Cultural heritage can play a strategic role in developing a sustainable built environment, contributing to the improvement of the economic, social, and environmental productivity of a city. Human activities are constantly affecting the quality of the environment and altering the ecosystems, which produce negative consequences also on human wellbeing. Within this context, it has been much discussed how cities and the built environment can counteract this process by supporting more sustainable development. Adaptive reuse is defined as “a process that changes a disused or ineffective item into a new item that can be used for a different purpose”, which strongly triggers the sustainable development of cities. It can be recognized as a promoter of economic growth, social wellbeing, and environmental preservation, given its capability of both preserving past values and creating new ones. The adaptive reuse matches the main points of the circular economy, seen as the sustainable economy, which is aimed at the reduction of natural resource extraction and environmental impact by extending the useful life of materials and promoting recovery, reuse, and regeneration processes. Given these premises, the current contribution aimed to evaluate alternative scenarios for reuse in Castello Visconteo in Cusago, located in the Lombardy region (Italy), and understanding how adaptive reuse could contribute to generating new values within a circular economy perspective. In detail, four alternative scenarios were proposed to face the new needs born during the COVID-19 pandemic period. Since both intangible and tangible values must be considered, a multicriteria decision analysis (MCDA) has been applied by combining economic and qualitative indicators to define the most suitable function for its adaptive reuse. In detail, the Novel Approach to Imprecise Assessment and Decision Environments (NAIADE) was used to identify the best alternative solution based on the opinions of conflicting stakeholders. The innovativeness of the contribution is given by the combination of different methodologies, the preservation of the memory and the generation of new values, and the consideration of adaptive reuse as a strategy for the achievement of sustainable development within a circular economy perspective.

Urban regeneration has to be based on rigorous methodological frameworks able to find a balance among preservation instances, economic development, urban quality and the well-being of the population. Considering these premises, this research is focused on the definition of the decision-aiding process for the reuse of an abandoned health care facility with several historic buildings. Both public and private interests have been taken into consideration, since they play an important role for the urban regeneration project and for the definition of urban regeneration policies. Given the complexity of this issue, the evaluation process has been structured by combining different methodologies to support the policy cycle: Stakeholder Analysis, to identify the actors engaged (Social sustainability); Nara Grid for the values elicitation of the Built Cultural Heritage (Cultural and environmental sustainability); and the subsequent definition of different sustainable scenarios evaluated by the Discounted Cash Flow Analysis (Economic sustainability). Four alternatives have been assessed with the support of a Multi-Criteria Analysis (MCA) aimed at defining the most balanced one considering heritage significance retention and urban regeneration. This work contributes to the literature on soft OR by exploring interactions among different stakeholders and addresses policy instances by providing a transparent methodology based on value elicitation.

The National Strategy for Inner Areas (SNAI) is a public policy designed to tackle depopulation in inner areas, defined according to the distance from centers offering essential services. Such a policy’s success is crucial to address the new challenges for planning brought to light by the COVID-19 pandemic. In this sense, there is a need to adequately support its implementation by providing handy decision support tools, understanding the power balances among municipalities, and defining proper interventions. The Indicator Grid, already used by the SNAI for project areas selection, can answer this need. However, the Grid’s application to support public policy at the municipality level requires reviewing some of its features, such as the indicators’ large number and the impossibility of defining some of them at the municipal scale. Based on these premises, this paper aims at supporting inner areas policies by carrying out a critical analysis of the current SNAI Grid, aimed at improving its effectiveness. It relies on a hybrid methodology that merges qualitative data interpretations and statistical analyses. Thanks to this method, defining a parsimonious Grid by leaving its complexity and information level untouched is possible. The so-defined set of indicators can represent a valuable reference tool in pinpointing priorities for actions or selecting further territorial scopes from the SNAI perspective, even if it still brings some criticalities to be faced.

Purpose: Several healthcare quality assessment tools measure the processes and outcomes of the care system. The actual physical infrastructure (buildings and organizational) aspects are, however, rarely considered. The purpose of this paper is to describe the process of validation and weighting of an evidence-informed framework for the quality assessment of hospital facilities from social, environmental and organizational perspectives to complement other assessments.Design/methodology/approach: Sustainable High-quality Healthcare version 2 (SustHealth v2) is the updated version of an existing framework composed of three domains (social, environmental and organizational quality). To validate and establish a relevant weighting, interviews were conducted with 15 professionals within the field of healthcare planning, design, research and management. The study has been conducted through semi-structured interviews and the application of the Simon Roy Figueras (SRF) procedure for the elicitation of weights criteria. The data collected have been processed through the DecSpace web platform.Findings: Among the three domains, the organizational qualities appear to be the most important (W = 49%), followed by the environmental (W = 29%) and social aspects (W = 22%). Relevant indicators such as future-proofing, wayfinding and users’ space control emerged as the most important within each macro-area. Those results are confirmed by the outcome of the interviews that highlight user/patient-centeredness, wayfinding strategies and space functionality as the most important concepts to foster in existing healthcare facilities improvement.Practical implications: The study highlights important structural and organizational aspects that hospital managers and planners can consider when dealing with healthcare facilities’ quality improvement.Originality/value: The use of the SRF multicriteria method is novel in this context when used to weight an assessment tool with a focus on hospital built environment.