Sustainable Hospital Design in Resource-Constrains

 


Sustainable hospital design plays a pivotal role in reducing the ecological footprint of healthcare infrastructure while ensuring effective service delivery. In resource-constrained regions such as Jordan, the need for a balanced approach that integrates environmental, economic, and sociocultural dimensions has become increasingly vital. This study employs the Analytic Hierarchy Process (AHP) to evaluate multiple sustainability criteria, thereby offering a systematic framework for decision-making in hospital planning and development.

Role of AHP in Sustainable Healthcare Planning

The Analytic Hierarchy Process (AHP) is a multi-criteria decision-making tool that allows experts and policymakers to prioritize sustainability factors based on structured comparisons. In this study, AHP enabled the evaluation of seven primary sustainability criteria, capturing both quantitative and qualitative aspects. By ensuring logical consistency, AHP proved effective in aligning expert judgment with evidence from recent literature, making it a valuable approach for guiding strategic planning in healthcare infrastructure.

Prioritization of Sustainability Criteria

Findings indicate that Sustainable Site Planning emerged as the top priority, accounting for 38.92% of the overall weight. This highlights the importance of location, accessibility, land use, and site management in achieving long-term sustainability. Energy Efficiency followed with 19.46%, reflecting the critical role of renewable energy integration, efficient systems, and reduced operational costs. Sociocultural and Functional Considerations ranked third at 12.97%, emphasizing the need for user-centered designs that respond to cultural norms and functional requirements.

Secondary Sustainability Dimensions

While site planning and energy efficiency dominated the results, lower weights were assigned to Indoor Environmental Quality, Technical Aspects, Water Efficiency, and Materials & Resources. Although these criteria ranked lower, they remain integral to sustainable hospital design. Their relative importance suggests that, in the Jordanian context, decision-makers prioritize large-scale site and energy strategies over technical or material innovations, possibly due to financial and infrastructural constraints.

Policy and Architectural Implications

The AHP framework developed in this study offers architects, planners, and policymakers a practical decision-support tool for prioritizing sustainability initiatives. By identifying which criteria carry the greatest influence, decision-makers can allocate resources more effectively. For example, investing in sustainable site planning and energy efficiency may deliver the most significant environmental and operational benefits in the short term while gradually integrating other dimensions as resources permit.

Future Research Directions

Further research can expand this model by incorporating life-cycle assessment, cost-benefit analysis, and stakeholder participation across multiple regions. Comparative studies between developing and developed countries could also provide insights into how contextual factors shape sustainability priorities. Additionally, integrating advanced technologies such as Building Information Modeling (BIM) and machine learning could enhance decision-making accuracy, supporting more adaptive and resilient hospital infrastructure planning.

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#HospitalInfrastructure
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#EnergyEfficiency
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#MaterialsAndResources
#SocioculturalDesign
#WaterEfficiency
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#HospitalSustainability
#EcoFriendlyHospitals
#ArchitecturalResearch
#PolicyAndPlanning


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