DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES

DESIGNING HEALTH FACILITIES FOR 2025

LESSONS WITH RECENT BEST PRACTICES

HENNU KJISIKHarris Kjisik Architects and Planners

Helsinki University of TechnologyBudapest 4.9.2009

LESSON 1

LEARNING FROM PAST SUCCESSES

Ancient Greece

• ”Healing environment”

• Fresh air, daylight, views

• Fine arts, drama, physical exercize

• Activation of patients

• Generic buildings

Renaissance

• Relationship with the surrounding city

• Generality and modularity

• Architectural quality and sustainability

The Tuberculosis Sanatoria

• ”Healing environment”- fresh air, views

• Experimentation and innovation

• Social commitment of designers

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

LESSON 2

LEARNING FROM PAST MISTAKES

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

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

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?

LESSON 3

LEARNING FROM WHAT IS GOING ON

NOW

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?

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

New concepts

• Seamless service chain

• Disease management

• Patient-centred care

• Organisational models

New functional units

• The ”core hospital”

• Other new organisational models

• Community rehabilitation hospitals

• Day hospitals

• Knowledge centres

• Generalised wards and patient hotels

Flexibility AdaptabilityWall-lessness

• Flexibility• Agility• Adaptability• Transformability• Elasticity• Versatility

• Changeability• Convertibility• Repeatability• Modularity• Generality• Future-proof!

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

LESSON 5

LEARNING THE TRICKS

Relationship with the urban environment

• Hospital as part of the city• Urban structure as a starting point of

design• ”Normalisation” of the patient environment

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

LESSON 6

ORGANISE ARCHITECTURALCOMPETITIONS TO PROCURE

FRESH IDEAS!