Revealing Change Dynamics in Hospital Construction Projects
Research output: Contribution to journal › Article › Scientific › peer-review
- Faculty of Engineering at Lund University (LTH)
- Boston Consulting Group
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
|Journal||Engineering, Construction and Architectural Management|
|Early online date||May 2019|
|Publication status||E-pub ahead of print - May 2019|
|MoE publication type||A1 Journal article-refereed|
- Project management, Construction, Case study