ARTICLE
31 August 2026

Construction and Management of the Organizational Framework for the Review of Final Settlements for Hospital Engineering Projects

Yingjie Zhang1 Jiansheng Cai2 Xiaojie Zhang2
Show Less
1 Nantong Central Innovation Zone Science and Technology Industry Development Co., Ltd., China
2 Nantong Construction Supervision Co., Ltd., Nantong 226006, China
JWA 2026 , 10(4), 34–40; https://doi.org/10.26689/JWA.v10i4.15287
© 2026 by the Author. Licensee: Bio-Byword Scientific Publishing Pty Ltd, Australia. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Hospital engineering projects bear the attributes of public buildings and medical specialties, containing a large number of special medical systems. Such projects feature numerous design changes during construction, diverse participating parties, and complicated pricing rules. The final settlement review serves as the last line of defense for project investment control, and it exerts a direct impact on the efficiency and compliance of construction fund utilization. At present, hospital project settlement reviews suffer from fragmented organizational structures, low professional matching degree, inadequate process control, and weak risk prevention, which lead to prolonged review cycles, pricing disputes, and unstable review quality. Establishing an organizational framework with clear power and responsibility, as well as professional collaboration, and forming a refined whole-process management mechanism constitute the core solutions to the above problems. In view of this, this paper conducts an in-depth analysis of the construction and management of organizational frameworks for hospital engineering final settlement reviews, aiming to provide references for the standardized implementation of such work.

Keywords
Hospital engineering
Final settlement review
Organizational framework
Risk management
References

[1] Xin HP, 2025, Analysis on Final Settlement Cost Review of Hospital Ward Building Projects. China Construction Metal Structure, 24(22): 190–192.

[2] Zhao L, 2025, Research on the Application of Design Consultancy in Hospital Construction Projects. Henan Yushang Economic and Cultural Exchange Association. Proceedings of 2025 China Urban Construction Economic Seminar, 2025: 386–387.

[3] Xu CH, 2025, Research on Risk Control of Public Hospital Engineering from the Perspective of Internal Audit. Financial Circles, 2025(27): 147–149.

[4] Jiang M, 2023, Financial Risk Control of Hospital Infrastructure Final Accounts. Finance and Accounting Studies, 2023(25): 23–25.

[5] Fang JS, 2023, Key Points for Public Hospitals to Compile Final Financial Accounts of Infrastructure Projects. Finance News, 2023(16): 132–134.

[6] Ning SS, 2023, Research on Contract Management Based on Construction Project Settlement Disputes, thesis, Xinjiang University.

[7] Yang X, 2023, Research on Performance Evaluation of Hospital D Engineering Projects, thesis, Harbin Institute of Technology.

[8] Wang YQ, 2023, Risk Management of Public Project Final Account Audit — A Case Study of Flood Control Project in Y County, thesis, Sichuan Normal University.

[9] Cui X, 2022, Research on Project Final Account Audit Issues from Collaborative Governance Perspective — A Case Study of SX Hospital Expansion Project, thesis, Hunan University of Science and Technology.

[10] Dou XY, Guo Y, Zhang ZH, 2022, Research on Problems and Countermeasures of Documents Submitted for Public Hospital Project Audits. Fortune Times, 2022(4): 77–79.

Share
Back to top