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Introduction: Planning health resources in a continental country like Brazil demands adapting the structures to different regions and their needs. Objective: To compare the installed hospital structure (number of existing beds) with the health care parameters proposed by the Brazilian national health system (estimated beds) and the beds per activity performed in two mesoregions of the state of Rio de Janeiro in 2015. Methods: Cross-sectional analysis with data obtained from the information systems of the Brazilian national health system. Results: An excess of hospital beds was identified (208.9% of the ideal average, per activity performed), low occupancy rates (24.2% below the ideal average) and irregular distribution between the mesoregions. Conclusions: The unequal division of resources unrelated to population demands results in higher health care costs and undermines the universality of access and integrality of the care.
Functional collapse of hospitals (FCH) occurs when a medical complex, or part of it, although with neither structural nor significant nonstructural damage, is unable to provide required services for immediate attention to earthquake victims and for the recovery of the affected community. As it is known, FCH during and after an earthquake, is produced, not only by damage to nonstructural components, but by an inappropriate or deficient distribution of essential and supporting medical spaces. In July 1997, after de Cariaco earthquake the most important health complex in the Northern Eastern Region of Venezuela, although with no structural damage, was unable to attend victims and the regular service was not provided during the following two weeks. Evacuation of patients was traumatic; the location of Intensive Care and Surgery Units was inappropriate and patients had to be evacuated by inappropriate means. The purpose of this study is to provide a method for evaluating the functionality of the medical architectural program of hospitals for postearthquake attention. This paper presents an analysis of the traditional architectural schemes for hospitals in Venezuela and some recommendations for the establishment of evaluation parameters for remodelling medical-architectural schemes of existing hospitals in seismic zones.
Civil Engineering and Architecture, 2021
This paper aims to determine the factors that influence the design process for public hospitals. The paper intends to provide knowledge regarding the hospital planning and design process from the perspective of policy makers, facilities managers, hospital planners and hospital designers. This study is a qualitative study, where twelve participants from Thai and Norwegian hospitals were interviewed. Respondents included hospital project directors (n=3), hospital planners/designers (n= 5), and facilities managers (n= 4). Interviews were transcribed and analysed using thematic and content analysis. Four main themes were identified from the analysis: (1) organization of the healthcare system (2) hospital management system (3) work systems in the healthcare organization (4) hospital design process. Comparisons of results were made between Thailand (a developing country that strives to provide sufficient healthcare services) and Norway (a developed Nordic country that provides efficient public healthcare services). The main finding of this study indicates the critical importance of user involvement in the hospital design process in both countries. The involvement of different stakeholders in each stage of the design process is the key to successful design outcome. Other issues and recommendations for designers are further discussed.
1999
General Concrete:-Particular for Specific Hospital 1. Developme nt of an Ideal Model for a Diagnostic Evaluation 2. Diagnostic Evaluation of the Hospital ‘X’ 3. Formulation of Discrepancy Between the “Is State” and the “Ought to Be State” 4. Determinati on of: Design Variables (dv), Context Variables (c-v), and Performance Variables (p-v) 5. Generation of Alternative Solution, Selection of One, and Development of a Plan of Action. 6. Implementi ng the Plan. 7. Reopening of the Hospital, or of the Section Updated.
Principles in Designing the Hospital Building
JOURNAL OF MECHANICS OF CONTINUA AND MATHEMATICAL SCIENCES, 2020
Special attention and provisions must be done when designing and building a hospital. Designing a hospital that satisfies those criteria are difficult, but not entirely impossible. Extra effort in adhering to specific rules and regulations of Ministry of Health, especially when integrating latest technology in the hospital design are challenging. Therefore, based on the above dilemma, this paper discusses the principles in designing an optimum hospital, which able to accommodate the present and future needs of hospital capacity.
The aim of this doctoral thesis is to explore the evaluation of functional and environmental factors in acute-care hospital design that might have an impact on healthcare outcomes. Despite the progress of the evidence-based design process in North-European and North American countries, in Spain it still has not been fully developed. The purpose of this design process is to establish a link between design variables and health-related outcomes. Acutecare hospitals are buildings in constant change to cope with the evolving demands of clinical progress and the social context. Thus, acknowledging the functional and environmental factors that impact on the care process and evaluating them in existing acute-care hospitals becomes of paramount importance. This dissertation follows a mixed-method methodology based on four perspectives: 1) the field, with an ethnographic study during a three-month placement in an acute-care hospital; 2) the theory, with literature analysis; 3) the future, with an ethnographic study of sixteen acute-care hospital visits considered as best practice, and 4) the present, with the evaluation of four acutecare hospitals in Spain. The primary result of this work is the tool CURARQ. The purpose of this tool is, on the one hand to provide a first diagnostic of the functional and environmental quality of the studied unit, and on the other hand to guide in the design decision process of a new development. This tool has been created for seven units in the acute-care hospital and has been tested in four acute-care hospitals in "Comunidad Valenciana". Secondary results include: 1) feedback and scripts from users during the acute-care hospital placement; 2) evaluation through architectural layouts and photographs of the acute-care hospital visits; and 3) evaluation of CURARQ scores of the four evaluated acute-care hospitals. This document provides a current overview of functional and environmental factors in acutecare hospitals, which evidence: 1) the need for refurbishment to promote clinical innovation; 2) the need to update national standards, 3) the usefulness of CURARQ tool to identify priority buildings to intervene, and 4) the usefulness of CURARQ tool to generate synergies between healthcare staff, patients, researchers, and architects to promote the potential of the evidencebased design process in Spain.
Characteristics of the Hospital Buildings: Changes, Processes and Quality
2010
Since the second half of the twentieth century to today, the architectural design of the hospital building has undergone great changes. These are related to the role that it plays within the city and the community, but also to the recovery of values that are different from those of quantity and function, characterizing modern hospitals in the first half of the twentieth century. These ‘new values’, really recovering from the past and agreeing to a humane and humanistic vision of reality, together with the recent technological discoveries and new ways of treatment and care, influence the design choices in hospitals contemporaries. The proposed research Architectural of hospital space: Changes and Design Methods seeks to define the characteristics and the architectonic qualities of the contemporary hospital. It is care centre and hub of scientific and medical knowledge and it is also the important place for observations on the relationship between the man and the built environment. Th...
Planning, Analysis and Designing of Multi-Speciality Hospital Building | IJSRDV6I90054
IJSRD - International Journal for Scientific Research and Development, 2018
— The aim of the project " Planning, Analysis and Design of Multi-Speciality Hospital Building " is to develop a multi-speciality hospital building with economical design using manual design techniques and computer aided design. The project summary report emphasizes the structural analysis and design finding of hospital building. The main scope of this project is to apply class room knowledge in the real world designing of a hospital building there building require large and clear area unobstructed by columns. Here the hospital building is of four story RCC structure with 300 no. of beds and capacity of 22500sq.m which is planned using AUTOCAD for floor plan and STAAD PRO for analysis. The multi-speciality hospital building is located in Avadi. The basic requirements of hospital building is taken from): IS 12433 (part3-2001) and the member are designed using IS 456:2000.