Contents

An Analysis of Critical Management Factors for Design Value Engineering Work Focused on Medical Facilities Construction Projects

Author(s): Jinkook Yang1
1Department of Architectural Engineering, College of Engineering, Dong-eui University, Busan, South Korea
Jinkook Yang
Department of Architectural Engineering, College of Engineering, Dong-eui University, Busan, South Korea

Abstract

The demand for medical facilities is increasing due to an aging society. Medical facilities require systematic project management compared to other construction projects. Reflecting this situation, the construction management (CM) contract system is being applied to medical facilities construction projects. Construction management can perform systematic project management as the agent of the owner. In particular, construction management provides a system-based control system during the whole project life cycle period. In addition, the construction management system can optimize the contract management and the design management as well as construction control and maintenance. The design management work is a differentiated function of the construction management system. The design management work can be divided into design review and design value engineering (VE). The design value engineering technique can reduce the project budget as well as increase the performance of the design. In particular, in the case of medical facilities, which are the subject of this study, systematic implementation of design value engineering is required due to the complexity and diversity of projects. However, research on medical facilities design value engineering is insufficient. This study extracted 45 critical management factors based on a case analysis and expert interviews of medical facilities value engineering. Next, AHP analysis, a hierarchical analysis technique, was conducted to analyze the relative importance of the extracted factors. AHP analysis was conducted on 22 VE experts, and the consistency index (CI) of all survey response results was less than 0.1, indicating that consistency was secured. In the basic design VE phase, the results showed that the consider the flexibility with architecture space was the highest at 0.422, followed by the moving-line plan of centering medical personnel and patient at 0.269. In addition, in the execution design VE phase, the checking interference item between every field (Spatial size, alignment location, scale of electric power) was the highest at 0.483, followed by the facility of application the project site at 0.247. The presented results are expected to help apply design value engineering to efficiently perform the continuously increasing design management of medical facilities.

Keywords: medical facilitiesdesign VEcase analysiscritical management factorsAHP analysis

1. Introduction

Modern society is showing an aging trend due to improvements in income levels and medical technology. Reflecting this trend, it can be observed that the construction of medical facilities is continuously increasing. Medical facilities projects require the consideration of uncertain changes in space or facility demand during the planning and design phases. The reason is that medical facilities involve numerous stakeholders, including medical staff, patients, and healthcare providers. In particular, medical facilities involve numerous stakeholders, primarily medical staff, necessitating a process to gather diverse opinions. One study attempted to resolve the issue of coordination among stakeholders in uncertain situations by utilizing game theory [1]. In this regard, there are many special characteristics compared to other construction projects in terms of facility level and scale. First, for medical facilities, changes requested by the client throughout the design and construction process can increase uncertainty in the project implementation team, including budget and schedule overruns [2]. Next, the development of medical facilities projects requires extensive requirements information to respond to diverse customers and frequent changes in medical services [3]. And, the medical facilities project projects have a complex design and engineering process, and new types of contracts have emerged due to this environmental background. This is carried out in a team formation method in which architects, engineers, and contractors gather in one place to promote collaboration and focus on customer needs [4]. Therefore, most large-scale medical facilities have adopted construction management systems. Construction management refers to systematic management of the project. Construction projects can gain more information in construction management and make balanced decisions by ensuring compliance with predefined quality standards [5]. The design review of the value engineering workshop leads to alternative construction design ideas that can improve the functionality of existing designs [6]. In particular, the application of value engineering during the design phase can play a crucial role in enhancing the efficiency of projects with complexity and diverse spatial characteristics, such as medical facilities. Traditional quality management systems face tremendous difficulties in integration and interpretation regarding diverse and conflicting data sets [7]. In this regard, most construction projects apply design value engineering for cost savings and to improve design quality in the design phase. Value engineering is a systematic process performed according to a job-plan [8], and, value engineering (VE) is an effort to increase the value of systems through a creative and organizational approach [9]. U.S Department of Transportation Federal Highway Administration (FHWA) performed 378 kinds of value engineering projects in 2011. Through this VE activity, FHWA has implemented a high return of investment [10]. Furthermore, United States Department of Defense (DoD) was applied value engineering technique in the contract negotiation phase. Implementation of DoD provided cost savings of $298M over two years [11]. The application of systematic value engineering (VE) during the design phase has a significant impact on ensuring structural safety and increasing durability during the construction phase. Furthermore, the application of value engineering during the design phase can lead to the advancement of design through 3D modeling-based BIM technology. One study suggested utilizing detailed 3D Revit models combined with real-time data and community insights processed through advanced machine learning algorithms [12]. As described above, at a time when new technologies are being introduced and changes are taking place, there is a lack of research that can serve as a standard for conducting design value engineering (VE) in medical facility projects. Accordingly, the value engineering approach of existing medical facilities has a limitation in that the characteristics of medical facilities different from general construction projects cannot be properly considered. To compensate for this, it is required to apply standards that consider the practical experiences of each stage of VE Job-Plan of medical facilities. In this regard, this study aims to present comprehensive analysis criteria based on an analysis of practical VE cases in medical facility design and in-depth interviews with experts with extensive experience in VE implementation. The above results are expected to play a role in driving effective performance when performing design value engineering for medical facilities.

2. Methods

This study was carried out according to the following scope and methods. The scope of this study is value engineering work for medical facility construction projects. The detailed scope of this study encompasses all phases of the value engineering job plan. The process and methods of this study are as shown in Figure 1, and the specific implementation methods are as follows.

Figure 1. Research process and methods

First, in this study, investigate characteristics of medical facilities projects and the work of design value engineering. In this section, this study aims to identify the main characteristics required in medical facility VE work.

Second, we extract the critical factors for the job-plan through a case study of medical facilities value engineering. In this section, this study will conduct an analysis on the cases of four medical facility projects. Specifically, the analysis will cover the entire Job Plan, including the VE results from the basic design phase and the detailed design phase.

Third, in this study, important factors are extracted through interviews with practical experts related to the value engineering work of medical facility projects. In this section, this study will conduct interviews with VE experts who have experience in performing design VE for various construction projects, including medical facilities.

Fourth, in this study, present the results of an importance analysis for extracted critical management factors. In this section, this study will apply the AHP technique, a hierarchical analysis method, to analyze the relative importance of key management factors extracted through case analysis and expert interviews. AHP analysis is conducted for experts with expertise and experience in the VE field and analyzes the relative importance between each extracted item. For this, a pairwise comparison is conducted between each item, and the consistency index, CI, should be 0.1 or less. If the CI value is 0.1 or more, consistency is not secured, so the survey results should be excluded. In this study, expert choice, a specialized program, will be used for AHP analysis.

The above analysis results are expected to provide a reasonable operational model to be used during the design value engineering period.

2.1 VE Activity Investigation

The role of value engineering is to produce an effective alternative through comprehensive analysis of the economic feasibility and field applicability about the existing design proposal. Value engineering can be divided into four types. First, the value innovation type can reduce costs as well as improve performance. Second, the cost reduction type implements to reduce costs while preserving performance. Third, the function emphasizes type is emphasize the function. Therefore, these types can cause cost increase. Forth, the function improvement type implements to improve function while preserving cost.

The medical facilities project has been shown to have various results focusing on function among the above four VE types. This was analyzed to be due to the fact that medical facilities not only possess project complexity but also require functionality based on diverse spatial configurations. Therefore, it was found that the systematic reflection of owner and user requirements is required during the execution of design value engineering. In this regard, the importance of the quality model construction task, which analyzes the requirements of the client and users, was found to be very high among the tasks of the VE Job-Plan preparation phase.

Table 1. Overview of case projects
DivisionContents
Case A Project TitleOO Hospital Construction Project
LocationYangsan City, Gyeongsangnam-do
Project Size28,956 square yards.
Bidding SystemDesign-Build (DB)
CharacteristicFAST Track Method
Case B Project TitleOO Children Hospital Construction Project
LocationYangsan City, Gyeongsangnam-do
Project Size6,061 square yards
Bidding SystemDesign-Build (DB)
CharacteristicFAST Track Method
Case C Project TitleOO Cancer Center Construction Project
LocationSeogu District, Busan Metropolitan City
Project Size2,700 square yards
Bidding SystemDesign-Build (DB)
CharacteristicSpecial Facilities
Case D Project TitleOO Medical Specialized Center Construction Project
LocationSeogu District, Busan Metropolitan City
Size of the project8,719 square yards
Bidding SystemDesign-Build (DB)
CharacteristicSpecial Facilities

2.2 Case Analysis

In this study, a case study is conducted to extract critical management factors from the design value engineering work of medical facilities. To this end, an analysis method is used to derive critical management factors for each work plan step through value engineering report analysis. Four projects are considered as case projects, and all projects applied the design-build (DB) bidding system. In addition, all the case projects applied a construction management contract system for systematic management, according to the uniqueness of medical facilities. Value engineering was applied to the basic design phase and the execution design phase. An overview of the case projects is presented in Table 1.

2.3 Expert Interview

In this section the management factors of each job-plan phase are derived by conducting interviews of value engineering with experts in medical facilities. Expert interviews were carried out on the problem factors in the process of value engineering. The goal of the interview was to extract the management factors required for an efficient value engineering analysis. Interviews were conducted two times each with 24 experts. An overview of the participants is presented in Figure 2.

Figure 2. Overview of interview survey participants

2.4 Importance Analysis

An analytic hierarchy process (AHP) analysis was conducted to analyze the importance of the critical management factors. The AHP analysis includes the critical management factors, value engineering time and value engineering step basis. The AHP analysis was conducted to analyze the relative importance through calculation of weights for the critical management factors. This study surveyed 22 value engineering experts of medical facilities to effectively utilize the AHP technique. Figures 3 and 4 show the area of expertise and career level of the AHP survey participants.

Figure 3. Affairs field of AHP survey participants
Figure 4. Career level of AHP survey participants

This study established a hierarchy model for nine items of critical management factors based on basic design value engineering and execution design value engineering. The results are shown in Figures 5 and 6.

Figure 5. AHP hierarchy model by VE time basis
Figure 6. AHP hierarchy model by VE job-plan basis

3. Results

3.1 VE Activity Investigation

In the process of applying value management practices, performing the VM procedure step by step is the most important part [13]. Design value engineering is conducted according to the job plan. The utilization techniques of each step of the job-plan are shown in Table 2. Design management (design review and value engineering) work is more important than other tasks in the case of medical facilities, because medical facilities consist of complex and diverse facilities. The value engineering expert therefore should systematically reflect the requirements of the owner and user. In addition, they should create a reasonable alternative to maximize constructability and maintainability.

Table 2. Main tasks of each VE phase
DivisionMain workTechniques
Pre-Study Composition of design VE review organization Quality Model
Cost Model
VE object selection
Selecting a design VE object
Determine the design VE period
Collection of relating data
VE Study Information gathering for FAST Diagram
Matrix Analysis
Selected VE objects
Idea generation
Idea evaluation
Alternative embodiment
Creation of the proposal, and the presentation
Post-Study Savings cost estimation based on the design VE results VE proposals report
Submitted to owner all relevant data Calculated baseline

3.2 Case Analysis

In this study, a case analysis was conducted on four medical facility projects, and the specific analysis results are as follows.

3.2.1 Extracting Management Factors by each VE Phase

The extracted management factors of the basic design and execution design through the case analysis are as follows. Basic design value engineering is approached mainly from a plan perspective. The execution design value engineering object includes a moving-line plan considering medical personnel and patients. In addition, value engineering of this phase should facilitate medical examination and treatment and research through adjacent placement of similar space. Furthermore, mechanical, electrical, and communications equipment require flexibility considering possible future extension of buildings. Landscaping field requires the creation of design alternative through a systematic analysis due to increased importance of rest facilities as a healing space for patients. Execution design value engineering is a confirmed state of a spatial configuration or moving-line plan. Therefore, it is necessary to analyze the detailed system in terms of the feasibility and efficiency of the construction method and materials. It is also important to analyze the linkages through interference consultations for each construction type. Various hospital equipment must be installed in medical facilities due to the characteristics of hospital work. For such medical equipment, an interface analysis with the size and placement of the space depending on the form or purpose should be performed. Through this, a reasonable design for medical facilities can be obtained.

3.2.2 Extracting Management Factors by VE Task Basis

This study extracted management factors, according to a preliminary study and value engineering study of the value engineering job-plan. The results are as follows.

(1) The management factors of the preliminary study phase. The preliminary study phase work of case project was carried out through orientation and meetings, information gathering and analysis, value engineering target selection, etc. This phase was performed centering on the value engineering leader and value engineering facilitator. The core tasks are as follows: establishing a quality model by the owner and user requirements measurement; establishing a cost model; and object selection for an effective function analysis and reasonable idea generation.

From the results of case studies, the following key points were extracted as management items for successful value engineering. First, the quality model determines the level of response for each item through the owner and user requirements measurement. The quality models are then used as a rating scale. In the case of medical facilities, it is difficult to accurately extract the required items due to the numerous stakeholders compared to other projects. Thus, a survey questionnaire should be written after reflecting the design characteristics of the project guidelines in the bid manual. This task is performed to required interview investigation for a project specific consideration. The value engineering team carries out a survey for medical personnel as well as patients and caregivers after completing the questionnaire. Surveys should be performed as much as possible in order to establish precise work standards. Second, the cost model helps to understand the distribution of cost of each construction type.

This model can help value engineering object selection as well as provide cost data for the value engineering team members through the selection of high-cost areas. The value engineering expert should acquire a detailed cost breakdown in accordance with the design drawings from the original designers. In addition, a reasonable selection of value engineering objects is achieved by analyzing cost data and the structure of the cost input based on the project characteristics of similar facilities. Third, the selection of the value engineering object is an important step to establish the approach direction of the function analysis. Therefore, it is necessary to derive cost savings areas with high potential as well as a required part of the functional enhancements, according to the space characteristics after performing a comprehensive analysis of the quality model and cost model.

(2) Management factors of VE study phase. For the value engineering study of case projects a function analysis and evaluation, idea generation and evaluation, writing value engineering proposals report, and calculation of cost data were carried out. The value engineering study was conducted for each construction part centering on the value engineering leader and facilitator. The core work was performed a function analysis (function definitions and classification, Function Analysis System Technique (FAST) diagram, function evaluation) for an emphasis improvement object, function, and idea generation and evaluation to generate effective alternatives. This research derived the following core points in order to perform a successful value engineering through a case analysis.

A function analysis and evaluation is required to select an object to create alternatives to maximize value engineering effectiveness. For this, the value engineering team should consider the diversity and complexity of medical facilities. The contents are as follows. First, the architectural and structural fields must be analyzed space configuration. Second, civil and landscape field must be analyzed for each construction part. Third, mechanical, fire prevention, electrical, and communications must be analyzed in terms of installation space and mechanical device specific. A function evaluation should select evaluation items by type by considering the derived evaluation items from quality models. This stems from the different characteristics in every field. Idea generation must be carried out after recognizing the role of improvement function in the project, because this activity can increase the connectivity of the ideas. In particular, the architectural sector of medical facilities can generate diverse ideas. Thus, idea generation should be conducted in a comprehensive perspective in order to ensure diversity. As a result, the value engineering team can generate diverse ideas by expanding the width of the thinking. Mechanical sector requires a coordinated review with the architectural sector by considering medical equipment. Furthermore, the value engineering team should select the equipment systems by considering the medical functions. In addition, this phase requires systematic landscape plan review to promote a healing environment for the patients due to the nature of medical facilities. The following Table 3 summarizes the analysis criteria items extracted through case analysis.

3.3 Expert Interview

The expert interview results for each sector are as follows. Architecture and structure field identify the design intent and the problems by a systematic analysis of the basic design and the execution design. Experts presented two key points. First, it is necessary to identify the problems and the design intent through a systematic analysis of the basic design and the execution design. Second, it is necessary to understand the characteristics of the project through an analysis of related data. Furthermore, the experts presented the following two considerations. First, the basic design value engineering should approach the planning aspects such as moving-line and spatial scales. Second, the execution design value engineering should target a detailed systems analysis, such as methods and materials. The experts presented the following two considerations in the civil engineering and landscape fields. First, for the civil field, basic design value engineering should be carried out after a systematic analysis of the surrounding environment through field surveys and geological conditions. Second, execution design value engineering must analyze the feasibility and economics of field application of the derived method through an execution design analysis. Next, the landscape field is an important element of making a healing environment for the patients in a medical facility. Therefore, experts pointed out the necessity of a systematic landscape plan. To do this, the landscape plan should provide an alternative to the project region plant or space plan. The experts proposed about the analyze focusing on harmony with the architecture field. The experts presented the following considerations in the mechanical and fire-prevention fields. A variety of medical equipment must be installed in medical facilities. From this perspective, mechanical and fire-prevention fields require different designs according to the architecture alternatives. Accordingly, the value engineering team should be create design alternative after reflecting the architectural plan scale and medical equipment scale. To reflect the above contents, experts pointed out the necessity of multilateral consultation between every part during the value engineering period. In addition, they noted the necessity of creating a design alternative considering future extension of the building. Electrical and communication aspects are also important, as pointed out by the experts. They are related to the architecture, structure, mechanical, and fire-prevention fields. The experts suggested an interdisciplinary integrated analysis. They also suggested idea generation tasks through a long-term expandability analysis in terms of operational management of facilities. Table 3 summarizes the critical management factors extracted through the case analysis and interviews with experts.

Table 3. Critical management factors of medical facilities VE activity
DivisionContentApplication Part
VE-time basisBasic Design VEBD 01. Moving-line plan of centering medical personnel and patientArchitecture
BD 02. Placed adjacent of a similar function spaceArchitecture
BD 03. Expandability considerations of medical equipment partsMechanical, electrical and communication
BD 04. Consider the flexibility with architectural spaceArchitecture, Mechanical, electrical and
BD 05. The composition of the healing environmentLandscape
Execution Design VEED 01. The validity of the apply methodAll field
ED 02. The feasibility of applying the project site
ED 03. Efficiency of the application materials
ED 04. Checking interference item between every field (Spatial size, arrangement location, scale of electric power)
VE

Job-plan basis
Pre-studyQuality ModelPS 01. Reflecting the design and construction guidelines in bid guideAll field
PS 02. Reflecting project design characteristics
PS 03. Conducting interview survey with medical related professionals
PS 04. Performing numerous survey
Cost ModelPS 05. Collecting details cost dataAll field
PS 06. Utilization of the cost data of similar medical facilities
PS 07. The project costs structure
VE Object SelectionPS 08. Integrating the quality model and the cost modelAll fields Interface review
PS 09. Analysis of the potential cost savings
PS 10. Extracting function improvement parts according to the characteristic of medical space
VE

study
Function Analysis and EvaluationVS 01. Analysis of the medical space basisArchitecture/Structure
VS 02. Analysis by field and part-specificCivil/Landscape
VS 03. Medical equipment installation space and a device-specific analysisMechanical/Firefighting, Electric/Communication
VS 04. Quality model-based evaluationAll field
Idea Generation and EvaluationVS 05. Recognition of the project role of the target function from the medical perspectiveAll field
VS 06. Linkage analysis between medical function and ideasAll field
VS 07. Creating a list of ideas by comprehensive approachAll field
VS 08. Interface review with medical spaceAll fields with the exception of the architecture and structure
VS 09. The medical functional based equipment systems approach methodAll field
VS 10. Linking of ideas for the creating of a healing environmentAll field
Field basisArchitecture and StructureAS 01. Identifying design intent and the problem factorFocusing analysis of architecture and structure
Interface review between mechanical and fire-fighting, electrical
and communication
AS 02. Understanding the project properties through the analysis of relating data
AS 03. The basic design VE: spatial scale, and plan-driven approach
AS 04. The execution design VE: Approach for construction methods, materials, and detailed system
Civil and LandscapeC 01. Performing function analysis considering the surrounding environmentCivil
C 02. Considering the feasibility and cost-effectiveness of field application of the method
L 01. Centering local species and space planning
L 02. Centric approach in harmony with medical facilities
Mechanical and Fire-fightingM/F 01. Consider the scale of medical equipmentLandscape
M/F 02. Harmonization with medical space planning
M/F 03. Interference checks with medical space planning
M/F 04. Considering future expansion and extension
Electrical and CommunicationE/CO 01. Interface review with other partsFocusing analysis of mechanical and fire-fighting
Interface check between architecture and structure
E/CO 02. Expandability considerations through integrated analysis
E/CO 03. Consider the operations management perspective of the medical facility
E/CO 04. Review of medical disaster aspects

3.4 Importance Analysis

Importance analysis results on the value engineering-time basis are as follows. As shown in Figure 7, a relative importance analysis of the critical management factors of the basic design value engineering was performed. The analysis results appeared in the following order. ”Consider the flexibility with architecture space (0.422)” was the highest.

The next highest was ”Moving-line plan of centering medical personnel and patient (0.269)”. As shown in Figure 8, a relative importance analysis of the critical management factors of the execution design value engineering was performed. The analysis results appeared in the following order. ”Checking interference item between every field (Spatial size, arrangement location, scale of electric power) (0.483)” was the highest. The next highest was ”The feasibility of applying the project site (0.247)”. Importance analysis results on a value engineering job-plan basis were as follows.

Figure 7. Importance analysis results of the basic design VE
Figure 8. Importance analysis results of the execution design VE

As shown in Figure 9, from the preliminary study, the ranking of importance of the critical management factors was established. From the results ”Extracting function improvement parts according to the characteristics of medical space (0.164)” was the highest. The next were ”The project costs structure (0.153)” and ”Integrating the quality model and the cost model (0.180)”.

Figure 9. Importance analysis results of the pre-study phase task

As shown in Figure 10, this study calculated an importance ranking of the critical management factors for the value engineering task. The results ”Linking of ideas for creating a healing environment (0.187)” was the highest. The next was ”Interface review with medical space (All fields with the exception of architecture and structure) (0.157)”

Figure 10. Importance analysis results of the VE study phase task

4. Discussion

The high importance factors calculated through the AHP analysis had high relevance with the approach method from the point of view of medical facilities. The results of the analysis are shown in Table 4. In particular, Table 4 shows the characteristics of the factors with high importance based on the analysis results of the basic design and execution design. Along with this, Table 4 presents the characteristics of the factors with high importance in pre-study and value engineering study.

Table 4. Consideration of AHP analysis results
DivisionAnalysis resultsCharacteristics of high importance factors
Critical management
factors of VE time basis
Basic design VEHigh Importance for related factors
in medical space planning, etc.
First, Consider flexibility with architectural space
Second, Moving-line plan of medical personnel and patient-centered
Execution design VEHigh Importance for related factors
in interface between each field
First, check interface item between each field
Second, feasibility of applying the field
Critical management factors
of VE job-plan basis
Pre-studyHigh Importance for related
factors with VE object selection
First, integrating quality model and cost model
Second, Analysis of the potential cost savings
High Importance for related
factors with function analysis task
First, Extracting function improvement field through an analysis of the characteristics of the medical space
Second, Reflects project design characteristics
VE studyHigh Importance of related factors with idea
generation, according to the characteristics
of the medical facilities
First, linking of ideas for the creation of a healing environment
Second, integration analysis between medical function and ideas
Third, interface review between medical space

The key considerations for VE at each stage, extracted from the results of this study, are as follows. First, the characteristics of high importance factors during the basic design VE stage were found to consist of the following two points. The first consideration when approaching VE is to conduct various analyses regarding the flexibility of the architectural space from the user’s perspective. The second consideration when approaching VE is to implement a spatial approach that enables treatment planning centered on the movement of medical staff and patients. Next, the characteristics of high importance factors during the execution design VE stage were found to consist of the following two points. The first consideration when approaching VE is to identify interfering interface items for each construction type and analyze efficient linkage methods for them. The second consideration when approaching VE is to examine whether it is possible to apply VE alternatives for each construction specialization fields.

Table 5. Application effects of using proposed analysis criteria
DivisionExisting problemsApplication effects
Job-Plan aspectsDifficulty in reflecting the characteristics of medical facilitiesEnhancing VE work efficiency through the provision of analysis criteria based on the characteristics of medical facilities
Difficulty in selecting value improvement areas by each engineering partEnhancing work efficiency by establishing standards for approaches across various engineering fields
Difficulties in applying function analysisProviding guidelines for efficient functional access to medical facilities
Methodological
aspects of VE application
Unclear scope of access for basic design VE and execution design VEPresenting standards for the approach to basic design VE and execution design VE based on each engineering field
Difficulties in collaboration between each engineering fieldsEnhancing collaboration capabilities through the presentation and sharing of work directions for each field
Difficulty in reflecting various considerations of medical facility projectsEfficient Analysis of Medical Facility Requirements through the Presentation of a Systematized Quality Model Construction Process

The key considerations for each stage of the VE Job-plan were analyzed as follows. First, it was found that in the pre-study stage, it is necessary to select VE targets by comprehensively linking and integrating the contents of the quality model and the cost model. Additionally, it is required to extract areas for functional improvement through the analysis of the characteristics of the medical space, and it was found that reflecting the design characteristics of the project during this process is important. Furthermore, it was found that it is necessary to conduct an integrated analysis between medical functions and ideas to empirically analyze their applicability. In addition, it was found that it is necessary to systematically analyze the interface between each medical space to select finishing materials that can increase spatial connectivity. Synthesizing the findings above, it was determined that, unlike other construction projects, medical facilities involve various stakeholders including medical staff and patients, making it crucial to measure the value for the client or users. Therefore, VE practitioners are required to identify the essential requirements of the project through organic communication with these diverse stakeholders. This can be achieved through the systematization of a quality model that approaches owner and user requirements from multiple perspectives and in depth. Furthermore, it was discovered that conducting a systematic functional analysis, along with selecting VE targets that reflect these results, is a critical factor in achieving successful VE outcomes. Consequently, the findings of this study will provide efficient execution methods and standards for each process of the job-plan for design value engineering of medical facilities. Through this, it will drive the creation of reasonable alternatives that meet the requirements of clients and users. The following Table 5 summarizes the expected effects of utilizing the proposed method based on the problems of existing medical facility design value engineering.

5. Conclusion

Recently, the demand for medical facilities has been continuously increasing due to the aging trend. Medical facilities require systematic project management because they have complex characteristics compared to other projects. Reflecting this trend, large-scale medical facility construction projects are adopting construction management systems. The construction management system applies numerous scientific management techniques. Among other techniques, value engineering is a core technique in terms of cost reduction and performance improvement. From this perspective, the present study extracted the critical management factors of medical facilities value engineering, and the results can be summarized as follows.

First, a value engineering time basis yielded the following results. The basic design value engineering extracted numerous factors associated with the medical space. The execution design value engineering extracted factors related to the applicability of the construction phase. Second, a value engineering job-plan basis yielded the following results. It was confirmed that most of the factors extracted during the preliminary study phase were related to the design characteristics of the project. The value engineering study phase extracted factors associated with a linkage analysis between each field and a medical facilities-based approach. Third, field basis was extracted as critical management factors. As a result, architecture and structure were extracted factors associated with interface between each field. In addition, this research extracted related factors to expandability, constructability, and maintenance. Next, this research performed an importance analysis to extract the critical management factors by the AHP technique. As a result, the value engineering time basis were important associated factors in the linkage analysis between each field considering the characteristics of the medical space. Furthermore, the value engineering job-plan basis showed high importance of associated factors with the idea linkage by systematization of object selection. In addition, the factors associated with the characteristics of project design were of high importance. Until now, there has been no practical study presenting the analysis criteria for job-plan in design value engineering of medical facilities. In this respect, the results of this study are expected to provide guidelines to set standards of medical facilities value engineering work. In addition, the value engineering practitioner can utilize these results to establish an efficient direction for approaching medical facilities value engineering work.

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Copyright © 2026 Jinkook Yang. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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