摘要: Healthcare facilities are one of the most important assets in a country as their number and quality are common measures of the society s prosperity and quality of life. Hospitals are considered the most complex type of healthcare facilities to operate and maintain as they should work 24/7 with maximum performance and any mistake could cost the lives of many humans at a time. Although Canada is one of the highest countries all over the globe in the health spending, the status of the Canadian hospitals was described in numerous reports and statistics as a crumbling status as their overall condition received a POOR grade based on their deferred maintenance and current replacement values. This was associated with the maintenance strategies implemented inside the hospital buildings. As a result, this paper recognizes the need to implement a more efficient maintenance strategy instead of the currently implemented approaches to increase the performance of hospital buildings and efficiently make use of the funds assigned for healthcare facilities. As a preliminary step, this paper assesses the criticality of the various hospital systems and accordingly creates a maintenance strategy selection tool for the different hospital systems. Experts were interviewed regarding this matter and their opinions were analyzed using multi-criteria decision-making tools and techniques to evaluate the weight and importance of all hospital systems using pair-wise comparison methods, representing the relative effect of the various systems on the total hospital performance. The proposed framework can be used by facility and maintenance managers to facilitate …