Revealing Change Dynamics in Hospital Construction Projects

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dc.contributor Aalto-yliopisto fi
dc.contributor Aalto University en
dc.contributor.author Lavikka, Rita
dc.contributor.author Kyrö, Riikka
dc.contributor.author Peltokorpi, Antti
dc.contributor.author Särkilahti, Anna
dc.date.accessioned 2019-06-20T13:15:06Z
dc.date.available 2019-06-20T13:15:06Z
dc.date.issued 2019-05-01
dc.identifier.citation Lavikka , R , Kyrö , R , Peltokorpi , A & Särkilahti , A 2019 , ' Revealing Change Dynamics in Hospital Construction Projects ' Engineering, Construction and Architectural Management . https://doi.org/10.1108/ECAM-03-2018-0119 en
dc.identifier.issn 0969-9988
dc.identifier.issn 1365-232X
dc.identifier.other PURE UUID: 8a7504ef-f9ec-4e85-96c7-887c85a1e2a9
dc.identifier.other PURE ITEMURL: https://research.aalto.fi/en/publications/revealing-change-dynamics-in-hospital-construction-projects(8a7504ef-f9ec-4e85-96c7-887c85a1e2a9).html
dc.identifier.other PURE FILEURL: https://research.aalto.fi/files/34351176/ECAM_Lavikka_Kyr_Peltokorpi_S_rkilahti_Revealing_change_dynamics_Engineering_Construction_and_Architectural_Management.pdf
dc.identifier.uri https://aaltodoc.aalto.fi/handle/123456789/38847
dc.description.abstract Purpose – Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. This paper explores the root causes of changes in hospital construction projects. The paper aims to propose ways to prepare for the changes. Design/methodology/approach – The study focuses on changes during the construction of new hospital facilities. An explorative, case study research design is utilised. Five case projects from Finland, Sweden, and the USA were selected for in-depth analysis. The primary data comprises semi-structured interviews, supported by secondary evidence such as change order documents. Findings – The findings reveal eight categories for change sources: Contracts, and Equipment and systems are reflective of the fast-paced healthcare technology and changing user requirements, while External environment comprises changes caused by both regulatory and physical environment. Changes in Operations are reflected in the continuous development of treatment methods and processes. The User, Owner, Designer, and Contractor initiated changes represent the stakeholder influence. The paper makes a connection between these change sources and project complexity dimension. A framework for change dynamics is introduced, and product and process flexibility is suggested as a suitable method to prepare for and manage changes. Originality/value – The paper is the first to link construction changes to project complexity factors. The paper argues that changes, when managed appropriately, are not only necessary but also beneficial to large construction projects in a quickly changing environment. The findings guide project stakeholders in implementing project flexibility, in the product and process dimensions, which is a balancing force to project complexity. Keywords Project management, Construction, Case Study Paper type Research paper en
dc.format.mimetype application/pdf
dc.language.iso en en
dc.publisher Emerald Group Publishing Ltd.
dc.relation.ispartofseries Engineering, Construction and Architectural Management en
dc.rights openAccess en
dc.subject.other Civil and Structural Engineering en
dc.subject.other 212 Civil and construction engineering en
dc.title Revealing Change Dynamics in Hospital Construction Projects en
dc.type A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä fi
dc.description.version Peer reviewed en
dc.contributor.department Department of Civil Engineering
dc.contributor.department Lund University
dc.contributor.department Building Design and Construction
dc.contributor.department Boston Consulting Group
dc.subject.keyword Project management
dc.subject.keyword Construction
dc.subject.keyword Case study
dc.subject.keyword Civil and Structural Engineering
dc.subject.keyword 212 Civil and construction engineering
dc.identifier.urn URN:NBN:fi:aalto-201906203913
dc.identifier.doi 10.1108/ECAM-03-2018-0119
dc.type.version acceptedVersion


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