Sage Journals: Discover world-class research

Abstract

New Orleans continues to struggle to rebuild from the devastation inflicted by Hurricane Katrina in 2005. More than 1,800 perished in its aftermath. Katrina stands as the costliest catastrophe in U.S. history, and the city's healthcare infrastructure is similarly striving to resuscitate itself. The incorporation of evidence-based design and research (EBD&R) in the reconstitution of the city's healthcare infrastructure offers a promising direction to improve healthcare outcomes. Recent efforts to incorporate EBD&R in New Orleans' recovery are summarized. EBD&R interventions are needed that take certain key dilemmas into consideration—embracing the adaptive reuse possibilities of historic healthcare facilities, private-public sector collaborations in acute care and in neighborhood-based outpatient care environments, and interventions to serve the city's growing population of medically underserved residents.

Keywords

Evidence-based design adaptive reuse historic healthcare facilities private-public sector collaborations acute care neighborhood-based outpatient care Hurricane Katrina

Get full access to this article

View all access options for this article.

References

Alexander

Ishikawa

Silverstein

Jacobson

Fiksdahl-King

, & Angel

(1977). A Pattern language: Towns, buildings, construction. London and New York: Oxford University Press.

Bafna

Choudhary

, & Zimring

(2007). Rebuilding New Orleans hospitals—Task 2: A working resource guide for clinic redesign. Center for Healthcare Design, Georgia Institute of Technology.

DeGregorio

(2007, November 26). Victory developers seek demolition permit for Lindy Boggs Medical Center. The Times-Picayune. Retrieved November 26, 2007, from http://www.nola.com

Eaton

(2007, July 24). New Orleans recovery is slowed by closed hospitals. The New York Times. Retrieved November 15, 2007, from http://www.nytimes.com

Gibson

(2006). The Old Providence Hospital, Vancouver, Texas. Retrieved November 5, 2007, from http://www.implosionfinder.com

Groth

, & Bressi

T. W.

(Eds.). (1997). Understanding ordinary landscapes. New Haven and London: Yale University Press.

Hayden

(1995). The power of place: Urban landscapes as public history. Cambridge: MIT Press.

Jordan

(2006). City Hospital tower and Malcolm Bliss. Retrieved November 1, 2007, from http://www.stl.blogspot.com

Katz

(1992). Big Charity: A history of emergencies. Tulane Medicine, 87(1), 13–22.

10.

Landmarks Preservation Council of Illinois. (2003). A reuse plan for Cook County hospital. Springfield, IL: Landmarks Preservation Council of Illinois.

11.

Levi

(2007). St. Francis Convent, Lafayette, Indiana. Retrieved November 14, 2007, from http://www.b-vevy.com/presentation

12.

MacCash

(2007, August 27). Architectural soul of the city at stake. The Times-Picayune. Retrieved August 28, 2007, from http://www.nola.com

13.

Moffat

(2006). Compassion in architecture, Places, 18(3), 23–27.

14.

Moller

(2007, August 21). VA decides to put hospital in N.O. The Times-Picayune. Retrieved August 21, 2007, from http://www.nola.com

15.

National Trust for Historic Preservation. (2007). The 11 most endangered places. Washington, DC: The National Trust for Historic Places.

16.

Simon

(2002). Passavant Memorial Hospital, 1865–1972. Northwestern Memorial Hospital (Home Page). Retrieved December 1, 2007, from http://www.nmh.org/aboutus/history-1.htm

17.

Thompson

, & Goldin

(1975). The hospital: A social and architectural history. New Haven: Yale University Press.

18.

Ulrich

Quan

Zimring

Joseph

, & Choudhary

(2004). The role of the physical environment in the hospital of the 21st century: A once-in-a-lifetime opportunity. Concord, MA: The Center for Health Design.

19.

Verderber

, & Fine

(2000). Healthcare architecture in an era of radical transformation. London and New Haven: Yale University Press.

20.

Verderber

(2005). Compassion in architecture: Evidence-based design for health in Louisiana. Lafayette: Center for Louisiana Studies.

21.

Verderber

(in press). Delirious New Orleans: Manifesto for an extraordinary American city. Austin: The University of Texas Press.

22.

White

(2007, November 29). Study suggests economic team-up. The Times-Picayune. p. B1–2. Retrieved December, 1, 2007, from http://www.nola.com

Evidence-Based Design for Healthcare in Post-Katrina New Orleans: Current Dilemmas

Abstract

Keywords

Get full access to this article

References