theory that reflects the complexity of the health systems studied and more varied ways to communicate with and engage practitioners.
  
  
  BACKGROUND
  Problems with the American healthcare system are well known. For the past 20 years, an intervention that has gained increasing attention has been the physical design of healthcare facilities-hospitals in particular. EBD has been advocated as one means of using research to examine the relationship between design and healthcare to improve patient safety and the quality of care.
  
  
  CONCLUSIONS
  The concept of integrated healthscape strategies is proposed to focus not only on research "evidence" and the methods used to collect and analyze it, but also on the different purposes research serves, the role of theory, and the use of EBD research in practice.
authors.affiliation: Department of Design & Environmental Analysis, Cornell University, Ithaca, NY, USA. Fdb2@cornell.edu
authors.forename: Franklin
authors.initials: F
authors.lastname: Becker
authors.forename: Marino
authors.initials: M
authors.lastname: Bonaiuto
authors.forename: Elena
authors.initials: E
authors.lastname: Bilotta
authors.forename: Mirilia
authors.initials: M
authors.lastname: Bonnes
mesh_terms: D055317:Evidence-Based Practice; D005160:Facility Design and Construction; D006272:Health Facility Environment; D007374:Interior Design and Furnishings; D008962:Models, Theoretical; D009936:Organizational Innovation; D014481:United States