@article{ART003380863},
author={Han, Eunbee and Kim, Onnu and Kim, Eunseok},
title={A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction},
journal={JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE},
issn={2733-8649},
year={2026},
volume={32},
number={3},
pages={25-34}
TY - JOUR
AU - Han, Eunbee
AU - Kim, Onnu
AU - Kim, Eunseok
TI - A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction
JO - JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE
PY - 2026
VL - 32
IS - 3
PB - Korea Institute Of Healthcare Architecture
SP - 25
EP - 34
SN - 2733-8649
AB - Purpose: This study analyzes healthcare facility construction procedures and cost review processes to identify the causes of construction cost increases and corresponding measures. Methods: Relevant laws, guidelines, and 59 local government investment review cases from 2021 to 2025 were analyzed. Two public healthcare facility projects under KRW 50 billion were compared in terms of cost changes, estimation methods, and adjustment processes. Results: Among the reviewed projects, 81.4% were under KRW 50 billion. In both cases, concerns about insufficient construction costs were raised before design, and construction costs increased as the design progressed due to higher unit costs and additional construction requirements. Both projects consequently underwent adjustments in scale and functions. Differences were found in the level of cost estimation during basic design and in responses to subsequent cost increases, particularly in the use of contingency funds. The two case analyses suggest realistic initial unit cost estimation reflecting healthcare facility characteristics, incorporation of cost review recommendations after the investment review, contingency funds for projects under KRW 50 billion, and detailed cost estimate reviews during basic design. Implications: Construction cost management should be coordinated throughout the project, from realistic initial cost estimation to cost review and adjustment during design. Relevant procedures and criteria should also be improved to respond effectively to construction cost fluctuations during healthcare facility construction.
KW - Public Healthcare Facility;Project Procedure;Construction Cost;Unit Construction Cost;Bill of Quantities (BOQ)
DO -
UR -
ER -
Han, Eunbee, Kim, Onnu and Kim, Eunseok. (2026). A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, 32(3), 25-34.
Han, Eunbee, Kim, Onnu and Kim, Eunseok. 2026, "A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction", JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, vol.32, no.3 pp.25-34.
Han, Eunbee, Kim, Onnu, Kim, Eunseok "A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 32.3 pp.25-34 (2026) : 25.
Han, Eunbee, Kim, Onnu, Kim, Eunseok. A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction. 2026; 32(3), 25-34.
Han, Eunbee, Kim, Onnu and Kim, Eunseok. "A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 32, no.3 (2026) : 25-34.
Han, Eunbee; Kim, Onnu; Kim, Eunseok. A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE, 32(3), 25-34.
Han, Eunbee; Kim, Onnu; Kim, Eunseok. A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction. JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE. 2026; 32(3) 25-34.
Han, Eunbee, Kim, Onnu, Kim, Eunseok. A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction. 2026; 32(3), 25-34.
Han, Eunbee, Kim, Onnu and Kim, Eunseok. "A Study on Construction Cost Determinants and Alternatives for Addressing Cost Increases across Key Procedures in Healthcare Facility Construction" JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 32, no.3 (2026) : 25-34.
