TABLE OF CONTENTS

ACKNOWLEDGEMENT………………………………………………………

DEDICATION…………………………………………………………………..

SERVICE AGREEMENT…………............................................................

APPROVAL SHEET…………………………………………………………..

CERTIFICATE OF COMPLIANCE…………………………………………..

JURY’S COMMENTS…………………………………………………………

ABSTRACT…………………………………………………………………….

CHAPTER 1 – INTRODUCTION & BACKGROUND OF THE STUDY

1.1. Introduction…………………………………………………………7

1.2. Background of the Study…………………………………………8

1.2.1 Health Tourism……………………………………………..8

1.2.2 Post Hospital Care and Rehabilitation Medicine….....13

1.2.3 Diseases Related to Rehabilitation Medicine………...14

1.2.4 Western Visayas (Region VI)…………………………....16

1.2.5 Salutogenic Design.......................................................20

1.3. Legal Bases………………………………………………………...19

1.4. Problem Identification……………………………………………23

1.5. Goals and Objectives…………………………………………….24

1.6. Theoretical/Conceptual Framework…………………………...25

1.6.1 Salutogenesis Theory……………………………………..25

1.6.2 Optimal Healing Environment……………………………26

 1.6.3 Conceptual Framework…………………………………..,28

1.7. Significance of the Study……………………………………….30

1.7.1 The Local Government of Iloilo

1.7.2 The Community – Western Visayas

1.7.3 The Stakeholders – Patients and Medical Practitioners

1.8. Scope and Delimitations……………………………………….31

CHAPTER 2 – REVIEW OF RELATED LITERATURE

2.1. Related Studies…………………………………………………….35

2.1.1. Local Studies………………………………………………...35

2.1.2 Foreign Studies………………………………………………48

2.2 Related Literature………………………………………………….50

2.2.1. Local Literature……………………………………………...50

2.2.2. Foreign Literature…………………………………………..58

2.3. Synthesis…………………………………………………………...68

2.4. Conclusion…………………………………………………………69

CHAPTER 3 – RESEARCH METHODOLOGY

3.1. Method of Research………………………………………………73

3.2 Selection & Description of Respondents……………………..74

3.2.1. Setting………………………………………………………..74

3.2.2. Respondents………………………………………………..74

3.2.3. Sampling Procedure………………………………………76

3.3. Description of Instruments Used……………………………...77

3.4. Validation of Questionnaires…………………………………..78

3.5 Data Gathering Procedure……………………………………………..86

3.5.1. Classifying…………………………………………………………87

3.5.2. Tallying……………………………………………………………..87

3.5.3. Tabulating………………………………………………………….88

CHAPTER 4 – INTERPRETATION OF DATA

4.1. Reiteration of Goals and Objectives…………………………………90

4.2. Interpretation and Analysis of Data………………………………….90

4.3. Situational Analysis……………………………………………………126

4.4. Restatement of the Problem………………………………………….126

4.5. Recommendations……………………………………………………..128

4.6. Technical Viability……………………………………………………...130

4.6.1. Site………………………………………………………………….130

4.6.1.1 Site Selection Criteria

4.6.1.2 Site Selection Process

4.6.1.3 Site Evaluation

4.6.2. Cost………………………………………………………………….140

4.6.3. Time………………………………………………………………….141

4.6.4. Resource Requirements…………………………………………143

4.6.5. Design Guidelines and Standards……………………………..144

4.7. Impact Assessment……………………………………………………..155

4.7.1. Socio and Socio-Cultural Impact……………………………….156

4.7.2. Economic Impact………………………………………………….157

 4.7.3. Environmental Impact……………………………………………158

4.8. Legal Viability……………………………………………………………159

4.9. Financial Viability……………………………………………………….165

5.0. Design Proposal…………………………………………………………166

CHAPTER 5 – ARCHITECTURAL PROGRAMMING

5.1. Design Concept………………………………………………………….168

5.2. Design Philosophy……………………………………………………...169

5.3. Design Goals and Objectives…………………………………………170

5.4. Design Procedures……………………………………………………..170

5.5. Site Analysis……………………………………………………………..241

5.6. SWOT Analysis…………………………………………………………..265

5.9. Behavioral Analysis…………………………………………………….266

5.9.1 Activity Flow

5.9.2. Environmental Behavioral Analysis

5.9.3. Interrelationship Analysis

BIBLIOGRAPHY………………………………………………………………278

APPENDIX A (REVISIONS)………………………………………………….280

APPENDIX B (FIGURES, TABLES, MAPS & QUESTIONNAIRE)……..297

APPENDIX C (LETTERS)……………………………………………………309

AUTHOR RESUMES
ACKNOWLEDGEMENT

This thesis became possible with the kind support and help of many individuals. We, the

researchers, would like to extend our sincerest gratitude and appreciation to all of them.

First of all, we are grateful to the Almighty God for guiding us all throughout our thesis.

We also wish to express our utmost appreciation for these individuals and institutions

who have helped us to make this thesis a reality.

To our families; Cruz Family, Montes Family, and Suico Family for the unconditional

support that you have given us.

To our colleagues; BSA - 5A, and Karl De Castro, who have lent their helping hands

and encouraged us to do our best in this thesis venture.

To the Department of Architecture; Arch. Jarina Lydia O. Pichay, Arch. Mercedita L.

Balbero, Arch. Rowena Magabo-Nacion and our thesis defense panelists; Arch. Kim

Jasper Alviar, Arch. Tiffany Osicos – Aborde, and Arch. Emil Dave Odicta for the

guidance, insights and suggestions that you have given us to make our thesis complete.

To the Department of Health; DOH: Philippine Medical and Travel Wellness Officials;

Ms. Michelle Jade M. Nantes, Mr. James M. Nacario Jr., Ms. Meryl Ann B. Batara, and

Mr. Ernest Vondon M. Hidalgo for the knowledge that you all have shared to us.

To the Department of Tourism; DOT Assistant Secretary and Director for Medical Travel

and Wellness Tourism; Asec. Roberto P. Alabado III for granting us a meeting and

opening the door of opportunities for our proposal.

To the Department of Tourism Region 6 – Western Visayas; DOT Supervising Tourism

Operations Officer; Mr. Rene T. Cortum for giving us insights to make our thesis

feasibile.

To the Iloilo Provincial Capitol; Engr. Joel Cabaluna and Ms. Mae of Provincial Planning

and Development Office & Mrs. Alma Ravena and Kristele of Human Resource

Development and Management Office for lending us all the data that we needed to

gather in Iloilo.

To the Libao Family; Tito Rannie & Tita Renda Libao and Mark Libao for taking care of

us and became our second family in our stay in Iloilo.

To the Ramon Tabbiana District Medical Hospital; Mrs. Edevae Amigable for giving us

her time to help us conduct our survey at the hospital.

Words will never be enough to show how grateful and blessed we are, for without all of

you, this thesis would not have been made possible.

DEDICATION

We dedicate this thesis, first and foremost to Almighty God our creator, source of wisdom,

knowledge and understanding. To our loving family, especially our parents; Mr. Alberto &

Mrs. Aida Cruz, Mr. Levi & Mrs. Editha Montes, and Mr. Rex & Mrs. Rosdith Suico, whose

been our source of inspiration and motivation to always push through and supported us

in any way possible throughout our thesis journey. To our friends and blockmates BSA –

5A (2015-2020); whose words of encouragement has made us sure that we can finish

what we all have started. And last but not the least, to the Philippine Health and Tourism

Industry.
ABSTRACT

The Philippines has a growing population for the upcoming years, and with the

increasing population comes also an increasing number of people that can develop non-

communicable diseases in the future. Currently, there is a high morbidity rate related to

heart diseases, neuromuscular illness, strokes and other related cases in the Philippines.

The aforementioned diseases are diseases that could be prevented or easily healed

through rehabilitative health care and service.

Although there is an inadequate number of healthcare facilities that caters

rehabilitative medicine and there is no stand-alone rehabilitation center or any similar

facilities that offers this. Also, the current health care setting in the country is not

conducive enough for the healing of a recovering patient.

All of these factors, contributes to the leading causes of morbidity in the

Philippines. With that being said, it is time that our country prioritizes rehabilitative

medicine and post-hospital care. This study focuses on assessing the existing problems,

challenges, and issues regarding Post-Hospital Care and Rehabilitation Medicine; and to

determine how we can improve the health care facilities and setting itself to be more

efficient and effective.