Systematization of Features and Recommendations Regarding Architectural and Urban Planning and Placement of University Hospitals

Irina Bulakh,Margaryta Didichenko,Olena Chala,Olena Kozakova

doi:10.13189/cea.2021.090732

Abstract

The purpose of the article is to identify the architectural features of the university hospitals design, which are based on a comprehensive analysis and systematization of the existing historical and recent global perspective, as well as the study of the latest trends in the development and architectural design of medical institutions in leading countries. The University Hospital is a multifunctional medical complex that combines and synthesizes several functions: multidisciplinary and specialized, educational and training, and research functions, experimental and innovative items production, as well as various auxiliary, secondary services and processes. The main contribution and originality of the study is the systematization of the existing experience in the construction of clinical and university hospitals and on this basis, the punctuation of the main provisions, features, and a number of recommendations (architectural-planning, structural and construction materials, master plan, aesthetic and artistic solutions, and functional components of the blocks) for the architectural design of these types of medical institutions. The main and significant conclusion of the article is the understanding of the individual project approach to the design of university hospitals, as well as the need for their active development as the most promising and effective type of hospital structure. When designing university hospitals, it is also proposed to take into account the principles of sustainable development and apply them within the boundaries of environmental design aimed at reducing the negative impact of urbanization processes.

Highlights

In the vast majority of the countries the condition of development of the medical industry indicates the standard of living of society, attitude towards the health of citizens, and concern for the health of future generations
The issue of introduction of medical institutions of this type was especially acute in the post-Soviet space, where the formation of the health care system was largely completed in the ’70-’80s of the last century and since there have been no significant processes of renovation and modernization of architectural and urban location of medical institutions
The university hospital is one of the most promising and effective forms of organization of hospital structures. This is primarily due to the fact that the university hospital is a multifunctional medical institution, which within the territorial boundaries of one complex combines and synthesizes the interaction of a number of related functions: multidisciplinary and specialized medical, educational and training medical profile, research and experimental production, as well as many ancillary services, which together create the conditions for an emergent effect in the work of the hospital

Summary

Introduction

In the vast majority of the countries the condition of development of the medical industry indicates the standard of living of society, attitude towards the health of citizens, and concern for the health of future generations. In the context of globalization and urbanization together with the latest infectious diseases, despite the initial appearance and territorial localization, relatively briefly flare up in different and remote parts of the world, gradually unfolding and gaining destructive momentum in all countries and continents [8,9,10]. These new realities and threats draw our attention to how vulnerable human health and life really are

Objectives

Methods

Findings

Discussion

Conclusion