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Purpose

The purpose of this paper is to present a conceptual framework that categorises the features and characteristics of the built environment that impact on health outcomes.

Design/methodology/approach

An extensive literature review was carried out. A total of 1,163 abstracts were assessed, leading to 92 papers being reviewed.

Findings

There is a considerable amount of evidence linking healthcare environments to patients' health outcomes, despite the lack of clarity in relation to cause‐effect relationships.

Originality/value

The paper proposes a theoretical framework linking different built environment characteristics to health outcomes. This framework provides a structure to group causal effects according to their relation with design features, materials and ambient properties, art and aesthetic aspects and use of the built environment.

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