Healthcare facility acquisition outcomes: The relationship of delivery, procurement, and contracting to cost and schedule performance.

摘要

Healthcare facilities are a unique market sector in the Architecture, Engineering, and Construction (AEC) Industry. These facilities are complex buildings, with planning, design, and construction potentially spanning five or more years. They reflect both changes in population demographics, such as population shifts or human lifecycle, and they constantly are reacting to changes in technology, such as changes in medical practice or simply newer medical equipment.;Acquisition strategy, which defines the overall methods used by a facility owner or developer to plan, program, design, build/construct, and operate the facility, is also most commonly referred to in academia as the delivery system. This dissertation looks at the relationship of delivery methods, procurement methods and contracting methods on healthcare related projects to project cost and schedule performance outcomes.;This was achieved through the introduction of a continuous variable, "Degree of Integration" (DOI), to replace historical categorical analysis of delivery methods. This DOI uses attributes representative of a given delivery method's scale of integration and probable collaboration. The results show a statistically significant relationship between the DOI and reduced cost growth.