Design-build is expanding gradually in large construction projects over 10billion won, and continue to work in health care facilities is increasing in this way. This constructional method in health care facilities, despite the many advantages, many problems caused by design changes are being raised. Raises the question of design changes on the side of construction contract, such as approval systems have been studied in the field of construction. The purpose of this study design in aspects of architectural planning on changing the grasp of the issues outlined in the ITB and bid evaluation criteria through consideration of the basic plan for improvement guidelines and evaluation criteria is presented. In conclusion, Design build, according to the presence of existing users are more likely to lead to design changes. Thus, hospital architecture, depending on how it is considered that constructional methods. And evaluation items of ITB(Invitation To Bidder) for a large part of the change in the variables evaluated in the hospital building is not suitable for the design build. Instead, the overall shape of the building and department, unit type and size, vertical and horizontal parts of the circulation system in the shape of the building that does not change in structure and etc should be considered for evaluation.