Bioethics Peer Review: A Structured Evaluation Framework for Long-Term Care Environments

Health care environments—particularly the built environment—can function like health care interventions, achieving medicine-like effects that shape the lived experience of persons in long-term care (LTC). Despite a growing body of evidence-based design research illustrating the clinical and behavioral influence of environmental conditions, these findings are not consistently incorporated into LTC construction and renovation. This reflects divergent trajectories of knowledge development across medicine, architecture, and LTC operations.