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DESIGN AND HEALTH Malaysia 2010 Kuala Lumpur 27.-30.9.2010 Mikael Paatela Lic.Sc., Architect SAFA SWECO PAATELA Architects
SESSION 5 International Approaches to the Hospital Planning and Design Process - Design aspects of new hospital buildings, including wards
SESSION 8 Global trends in Hospital Planning - Updating existing hospital sites and buildings
CONTENTS
1. 2.! 3.
FINLAND, BACKGROUND DEVELOPMENT OF HOSPITAL BUILDING TYPOLOGY WHAT AFFECTS HOSPITAL PLANNING AND DESIGN? International trends in the early 2000s HEALTH CARE PLANNING OF THE FUTURE
4.
1.
FINLAND,
BACKGROUND
1 Finland 3 Sweden
6 Norway
10 Denmark
! PUBLIC HEALTH CARE SYSTEM: National level Regional level District level University hospitals Central and regional hospitals Health centers
! PUBLIC HEALTH CARE IS FREE TO ALL CITIZENS, FINANCED BY TAXATION ! SMALL PRIVATE SECTOR ! PREVENTIVE HEALTH CARE -! baby health checks -! mass screenings of population, for eg. breast cancer -! importance of public health education, eg. relating to diet, anti-smoking, physical exercise etc.
copyright Mikael Paatela / Sweco Paatela Architects Oy
2.!
DEVELOPMENT OF THE HOSPITAL BUILDING TYPOLOGY IN THE LATE 1800s AND 1900s
DEVELOPMENT OF THE HOSPITAL BUILDING TYPOLOGY IN THE LATE 1800s AND 1900s
DEVELOPMENT OF THE HOSPITAL BUILDING TYPOLOGY IN THE LATE 1800s AND 1900s
MEDICAL FUNCTIONS IN HOSPITALS IN THE 1970s HELSINKI UNIVERSITY CENTRAL HOSPITAL, Finland 1964
DEVELOPMENT OF THE HOSPITAL BUILDING TYPOLOGY IN THE LATE 1800s AND 1900s
DEVELOPMENT OF THE HOSPITAL BUILDING TYPOLOGY IN THE LATE 1800s AND 1900s
IN THE 2000s
3.!
! SOCIETAL CHANGE ! DEVELOPMENT OF MEDICINE AND MEDICAL TECHNOLOGY ! INCREASING HEALTH CARE COSTS ! DEMAND FOR SUSTAINABILITY
global trends
SOCIETAL CHANGE
! GROWING POPULATION ! AGING POPULATION ! LIFESTYLE CHANGES smoking, fast food, etc. ! DEVELOPMENT OF MEDICINE AND MEDICAL TECHNOLOGY ! INCREASING HEALTH CARE COSTS ! LACK OF WORKFORCE
!!
!!
new lifestyle diseases rising need of care per patient new treatment methods new types of facilities need for increased efficiency
!!
!!
!!
global trends
! ENDOSCOPY
!!
! DIGITAL IMAGING
!!
!!
bedside care
global trends
1
Preliminary design
10
Design
100
Construction
Operating costs are mainly determined at the preliminary design stage Alternative way
12
120
PERSONNEL
70%
15%
10%
OTHER
5%
global trends
SUSTAINABILITY
! SITE
!! !! !!
public transport stormwater management landscape use of portable water wastewater treatment reduction of demand option for green power local construction materials
! WATER
!! !!
! ENERGY
!! !!
! MATERIALS
!!
! ENVIRONMENTAL QUALITY
!! !! !!
global trends
copyright Mikael Paatela / Photo Sweco credit: Paatela Frode Architects Birk Nielsen Oy
4.
! ! ! ! !
MASTER PLANNING EXPANDABLE AND FLEXIBLE BUILDINGS FUNCTIONALITY WARD DESIGN HUMAN-CENTERED HOSPITAL ENVIRONMENT
MASTER PLANNING
! ! ! !
SERVICE BUILDINGS
TUCH T-HOSPITAL
MASTER PLANNING
TRAFFIC PLAN
MASTER PLANNING
! ! ! !
EXPANDABLE BUILDINGS
expansion possibilities of Turku University Central Hospital, T-Hospital
TUCH T-HOSPITAL
ward building
atrium
ADAPTABILITY
TECHNICAL ROOM
TECHNICAL ROOM
ADAPTABILITY
FUNCTIONALITY
! ! ! !
CLEAR AND EFFICIENT PATIENT FLOW MEDICAL SPECIALITY FLOORS mini-hospitals within the hospital HOT-FUNCTIONS CONCEPT (at the enlargement phase) The staff moves not the patient
functionality
Other . treatm.
Observ. .
Imaging
Cardio unit.
OP
Paimio hospital
A- or Uhospital
Home
functionality
WARD DESIGN
! !
BED-SIDE PROSEDURES
- FAMILY SUPPORT
ward design
One cell for 8 to 10 patients with - patient rooms - nurses station -.supporting services centralized
Nursess workstation
Corridor detail
copyright copyright Mikael Mikael Paatela Paatela / Sweco / Sweco Paatela Paatela Architects Architects Oy Oy
2 patient room
copyright copyright Mikael Mikael Paatela Paatela / Sweco / Sweco Paatela Paatela Architects Architects Oy Oy
Bed head
Isolation room
Patient bathroom
PATIENT ROOM
! ! ! ! ! ! ! !
NATURAL LIGHT GREENERY ART SOUNDS MATERIALS INTERIOR DETAILING FURNITURE EXTERIOR DETAILING
NATURAL LIGHT
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NATURAL LIGHT
copyright Mikael Paatela / Sweco Paatela Architects Oy
GREENERY
copyright Mikael Paatela / Sweco Paatela Architects Oy
ART
copyright Mikael Paatela / Sweco Paatela Architects Oy
ART
copyright Mikael Paatela / Sweco Paatela Architects Oy
MATERIALS
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INTERIOR DETAILING
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FURNITURE
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EXTERIOR DETAILING
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EXTERIOR DETAILING
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PROJECT GOALS
COMPLETED IN 2003
COMPLETED IN 2010
copyright Mikael Paatela / Sweco Paatela Architects Oy
COMPLETED IN 2012
copyright Mikael Paatela / Sweco Paatela Architects Oy
COMPLETED IN 2012
copyright Mikael Paatela / Sweco Paatela Architects Oy
THANK YOU
copyright Mikael Paatela / Sweco Paatela Architects Oy