DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES
description
Transcript of DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES
![Page 1: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/1.jpg)
DESIGNING HEALTH FACILITIES FOR 2025
LESSONS WITH RECENT BEST PRACTICES
HENNU KJISIKHarris Kjisik Architects and Planners
Helsinki University of TechnologyBudapest 4.9.2009
![Page 2: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/2.jpg)
LESSON 1
LEARNING FROM PAST SUCCESSES
![Page 3: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/3.jpg)
Ancient Greece
• ”Healing environment”
• Fresh air, daylight, views
• Fine arts, drama, physical exercize
• Activation of patients
• Generic buildings
![Page 4: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/4.jpg)
Renaissance
• Relationship with the surrounding city
• Generality and modularity
• Architectural quality and sustainability
![Page 5: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/5.jpg)
The Tuberculosis Sanatoria
• ”Healing environment”- fresh air, views
• Experimentation and innovation
• Social commitment of designers
![Page 6: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/6.jpg)
The ”Heroic era” of the 1960s and 1970s
• Flexibility – adaptabilty- modularity• Technical innovations - interstitial floors,
”plug-in” solutions• Avant garde of general architectural trends • Utopias
![Page 7: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/7.jpg)
LESSON 2
LEARNING FROM PAST MISTAKES
![Page 8: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/8.jpg)
What’s been going wrong?
• Too many rules and regulations
• Sort-sighted visions – ”for me, now!”
• Insufficent understanding of lifecycle costs
• Too much specialisation and mystification
• Not enough high-quality architecture
![Page 9: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/9.jpg)
Healing environment and Evidence-based Design
• Ethocentricity – tastes differ• No absolute truths exist about colour• Too much emphasis on irrelevancies• Many results are painfully obvious• Evidence-based design is by definition
backward looking
![Page 10: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/10.jpg)
New procurement methods
• Bad experiences for the English PFI programme
• No time or money for innovation
• Only the big boys are allowed to play
• Is it possible to create an optimal care environment while maximising profits?
![Page 11: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/11.jpg)
LESSON 3
LEARNING FROM WHAT IS GOING ON
NOW
![Page 12: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/12.jpg)
Care – Cure - Core
• Varying requirements• Only 30% is ”hospital”, the rest is simply a
”building” • Relationship between specialised and
general space• Does everything need to be in the same
place?
![Page 13: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/13.jpg)
Process-based design
• No conflict with ”healing environment”
• No conflict with patient-focused design
• There is no ”wasted space” – corridors are part of the process
![Page 14: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/14.jpg)
New concepts
• Seamless service chain
• Disease management
• Patient-centred care
• Organisational models
![Page 15: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/15.jpg)
New functional units
• The ”core hospital”
• Other new organisational models
• Community rehabilitation hospitals
• Day hospitals
• Knowledge centres
• Generalised wards and patient hotels
![Page 16: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/16.jpg)
Flexibility AdaptabilityWall-lessness
• Flexibility• Agility• Adaptability• Transformability• Elasticity• Versatility
• Changeability• Convertibility• Repeatability• Modularity• Generality• Future-proof!
![Page 17: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/17.jpg)
LEARNING FROM PRESENT BEST PRACTICES
• The ”monospace” at Arras• The public areas at Del Mar, Barcelona• The buzz and acitivity at Deventer• The urbanism of Cognacq-Jay, Paris
LESSON 4
![Page 18: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/18.jpg)
LESSON 5
LEARNING THE TRICKS
![Page 19: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/19.jpg)
Relationship with the urban environment
• Hospital as part of the city• Urban structure as a starting point of
design• ”Normalisation” of the patient environment
![Page 20: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/20.jpg)
Better hospitals for better cities
• Demystification needed• Breaking the stronghold of ”specialists”• Attract better architects• Organise open architectural competitions• Make hospital design a ”sexy” subject
among young talented designers
![Page 21: DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES](https://reader036.fdocuments.in/reader036/viewer/2022062723/56813e6a550346895da87d0c/html5/thumbnails/21.jpg)
LESSON 6
ORGANISE ARCHITECTURALCOMPETITIONS TO PROCURE
FRESH IDEAS!