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Ideas and Opinions |

Should Hospitals Look Like Airports?

Zackary D. Berger, MD, PhD; and Samuel M. Brown, MD, MS
[+] Article, Author, and Disclosure Information

From Johns Hopkins School of Medicine and Berman Institute of Bioethics, Baltimore, Maryland, and Intermountain Medical Center and University of Utah School of Medicine, Murray, Utah.

Potential Conflicts of Interest: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M12-2627.

Requests for Single Reprints: Zackary D. Berger, MD, PhD, Johns Hopkins Outpatient Center, 601 North Caroline Street, Suite 7143, Baltimore, MD 21287; e-mail, zberger1@jhmi.edu.

Current Author Addresses: Dr. Berger: Johns Hopkins Outpatient Center, 601 North Caroline Street, Suite 7143, Baltimore, MD 21287.

Dr. Brown: Shock Trauma Intensive Care Unit, Intermountain Medical Center, 5121 South Cottonwood Street, Murray, UT 84107.

Author Contributions: Conception and design: Z.D. Berger, S.M. Brown.

Analysis and interpretation of the data: Z.D. Berger.

Drafting of the article: Z.D. Berger, S.M. Brown.

Critical revision of the article for important intellectual content: Z.D. Berger, S.M. Brown.

Final approval of the article: Z.D. Berger, S.M. Brown.

Collection and assembly of data: Z.D. Berger.

Ann Intern Med. 2013;159(7):492-493. doi:10.7326/0003-4819-159-7-201310010-00010
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Modern hospitals represent the pinnacle of technologic medicine, but this commentary argues that such technical proficiency has created distance between the goals of health care and healing. The authors discuss how hospitals can be made less like airports and more like healing spaces that encourage patients and providers to recognize their particular needs as individuals.



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Posted on October 8, 2013
Shimon M.Glick, MD, FACP
Ben Gurion University
Conflict of Interest: None Declared

In the current era of "evidence–based medicine the timely article by Berger and Brown bemoaning the airport–like appearance of modern hospitals deserves some objective supporting data which show that the appearance of a hospital indeed has measurable effects on patient responses to therapy. As one impressive example supporting their plea I suggest the research which showed that patients undergoing cholecystectomy hospitalized in a room with the window facing trees had shorter postoperative stays, fewer negative evaluative comments from nurses, needed fewer analgesic doses and had slightly lower minor post surgical complications than those patients whose window overlooked a blank wall (1).

1.Ulrich R View through a window may influence recovery from surgery. Science 1984; 224, 420-421.

Sincerely yours,
Shimon M.Glick, MD, FACP
Professor (emeritus)
Joyce and Irving School of Medicine
Ben Gurion University of the Negev
Beer Sheva Israel.

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