title: Ten trends transforming cancer care and their effects on space planning for academic medical centers.
abstract: OBJECTIVE
  This article aims to define the major trends currently affecting space needs for academic medical center (AMC) cancer centers. It will distinguish between the trends that promote the concentration of services with those that promote decentralization as well as identify opportunities for achieving greater effectiveness in cancer care space planning.
  
  
  BACKGROUND
  Changes in cancer care-higher survival rates, increased clinical trials, new technology, and changing practice models-increasingly fill hospitals' and clinicians' schedules and strain clinical space resources. Conflicts among these trends are concentrating some services and dispersing others. As a result, AMCs must expand and renovate intelligently to continue providing state-of-the-art, compassionate care.
  
  
  CONCLUSIONS
  Although the typical AMC cancer center can expect to utilize more space than it would have 10 years ago, a deeper understanding of the cancer center enterprise can lead to opportunities for more effectively using available facility resources. Each AMC must determine for itself the appropriate balance of patient volume, clinical activity, and services between its main hospital campus and satellite branches. As well, space allocation should be flexible, as care trends, medical technology, and the provider's own priorities shift over time. The goal isn't necessarily more space-it's better space.
authors: Massachusetts General Hospital Cancer Center, Boston, MA, USA.
authors: Mara
authors: M
authors: Bloom
authors: NBBJ, Boston, MA, USA.
authors: Sarah
authors: S
authors: Markovitz
authors: NBBJ, New York, NY, USA ssilverman@nbbj.com.
authors: Susan
authors: S
authors: Silverman
authors: NBBJ, New York, NY, USA.
authors: Carl
authors: C
authors: Yost
mesh_terms: D000046:Academic Medical Centers / Q000639:trends*; D020811:Biomedical Technology / Q000639:trends; D002986:Clinical Trials as Topic / Q000379:methods / Q000706:statistics & numerical data; D006781:Hospitals, Satellite / Q000639:trends; D006801:Humans; D007374:Interior Design and Furnishings / Q000379:methods / Q000592:standards*; D020380:Needs Assessment; D009369:Neoplasms / Q000453:epidemiology / Q000628:therapy*; D016522:Oncology Service, Hospital / Q000639:trends*; D010044:Outpatient Clinics, Hospital / Q000639:trends*; D010166:Palliative Care / Q000639:trends*; D010348:Patient Care Team / Q000458:organization & administration / Q000639:trends*; D057285:Precision Medicine / Q000639:trends*; D011368:Professional-Family Relations; D012944:Social Support; D017741:Survivors / Q000706:statistics & numerical data; D057170:Translational Research, Biomedical / Q000639:trends
keywords: academic medical centers; architecture; cancer care; interior design; master planning; space planning