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Ali, A K (2019) A case study in developing an interdisciplinary learning experiment between architecture, building construction, and construction engineering and management education. Engineering, Construction and Architectural Management, 26(09), 2040–59.

Chan, D W, Olawumi, T O and Ho, A M (2019) Critical success factors for building information modelling (BIM) implementation in Hong Kong. Engineering, Construction and Architectural Management, 26(09), 1838–54.

Chen, Y, Yin, Y, Browne, G J and Li, D (2019) Adoption of building information modeling in Chinese construction industry. Engineering, Construction and Architectural Management, 26(09), 1878–98.

Gao, J, Ren, H and Cai, W (2019) Risk assessment of construction projects in China under traditional and industrial production modes. Engineering, Construction and Architectural Management, 26(09), 2147–68.

Iskandar, K A, Hanna, A S and Lotfallah, W (2019) Modeling the performance of healthcare construction projects. Engineering, Construction and Architectural Management, 26(09), 2023–39.

Jin, R, Zou, P X, Li, B, Piroozfar, P and Painting, N (2019) Comparisons of students’ perceptions on BIM practice among Australia, China and UK. Engineering, Construction and Architectural Management, 26(09), 1899–923.

Laryea, S (2019) Procurement strategy and outcomes of a new universities project in South Africa. Engineering, Construction and Architectural Management, 26(09), 2060–83.

Lavikka, R H, Kyrö, R, Peltokorpi, A and Särkilahti, A (2019) Revealing change dynamics in hospital construction projects. Engineering, Construction and Architectural Management, 26(09), 1946–61.

  • Type: Journal Article
  • Keywords: Construction; Case study; Project management;
  • ISBN/ISSN: 0969-9988
  • URL: https://doi.org/10.1108/ECAM-03-2018-0119
  • Abstract:
    Hospital construction projects often suffer from relatively late changes in the project lifecycle, which disrupt the project execution and impact project productivity. The purpose of this paper is to explore 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 comprise 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.

Lee, C (2019) Financing method for real estate and infrastructure development using Markowitz’s portfolio selection model and the Monte Carlo simulation. Engineering, Construction and Architectural Management, 26(09), 2008–22.

Manu, P, Mahamadu, A, Booth, C, Olomolaiye, P O, Coker, A, Ibrahim, A and Lamond, J (2019) Infrastructure procurement capacity gaps in Nigeria public sector institutions. Engineering, Construction and Architectural Management, 26(09), 1962–85.

Marefat, A, Toosi, H and Mahmoudi Hasankhanlo, R (2019) A BIM approach for construction safety: applications, barriers and solutions. Engineering, Construction and Architectural Management, 26(09), 1855–77.

Nadafi, S, Moosavirad, S H and Ariafar, S (2019) Predicting the project time and costs using EVM based on gray numbers. Engineering, Construction and Architectural Management, 26(09), 2107–19.

Pantzartzis, E, Price, A and Edum Fotwe, F (2019) Roadmap layers and processes: resilient and sustainable care facilities. Engineering, Construction and Architectural Management, 26(09), 1986–2007.

Panwar, A, Tripathi, K K and Jha, K N (2019) A qualitative framework for selection of optimization algorithm for multi-objective trade-off problem in construction projects. Engineering, Construction and Architectural Management, 26(09), 1924–45.

Roberts, C, Edwards, D J, Hosseini, M R, Mateo-Garcia, M and Owusu-Manu, D (2019) Post-occupancy evaluation: a review of literature. Engineering, Construction and Architectural Management, 26(09), 2084–106.

Wu, C, Chen, C, Jiang, R, Wu, P, Xu, B and Wang, J (2019) Understanding laborers’ behavioral diversities in multinational construction projects using integrated simulation approach. Engineering, Construction and Architectural Management, 26(09), 2120–46.