City Know-hows

The demand of hospital users for improved green infrastructure and their willingness to pay

Typical images of the current condition of Musgrave Park Hospital’s outdoor grounds.

This work unveils the heterogeneous preferences of different hospital users for green infrastructure improvements that could improve their health and wellbeing. Moreover, it shows that distinct motivations determine their demand for spending time outdoors and their willingness to pay for these improvements.

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Target audience

Hospital estates departments, Urban planners

The problem

The underuse of the outdoor grounds in public facilities and the need to consult with its potential users on the ground’s enhancement with green infrastructure to address their needs. This is especially relevant for public hospitals where access to green infrastructure has the potential to significantly improve the wellbeing of its users.

What we did and why

We elicited the preferences of staff, visitors, and inpatients of Musgrave Park Hospital in Belfast for different types of green infrastructure improvements. Following, we identified the determinants of the hospital users’ demand for spending time outdoors and their willingness to pay. The study’s results informed the Estates Department about the improvements that would address the heterogeneous needs of the hospital’s users, provided monetary values for the corresponding benefits, and highlighted remaining challenges.

Our study’s contribution

This study provides evidence from a local case study on how consultation with stakeholders can inform the management of public facilities’ outdoor grounds. More specifically, it presents a case for improving green infrastructure according to the diverse needs of its potential users. Additionally, it makes use of stated preference methods to provide monetary estimates associated with the health and wellbeing benefits generated from different types of green infrastructure for different hospital users.

Impacts for city policy and practice

Given the results of this study, it becomes clearer that interventions in public facilities can affect the welfare of individuals in various ways, depending on their heterogeneous needs. Understanding their preferences can facilitate the effective targeting of the needs of vulnerable populations such as hospital staff, visitors and inpatients, to achieve better outcomes in tackling health inequality, reducing stress, and improving physical activity uptake.

Further information

Full research article:

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