Analysis of architectural and planning solutions for visualization systems of medical organizations

Abstract

Introduction. Currently, visualization is recognized as one of the main criteria for the quality of space of the new model of a medical organization providing primary health care. Purpose of the study to establish the features of architectural and planning solutions for visualization systems of medical organizations providing primary health care. Materials and methods. The object of the study was the visualization systems of 94 medical organizations from seven constituent entities of the Russian Federation, in which all available internal and external visual elements were studied in person. As a basis for assessing visualization systems, the author's checklist was taken according to the ALIDS method of 50 indicators, united by common characteristics in five blocks: architectural planning and design solutions, transmitted information, levels and methods of visualization. The block «Architectural and planning solutions» was represented by 10 parameters. A nominal dichotomous score was assigned for each criterion. Results. The general architectural and planning solutions of visualization systems of medical organizations providing primary health care are at a satisfactory level (6,3±1,8 points). The greatest correspondence among the architectural and planning solutions of visualization systems of medical organizations was found in the characteristics of safety (93%), cleanliness (88%) and ergonomics of the location (79%) of elements, the least — in the presence of general infographic schemes (9%) and routing (3%). The level of architectural and planning solutions for visualization systems of medical organizations correlates with the complexity of the architectural plan of buildings (r=–0,423; p<0,05) and the patients' assessment of the comfort of the conditions for providing services (r=0,345; p<0,01). Discussion. Improving visualization systems by improving the architectural and planning solutions of elements can lead to a significant reduction in the main and additional types of losses in lean production both on the part of patients and on the part of medical personnel. Conclusion. One of the main problems of organizing visualization systems in medical organizations is the lack of common maps with buildings, signs of entrances and other objects of the adjacent territory. The absence of a positioning sign on most schemes leads to a longer orientation in space, and in the case of placing the elements of the visualization system at the decision-making points, the intersection of patient flows and an increase in the risk of security breaches.