Interstitial Building Space and its Relationship to Evidence Based Design

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dc.contributor.authorDiMaio, Christopher Michaelen
dc.contributor.committeechairGarvin, Michael J.en
dc.contributor.committeememberIorio, Joshen
dc.contributor.committeememberReichard, Georgen
dc.contributor.departmentBuilding Constructionen
dc.date.accessioned2019-06-08T08:00:43Zen
dc.date.available2019-06-08T08:00:43Zen
dc.date.issued2019-06-07en
dc.description.abstractHealthcare facilities are dynamic, long-term investments that must be able to respond to change in order to avoid obsolescence. Flexibility is a response used in healthcare facility design and construction to counter uncertainties, such as changing medical technologies, medical science and regulations. Flexible infrastructure design offers healthcare facilities the opportunity to combat obsolescence stemming from uncertainties. Interstitial Building Space (IBS) is one of many flexible infrastructure design options that assists with both mid-range and long-term flexibility. IBS is an unfinished and unoccupied horizontal space between a building's floors, fully accessible to people for the purpose of service and maintenance. The advent of Evidence Based Design (EBD) introduced a new dimension to the already dynamic healthcare facility. "EBD represents a body of science that links elements of the built environment with patient, staff and resource outcomes" (Malone et al. 2007 p.5). The incorporation of EBD increases the complexity for the design and construction of healthcare facilities. A framework was developed that articulates the dependent relationships between flexibility, IBS and EBD. The framework is comprised of three key elements: 1) a comprehensive "IBS Spectrum of Benefits" matrix resulting from a systematic literature review 2) a "Flexibility-EBD Conceptual Model" illustrating the relationship between flexibility and EBD, while identifying a continuum of flexibility enabled by this relationship; and 3) a "IBS-EBD Component Mapping Framework" articulating direct matches between the "IBS Spectrum of Benefits" and EBD components. The framework and the key elements within provide a foundational resource for stakeholders and researchers alike, navigating the interrelated intricacies associated with flexibility, EBD and IBS.en
dc.description.abstractgeneralHealthcare facilities are dynamic, long-term investments that must be able to respond to change in order to avoid obsolescence. Flexibility is one response which enables facilities to combat changes and/ or uncertainties. This thesis explores the relationships between flexibility, Interstitial Building Space and Evidence Based Design, documents each relationship, and depicts their interrelated nature with the establishment of an overarching framework.en
dc.description.degreeMaster of Scienceen
dc.format.mediumETDen
dc.identifier.othervt_gsexam:20965en
dc.identifier.urihttp://hdl.handle.net/10919/89901en
dc.language.isoenen
dc.publisherVirginia Techen
dc.rightsIn Copyrighten
dc.rights.urihttp://rightsstatements.org/vocab/InC/1.0/en
dc.subjectInterstitial Building Spaceen
dc.subjectFlexibilityen
dc.subjectEvidence Based Designen
dc.titleInterstitial Building Space and its Relationship to Evidence Based Designen
dc.typeThesisen
thesis.degree.disciplineBuilding/Construction Science and Managementen
thesis.degree.grantorVirginia Polytechnic Institute and State Universityen
thesis.degree.levelmastersen
thesis.degree.nameMaster of Scienceen

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