DESIGNING HEALTH FACILITIES FOR 2025 LESSONS WITH RECENT BEST PRACTICES

1. DESIGNING HEALTH FACILITIES FOR 2025LESSONS WITH RECENT BEST PRACTICES HENNU KJISIK Harris Kjisik Architects and Planners Helsinki University of Technology Budapest 4.9.2009

2. LESSON 1LEARNING FROM PAST SUCCESSES

3. Ancient Greece • ”Healing environment” • Fresh air, daylight, views • Fine arts, drama, physical exercize • Activation of patients • Generic buildings

4. Renaissance • Relationship with the surrounding city • Generality and modularity • Architectural quality and sustainability

5. The Tuberculosis Sanatoria • ”Healing environment”- fresh air, views • Experimentation and innovation • Social commitment of designers

6. 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

7. LESSON 2 LEARNING FROM PAST MISTAKES

8. 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

9. 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

10. 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?

11. LESSON 3LEARNING FROM WHAT IS GOING ON NOW

12. 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?

13. 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

14. New concepts • Seamless service chain • Disease management • Patient-centred care • Organisational models

15. New functional units • The ”core hospital” • Other new organisational models • Community rehabilitation hospitals • Day hospitals • Knowledge centres • Generalised wards and patient hotels

16. Flexibility Agility Adaptability Transformability Elasticity Versatility Changeability Convertibility Repeatability Modularity Generality Future-proof! Flexibility AdaptabilityWall-lessness

17. LESSON4 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

18. LESSON 5 LEARNING THE TRICKS

19. Relationship with the urban environment • Hospital as part of the city • Urban structure as a starting point of design • ”Normalisation” of the patient environment

20. 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

21. LESSON 6 ORGANISE ARCHITECTURAL COMPETITIONS TO PROCURE FRESH IDEAS!