20 Thesis topics related to Healthcare Architecture
Healthcare Architecture is one of the most important, complex, and demanding fields as it requires precision, needs, and respect for privacy. As architects, we design these structures so that the public is able to walk through the health care system in a proper way. There are many students who work with the topic during their thesis project as it is not only challenging but also opens new doors into tackling pandemics such as Covid-19.
Here are 20 thesis topics related to healthcare architecture:
1. Children friendly healthcare design
Children’s hospitals have been one of the most challenging designs. As the hospital is the last place a child might want to go. So making hospitals less scary and motivating the children to accept the care is one of the biggest psychological challenges that the designer has to encounter. But when dealing with children it can help unleash the child inside the designer. So if you can design for those little ones; this one’s for you.
2. Multispecialty hospital design
A hospital design that deals with different types of multispeciality facilities available under one single roof. This design is in high demand in the urban context and is one of the biggest rising designs. As they’re able to adhere and cater to a large number of people with different ailments.
3. Drug rehabilitation center
Addiction has been and is going to be one of the biggest ailments that our generations have encountered. As there is a subsequent increase in the death rates that have been caused by an overdose of drugs. And somewhere there is a share of rehabilitation spaces too. As they need to feel less of a prison and more of a recovery center which can guarantee the addicted people that this is the road to recovery. Hence the role of architecture is highly important in this context. So if you would like to bring a change to this biggest problem of generation this one’s for you.
4. Redesigning intensive care units
One of the most unique and detailed topics of healthcare architecture which peek into the technicalities of the medical world. With a dominating services part. As including the technical part, there is a lot to design on this topic as it is one of the key elements of the hospitals.
5. Mental health hospital design
Still today mental health problems are always seen with a judgemental eye. And mental hospitals are still aren’t reached by the suffering people just out of the pressure and disgrace created around mental problems. This is why there is an immense need to break the imageability of the mental hospitals and redefine them in a new thought. A new image that can make it a lot less scary and way more approachable. So if you want to risk and break the mold; this is the best one.
6. Autistic healthcare redesign
Autistic care is one of the most creative and challenging ones. As they need for us to dwell into the life of autistic children and understand how their world works. And how can we make it better? Even though the percentage of their population might be small their needs are often ignored as most of the time they’re pushed into our normal worlds that don’t cater to their needs or care at all. So if you would like to step into their shoes and empathize. This one is a good option for you to choose from.
7. Advanced trauma recovery and care center
Trauma is a lot of complex phenomena that don’t just affect momentarily but can change a person’s life forever. Which makes these trauma recovery centers all the more important. They’re supposed to provide the care and refuge for them that can make them feel better and start their journey to recovery. It is a challenging phenomenon to give a solution to through architecture. But the built environment can do wonders that are beyond the comprehension of the human mind.
8. Cancer hospital and research center
Cancer hospitals are one of the most important elements of society and are always needed. With a large amount of infrastructure, technology, and care involved in making them. It undoubtedly makes it one of the most promising thesis topics.
9. Counseling Clinic: Rethinking mental healthcare
Counseling clinics are on a subsequent rise as they are easily approached and overall more preferred by the people who feel they need help. So this design doesn’t just need to step out from the big scary hospital vibe to a friendly place where one might feel like going to have some help. This thesis explores a lot of urban human psychology and the needs of today’s generations of healthcare. Indeed a topic for the promising future.
10. Juvenile trauma recovery center
With the considerable increase in juvenile crimes . Juvenile health and development have been the top priority of many countries worldwide. So out of the many efforts being done for their betterment, this one is one of the most crucial ones. This design needs to cater to the raging young minds while healing them of their trauma and help them walk the road of recovery without falling into the traps of crime. Children’s psychology will play a very important role in their recovery. Thus this project in a real sense is going to shape the future of tomorrow.
11. Pediatric hospital and care center
This one demands a good understanding of infant to toddler development and physiology. Their reactions in certain environments and how to make a peaceful place that can cater to these tender beings with care. It is a very creative and positive topic that prolifically deals with the news.
12. Lodging and care center for cancer patients
Peeking deeper into the journey of a cancer warrior. It gives us the chance to create a better environment for them when they’re battling and are feeling at their lowest. This calls for healing that is done through spaces that make them feel less pained and can provide hope. Something design is very much capable of.
13. Prison recovery and rehabilitation center
The time post-prison is as important as the time inside is. As the prisoners are often left in open with a shock of a new reality right ahead of them. Which at times is a lot to handle, especially in a positive mindset. Thus this rehab center won’t just make them prepared, but also will help them step into this new world as a better human.
14. Adaptive reuse of hospital buildings
The reuse of hospital spaces is challenging. But provides ample opportunities on the way depending on the context and background the design is going to set up in.
15. Cancer prevention, diagnosis, treatment, and survival unit
Covering the whole process of development and recovery this center is supposed to be the most important center in the life of the patients who are to be motivated and kept hopeful throughout. Which requires a conscious approach as a designer to make a space that can help them feel better and give them a will to survive.
16. Eldercare: Redefining healthcare for the elderly
Care for the elderly can be one of the needed topics in today’s world. As the care they need is much beyond a hospital. As they need a hospital that feels like hope. A place where they will be willing to stay rather than run away from. And the design can be the one that can create such an effect successfully.
17. Rural hospice center redesign
Hospice centers in rural areas serve as many other things rather than just healthcare architecture. They act as a refuge space for the general public and even an educational area. Considering its multidimensional use it can be used for many things. Thus providing it as an opportunity to work on a singular space that can serve as a multipurpose space .
18. Dementia: Care center redesign
The dementia care center is a healthcare architecture design that deals with the lives of dementia suffering patients. Which requires them to step into the shoes of the patients. As it can help us create a good environment for them.
19. Behavioral Healthcare facility
The behavioral health facility is the new healthcare facility that has been created. Which has been created to tackle the behavioral and other problems that are dealt with every day in the urban and rural contexts? Thus making it more approachable for the people suffering it. And thus it can become one of the futuristic architecture designs
20. Post-trauma recovery center
From the admission phase to the complete recovery. Different phases are involved and are needed to be catered carefully. Thus it makes the healthcare architecture of the space equally important in the healing of the trauma and the road towards recovery.
Renuka is an artist, architect, and writer. With a keen interest in psychology; she is passionate about 'User-centric and need-based designs'. As an empath herself she finds writing as a way to empower and voice people. While aiming to make this world a better place as a designer.
Eldridge London Architects + Designers-15 Iconic Projects
20 Thesis topics related to narrative architecture
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The hospital of the future: rethinking architectural design to enable new patient-centered treatment concepts
- Original Article
- Published: 15 December 2021
- Volume 17 , pages 1177–1187, ( 2022 )
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- Carlos Amato 1 ,
- Leslie McCanne 1 ,
- Chengyuan Yang 1 ,
- Daniel Ostler 2 ,
- Osman Ratib 3 ,
- Dirk Wilhelm 2 , 4 &
- Lukas Bernhard ORCID: orcid.org/0000-0002-9729-8928 2
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Today’s hospitals are designed as collections of individual departments, with limited communication and collaboration between medical sub-specialties. Patients are constantly being moved between different places, which is detrimental for patient experience, overall efficiency and capacity. Instead, we argue that care should be brought to the patient, not vice versa, and thus propose a novel hospital architecture concept that we refer to as Patient Hub . It envisions a truly patient-centered, department-less facility, in which all critical functions occur in the same building and on the same floor.
To demonstrate the feasibility and benefits of our concept, we selected an exemplary patient scenario and used 3D software to simulate resulting workflows for both the Patient Hub and a traditional hospital based on a generic hospital template by Kaiser-Permanente.
According to our workflow simulations, the Patient Hub model effectively eliminates waiting and transfer times, drastically simplifies wayfinding, reduces overall traveling distances by 54%, reduces elevator runs by 78% and improves access to quality views from 67 to 100% for patient rooms, from 0 to 100% for exam rooms and from 0 to 38% for corridors. In addition, the interaction of related medical fields is improved while maintaining the quality of care and the relationship between patients and caregivers.
With the Patient Hub concept, we aim at rethinking traditional hospital layouts. We were able to demonstrate, alas on a proof-of-concept basis, that it is indeed feasible to place the patient at the very center of operations, while increasing overall efficiency and capacity at the same time and maintaining the quality of care.
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Avoid common mistakes on your manuscript.
Current healthcare systems around the world are characterized by the organizational principles of segmentation and separation of medical specialties. They are structured into departments and facilities which offer the best service in their respective field but are not properly coordinated or tightly linked to the rest of the healthcare ecosystem. Consequently, today’s hospitals seem more a collection of different “departments” and medical fields than a fully integrated cooperative and service-oriented facility. Each department uses its own workflow schemes or standard operative procedures (SOP), employs specially trained personnel, and runs its medical service in well-circumscribed and precisely defined structures and areas. Communication between disciplines is often limited to the absolute minimum necessary for coordination tasks, e.g., regarding forwarding of relevant patient information and time scheduling of examinations or interventions.
The current system requires patients to step from doctor to doctor and from department to department to collect the jigsaw puzzle pieces of their disease. It is a serious drawback of current hospital structures that patients often need to tell their medical history and symptoms over and over again to the medical staff of different disciplines and subspecialties. The request and scheduling of different diagnostic examinations across departments are often confined to a very succinct standard requisition, neglecting the exchange of any additional patient-specific information (e.g., the anatomical reconstruction after gastric surgery in case of a postoperative CT scan to rule out complications). This data that are essential for appropriate programming and interpretation of diagnostic procedures is often non-accessible to the physician performing the exams. We call this “incremental care” and in this traditional model, the patient is constantly moved around to receive care (Fig. 1 depicts an exemplary traditional patient’s pathway). While some of these issues could be addressed by optimizing the clinical communication and data storage infrastructure, we believe that by means of architectural choices it becomes possible to further benefit and simplify the necessary workflows and to reduce the amount of required technology.
Traditional Incremental “Patient to Care” flow: the patient is constantly being moved between departments, typically starting from clinical reception, followed by examinations, diagnostics, treatments, ward stays and other way stations. Due to the highly fragmented structure, a direct access of external parties, especially academia and industry, is aggravated
Current hospitals are organized around well-separated specialized clinics and expert units, which all by themselves are perfectly tuned for economically optimized and efficient use of their dedicated infrastructure (e.g., the operating room in surgery or the MRI in radiology) and make efforts to reduce the cost of personnel wherever possible. Profit has become the main driver of healthcare and everything else including patient satisfaction and even quality of care often comes as a second priority. However, financial profit is generally not assessed on a global scale of patient management services but rather on the level of subsystems and specialized services, with a focus on separated profit centers which results in higher global costs rather than reducing them due to inefficient coordination and consolidation of clinical pathways. “Service-oriented” care units refer more to medical services (or equipment) and teams providing dedicated care, rather than to patient-centered care facilities. This often results in inefficient workflows such as excessive and unnecessary time spent in waiting rooms, which is becoming prevalent in large facilities.
Although system optimization works well for a specialized and restricted field, e.g., a department or a single facility, the entire healthcare system has grown enormously toward becoming rigid, not-adaptive, and slow. It is not designed for the active prevention of disease, but for mere reaction in case an adverse health event or development arises. This approach entails that the patient suffers more overall, since diseases are allowed to develop and manifest themselves before they are finally diagnosed and treatment can be started. At the same time, the burden for clinical care facilities increases as well, since treatments become more complex and result in longer durations of stay. The preventive approach has been advocated for quite some time now [ 1 ] and its benefits have become very obvious during the recent Covid-19 pandemic [ 2 ].
Although “interdisciplinary care” and “overarching approach” represent typical buzzwords of modern treatment concepts, the integration of involved clinical disciplines remains on a low level. One notable exception is acute trauma or emergency management where any active action is focused on the patient and collaboration is crucial to handling critically vital situations. The growing field of emergency medicine could serve as a model for a more global paradigm shift, as an example of healthcare delivery that is, above all, patient-centered. In such a context, interdisciplinary communication is highly standardized involving all persons and services required for well-protocoled patient management scenarios. Services are brought to the patient, and not vice versa, and anything and everybody involved is geared to facilitate a fast and comprehensive treatment. It has been shown that the patient-centered multidisciplinary approach, at least for acute trauma, can save lives and is superior to traditional concepts [ 3 ]. So, one might ask whether such an approach could also be beneficial for other indications or even for general care? And if so, will this new concept maintain the current standard of care and the relationship between caregivers and patients?
As a central building block for addressing the issues described in the previous we present our new hospital concept that we refer to as Patient Hub . It envisions a truly patient-centered, department-less facility, where all the critical functions occur on one floor. While our idea is not intended to solve all of today’s hospital design flaws (and we are fully aware that one solution will never fit all models), we aim at providing concepts and tools to help re-think traditional designs.
We developed a novel, one-of-a-kind design concept for the hospital of the future. The envisioned facility is fully patient-centered and strives for a workflow-oriented design by clustering related functionalities and processes in defined hubs, all located on the same floor and in close proximity to each other. In order to demonstrate the effectiveness and added value of our proposed hospital architecture, we benchmarked this new concept against a traditional design. For that, we reconstructed both the Patient Hub and an exemplary traditional hospital layout using 3D simulation software and compared them with regard to workflow efficiency and patient satisfaction. For the initial analysis presented here, we chose a typical patient scenario based on a common real-world case.
The patient hub concept
Today’s hospital buildings are often fancier versions of the 1960s bed-tower-on-diagnostic-and-treatment podium model, with a lot of newer technology crammed inside. In accordance with the principle of decentralization, which is prevalent in many healthcare systems around the world [ 4 ], such environments are characterized by being divided into departments and individual silos, each possessing its own organizational structure (including permanent staff, assigned space and beds), optimized for operational and financial efficiency. The patient is moved around from place to place to receive care, instead of bringing the care and technology to the patient (e.g., infrastructure like CT or MRI is often inconveniently and remotely located in a different building, as illustrated by Fig. 2 ).
Functional stacking of (traditional) Template Hospital used for simulation comparison
In contrast, our Patient Hub concept is a radical departure from the way traditional hospitals are designed. It envisions a transformative “one of a kind” and truly patient-centered, department-less facility. We propose a highly centralized clinical layout, where all relevant medical fields of expertise are available within the same space surrounding the patient (see Figs. 3 and 4 ). They form clusters which contain functionalities of equal classes, as for example examination , out-patient care or administration . For the patient, the whole system has a single-entry point to simplify wayfinding and is designed to minimize patient movement. The centralized clinical layout brings together staff from all specialties to encourage clinical collaboration and care coordination, thereby stimulating health care performance [ 5 ]. Instead of facilities being distributed along the hospital, and most often on different levels or even buildings, the new design concept aims at achieving a logical and self-explaining layout by bringing together what belongs together. However, the vision of the Patient Hub encompasses much more than a traditional hospital: This new environment (or ecosystem) co-locates outpatient, inpatient, rehabilitation, wellness and prevention, ancillary support spaces, and industry (research and development) all under one roof. It is envisioned to be no longer just a site for the treatment of the sick but a health-oriented all-encompassing facility, which is achieved by implementing patient-centered structures and workflows as well as by an expansion of services to also incorporate prevention and wellness.
Re-imagined healthcare paradigm: changing from incremental “patient to care” approach toward a re-imagined “care to patient” approach
Concept diagram illustrating “all under one roof” collaborative Patient Hub concept
Instead of being department-oriented, the Patient Hub design follows a more functional approach. To avoid getting lost in the sub-channels of the system (different departments with specific ecosystems), the architecture is logically constructed and patient-centered. It features a single point of entry, and a central meet and commute “core” to which the relevant facilities (housing, examination, out-patient care, administration) are linked, just as the arms of a tree are joined to the trunk. For the reduction or even full avoidance of patient moves, the respective areas cluster the required functionalities on one site. This will be done irrespective of the affiliated department or responsibility. Instead of passing from the radiologic department in level A to cardiology in level D to complete the pre-operative check-up, the patent will now move from one to the other door, as depicted in Fig. 5 .
Re-imagined “Care to Patient” flow diagram indicating functional adjacency needed to deliver patient-centered care
By avoiding duplicating functionalities which today are replicated in every department (e.g., waiting rooms, registration area, observation area) the Patient-hub concept aims at saving space, simplifying patient pathways, and facilitating implementation and adaptation of new treatment concepts. While keeping this functional patient-hub design with all required functionalities being logically distributed on one floor, we envision different levels of the building to be adaptable to different patient needs and specialties, like surgery, medical treatment, rehabilitation, etc. (see Fig. 6 ).
Patient Hub functional stacking and 3D massing
Due to its horizontal layout and resulting space demands, the Patient Hub layout in its most essential form is best suited for freestanding greenfield hospitals. The hub floor of our current design requires an 8,000–9,000 square meter floor plate but can be scaled up and down depending on the number of beds and procedure space needed. Since a further increase of the horizontal expansion would start to contradict the goal of having a compact centralized hub with streamlined workflows and short routes, we instead propose to stack multiple independent Patient Hub units vertically. Thereby, it becomes possible to retain the compact size of each hub and keep all movements of a given patient on the same floor, while making more efficient use of the available building ground and increasing the overall capacity.
Patient scenario
Our exemplary scenario revolves around a patient being diagnosed for rectal cancer. First, the patient receives general examination and diagnostics according to current guidelines [ 6 ], which include endoscopy, pelvic MRI and CT. After physical examination, which, due to his age and existing comorbidities includes cardiologic assessment, the case is discussed in multidisciplinary consultations such as tumor conferences and the patient is scheduled for surgery. Preparation measures for surgery include obtaining the patient’s informed consent by the surgeon and anesthesia, as well as preoperative preparation such as bowel cleansing and blood tests. After the intervention, observation in the ICU is carried out for one day, before the patient is returned to the regular ward. In our scenario, an eventless postoperative course is observed, which is why only a chest x-ray is performed to examine the postoperative lung status. No other tests or assessment of anastomotic healing are undertaken. During the hospitalization, the patient has an interview with the surgeon, to discuss upon the results of surgery and eventually additional treatments, and another interview with the social worker to decide upon auxiliary measures. Finally, the patient is discharged from the clinic.
The case above describes a common situation that clinicians are dealing with regularly and is based on the organizational structure and standard operating procedures of a university hospital. We analyzed the necessary steps along this clinical pathway for a traditionally designed hospital. Even though we chose a complication-free course for our scenario, the resulting list of necessary steps contains 95 entries, many of which are describing a change of the patient’s location or time spent within various waiting rooms. Refer to Table 1 for an excerpt of this list.
Workflow simulation
Using the 3D simulation software FlexSim Healthcare™ (FlexSim Software Products, Inc., Orem, Utah, USA), we developed dynamic models for comparing various quality measures between our two different hospital layouts. FlexSim Healthcare is a standalone healthcare simulation product aiming to model patient flows and other healthcare processes. It is designed to help healthcare organizations to evaluate different scenarios and validate them before they are implemented. For that, one or several architectural models can be created, followed by the definition of patient journeys. During execution of the simulation, FlexSim can monitor data contributing to patient satisfaction, including the total time spent, time spent for each treatment, time proportion of receiving care, travel distances, etc. It can also be used to analyze staff and equipment utilization rates and help to balance staff workload and amount of equipment.
Modelling of architectural layout
We selected Kaiser Anaheim hospital, a traditional hospital with a similar size, to be compared to the Patient Hub. The construction of this hospital was based on a generic “template” hospital plan developed and used by Kaiser-Permanente, the US largest non-profit Health Management Organization (HMO) (Fig. 7 ). This plan was developed when the organization was required to replace half of its hospital beds in California due to new seismic regulations and resulted in a prototypical hospital “template” that can be built on virtually any site, with few modifications [ 7 ], with a minimum of effort, lead time, and government review [ 8 ]. The design aimed at incorporating the best known clinical practices and design success stories and was optimized for a fast and efficient construction process [ 7 ]. Due to these characteristics, and a broad and successful implementation, we have selected this layout as the best comparison available today.
Simulations within FlexSim Healthcare for a traditional hospital (Kaiser-Permanente); a 2D overview floor plan; b 3D rendering of 2nd floor; the right parts of the images show the linear workflow used for the simulation
The second model (see Fig. 8 ) represents our Patient Hub, i.e., a hypothetical department-less hospital layout based on patient-centered care activities and concentrated on a single floor. Both buildings were modeled in FlexSim based on the floor plans. The model elements essential to this process were those affecting patient travel distance and waiting time, including vertical transportation, wall arrangement and the available medical equipment.
a 2D view of main Patient Hub floor showing diagnostic and treatment, outpatient, universal inpatient patient ward and patient experience / public / interdisciplinary coordination core blocks; b 3D rendering of Patient Hub floor within FlexSim environment; showing simulation workflow study to determine and test ideal functional adjacencies
Definition of patient treatment journey
After implementing the models, we defined the patient scenario (see previous section) and created a list of healthcare services that this patient needs to receive. We programed the full process based on this list, from patient first entering the hospital, walking to each exam rooms, receiving direct care (endoscopy, CT, MRI, surgery), receiving indirect care (observation rooms, patient ward), consultation and rehabilitation, and finally leaving the hospital.
Definition of staff and equipment
We assigned medical staff (doctors, nurses, technicians, etc.), medical equipment (CT, MRI etc.) and transit equipment (wheelchairs, gurneys, etc.) to the simulation models. For each model, 2 CT machines, 1 MRI machine, 1 ergometer, 4 gurneys and 4 wheelchairs were available. The patients were supervised by 4 Doctors of Medicine (MD) and 4 Registered Nurses (RN) per medical specialty. Numbers were based on the size of the functioning area (according to industry standards) and are the same for both models in order to not affect the simulation results. We programed the full process of staff providing direct and indirect care including escorting and monitoring patients.
Using FlexSim we simulated the whole process from entering the hospital to exiting, and monitored key statistics including travel distance, major milestones, treatment times, waiting times, time proportion, utilization rate for both patient and staff. For both scenarios, we simulated the arrival of three patients every half hour between 8am and 9:30am, which amounts to a total of nine patients.
Comparative parameters
For measuring the performance of the two models, we selected multiple parameters, with a high focus on improving the patient experience:
Waiting and Transfer Time
Travel Distance
Number of Elevator Runs
Access to Respite Spaces, Nature and Quality Views
The first parameter Waiting and Transfer Time is arguably the most relevant for patient experience, staff workload and overall efficiency alike. By decreasing this parameter, the overall duration of the hospital stay can be shortened and resting/recovery time for the patient (i.e., time spent in the ward) can be maximized. Furthermore, staff members are less overburdened and can potentially use the gain in time for other tasks or patients, thus improving staff satisfaction and economic interests of the hospital. Admittedly, reducing transfer times likewise can serve to increase the throughput of patients, however, we did not intend to improve on this measure.
The parameter Travel Distance refers to the length of the path that each single patient needs to travel during the hospital stay. We split this into the following three parts reflecting the different stages of the patient’s pathway: Endoscopy , CT + MRI + Cardiology and Anesthesia + OR + ICU . Decreasing travel distance is desirable since long transfers between distant departments are a burden for patient and personnel alike and extend the duration of hospital stays.
Wayfinding refers to the complexity of the patient’s traveling route within the hospital. A high number of turns, stop-and-go’s, transfers paired with rather chaotic paths and destinations scattered across different buildings indicate a poor performance with respect to this parameter. Short and infrequent transfers paired with simple and uncomplicated routes within the same building and on the same floor indicate a good performance. For our initial assessment, we interpreted the patient’s path as a graph and used the number of nodes and edges as an abstract measure of complexity. In addition, we considered the number of locations requiring signage as a more user-oriented parameter.
The Number of Elevator Runs is another measure for the complexity of patient transfers. Elevators often are bottlenecks within hospital buildings and contribute to elongated transfer times, which is disadvantageous from patient, staff and economic perspectives. Therefore, a low number of elevator runs indicates better performance. Furthermore, elevator operation typically accounts for 3 to 8% of the total energy consumption of a building [ 9 ]. Thus, a decrease can have a positive impact on the hospital’s CO 2 footprint.
Hospital stays can be associated with high mental stress or anxiety for many reasons, such as individual ailments and separation from the outside world and everyday life. The bleak, functional and sterile look that hospital interiors tend to have, may further amplify this effect. However, there is overwhelming evidence and research indicating that having frequent Access to Respite Spaces, Nature and Quality Views influence our health outcomes and help mitigate this problem [ 10 , 11 , 12 ]. To evaluate the performance of our models with regard to this parameter, we analyzed the number of patient rooms, examination rooms and corridors providing quality views to gardens surrounding or located in between hospital buildings.
Numeric results of the workflow simulations for the parameters and models explained in the Methods section are given in Table 2 .
Our results presented in the previous section are promising, since a considerable improvement for every selected parameter can be observed. We see this as a proof-of-concept of our ideas. However, we want to stress that the investigated scenario is only a first step toward proving the feasibility of the Patient Hub concept. Other patient scenarios and combinations of them will lead to even more complicated situations and workflows, where we believe the benefits of the new patient-centered layout will become even more obvious—due to the reduction of bottlenecks and resulting improvements of target parameters relevant for patient experience. Generally, we interpret the simulation results as evidence for the postulation that, as healthcare strategies are expected to evolve toward more ambulatory and short-term hospitalization, facilities should focus more on optimizing their workflows rather than maintaining the priority of traditional inpatient procedures of hospitalized patients. Our study also concludes that a patient experience measurement or scoring system should be formally included in all hospital design simulations, although the construction of such an integrated index is still pending and requires the involvement of experts from different fields.
Clearly, the proposed layout has not yet been fully implemented in the real world and thus may be prone to problems that cannot be identified using the proof-of-concept approach presented in the manuscript. As of now, a test pilot project with limited scale is under construction in Philadelphia, which will accommodate 150 beds. This test project will be a valuable source of insights regarding problems and limitations of the Patient Hub concept.
Still, there are limitations that we are already aware of, especially regarding the size of the Patient Hub. It is neither reasonable nor feasible to scale up a single floor facility indefinitely to accommodate for more and more patients. The strengths of the centralized layout would be mitigated by the huge size and the whole system would presumably become sluggish and less efficient. Also, the available building ground would not be used very efficiently, as compared to a multi-level building. A possible solution to this is the stacking of multiple patient hubs (e.g., with different specializations) on top of each other. However, this would mean that diagnosis and treatment services need to be duplicated, which has been done in the past, but is not preferred by most hospital operators due to financial concerns.
A further limitation is that an integration of the Patient Hub concept into existing facilities is not possible. Thus, it is exclusively applicable to new building projects.
As of now, the proposed concepts mainly focus on architectural design and a translation to the real world will certainly require many more building blocks, such as AI (notably workflow scheduling/optimization), big data (collection and processing of health data) and robotics (e.g., self-driving assistance systems). In particular, we envision the entire infrastructure, including technical devices, spaces and functional units to become adaptive and mobile. For example, a medical / surgical patient room could be utilized as an ICU site (Universal Room). Intervention rooms could be suitable for surgery, interventional radiology or cardiologic manipulations. CT scanners and other assistance systems could be designed as self-navigating systems, to move independently to desired locations.
While we plan to incorporate such considerations into future work, we advocate a very deliberate use of technology, governed by the paradigm of bringing care to the patient and not solely by economic interests. As argued before, the new patient-centered approach is expected to increase patient satisfaction, to reduce overall procedure times (if combined with an intelligent real-time scheduling and organization system) and to even be superior regarding infection prevention. Moreover, such an adaptive environment will most likely contribute to the physicians’ satisfaction as well as foster collaborative and interdisciplinary work. At the same time, it will allow for fast and easy adjustment of the entire system according to the current number of patients and the prevailing diseases they are suffering from (e.g., in case of a pandemic). As shown in Fig. 9 , we envision the Patient-Hub to behave according to an expanding core model, where all activities can be centralized during times of low demand (e.g., at night) and expanded by reactivating auxiliary areas from hibernation to deal with higher workloads. A centralized layout would facilitate such an expansion and retraction as opposed to a traditional layout where all core functionalities are distributed throughout the hospital.
Functional design changes from a distributed pattern to an expanding core concept
The Patient Hub Design maintains the patient–caregiver relationship and the principle of patient-centered care delivery by preserving core aspects of current hospitals such as wards and operating theaters, which, however, are functionally rearranged and smartly repositioned within the Patient Hub. This rearrangement not only improves patient experience but also the patient-related communication and collaboration of physicians, further improving workflow and information exchange.
We believe “departments” will no longer define the basic structure of a hospital. Instead, patient requirements and functionalities, such as “operative care,” “infectious disease recovery”, “conservative oncology” or “preventive care” will be brought into focus. By using this revised interpretation of interdisciplinary patient-centered care for our Patient Hub concept, we are able to improve patient and healthcare workers experience and satisfaction while maintaining the current standard of care.
Lastly, we do not believe that economic parameters are deteriorated by the patient-centered approach. On the contrary, our simulation results show significant increases in efficiency throughout the facility, with less required staff members and less time required per patient. Therefore, we expect our approach to not only be beneficial for patients and employees, but to be cost effective and economically reasonable at the same time.
We have presented our vision of a novel patient-centered department-less hospital design referred to as the Patient Hub. While the realization of this vision clearly requires disruptive change regarding many aspects (such as clinical workflows, application of technology, functioning of the healthcare system in general), our main aim herein was to focus on re-inventing the architectural layout. For benchmarking the performance of our concept with regard to patient experience, we have defined a patient scenario and created simulation models for both the Patient Hub layout and a standard hospital template by Kaiser-Permanente. The simulation results were highly promising, showing clear advantages of the Patient Hub layout throughout all benchmark parameters. We see this as a proof-of-concept of our ideas and as an important validation before implementing the Patient Hub in the real-world.
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Amato, C., McCanne, L., Yang, C. et al. The hospital of the future: rethinking architectural design to enable new patient-centered treatment concepts. Int J CARS 17 , 1177–1187 (2022). https://doi.org/10.1007/s11548-021-02540-9
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DOI : https://doi.org/10.1007/s11548-021-02540-9
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Evidence-based design utilized in hospital architecture and changing the design process: a hospital case study
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Planning, Analysis and Designing of Multi-Speciality Hospital Building | IJSRDV6I90054
2018, IJSRD - International Journal for Scientific Research and Development
— 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.
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International Journal of Research Publication and Reviews
Shreyas R Shende
As we all know that civil engineering concepts have been spread all over the world. And it has been widely spreading in recent years. Development in India focuses majorly on the Civil engineering concept. As Civil Engineers, we must be able to analyse and design parts of a Building like beams, Columns, Slab, etc. We all are aware that Padoli is a small area coming in Chandrapur District. In recent years, various construction has been started here and the population is increasing accordingly. Keeping in mind, we have selected a construction site of a Hospital Building which is 7000 sq. ft. Hospital is a basic need of today's generation. For this, we have decided to make a layout plan of a Hospital Building and its Analysis and Design of structure. We are going to Draft a plan of the site and accordingly parts of a building. For this, we will be using AutoCAD 2D & 3D Software. After getting all the details about the structure, we will be analyzing and design its parts with the help of STAAD Pro Software. Using Indian Standard Codes for standard specification will be beneficial while calculating loads of different parts at a different storeys.
IRJET Journal
The technological developments is growing up fast, and it is going to talk about the structural developments on constructions. Software is urgently needed to simplify calculations and analysis of stability and deformation. CSI SAFE is a software which is intended for stability and deformation analysis in structural engineering. This project concerns with a private multi-speciality hospital building at Kolenchery near Kochi in the state of Kerala. At present it is home to a Medical College, College of Nursing, a super specialty hospital. The increased flow of people led to the building of a new hospital block.
The aim of the Structural engineers are to design the structures safe, durable and economical. The main aim of my project is to apply knowledge in the real world designing of Hospital building that requires large and clear unobstructed by columns. Here the hospital building is of Eight storey structure with 350 number of beds and capacity of 23500sq.m and the building is located in Gurugram. which is planned by auto and design and analysis by staad pro. The hospital building will follow up by IS (Indian standard) codes for better output.
Thahsin Ibrahim
JOURNAL OF MECHANICS OF CONTINUA AND MATHEMATICAL SCIENCES
Sarajul Fikri
Sumit Kumar
Structural engineering is a field of building managing the investigation and plan of structures that help or stand up to loads which is typically viewed as a claim to fame inside structural designing. This field for the most part relies on a point by point information of burdens, physical science, and materials to comprehend and anticipate how structures support and oppose self-weight and forced loads. As indicated by this paper, the basic designer is to outline the structures for a given arrangement of the individual structures under most secure innovation in the processing field. This product procedure influences the auxiliary specialists to determine every one of the individuals in a proposed working with different loads and bolster conditions. All these products are created as the premise of cutting edge and prerequisite. Limited component investigations, which incorporate the impact of dynamic load, for example, wind impact, seismic tremor impacts and so on. The main aim of this paper is to study the methods implemented in the previous studies. The findings of this literature review are analyzed to implement in the case study under consideration. Analyze the plan of hospital building by using software technique, under this title we are discussed the various structures design procedure by limit state method. In this hospital it is helpful to all kinds of people like poor or rich. The patients not necessary to go outside of campus, all the facilities are available inside of campus. This hospital building contains the various departments. The various departments are contained in this building like ENT, Surgery, Neurology, Cardiology, Pediatrics', Urology, and etc. In this project we have designed the following structures design of slab (one way slab and two way slabs), design of beam, design of column, design of staircase, design of ramp, design of footing. The plinth area of this building is 2956m 2. This is a G+5 structure. This project has M25 grade of concrete and Fe415 grade of steel used to design of above structure. This project designed under limit state method which is more than other methods of designing. All the design procedure are followed code book are IS456-2000, Sp16-1980, National building code book-2005, the minister of health section 44 act 1977. This software will save our time so the following software are used
International Journal of Scientific & Engineering Research
Atun RoyChoudhury
The main aim of paper is to analyze the plan of hospital building by using software techniques. The design of hospital building should be developed with following disciplinary activities. The design was followed up by using IS (Indian standard) codes for better output of design considerations. Here the hospital building was designed and analyzed for G+3 storey structure. Nowadays, the software techniques were highly involved in a construction field for quick and better accuracy of an analysis report to execute the given project successfully. The most prominent using software for design and analysis of the respective buildings by STAAD.PRO software for accuracy and safety regards. In this paper, STAAD.PRO V8i has been used for designing and analysis purposes mainly for the reult of shear force and maximum bending moment. RCC detailing is important for clear in executing the reinforcement work on the site without any complexity
Architecture Engineering and Science, Singapore
Dr. Mohammad Arif Kamal , Dr. Rajeev Garg , Deeksha Singh
A hospital is a place of health care that offers patient care using professional medical and nursing personnel and equipment. A healthcare building comprises many departments including Emergency, Out Patient Department (OPD), In-Patient Department (IPD), Diagnostic, Surgery and other Specialties. Design of a healthcare building is a challenging task and students / professionals often remain clueless about the applicable standards and approach of architectural design for such buildings. Building services, materials and the maintenance aspects make the task further complex. An attempt has been made to present the aspects related to space requirements for healthcare building before the user group. The objective of this study is to explore and analyse the space requirements of healthcare buildings as per applicable standards and established practices. The room wise comprehensive area requirements for various zones are proposed which can be considered as ready reckoner. Such a database shall facilitate the students of architecture, architects building industry professionals involved in the design of hospitals and healthcare buildings. Various books, documents, standards and codes related to design and requirements of healthcare facilities of various types/magnitudes were studied, together with the manufacturer's data for various Equipment. A comprehensive study of various space requirements for different departments in the hospital buildings was carried out and inferences and design implications were drawn. The area charts are prepared for all the zones of a hospital building considering the common amenities and circulation areas, appropriately. The relationship chart is prepared to graphically represent the outcome. There were gaps in the literature available so far and zone or department wise comprehensive area requirements were not available and hence user group were to struggle to formulate area statements for a hospital building. This paper presents the room wise area requirements for various zones in hospital building in comprehensive manner, which can be used as ready reckoner by architects and building professionals.
Martin MUTABAZI
In Nyagatare district (Eastern province “Rwanda”) there is a sector called Rwimiyaga where the cell called Rutungo is located. This cell has neither Hospital nor health centers. The people make long journey to the adjacent health center in Matimba and Bugaragara whereby they spent much money which result in making pregnant women to give birth at home. To solve this issue a design of one storey modern hospital of 3914 square meters of built-up area and 31315 cubic meters has been done to these inhabitants in order to take care of their life. The use of computer software to represent appropriate drawings and manual means for doing calculations in the design has done. The ministries in charge of health and infrastructure are recommended to support this project of construction of Modern hospital because researches done showed that there is a need of this hospital.
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Symbiosis University Hospital and Research Centre / IMK Architects
- Curated by Hana Abdel
- Architects: IMK Architects
- Area Area of this architecture project Area: 449930 ft²
- Year Completion year of this architecture project Year: 2020
- Manufacturers Brands with products used in this architecture project Manufacturers: Saint-Gobain , ACP , KK Engineering , LEGERO Lights , Nyati Engineers & Consultants , Parryware , Shandar Interior Private Limited , Weathercool Sales , Wipro Lights , cera
- Structural Consultants : The Axis Structural Consultants
- Mechanical Consultants : Radiant Consulting Engineers
- Electrical Consultants : Radiant Consulting Engineers
- Civil Consultants : The Axis Structural Consultants
- HVAC Consultants : Radiant Consulting Engineers
- Lighting Consultants : IMK Architects , Radiant Consulting Engineers
- Principal Architect: Rahul Kadri
- Client: Symbiosis Society
- Design Director: Nithin Hosabettu
- Plumbing Consultants: Radiant Consulting Engineers
- Facades Consultants: IMK Architects
- City: Lavale
- Country: India
- Did you collaborate on this project?
Text description provided by the architects. Occupying the lower slopes of a hill within Symbiosis International University’s 260-acre estate in Lavale , Symbiosis University Hospital and Research Centre (SUHRC) is a 41,800-square-metre, 216-bed, multi-specialty hospital that represents a new and progressive face for healthcare infrastructure in India. With its state-of-the-art healthcare facilities and a research centre to enhance skill development, it is firmly anchored today as a COVID-19 quarantine and treatment facility, contributing to Maharashtra’s fight against the pandemic.
SUHRC’s design draws from the ideas of biophilia (an innate human tendency to seek connections with nature and other forms of life) to promote recovery and rejuvenation for patients and healthcare professionals. Two large courtyards landscaped with flowering shrubs and trees bring in ample daylight and views of the outdoors into the interiors, while creating buffer zones to reduce cross infection. Critical areas such as ICUs are endowed with soft and soothing hues to reduce anxiety; while the OPD has no air conditioning but allows for fresh, natural air – thereby reducing the AC load and power consumption for these areas.
Functionally, the building comprises four sections; three of them belong to the hospital and the last one being the Skill Centre. The hospital is planned across five levels; departments such as the OPD, casualty, radiology, MHC etc. This helps in keeping the departments separate, and thus maintaining the sterility of each floor function-wise.
Carefully and strategically planned, the building attempts to make gestures that are grand, yet local and responsive with attention to details such as the brick-art and the exposed concrete. The project is an exemplar of passive design and sustainability.
Naturally-compressed, sundried earthen bricks (CSEB) were produced on site and are used to create a double-skinned façade with boxed forms and deep shading projections to reduce heat gain. CSEB through its own porosity and its use in elements such as cavity walls and jaalis enables the structure to cope with climate of the region by allowing the building to breathe. This reduces the internal heat gain allowing for maximum thermal comfort, reducing energy consumption. The bricks were produced on site using a block-making machine, thus providing additional employment opportunities to the locals as well as ensuring minimal carbon emissions. This is the first time CSEB has been used in a project of such a large scale.
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Address: lavale, maharashtra 412115, india.
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Category : Church of Our Merciful Saviour (Nizhny Novgorod)
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Navigation menuNizhegorodsky City District, Nizhny Novgorod
Notable Places in the AreaPushkin state academic opera and ballet theatre.  Cathedral of the Transfiguration Nizhny Novgorod Radio Laboratory Locales in the AreaNizhny novgorod.  Kuznechikha, village, Nizhny Novgorod
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Here are 20 thesis topics related to healthcare architecture: ©Pinterest. 1. Children friendly healthcare design. Children's hospitals have been one of the most challenging designs. As the hospital is the last place a child might want to go. So making hospitals less scary and motivating the children to accept the care is one of the biggest ...
Hospital building 1 was constructed in five main phases: (1) the underground emergency hospital, (2) base building and envelope of Floors 1-10 including a mechanical roof floor, (3) interior fit-out of floors 0-3, (4) interior fit-out of floors 4-6, and (5) interior fit-out of floors 7-10 (Figure 4).
Purpose Today's hospitals are designed as collections of individual departments, with limited communication and collaboration between medical sub-specialties. Patients are constantly being moved between different places, which is detrimental for patient experience, overall efficiency and capacity. Instead, we argue that care should be brought to the patient, not vice versa, and thus propose ...
This thesis will largely serve to create a discursive space examining architecture and health, by privileging a nursing perspective, which is all too often absent from built environment narratives. It remains humbling to preface that this concept of 'healing architecture' was widely embraced in antiquity.
A Proposed Regional Heart Center in Cagayan Valley: Teaching and Training Tertiary Hospital Specializing in Cardiovascular Diseases | October 2017- March 2018 . Thesis Adviser: Ar. Carlos P. Sauco. Abstract: Cardiovascular disease (CVD) is the top 1 killer disease in the Philippines where every hour, 19 Filipinos die of CVD.
CHILDREN'S HOSPITALS - The role of architecture in children's recovery and development. May 2016. DOI: 10.13140/RG.2.2.16572.03200. Thesis for: Master Degree in Architecture. Advisor: Prof ...
Evidence-based design utilized in hospital architecture and changing the design process: a hospital case study. Ding, Suining. View/ Open. research.pdf (4.593Mb) public.pdf (1.921Kb) Date 2016. Format. Thesis. ... Thesis Department. Architectural studies (Doctoral dissertations) (MU) Rights.
Architectural Thesis on Hospitals - Free download as PDF File (.pdf), Text File (.txt) or read online for free. The document discusses the challenges of creating an architectural thesis focused on hospital design. It notes that a hospital-focused thesis requires a deep understanding of both architectural principles and healthcare needs, as well as navigating complex issues at the intersection ...
The proposed research Architectural of hospital space: Changes and Design Methods seeks to define the characteristics and the architectonic qualities of the contemporary hospital. ... Abu Lawi-Sawalha R., HEALING BY DESIGN: Interior Architecture and Interior Design of Public Spaces for Children's Hospital, A thesis submitted for the degree of ...
Here the hospital building is of Eight storey structure with 350 number of beds and capacity of 23500sq.m and the building is located in Gurugram. which is planned by auto and design and analysis by staad pro. The hospital building will follow up by IS (Indian standard) codes for better output.
Courtesy of IMK Architects. Text description provided by the architects. Occupying the lower slopes of a hill within Symbiosis International University's 260-acre estate in Lavale, Symbiosis ...
Using architectural plans, these arguments are then developed with reference to the study of the spatial organization of hospital wards in three contexts; the care and treatment of children, the containment of madness in the pre-1845 period and the manage- ment of psychiatric patients 1973-1982. The paper concludes that schemes of spatial ...
Hospital Thesis Architecture Report - Free download as PDF File (.pdf), Text File (.txt) or read online for free. Writing a thesis on hospital architecture requires understanding factors like patient flow, infection control, accessibility, sustainability, and technology integration. It also involves studying the latest healthcare design trends and innovations as well as the unique needs of ...
Crafting an architectural thesis on a cardiac hospital demands extensive research, analysis, and writing. It requires understanding both architectural principles and healthcare design considerations to explore innovative solutions that meet the specific needs of a cardiac hospital while complying with regulations. The research and writing process can be time-consuming and mentally taxing ...
Architectural style: Russian Revival architecture; Diocese: Nizhny Novgorod Eparchy; Heritage designation: federal cultural heritage site in Russia; Inception: 1899; Religion or worldview: Eastern Orthodoxy; 56° 19′ 08.46″ N, 44° 01′ 28.48″ E: Authority file
final thesis report.docx - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free. The document discusses the design of a proposed multi-specialty hospital in Siraspur, Delhi. It outlines the objectives to design the hospital with a positive healing environment and efficient functional layout. It analyzes case studies of existing hospitals like ...
Nizhegorodsky City District is a central administrative district in Upper City of Nizhny Novgorod, Russia. Mapcarta, the open map.
With silken-robed Celestials, And Frenchmen from the Seine, And Khivans and Bokhariotes,—. Heirs of the Oxus plain. Here stalk Siberian hunters; There tents a Kirghiz clan. By mournful-eyed Armenians. From wave-girt Astrakhan; And Russ and Pole and Tartar,
Hospital Thesis Architecture - Free download as PDF File (.pdf), Text File (.txt) or read online for free. The document discusses some of the challenges involved in writing a thesis on hospital architecture. It notes that such a thesis requires interdisciplinary knowledge from various fields like architecture, healthcare administration, and engineering.
67 km 2 (26 sq mi) Administrative structure. • Inhabited localities. Kremlin, Zelyony Gorod Urban-type settlements [2] Nizhegorodsky City District ( Russian: Нижегородский район) is a central administrative district ( raion) in Upper City of Nizhny Novgorod, Russia. [3] The main strategic, historical, political and cultural ...