Design and Health World Health Design


Placemaker: First Nation

Designed to be North America’s first carbon-neutral hospital, St Mary’s Hospital in Sechelt, BC, also anticipates becoming the greenest hospital in Canada...

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Placemaker: Sense of Dignity
Lifehouse represents the realization of the vision of the late Prof Chris O Brien, an acclaimed medical oncologist, to create an integrated cancer care facility on the RPA Hospital campus in Sydney...

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Placemaker: Sense of Dignity
Lifehouse represents the realization of the vision of the late Prof Chris O Brien, an acclaimed medical oncologist, to create an integrated cancer care facility on the RPA Hospital campus in Sydney...
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Project Report: Arts and Health - Emerging artistry
Close collaboration between architects and artists is paying dividends in intensifying connections between place and people.

This is an exciting time for art in healthcare environments. Judging by recent high-profile examples, it is now becoming standard practice to bring artists on board at an early stage in a building’s development, often leading to inspirational collaborations between artists and architects.
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Project Report: Elderly Care - Generational Change

The world’s ageing population may present a crisis of care, but a growing understanding of how elderly people want to live and be cared for is translating into some sensitive humanist design...
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Placemaker: Translucent and tactile

The BVN Architecture-designed Youth Mental Health Building at the Brain and Mind Research Institute (BMRI) in Sydney, Australia provides a light-filled, tactile environment for mental health patients, which also manages to complement the surrounding light industrial streetscape.
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Placemaker: Brand new smile
The design concept for the KU64 dental clinic utilises a radical new morphology for a medical setting. Inspired by the landscape of sand dunes on a beach, the floor undulates, creating rises and hollows behind and within which activities and objects can be obscured.
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Community care: Gateways to health

A number of outstanding community care buildings are drawing attention to the power of architecture to communicate more inclusive and enlightened services and inspire the surrounding populations. Veronica Simpson reports.

Community healthcare should be an opportunity for unrivalled creativity. One would think that the necessity for bespoke and differentiated responses, both in the services provided and the design of the buildings that house them, would galvanise and promote creativity in architecture, as well as service concepts.
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Placemaker: The power of three

South and East Belfast Health and Social Services Trust had a vision: to modernise how it delivered health and social care to its resident population of 205,000.

The vision included the development of three community care and treatment centres (CTCCs), each offering a one-stop approach to service delivery.

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Awards: Student healthcare design

Salutogenic design was firmly in the spotlight at the third international Architects for Health Student Design Awards. A childhood memory of a fireplace in a doctor’s surgery has translated into a winning design for Ireland’s Iseult O’Clery.

Exploring the relationship between light, relationship and health, O’Clery designed a primary health and community centre whose concrete chimneys pick up the grain of the existing adjacent terrace houses and raise the health centre “like an attic” above the community centre, which opens onto a canal side park.
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Placemaker: Small but perfectly formed

The Tenerife's Ravelo Medical Clinic, designed by gpy arquitectos, was the recent winner of the Design & Health International Academy Awards Judges' Special Prize.

The award is given to a project submitted across any category that is particularly recognised for its salutogenic qualities. The judges said: "Although this building only serves a small rural community, it has a mature and authoritative presence, its clear-cut definition adds distinctively to the uniqueness of its setting."
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Elderly Care: Designed to Last

The fastest growing segment of the world’s population is still the least catered to in terms of their specific life stage requirements. Veronica Simpson investigates.

Dignity, privacy and community are three of the key quality-of-life indicators for the world’s over-70s, whether they are living independently or needing a greater degree of care. Yet the extent to which any of these elements are present in their lives, once their ability to look after themselves is compromised by ill health, is still hugely dependent on income and geography.
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Elderly Care: Active Ageing

National governments are currently raising the disease profile and renewing social commitment to their ageing populations,recognising them as a complex and diverse group.

This is reflected in the high-quality and innovative planning and design of facilities in community settings. The following four case studies are a review of facilities seen by the Medical Architecture Research Unit (MARU) in field visits to France, Finland and Spain between 2005 and 2008.
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Children's Hospitals: Restore, Revive

When CSPE and Anshen + Allen were asked to convert a former TB institution into a children’s hospital, the result combined old aesthetics with state-of-the-art modernity. Cristina Donati reports.

The Meyer Hospital in Florence brings together advanced technology and environmental sustainability in a unique setting – a 1930s villa set in a protected parkland of mature trees, surrounded by the renowned Florentine hills. Brought together by architects CSPE and Anshen + Allen, the site demanded that its environmental and cultural heritage be transformed and updated with continuity and innovation.
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Children's Hospitals
: Metaphors for Healing
The concept of transformation is central to UPMC’s new family-centred children’s facility in Pittsburgh – a space that is energising, secure and sustainable. Tim Powers explains.

Already internationally recognised for its outstanding clinical services, research programmes and medical education, Children’s Hospital of Pittsburgh of UPMC opened a new facility in May that is a model for paediatric healthcare. Astorino, which created the facility on a 10-acre campus, aimed not only to meet people’s deepest needs but to incorporate practical elements such as safety, security and sustainability into the overall design.
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Placemaker: Sustainable spaces

The patient-centric focus of the new National Heart Centre (NHC) in Singapore is reflected in the ethos of its design, developed in a collaboration between Ong & Ong and Broadway Malyan.

Drawn from a philosophy of “Placing People First”, the design concept encompasses the needs of the patient, the visitor and the staff. The NHC’s most distinctive feature is its two fronts. The institutional front, which includes the main approach and houses the medical facilities, is quiet and formal.
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Placemaker: A sense of wholeness

United Eastern Medical Services (UEM) has selected HKS to provide architectural services for its new state-of-the-art 160-bed women’s and children’s hospital in Abu Dhabi.

Scheduled for completion in 2011, the US$205m Danat Al-Emarat (‘Pearl of Emirates’), is a tribute to Her Highness Sheikha Fatima, the Mother of Emirates.
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Placemaker: Super green

Super green design will be the signature of a new £55m mixed-use research and science building in Singapore.

The project, designed by Llewelyn Davies Yeang’s sister company in Kuala Lumpur, T R Hamzah & Yeang, and the Soilbuild Group, will form part of the iconic Fusionopolis cluster, a focal point of Singapore’s science, engineering and media industries.
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Technology: Concert of care

Eve Edelstein visits Palomar Pomerado Health to see how the US healthcare provider is integrating leading-edge medical and information technology into its design for the hospital of the future.

As hospitals grow ever larger and care serves an increasingly acute patient population, a new range of technologies is being sought to enhance care and transmit medical information within and beyond hospital walls. This movement explores systems that function simultaneously at internal, individual and global levels. Information technology and microelectronic systems are being developed to transmit patients’ vital signs and physiological states so that triage can occur before the patient reaches the hospital, at the same time as enabling access to medical expertise around the globe.
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Children's Hospitals: Honesty in design

Derek Parker introduces a project report on the design of children’s hospitals.

Health is the first liberty, said American philosopher John Dewey. Healthy children can be educated – and healthy, educated children are the foundation of a civilization, and its future.
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Children's Hospitals: The natural prescription

Surrounded by nature yet minutes from the city, the new Royal Children’s Hospital in Melbourne incorporates the latest evidence and research-based design principles to enhance and support healing, reports Helen Wayland.

Reaching seamlessly into its natural setting and bringing the light, textures and forms of the park inside, the concept for the new Royal Children’s Hospital (RCH) in Melbourne was inspired by its site. A ‘bushland’ character has been thoughtfully integrated into the delivery of a family-focused healing environment.
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Children's Hospitals: Positive performance

With a design driven by consultation, The Children’s Hospital in Denver has successfully delivered both health and financial benefits, writes Sharron van der Meulen and Terri Johnson.

Since its founding in 1908, The Children’s Hospital (TCH) in Denver, Colorado, has grown from a mere 200 inpatient visits to more than 10,000 visits a year. During the last century, TCH has established a national reputation as a top-fi ve pediatric hospital (as ranked by US News and World Report), and with the 2007 opening of its new home, it is looking to further enhance its reputation by providing ever-better care in an environment designed to enhance healing as much as possible.
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Children's Hospitals: Greening and healing

With a worldwide reputation, Great Ormond Street Hospital for Children’s new Mittal Children’s Centre needs to enhance clinical excellence, present a friendly face and put sustainability at its heart. Steve Featherstone finds out how a London landmark is changing.

The Mittal Children’s Centre represents the second of four phases in the long-term development of Great Ormond Street Hospital for Children, the UK’s leading tertiary care hospital. Llewelyn Davies Yeang’s masterplan will transform a congested and confusing site, accumulated over a period of 150 years, into a more legible, accessible and sustainable whole.
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Children's Hospitals: The Enchanted Hospital

The natural forest habitat has been embraced in the concept for the new All Ukrainian Health Protection Centre for Mothers and Children in Kiev, which is intended to delight and inspire the imagination of its patient group, writes Neil Cadenhead.

Modern hospitals invest heavily in supporting clinical efficiency and patient comfort, meeting Vitruvius' standards of 'firmness' and 'commodity', but often come up short in ‘delight’ – the third of his prerequisites for good design. By employing the following design principles, the concept for the All Ukrainian Health Protection Centre for Mothers and Children in Kiev aims to not only deliver optimum levels of 'efficiency' and 'comfort' but also seeks to provide meaning, cultural relevance and to engage the imagination of children.
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Procurement: Smarter PFI
Ken Schwarz describes how North Bristol NHS Trust adopted a new affordable and effective way to provide clear design guidance to PFI bidders on the redevelopment of the Southmead Hospital.

From its inception, the Private Financial Initiative (PFI) for developing healthcare facilities has been controversial. Its advocates claim that many of the 200 projects completed over the last decade in the UK would not have been implemented without PFI. They say the private sector has contributed strong management, a high level of cost and schedule certainty, along with the assumption of risk and the investment of private capital in needed public works.
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Design: A sense of place
Richard Mazuch describes how the ground breaking hPod project could soon lead to the creation of the optimum healing environment.

Over the last 10 years, researchers in both universities and industry have been exploring the expanse of international research into optimum healing environments from Japan to Scandinavia, the US and even NASA. At the same time, rapid advances in technology have been harnessed to support an increasingly persuasive evidence base that in itself supports the development of optimum healing environments specific to varied illnesses and age groups.
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