ISSN: 2222-6990
Open access
The healing environment in hospitals is of great significance in improving the medical experience of patients and the quality of medical services. In recent years, with the deepening of the people-centered healthcare concept, the design of hospital environments has gradually shifted from being function-oriented to embracing a more humanistic and diversified approach. As an innovative healthcare model, the designing, implementation and evaluation of healing environments must integrate the needs of healthcare workers, patients and families. This study used social network analysis (SNA) to analyze 1291 articles published in the China Knowledge Network (CNKI) database between 1989-2024. Keywords were extracted using the Text-Rank algorithm, and keyword weights and degree of association were calculated using TF-IDF and weighted Jaccard similarity. The network was visualized and analyzed using Gephi software. The study found that research on healing environments in Chinese hospitals has gone through four main phases of development: the exploration phase (1989-1995), the development phase (1996-2005), the stabilization phase (2006-2013), and the extension phase (2014-2024). Emerging keywords from each phase are defined as research topics, which are analyzed through social networks to form six main knowledge clusters. The research theme has gradually evolved from early concerns with spatial layout to a comprehensive multi-dimensional study, including optimization of the physical environment, humanistic care and technological innovation. Research on healing environments of hospitals in China has developed a systematic theoretical framework ranging from functional orientation to humanization. Especially in the last decade, a research paradigm with local characteristics has been established by integrating digital technology and multi-disciplinary knowledge and expanding international perspectives. Future research should further strengthen inter-disciplinary integration, deepen the application of evidence-based design, and promote extensive exchanges with international research.
Amati, G., & Van Rijsbergen, C. J. (2002). Probabilistic models of information retrieval based on measuring the divergence from randomness. ACM Transactions on Office Information Systems, 20(4), 357–389. https://doi.org/10.1145/582415.582416
Abbasi, A., Hossain, L., Hamra, J., & Owen, C. (2010). Social networks perspective of firefighters' adaptive behaviour and coordination among them. In 2010 IEEE/ACM International Conference on Green Computing and Communications & International Conference on Cyber, Physical and Social Computing (pp. 819–824). IEEE. https://doi.org/10.1109/GreenCom-CPSCom.2010.57
Chowdhury, G. G. (2010). Introduction to modern information retrieval. Facet Publishing.
Cheng, Y. B. (2022). Strengthening the standardization of environmental health to promote healthy environment construction and action. Journal of Environmental Hygiene, 12(9), 629. https://doi.org/10.13421/j.cnki.hjwsxzz.2022.09.001 (In Chinese)
Dongen, S. (2000). A cluster algorithm for graphs. CWI (Centre for Mathematics and Computer Science).
Devlin, A. S., & Arneill, A. B. (2003). Health care environments and patient outcomes. Environment and Behavior, 35(5), 665–694. https://doi.org/10.1177/0013916503255102
Dijkstra, K., Pieterse, M., & Pruyn, A. (2006). Physical environmental stimuli that turn healthcare facilities into healing environments through psychologically mediated effects: systematic review. Journal of Advanced Nursing, 56(2), 166–181. https://doi.org/10.1111/j.1365-2648.2006.03990.x
Feng, J., & Yu, S. (2012). The impact of ward environment comfort on inpatient satisfaction. Nursing and Rehabilitation, 11(9), 869–870.
Francis, T., de Vries, M., Fan, M., & Others. (2024). Understanding the social networks that contribute to diversion in hospital inpatient pharmacies: A social network analysis. Exploratory Research in Clinical and Social Pharmacy, 16, 100530. https://doi.org/10.1016/j.rcsop.2024.100530
Guo, M. D., Kong, J., & Liu, M. H. (2023). The impact of hospital environment on nursing outcomes for elderly patients with chronic diseases. Chinese Clinical Research, 36(9), 1443. (In Chinese)
Harris, Z. S. (1954). Distributional structure. WORD, 10(2–3), 146–162. https://doi.org/10.1080/00437956.1954.11659520
He, J., Li, H., Chen, X., & Others. (2018). Noise levels in a medical intensive care unit. Preprints. https://doi.org/10.20944/preprints201807.0588.v1
Hao, S., Wang, C., Hou, R., & Zhang, Y. (2022). Research progress on virtual healing environments and their therapeutic benefits. Landscape Architecture, 8, 79–85. https://doi.org/10.14085/j.fjyl.2022.08.0079.07 (In Chinese)
Jiang, S., & Verderber, S. (2016). On the Planning and Design of Hospital Circulation Zones. HERD Health Environments Research & Design Journal, 10(2), 124–146. https://doi.org/10.1177/1937586716672041
Kaplan, R., & Kaplan, S. (1989). The experience of nature: A psychological perspective. Cambridge University Press.
Kleinberg, J. M. (1999). Authoritative sources in a hyperlinked environment. Journal of the ACM, 46(5), 604–632. https://doi.org/10.1145/324133.324140
Lü, F. X., & Liu, W. (2005). Research on several issues in the development of general hospital buildings in China. Architectural Journal, (2), 66–69. https://doi.org/10.3969/j.issn.0529-1399.2005.02.018 (In Chinese)
Lamb, G., Zimring, C., Chuzi, J., & Dutcher, D. (2010). Designing better healthcare environments: Interprofessional competencies in healthcare design. Journal of Interprofessional Care, 24(4), 422–435. https://doi.org/10.3109/13561820903520344
Lotem, M. H., & Shani, M. (2018). The paradigm shift in medicine following the 4th industrial revolution. Harefuah, 157(12), 797–801. https://pubmed.ncbi.nlm.nih.gov/30582315
Lv, M., & Liu, L. (2024). Spatial function Diversification: A case study of medical care institutions. Transactions on Social Science Education and Humanities Research, 6, 153–160. https://doi.org/10.62051/0dn8gb73
Malkin, J. (2007). Reflections on healing environments and Evidence-Based design. HERD Health Environments Research & Design Journal, 1(1), 26–28. https://doi.org/10.1177/193758670700100111
Martini?Carvell, K., Miller, M. C., & Dworkin, P. H. (2024). Methodological progress note: Social network analysis as a community health research tool. Journal of Hospital Medicine. https://doi.org/10.1002/jhm.13451
Ruan, X. M. (1992). Review and prospects of basic hospital construction in China. Chinese Health Economics, (4), 8–11. (In Chinese)
Rashid, M. (2010). Environmental design for patient families in intensive care units. Journal of Healthcare Engineering, 1(3), 367–398. https://doi.org/10.1260/2040-2295.1.3.367
Rafeeq, D. A., & Mustafa, F. A. (2020). Evidence-based design: The role of inpatient typology in creating healing environment, hospitals in Erbil city as a case study. Ain Shams Engineering Journal, 12(1), 1073–1087. https://doi.org/10.1016/j.asej.2020.06.014
Rich, R. K., Jimenez, F. E., Puumala, S. E., DePaola, S., Harper, K., Roy, L., & Brittin, J. (2020). From fable to Reality at Parkland Hospital: The Impact of Evidence-Based Design Strategies on patient safety, healing, and satisfaction in an adult inpatient environment. HERD Health Environments Research & Design Journal, 14(3), 65–82. https://doi.org/10.1177/1937586720970198
Sweeney, J. C., Frow, P., Payne, A., & McColl-Kennedy, J. R. (2023). How does a hospital servicescape impact the well-being and satisfaction of both healthcare customers and professionals? Journal of Services Marketing, 37(9), 1120–1131. https://doi.org/10.1108/JSM-12-2022-0531
Shen, L., Xu, H., & Xu, Q. (2024). Exploring the construction practice of enhanced recovery surgical wards from the perspective of optimal healing environments. Chinese Hospital Management, 44(8), 50–52.
Soalheiro, L. (2024). Analysis of Conflict and Challenges in the Hospital Environment that Impact the Patient’s Exercise of Private Autonomy. Revista De Gestão Social E Ambiental, 18(10), e08933. https://doi.org/10.24857/rgsa.v18n10-192
Tang, Q., & Huang, X. Q. (2004). A discussion on human-centered design in hospital architecture: The design of Beijing Chaoyang Hospital. Architectural Journal, 1, 75–77. https://doi.org/10.3969/j.issn.0529-1399.2004.01.025 (In Chinese)
The State Council of the People's Republic of China. (2005, October 20). Report on the reform and development of the healthcare industry. Chinese government website. https://www.gov.cn/ztzl/2005-10/20/content_80720.htm
The State Council of the People's Republic of China. (2006, May 11). Notice on continuing the hospital management year initiative nationwide in 2006. Chinese government website. https://www.gov.cn/gzdt/2006-05/11/content_278155.htm
The State Council of the People's Republic of China. (2009, April 6). Opinions on deepening the reform of the medical and health system. Chinese government website. https://www.gov.cn/jrzg/2009-04/06/content_1278721.htm
The State Council of the People's Republic of China. (2016, October 25). Outline of the "Healthy China 2030" plan. Chinese government website. https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm
Ulrich, R. S. (1983). Aesthetic and affective response to natural environment. In Springer eBooks (pp. 85–125). https://doi.org/10.1007/978-1-4613-3539-9_4
Ulrich, R. S. (1984). View Through a Window May Influence Recovery from Surgery. Science, 224(4647), 420–421. https://doi.org/10.1126/science.6143402
Ulrich, R. S. (1991). Effects of interior design on wellness: Theory and recent scientific research. Journal of Health Care Interior Design, 3, 97–109. https://pubmed.ncbi.nlm.nih.gov/10123973
Ulrich, R. S. (2000, September 20–21). Evidence-based environmental design for improving medical outcomes [Conference presentation]. Healing by Design: Building for Healthcare in the 21st Century, Montreal, Canada.
Ulrich, R. S., & Gilpin, L. (2003). Healing arts: Nutrition for the soul. In S. B. Frampton, L. Gilpin, & P. A. Charmel (Eds.), Putting patients first: Designing and practicing patient-centered care (1st ed., pp. 117–146). Jossey-Bass.
Ulrich, R. S., Zimring, C., Zhu, X., DuBose, J., Seo, H., Choi, Y., Quan, X., & Joseph, A. (2008). A review of the research Literature on Evidence-Based Healthcare Design. HERD Health Environments Research & Design Journal, 1(3), 61–125. https://doi.org/10.1177/193758670800100306
Wang, K. (2005). The implementation process of medical environment spatial design in the era of patient choice. Architectural Creation, 12, 49–51. https://doi.org/10.3969/j.issn.1004-8537.2005.12.014 (In Chinese)
Wang, H. F. (2014, February 19). The 30-years progress of health and medical system reform. The History of the People’s Republic of China. http://www.hprc.org.cn/gsgl/zggk/zhgsh/weish/201402/t20140219_267240.html
Wang, H. (2018). A preliminary study on the application of traditional cultural elements in hospital interior design. Sculpture, (3), 44–45. https://doi.org/10.3969/j.issn.1007-2144.2018.03.010 (In Chinese)
Wang, J., & Wang, X. (2021). Research on China's integrated medical and health service system: Policy evolution and theoretical mechanism. Journal of Public Management, (3), 152–167, 176. https://doi.org/10.16149/j.cnki.23-1523.2021.03.004 (In Chinese)
World Health Organization. (2022, November 10). WHO issues consolidated guide to running effective telemedicine services. https://www.who.int/news/item/10-11-2022-who-issues-new-guide-to-running-effective-telemedicine-services
Wang, Q., & Tzortzi, J. N. (2023). Design guidelines for healing gardens in the general hospital. Frontiers in Public Health, 11. https://doi.org/10.3389/fpubh.2023.1288586
Xu, W., Yuan, S. S., & Cao, G. Q. (2016). General overview of the formulation of the national standard "Green Hospital Building Evaluation Standard" GB/T 51153-2015. Construction Science and Technology, (18), 8–10. https://doi.org/10.16116/j.cnki.jskj.2016.18.001 (In Chinese)
Yang, S. (2013). Semantic Network Analysis of research trend related to private Security. The Journal of the Korea Contents Association, 13(11), 894–901. https://doi.org/10.5392/jkca.2013.13.11.894
Yang, T., White, M., Lipson-Smith, R., Shannon, M. M., & Latifi, M. (2024). Design Decision support for healthcare architecture: a VR-Integrated approach for measuring user perception. Buildings, 14(3), 797. https://doi.org/10.3390/buildings14030797
Zhang, J., & Wu, Y. (1996). New understanding of hospital management after WTO accession. Chinese Journal of Hospital Administration, 12(4), 45–50.
Zhang, C. Y., Sun, Y. M., & Jiang, Z. B. (2001). Research on elastic design of modern hospital buildings. Architectural Journal, (4), 21–23. https://doi.org/10.3969/j.issn.0529-1399.2001.04.005 (In Chinese)
Zimring, C., & Bosch, S. (2008). Building the evidence base for Evidence-Based Design. Environment and Behavior, 40(2), 147–150. https://doi.org/10.1177/0013916507311545
Yu, Y., Sabran, K., & Wang, G. (2025). Evolution of Hospital Healing Environments in China: A Social Network Analysis. International Journal of Academic Research in Business and Social Sciences, 15(7), 1385–1402.
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