Structural accreditation of healthcare facilities: comparison of the requirements by Italian Presidential Decree 14/01/1997 and regional regulations. A proposal for updating the minimum environmental units at national level: A proposal for updating the minimum environmental units at national level

Structural accreditation of healthcare facilities: comparison of the requirements by Italian Presidential Decree 14/01/1997 and regional regulations. A proposal for updating the minimum environmental units at national level

A proposal for updating the minimum environmental units at national level

Authors

  • Marco Gola Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano https://orcid.org/0000-0002-4855-7583
  • Martina Sapienza School of Specialization in Hygiene and preventive medicine‚ Università Cattolica del Sacro Cuore https://orcid.org/0000-0002-2576-4299
  • Faris Slama School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari https://orcid.org/0000-0003-0044-2960
  • Laura Brundu School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari
  • Roberta Campus School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari
  • Stefano Manai School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari
  • Roberto Nicosanti School of Specialization in Hygiene and Preventive Medicine, Università di Cagliari https://orcid.org/0000-0003-2937-1908
  • Silvia Ogana Presidio Ospedaliero Unico Alghero-Ozieri, ASL Sassari
  • Marco Orrù School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari
  • Giovanni Maria Ortu School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari
  • Giulia Piga School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Sassari https://orcid.org/0000-0002-1783-5333
  • Daniele Ignazio La Milia Department Women, children and public health sciences, Mediterranean Institute for Transplantation and Advanced Specialized Therapies https://orcid.org/0000-0002-0860-4605
  • Chiara Cadeddu Dept. Life Sciences and Public Health‚ Università Cattolica del Sacro Cuore https://orcid.org/0000-0003-0149-1078
  • Gaia Ferraguzzi School of Specialization in Hygiene and Preventive Medicine, Università degli Studi di Milano
  • Silvia Mangili Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano
  • Gianfranco Damiani Dept. Life Sciences and Public Health‚ Università Cattolica del Sacro Cuore https://orcid.org/0000-0003-3028-6188
  • Carlo Favaretti Centre on Leadership in Medicine, Università Cattolica del Sacro Cuore https://orcid.org/0000-0003-2693-3207
  • Antonio Azara Dept. Medicine, Surgery and Pharmacy, Università degli Studi di Sassari https://orcid.org/0000-0001-9089-0817
  • Stefano Capolongo Design & Health Lab, Department of Architecture, Built environment and Construction engineering (DABC), Politecnico di Milano https://orcid.org/0000-0002-4679-9829
  • Walter Ricciardi Dept. Life Sciences and Public Health‚ Università Cattolica del Sacro Cuore https://orcid.org/0000-0002-5655-688X

Keywords:

Healthcare facilities, hospital design, Accreditation, Minimum structural requirements, Environmental units, Hospital functional design, Italian context

Abstract

Background and aim. The Decree of the President of the Italian Republic 14/01/1997 is the reference norm related to the accreditation of public and private healthcare structures. This guideline establishes the minimum structural, technological and organizational requirements that each structure operating in the Italian territory must comply with.

Methods. In occasion of the project work for the postgraduate training course in healthcare management by ALTEMS School, a team of researchers conducted a survey on the state of updating of the minimum structural requirements indicated in the norm-in particular those relating to hospital facilities- with those adopted by the individual regions through the analysis of the most up-to-date regional regulations.

Results. Precisely starting from the comparison of regional references and from the regulations on the subject of structural accreditation which suggest strategic environmental units and which address some key-aspects relating to the contemporary design of healing environments (i.e. semi-intensive care units, hybrid operating theatres, etc.), the outcome of the project work is to define a proposal to update the national reference document, also in the light of the currently changing needs in terms of hospital design.

Conclusions. The research aims to become a starting milestone for future investigations. The team investigated – in this first phase – the functional areas listed in the norm, and the next step aims to extend the analysis also to the innovative functions (i.e. buffer spaces, hybrid operating theatres, sub-intensive care units, etc.) and/or introduced only the last years which have only been regulated in some regions.

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Published

30-08-2023

How to Cite

1.
Structural accreditation of healthcare facilities: comparison of the requirements by Italian Presidential Decree 14/01/1997 and regional regulations. A proposal for updating the minimum environmental units at national level: A proposal for updating the minimum environmental units at national level. Acta Biomed [Internet]. 2023 Aug. 30 [cited 2024 Jun. 24];94(S3):e2023158. Available from: https://mattioli1885journals.com/index.php/actabiomedica/article/view/14379