Authors

1 Governance and Health Training and Research Group, Neuroscience Institute, Tehran University of Medical Sciences and Health Services, Tehran, Iran

2 Social Determinants of Health Research Center, Semnan University of Medical Sciences, Semnan, Iran

Abstract

As a main pillar of the health and social welfare system, hospitals affect the public health status in two
ways: (1) Prevention, treatment, and rehabilitation services and (2) external effects on society and
the environment. The present study aimed to identify the roles and functions of future hospitals in the
world. The present study was a systematic review in which all studies about the roles and functions
of future hospitals in different countries with a time limit of 2000 to August 2021 were extracted from
foreign databases, including PubMed, Cochrane, Scopus, and Web of Science, and search engine,
Google Scholar, as well as Persian databases, including Magiran, SID, and Iran Medex. We utilized
the STROBE checklists for quantitative studies and SRQR checklists for qualitative studies to
critique and evaluate the quality of qualitative studies. We then extracted their results and classified
the content according to the main and subtopics. A total of 16 articles met the inclusion criteria of
the present study. Hospitals can play four roles: stand‑alone, dominant, collaborative, and partner.
Findings were classified into six general groups: the role and mission of future hospitals, the way
of providing care, funding, staff and patients, technology and information of future hospitals, and
the challenges and barriers of current hospitals. Health service policy‑makers need to pay special
attention to technological innovations and advances as well as changes in the roles and functions
of hospitals and seek to turn the threats arising from external changes into opportunities for better
hospital performances.

Keywords

  1. Weiss E, Zahar JR, Alder J, Asehnoune K, Bassetti M, Bonten MJ,
    et al. Elaboration of consensus clinical endpoints to evaluate
    antimicrobial treatment efficacy in future hospital‑acquired/
    ventilator‑associated bacterial pneumonia clinical trials. Clin
    Infect Dis 2019;69:1912‑8.
    2. Mitchell R, Draper B, Close J, Harvey L, Brodaty H, Do V, et al.
    Future hospital service utilization in older adults living in
    long‑term residential aged care or the community hospitalized
    with a fall‑related injury. Osteoporos Int 2019;30:1995‑2008.
    3. Yaghoubi M, Javadi M, Maleki MR. Hospital Committed to Health
    Promotion: From Theory to Practice. Tehran, Iran: Baqiyatallah
    University of Medical Sciences Publishers; 2014.
    4. Gregorian C. A career in hospital social work: Do you have what
    it takes? Soc Work Health Care 2005;40:1‑14.
    5. Estebsari F, Mostafaei D, Taghdisi MH, Ghavami Ml. Health
    promoting hospitals: Concepts, indexes, and standards. Iran J
    Health Educ Health Promot 2016;3:281‑6.
    6. Fatemeh Z, Hossein TM, Nastaran KM, Hadi T. Health promoting
    hospital: A pilot study in Bo‑Ali hospital, Qazvin, Iran. J Fasa Univ
    Med Sci 2013;3:215‑23.
    7. McKee M. Hospitals in a Changing Europe. Buckingham;
    Philadelphia: Open University Press; 2002.
    8. Evans T. The future hospital commission. Lancet 2013;382:922‑4.
    9. Evans T. Future hospital commission: The time for action. British
    Journal of General Practice 2013; 63 (616): 571-572.
    10. Temple RM. Delivering the Future Hospital. London: MA
    Healthcare; 2017.
    11. Oliver D, Temple M, Joseph M. Update on the future hospital
    program. Future Hosp J 2017;4:9.
    12. Murray S, Dimmock V, Dasgupta D, Mulchandani H, Wood E,
    Watson D. Moving from reactive to proactive patient safety
    training in the future hospital: Making learning a normal part of
    the working day. Clin Med (Lond) 2015;15 Suppl 3:s31.
    13. Barber SL, Borowitz M, Bekedam H, Ma J. The hospital of
    the future in China: China’s reform of public hospitals and
    trends from industrialized countries. Health Policy Plan
    2014;29:367‑78.
    14. Mokhtar AM. The future hospital: A business architecture view.
    Malays J Med Sci 2017;24:1‑6.
    15. Pickering BW, Litell JM, Herasevich V, Gajic O. Clinical review:
    The hospital of the future‑building intelligent environments
    to facilitate safe and effective acute care delivery. Crit Care
    2012;16:220.
  2. 16. Landro L. What the Hospitals of the Future Look
    Like. Available from: https://Wsj.com/articles/
    what‑the‑hospitals‑of‑the‑future‑look‑like‑1519614660. [Last
    accessed on 2018 Mar 15].
    17. Takeda Y, Nomura T. Future direction of medical care system for
    patients with infectious disease and the new infectious diseases
    control law in Japan – Centering around a category 1 hospital.
    Kansenshogaku Zasshi 2000;74:687‑93.
    18. ChaddaRK, SoodM. General hospital psychiatry in India: History,
    scope, and future. Indian J Psychiatry 2018;60:S258‑63.
    19. Balasubramanian SS, Jones EC. Hospital closures and the current
    healthcare climate: The future of rural hospitals in the USA. Rural
    Remote Health 2016;16:3935.
    20. Dhillon VS, Kaur D. Green hospital and climate change: Their
    interrelationship and the way forward. J Clin Diagn Res
    2015;9:E01‑5.
    21. Langlois MR, Wallemacq P. The future of hospital laboratories.
    Position statement from the Royal Belgian Society of Clinical
    Chemistry (RBSCC). Clin Chem Lab Med 2009;47:1195‑201.
    22. Tran DT, Ohinmaa A, Thanh NX, Howlett JG, Ezekowitz JA,
    McAlister FA, et al. The current and future financial burden of
    hospital admissions for heart failure in Canada: A cost analysis.
    CMAJ Open 2016;4:E365‑70.
    23. Shalowitz J. What is a hospital? Future roles and prospects for
    success: The business of medicine: A course for physician leaders.
    Yale J Biol Med 2013;86:413‑24.
    24. Bakhshizade M. Establishing Effective Factors on the
    Implementation of a Health‑Enhancing Hospital Project WHO
    to Improve Health [Ph.D. Thesis]. Tehran: Iran University of
    Medical Science; 2017. [In Persian].
    25. Kripalani S, Theobald CN, Anctil B, Vasilevskis EE. Reducing
    hospital readmission rates: Current strategies and future
    directions. Annu Rev Med 2014;65:471‑85.
    26. Walsh MK. The future of hospitals. Aust Health Rev 2002;25:32‑44.