A recent poll of healthcare providers found that 85% agree that most patients will not require an in-person physician evaluation by 2021. Virtual doctor visits will be common, smartphones and wearable sensors will be used widely to record a patient’s health information, and patients will have greater access to self-serving their health needs via technology equipped unmanned kiosks.
These are some of the predictions from the Mortenson Leadership Series Healthcare Study, the construction firm’s fourth in the last six years. The study is based on a poll of more than 900 healthcare professionals, facilities leaders, and architects who support them, conducted during last year’s ASHE Planning, Design, and Construction Summit.
While most of the study’s findings weren’t surprising, they confirm trends about Millennials’ healthcare expectations, how and where healthcare institutions will be investing, the role of technology in healthcare, and what roadblocks might lie ahead for project management.
Millennials' preferences for how they receive healthcare are having a major impact on how health systems are investing. Image: Mortenson
One thing is certain: patients are taking more ownership of their health. Eighty-three percent of the healthcare providers polled observe that patients are far more willing these days to shop for lower-cost care options. By 2021, 85% predict that providers will screen patients first to guide them to the appropriate treatment. And that won’t necessarily be toward a medical office or clinic.
One of the biggest disparities between the 2018 and 2015 surveys was the responses to the question about how common virtual doctors would be in three years’ time. Last year, 88% responded to this question affirmatively, compared to 63% in 2015. And 85% in the 2018 surveyed participants thought that most patients don’t require an in-person physician evaluation, versus 49% in 2015.
As one 2018 respondent noted, “Millennials expect immediate access. This access will drive how we design facilities as well as garner a new age of telehealth.” Two-fifths of healthcare providers and architects mentioned that virtual telemedicine and self-service treatments would be typical delivery care within the next decade, with much less reliance on physical structures to deliver goods and services.
Healthcare facilities managers say their institutions must become leaner to grapple with insufficient project resources. Many see opportunities in reducing waste and energy consumption. Image: Mortenson
More than two-fifths (44%) of architects polled also said that Millennials’ expectations about the need for more integration and utilization of technology is impacting healthcare and its facilities, followed by 22% who cited the demand for convenience and virtual care. “Less acute, more ambulatory. Less invasive procedures. More virtual … diagnosis and treatments,” stated one respondent.
Two thirds of facilities leaders polled said that their institutions would invest more over the next two to three years. But 35% added that their biggest challenge continues to be insufficient money and resources (including receiving adequate payments for services rendered), followed by “growing pains” (18%) and project delivery (17%).
Nearly half of facilities leaders polled say their healthcare systems continue to invest in clinics, ambulatory care centers, and medical offices. Image: Mortenson
Nearly all of the facilities leaders see significant opportunities to eliminate waste and reduce energy use.
Despite all of speculation about virtual care expressed in the study, 49% of facilities leaders said their institutions would be making major investments in clinics, ambulatory care, and MOBs, followed by traditional hospitals and focused medical facilities (48% each), microhospitals (47%), and remote screening facilities (45%).
The respondents were evenly split about how much their institutions might spend over the next two years, with 33% each projecting moderate, substantial, or flat growth.
The study includes a section about the Affordable Care Act. Fewer respondents in 2018 than in 2015 thought the legislation had done enough to address the country’s long-term healthcare needs. And between 94% and 97% of those polled last year said that the Act still needed “significant changes or revisions,” had created uncertainty for their institutions, and had challenged their organization’s near-term financial condition.
Related Stories
| Jan 21, 2011
Research center built for interdisciplinary cooperation
The Jan and Dan Duncan Neurological Research Institute at Texas Children’s Hospital, in Houston, the first basic research institute for childhood neurological diseases, is a 13-story twisting tower in the center of the hospital campus.
| Jan 19, 2011
Biomedical research center in Texas to foster scientific collaboration
The new Health and Biomedical Sciences Center at the University of Houston will facilitate interaction between scientists in a 167,000-sf, six-story research facility. The center will bring together researchers from many of the school’s departments to collaborate on interdisciplinary projects. The facility also will feature an ambulatory surgery center for the College of Optometry, the first of its kind for an optometry school. Boston-based firms Shepley Bulfinch and Bailey Architects designed the project.
| Jan 19, 2011
New Fort Hood hospital will replace aging medical center
The Army Corps of Engineers selected London-based Balfour Beatty and St. Louis-based McCarthy to provide design-build services for the Fort Hood Replacement Hospital in Texas, a $503 million, 944,000-sf complex partially funded by the American Recovery and Reinvestment Act. The firm plans to use BIM for the project, which will include outpatient clinics, an ambulance garage, a central utility plant, and three parking structures. Texas firms HKS Architects and Wingler & Sharp will participate as design partners. The project seeks LEED Gold.
| Jan 10, 2011
Michael J. Alter, president of The Alter Group: ‘There’s a significant pent-up demand for projects’
Michael J. Alter, president of The Alter Group, a national corporate real estate development firm headquartered in Skokie, Ill., on the growth of urban centers, project financing, and what clients are saying about sustainability.
| Dec 17, 2010
ARRA-funded Navy hospital aims for LEED Gold
The team of Clark/McCarthy, HKS Architects, and Wingler & Sharp are collaborating on the design of a new naval hospital at Camp Pendleton in Southern California. The $451 million project is the largest so far awarded by the U.S. Navy under the American Recovery and Reinvestment Act. The 500,000-sf, 67-bed hospital, to be located on a 70-acre site, will include facilities for emergency and primary care, specialty care clinics, surgery, and intensive care. The Building Team is targeting LEED Gold.
| Dec 17, 2010
Arizona outpatient cancer center to light a ‘lantern of hope’
Construction of the Banner MD Anderson Cancer Center in Gilbert, Ariz., is under way. Located on the Banner Gateway Medical Center campus near Phoenix, the three-story, 131,000-sf outpatient facility will house radiation oncology, outpatient imaging, multi-specialty clinics, infusion therapy, and various support services. Cannon Design incorporated a signature architectural feature called the “lantern of hope” for the $90 million facility.
| Oct 18, 2010
World’s first zero-carbon city on track in Abu Dhabi
Masdar City, the world’s only zero-carbon city, is on track to be built in Abu Dhabi, with completion expected as early as 2020. Foster + Partners developed the $22 billion city’s master plan, with Adrian Smith + Gordon Gill Architecture, Aedas, and Lava Architects designing buildings for the project’s first phase, which is on track to be ready for occupancy by 2015.
| Oct 13, 2010
Prefab Trailblazer
The $137 million, 12-story, 500,000-sf Miami Valley Hospital cardiac center, Dayton, Ohio, is the first major hospital project in the U.S. to have made extensive use of prefabricated components in its design and construction.
| Oct 13, 2010
Hospital tower gets modern makeover
The Wellmont Holston Valley Medical Center in Kingsport, Tenn., expanded its D unit, a project that includes a 243,443-sf addition with a 12-room operating suite, a 36-bed intensive care unit, and an enlarged emergency department.
| Oct 13, 2010
Hospital and clinic join for better patient care
Designed by HGA Architects and Engineers, the two-story Owatonna (Minn.) Hospital, owned by Allina Hospitals and Clinics, connects to a newly expanded clinic owned by Mayo Health System to create a single facility for inpatient and outpatient care.
