hile a growing body of literature suggests that the layout of inpatient hospitals impacts a range of outcomes such as noise, falls, and mortality, the research has not yet addressed how layout impacts patient experience of care. Experience of care is of growing importance to hospitals because of their commitment to patients and because it is increasingly linked to payment and is reported publicly.
This study bridges this gap by exploring the relationship between layout of the inpatient room and patient satisfaction scores. The study examines 21 units over 2 to 5 years at a large teaching hospital. This study uses space syntax and other spatial measures to analyze layouts and explores the association with standard patient satisfaction measures, including both HCAHPS and Press-Ganey surveys. The study investigates how layout can be measured and especially how layout might impact the engagements of caregivers as they enter the patient room. Preliminary results show that room layouts which allow care givers to maintain eye contact substantially improve the patient perception of care with their care from the caregiver.