摘要:AbstractNearly half of the Norwegian hospital buildings are reported inadequate for today's procedures. This paper investigates how value is created through pre-design, and, furthermore, identifies measures to add value in future hospital buildings. A literature review, document studies, case studies and semi-structured interviews with key personnel from four Norwegian hospitals were conducted, and constitute the main source of information. The research reveals that a valuable hospital building isa building creating optimal conditions for effective delivery of healthcare services.In brief, value within hospital buildings is added by focusing on adaptability, life cycle costs, and strategic involvement of facilities management.