New Trends in Healthcare and their Impacts on Hospital Planning and Design by Dr Musa T. Ajlouni

2/20/2015 Dr Musa Ajluni 1
New Trends in Healthcare and theirNew Trends in Healthcare and their
Impacts on Hospital Planning andImpacts on Hospital Planning and
DesignDesign
‫ﺗﺻﻣﯾم‬ ‫ﻋﻠﻰ‬ ‫واﻧﻌﻛﺎﺳﺎﺗﮭﺎ‬ ‫اﻟﺻﺣﯾﺔ‬ ‫اﻷﻧظﻣﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺣدﯾﺛﺔ‬ ‫اﻻﺗﺟﺎھﺎت‬‫ﺗﺻﻣﯾم‬ ‫ﻋﻠﻰ‬ ‫واﻧﻌﻛﺎﺳﺎﺗﮭﺎ‬ ‫اﻟﺻﺣﯾﺔ‬ ‫اﻷﻧظﻣﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺣدﯾﺛﺔ‬ ‫اﻻﺗﺟﺎھﺎت‬
‫اﻟﻣﺳﺗﺷﻔﯾﺎت‬ ‫وﺗﺧطﯾط‬‫اﻟﻣﺳﺗﺷﻔﯾﺎت‬ ‫وﺗﺧطﯾط‬
New Trends in Healthcare and theirNew Trends in Healthcare and their
Impacts on Hospital Planning andImpacts on Hospital Planning and
DesignDesign
‫ﺗﺻﻣﯾم‬ ‫ﻋﻠﻰ‬ ‫واﻧﻌﻛﺎﺳﺎﺗﮭﺎ‬ ‫اﻟﺻﺣﯾﺔ‬ ‫اﻷﻧظﻣﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺣدﯾﺛﺔ‬ ‫اﻻﺗﺟﺎھﺎت‬‫ﺗﺻﻣﯾم‬ ‫ﻋﻠﻰ‬ ‫واﻧﻌﻛﺎﺳﺎﺗﮭﺎ‬ ‫اﻟﺻﺣﯾﺔ‬ ‫اﻷﻧظﻣﺔ‬ ‫ﻓﻲ‬ ‫اﻟﺣدﯾﺛﺔ‬ ‫اﻻﺗﺟﺎھﺎت‬
‫اﻟﻣﺳﺗﺷﻔﯾﺎت‬ ‫وﺗﺧطﯾط‬‫اﻟﻣﺳﺗﺷﻔﯾﺎت‬ ‫وﺗﺧطﯾط‬
College of Architecture and Design
20 Nov 2008
College of Architecture and Design
20 Nov 2008
Dr Musa T. Ajoluni

ContentsContentsContentsContents
üDefinition of Health and Nature of Health Services
üüFunctions of the Health Care SystemFunctions of the Health Care System
üüNew Trends in Health CareNew Trends in Health Care
üCharacteristics of Hospital Services
üüNew Trends in Hospital CareNew Trends in Hospital Care
üüGood Hospital Design: User PerspectiveGood Hospital Design: User Perspective

“We shape our buildings and
thereafter our buildings
shape us”
Winston Churchill

The two big challenges of the Health
Sector are:
“Quality and Cost”

Health as Defined by WHO:Health as Defined by WHO:Health as Defined by WHO:Health as Defined by WHO:
Health is not only the absence ofHealth is not only the absence of
disease but a state of physical,disease but a state of physical,
mental and social wellmental and social well--being thatbeing that
enables individuals to live economicenables individuals to live economic
and social productive lifeand social productive life
Health is not only the absence ofHealth is not only the absence of
disease but a state of physical,disease but a state of physical,
mental and social wellmental and social well--being thatbeing that
enables individuals to live economicenables individuals to live economic
and social productive lifeand social productive life

Nature of Health Services
• Intangibility
– Have no permanent physical qualities can not
be touched and possessed over time.
• Inseparability of Production and
Consumption
– The production of a service cannot be
separated from its consumption by the
customer.

Nature of Health Services (cont’d)
• Heterogeneity
– Variation in the quality of services delivered by
individuals and organizations
• Client-Based Relationships
– Interactions that result in
satisfied customers who
use a service repeatedly
over time

NoNo singlesingle descriptiondescription cancan fullyfully depictdepict
thatthat fearful,fearful, hopeful,hopeful, andand oftenoften miserablemiserable
humanhuman beingbeing whowho isis thethe patientpatient.. ToTo somesome
hehe isis aa number,number, toto othersothers nuisance,nuisance, toto
othersothers aa shadowshadow;; andand toto himselfhimself hehe isis anan
enigma,enigma, oftenoften ignorantignorant ofof hishis condition,condition,
apprehensiveapprehensive aboutabout hishis prospects,prospects, andand
embarrassedembarrassed aboutabout thethe situationsituation inin
whichwhich hehe findsfinds himselfhimself..
NoNo singlesingle descriptiondescription cancan fullyfully depictdepict
thatthat fearful,fearful, hopeful,hopeful, andand oftenoften miserablemiserable
humanhuman beingbeing whowho isis thethe patientpatient.. ToTo somesome
hehe isis aa number,number, toto othersothers nuisance,nuisance, toto
othersothers aa shadowshadow;; andand toto himselfhimself hehe isis anan
enigma,enigma, oftenoften ignorantignorant ofof hishis condition,condition,
apprehensiveapprehensive aboutabout hishis prospects,prospects, andand
embarrassedembarrassed aboutabout thethe situationsituation inin
whichwhich hehe findsfinds himselfhimself..
TheThe PatientPatientTheThe PatientPatient

qAt the moment most hospital
environments say to the patients, in
effect: “How you feel is unimportant.
You are not of value. Fit in with us, not
us with you.”
qWith very little effort and money this
could be changed to something like:
"Welcome! And don’t worry. We are
here to reassure you and your treatment
will be good and helpful to you.”

PhysicalPhysical
and Geneticand Genetic
FactorsFactors
PhysicalPhysical
and Geneticand Genetic
FactorsFactors
EconomicEconomic
and Socialand Social
FactorsFactors
EconomicEconomic
and Socialand Social
FactorsFactors
EnvironmentalEnvironmental
FactorsFactors
EnvironmentalEnvironmental
FactorsFactors
LifeLife--stylestyle
FactorsFactors
LifeLife--stylestyle
FactorsFactors
HealthHealth
ServicesServices
HealthHealth
ServicesServices
Factors Affecting Health StatusFactors Affecting Health StatusFactors Affecting Health StatusFactors Affecting Health Status
HealthHealth
StatusStatus
HealthHealth
StatusStatus

Interaction Among Major SystemsInteraction Among Major SystemsInteraction Among Major SystemsInteraction Among Major Systems
PoliticalPolitical
SystemSystem
PoliticalPolitical
SystemSystem
Social SystemSocial SystemSocial SystemSocial System
HealthHealth
SystemSystem
HealthHealth
SystemSystem
EconomicEconomic
SystemSystem
EconomicEconomic
SystemSystem

Functions of the Health Care SystemFunctions of the Health Care SystemFunctions of the Health Care SystemFunctions of the Health Care System
qqPreventive ServicesPreventive Services
qqPrimary CarePrimary Care
qqSecondary & Tertiary CareSecondary & Tertiary Care
qqRestorative & Continuing CareRestorative & Continuing Care
qqTraining and EducationTraining and Education
qqPreventive ServicesPreventive Services
qqPrimary CarePrimary Care
qqSecondary & Tertiary CareSecondary & Tertiary Care
qqRestorative & Continuing CareRestorative & Continuing Care
qqTraining and EducationTraining and Education

qqResearchResearch
qqProduction ,Distribution andProduction ,Distribution and
Monitoring of PharmaceuticalsMonitoring of Pharmaceuticals
qqManagement of Emergency andManagement of Emergency and
Rescue ServicesRescue Services
qqFinancing and Health InsuranceFinancing and Health Insurance
qqGovernance and MonitoringGovernance and Monitoring
qqResearchResearch
qqProduction ,Distribution andProduction ,Distribution and
Monitoring of PharmaceuticalsMonitoring of Pharmaceuticals
qqManagement of Emergency andManagement of Emergency and
Rescue ServicesRescue Services
qqFinancing and Health InsuranceFinancing and Health Insurance
qqGovernance and MonitoringGovernance and Monitoring

New Trends in Health CareNew Trends in Health CareNew Trends in Health CareNew Trends in Health Care
1.1. Health ConceptHealth Concept (QALY)(QALY)
2.2. Morbidity TrendsMorbidity Trends ((epidemiological transition):
§ Changes in disease pattern
§ Shifting burden of illness toward
noncommunicable
chronic diseases and injuries
§ Double Burden of Disease
1.1. Health ConceptHealth Concept (QALY)(QALY)
2.2. Morbidity TrendsMorbidity Trends ((epidemiological transition):
§ Changes in disease pattern
§ Shifting burden of illness toward
noncommunicable
chronic diseases and injuries
§ Double Burden of Disease
:

Disease Picture in Jordan
• Jordan, like other middle income
countries, is witnessing an
epidemiological transition, which is
characterized by an increase of non-
communicable diseases, particularly
cardiovascular diseases, cancer,
diabetes and chronic respiratory
conditions.
New Trends in Health CareNew Trends in Health Care (cont.)New Trends in Health CareNew Trends in Health Care (cont.)

• Chronic health problems are now
becoming the leading causes of
mortality in Jordan with
cardiovascular diseases and cancer
alone responsible for more than
half of all deaths.

33..Demographic Transition:Demographic Transition:
§Population growth rates will fall
§Life expectancies will increase
§Fertility rates will decline in all
regions

East Asia
and Pacific
population
pyramids,
2005 and
2025

Figure 2.4: Total FertilityRate, Jordan
0
1
2
3
4
5
6
7
8
9
1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050
Year
Birthsperwoman,overlifetime
Source: United Nations Population Division, 1998 World Population Prospects

•• Preventative care versusPreventative care versus
sickness care; designingsickness care; designing
hospitals as allhospitals as all--inclusiveinclusive
"wellness centers""wellness centers"

44.. Health Delivery TrendsHealth Delivery Trends
•• Extended CareExtended Care
•• Home CareHome Care
•• Day CareDay Care
44.. Health Delivery TrendsHealth Delivery Trends
•• Extended CareExtended Care
•• Home CareHome Care
•• Day CareDay Care

5.5. Health Promotion and MaintenanceHealth Promotion and Maintenance
6.6. Wholeness PerspectiveWholeness Perspective
7.7. Care vs. CureCare vs. Cure
New Trends in Health Care(cont.)New Trends in Health Care(cont.)New Trends in Health Care(cont.)New Trends in Health Care(cont.)

8.Medical technology Trends
Technology moves faster
than the speed of medicine,
designers should be at the
absolute forefront of
combining specialized
services with world class
design to create the next
wave of technology-
enhanced hospitals.

99.Patient driven.Patient driven
• A growing interest in more holistic, patient-
centered treatment and environments .This
might include providing mini-medical
libraries and computer terminals so patients
can research their conditions and
treatments, and locating kitchens and dining
areas on inpatient units so family members
can prepare food for patients and families to
eat together.

10.High Expectations
A more demanding and
sophisticated consumer is
driving new changes in the
design and delivery of health
care and health-related
environments. Hospitals
resemble hotels while centers
of excellence are demanding
innovative thinking in terms of
operations and technology.

11.11.Turbulent environmentTurbulent environment
12.12.Limited resourcesLimited resources
13.13. High CostHigh Cost
14.14. Stem CellsStem Cells
15.15. Genome MapGenome Map
New Trends in Health Care(cont.)New Trends in Health Care(cont.)New Trends in Health Care(cont.)New Trends in Health Care(cont.)

1900 1950 1970 2000 2025 2050
Sanitation
87
84
81
77
71
68
47
Basic
Diagnostics/
Treatment
Modalities
(i.e.
Antibiotics)
Progress
in Heart
Disease
Diagnosis
/
Treatment
Health
Care IT
Genomics
Average Life
Span in the US
Health Care ImprovementsHealth Care Improvements

• Use of hand-held computers and portable
diagnostic equipment to allow more
mobile, decentralized patient care, and a
general shift to computerized patient
information of all kinds. This might
require computer alcoves and data ports
in corridors outside patient bedrooms.
1616..Information & CommunicationInformation & Communication
TechnologyTechnology

Today Tomorrow
Location Hospital Decentralized, at home
Time Symptomatic, curative Preventive, lifetime
Focus On the process and provider On the patient
Scope Cure Patients Care for Citizens
Methods Invasive Less invasive
Healthcare is changing…Healthcare is changing…

Characteristics of Hospital Services
§ Individualistic ,Not Standardized
§ Sensitivity of Services
§ Humanistic, depends mainly on
Human Inputs
§ High Professionalism

Characteristics of HospitalCharacteristics of Hospital
Services(cont.)Services(cont.)
§ Diversity : HR, Patients (Internal
and External customers
§ Heterogeneity and complexity of
services
§ Clinical Freedom.
§ 24 Hours Operation
§ Interdependence of Sub-Systems

‫ـﻰ‬‫ﺿ‬‫اﻟﻤﺮ‬ ‫ـﺎم‬‫ﺴ‬‫اﻗ‬
‫اﻟﻌﻴﺎدات‬
‫اﻟﺨﺎرﺟﻴﺔ‬
‫واﻟﻄﻮارئ‬
‫اﻟﺒﺎﻃﻨﻴﺔ‬..‫اﻻﻃﻔﺎل‬
‫اﺣﺔ‬‫ﺮ‬‫اﻟﺠ‬..‫اﻟﻨﻔﺴﻴﺔ‬
‫ﻟﻴﺪ‬‫ﻮ‬‫اﻟﺘ‬....‫اﻟﺦ‬
‫اﻟﻤﺴﺎﻧﺪة‬ ‫اﻟﺨﺪﻣﺎت‬
‫اﻟﻤﺨﺘﺒﺮات‬
‫اﻻﺷﻌﺔ‬
‫اﻟﻄﺒﻴﻌﻲ‬ ‫اﻟﻄﺐ‬
‫اﻟﺼﻴﺪﻟﻴﺔ‬
‫اﻻﺟﺘﻤﺎﻋﻴﺔ‬ ‫اﻟﺨﺪﻣﺔ‬
‫اﻟﻄﺒﻲ‬ ‫اﻟﺘﻄﻮﻳﺮ‬
‫اﻟﻄﺒﻴﺔ‬ ‫اﻟﺴﺠﻼت‬
‫ـﺎت‬‫ـ‬‫ﻣ‬‫اﻟﺨﺪ‬ ‫ـﺎم‬‫ـ‬‫ﺴ‬‫اﻗ‬
‫اﻟﻄﻌﺎم‬ ‫ﺧﺪﻣﺎت‬
‫واﻟﻤﺼﺒﻐﺔ‬ ‫اﻟﻤﻨﺰﻟﻲ‬ ‫اﻟﺘﺪﺑﻴﺮ‬
‫ـﻢ‬‫ـ‬‫ـ‬‫ـ‬‫ـ‬‫ـ‬‫ـ‬‫ـ‬‫ﻴ‬‫اﻟﺘﻌﻘ‬
‫اﻟﻤﺴﺘﻮدﻋﺎت‬
‫اﻟﺼﻴﺎﻧﺔ‬
Interdependence
of Sub-Systems

‫ﻏﺮﻓﺔ‬
‫اﻟﻔﺤﺺ‬
‫ﻏﺮﻓﺔ‬
‫ﺗﺤﻀﻴﺮ‬
‫اﻟﻌﻼﺟﺎ‬
‫ت‬
‫ﻣﺤﻄﺔ‬
‫ﻳﺾ‬‫ﺮ‬‫اﻟﺘﻤ‬
‫اﻟﻤﺴﺘﻮدع‬
‫اﻟﻤﻄ‬
‫ﺑﺦ‬
‫ﻳﺾ‬‫ﺮ‬‫اﻟﻤ‬ ‫ﻏﺮﻓﺔ‬
‫اﻟﻤﺨﺘﺒﺮ‬
‫اﻟﻌﻤﻠﻴﺎت‬ ‫ﻏﺮﻓﺔ‬
‫اﻟﻮﻻدة‬ ‫ﻏﺮﻓﺔ‬
‫اﻻﺷﻌﺔ‬
Interdependence
of Sub-Systems

‫ﻏﻴﺎر‬ ‫ﻏﺮﻓﺔ‬
‫اﻻﻃﺒﺎء‬
‫ﻏﻴﺎر‬ ‫ﻏﺮﻓﺔ‬
‫اﻟﻤﻤﺮﺿﺎت‬
‫اﻟﺘﻨﻈﻴﻒ‬
‫واﻟﻐﺴﻴﻞ‬
‫اد‬‫ﻮ‬‫اﻟﻤ‬
‫اﻟﻤﻌﻘﻤﺔ‬
‫اﻟﻮﻻدة‬ ‫ﻏﺮﻓﺔ‬
‫واﻹﻧﻌﺎش‬
‫اﻟﺤﺎﺿﻨﺎ‬
‫ت‬
‫ﻏﺮﻓﺔ‬
‫اﻟﺘﺤﻀﻴﺮ‬
‫ﻗﺎﻋﺔ‬
‫ﻣﺮﺿﻰ‬
‫اﻟﻮﻻدة‬
‫ﻏﺮﻓﺔ‬
‫اﻟﻤﺨﺎ‬
‫ض‬
‫اﻟﺪﺧﻮل‬
‫اﻟﺨﺮوج‬
Interdependence
of Sub-Systems

§ Most work has urgency
dimention(can not wait)
§ Mistakes and Ambiguity are not
tolerated
§ Traffic(people,materials,equipment,
information)
§ High Pace of Change .
Characteristics of HospitalCharacteristics of Hospital
Services(cont.)Services(cont.)

The Most Complex Organization
• “Even small healthcare institutions
are complex, barely manageable
places… Large healthcare
institutions may be the most
complex organizations in human
history.”
- Peter Drucker

New Trends in Hospital CareNew Trends in Hospital CareNew Trends in Hospital CareNew Trends in Hospital Care
§§ ShortShort HospitalHospital StayStay (ALOS)(ALOS)
§§ IntegrationIntegration ofof ambulatoryambulatory andand InpatientInpatient CareCare
§§ MoreMore FocusFocus onon DiagnosticDiagnostic FacilitiesFacilities
§§ ShortShort HospitalHospital StayStay (ALOS)(ALOS)
§§ IntegrationIntegration ofof ambulatoryambulatory andand InpatientInpatient CareCare
§§ MoreMore FocusFocus onon DiagnosticDiagnostic FacilitiesFacilities
§§ HealthHealth-- shoppingshopping (one(one-- stopstop-- shopping)shopping)
§§ FutureFuture medicalmedical MallMall (( shops,shops, bank,bank,
sports,sports, fitnessfitness centre,centre, nurses’nurses’ school,school,
kindergarten)kindergarten)..
§§ HotelHotel associatedassociated withwith hospitalshospitals
§§ HealthHealth-- shoppingshopping (one(one-- stopstop-- shopping)shopping)
§§ FutureFuture medicalmedical MallMall (( shops,shops, bank,bank,
sports,sports, fitnessfitness centre,centre, nurses’nurses’ school,school,
kindergarten)kindergarten)..
§§ HotelHotel associatedassociated withwith hospitalshospitals

§ More Privatization and Payment Sharing
§ More focus on Hotel Services (Amenities)
§ Open Visit Hours
§ More patient Privacy
§ Open medical chart
§ More Private rooms
§ More Competition
New Trends in Hospital Care (cont.)New Trends in Hospital Care (cont.)New Trends in Hospital Care (cont.)New Trends in Hospital Care (cont.)

§§ The call for more hospitality and familiarity:The call for more hospitality and familiarity:
ü Bright entrance
ü Friendly welcome zone
ü Home-like hospitals
ü Nicely designed gardens
ü Natural materials, natural daylight
ü Help to diminish anxieties
§§ The call for more hospitality and familiarity:The call for more hospitality and familiarity:
ü Bright entrance
ü Friendly welcome zone
ü Home-like hospitals
ü Nicely designed gardens
ü Natural materials, natural daylight
ü Help to diminish anxieties

§§ QQIQQI
§§ CostCost ContainmentContainment
§§ DayDay CareCare UnitsUnits
§§ PaperlessPaperless DigitalDigital HospitalsHospitals

§§Maintenance firstMaintenance first
§§Small & medium size hospitalsSmall & medium size hospitals
vs. large hospitalsvs. large hospitals
§§General vs. Specialized HospitalsGeneral vs. Specialized Hospitals
§§More affiliation and sharingMore affiliation and sharing

§ Growth and Adaptation:
H A hospital facility will never be
complete
H It is born to grow. Finished forms
are to be avoided
H We need Hospital designs which
allow changes and extensions,
independent of size or age of
buildings

§ Adaptation to:
ü Medical progress technology
ü Patients needs
ü Political changes
Must be
left open

Order Process Manual Automated
Experience Individual Best Practices
The Process Fragmented, isolated disease mgt.
Clinical
Decisions Personal preferences Guide lines / evidence based
The processes are changing …The processes are changing …
Information Fragmented, isolated Consolidated / complete
Today Tomorrow

Traditional Versus Patients Oriented
Hospitals
Patients Oriented
Hospitals
Traditional
Hospitals
Patients
Patients

New Hospital vs. old HospitalNew Hospital vs. old HospitalNew Hospital vs. old HospitalNew Hospital vs. old Hospital
OldOld ModelModel NewNew ModelModelOldOld ModelModel NewNew ModelModel
InstitutionalInstitutional WelcomingWelcomingInstitutionalInstitutional WelcomingWelcoming
HospitalHospital asas centrecentre PartPart ofof communitycommunity networknetworkHospitalHospital asas centrecentre PartPart ofof communitycommunity networknetwork
DiseaseDisease basedbased WellnessWellness basedbasedDiseaseDisease basedbased WellnessWellness basedbased
PhysiciansPhysicians asas providersproviders PhysiciansPhysicians asas partnerspartnersPhysiciansPhysicians asas providersproviders PhysiciansPhysicians asas partnerspartners
PatientPatient andand familyfamily asas consumersconsumersPatientPatient andand familyfamily asas consumersconsumers
Ambulatory care and inpatient facilityAmbulatory care and inpatient facilityAmbulatory care and inpatient facilityAmbulatory care and inpatient facility
Quantity focused Quality and cost focusedQuantity focused Quality and cost focusedQuantity focused Quality and cost focusedQuantity focused Quality and cost focused
Patient subjects of treatmentPatient subjects of treatmentPatient subjects of treatmentPatient subjects of treatment
Inpatient facilityInpatient facilityInpatient facilityInpatient facility

The Hospital as a Medical Knowledge Factotory
Medical Knowledge
High Quality
Cost Effective
needsActivities InformationAssessmentneeds
produces

‫اﻟﻤﺴﺘﺨﺪم‬ ‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬‫اﻟﻤﺴﺘﺨﺪم‬ ‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬
(Good Hospital Design: A User Perspective)(Good Hospital Design: A User Perspective)
‫اﻟﻤﺴﺘﺨﺪم‬ ‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬‫اﻟﻤﺴﺘﺨﺪم‬ ‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬
(Good Hospital Design: A User Perspective)(Good Hospital Design: A User Perspective)
§§‫اﻟﻌواﻣل‬‫اﻟﻌواﻣل‬‫اﻟﻧﻔﺳﯾﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫واﻟﺟﻣﺎﻟﯾﺔ‬‫واﻟﺟﻣﺎﻟﯾﺔ‬ §§‫اﻟﻌواﻣل‬‫اﻟﻌواﻣل‬‫اﻟﻧﻔﺳﯾﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫واﻟﺟﻣﺎﻟﯾﺔ‬‫واﻟﺟﻣﺎﻟﯾﺔ‬‫اﻟرﺿﺎ‬‫اﻟرﺿﺎ‬‫واﻟﺛﻘﺔ‬‫واﻟﺛﻘﺔ‬‫ﻣن‬‫ﻣن‬‫ﻗﺑل‬‫ﻗﺑل‬‫اﻟﻣرﺿﻰ‬‫اﻟﻣرﺿﻰ‬
‫اﻟراﺣﺔ‬‫اﻟراﺣﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫ﻟﻠﻣرﺿﻰ‬‫ﻟﻠﻣرﺿﻰ‬‫واﻟﻣوظﻔﯾن‬‫واﻟﻣوظﻔﯾن‬
‫رﺿﻰ‬‫رﺿﻰ‬‫اﻟﻣﺟﺗﻣﻊ‬‫اﻟﻣﺟﺗﻣﻊ‬‫اﻟﻣﺣﻠﻲ‬‫اﻟﻣﺣﻠﻲ‬
‫اﻟﺗﻧﺎﺳق‬‫اﻟﺗﻧﺎﺳق‬‫ﻣﻊ‬‫ﻣﻊ‬‫اﻻﺑﻧﯾﺔ‬‫اﻻﺑﻧﯾﺔ‬‫اﻟﻣﺟﺎورة‬‫اﻟﻣﺟﺎورة‬
‫اﻟرﺿﺎ‬‫اﻟرﺿﺎ‬‫واﻟﺛﻘﺔ‬‫واﻟﺛﻘﺔ‬‫ﻣن‬‫ﻣن‬‫ﻗﺑل‬‫ﻗﺑل‬‫اﻟﻣرﺿﻰ‬‫اﻟﻣرﺿﻰ‬
‫اﻟراﺣﺔ‬‫اﻟراﺣﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫اﻟﻧﻔﺳﯾﺔ‬‫ﻟﻠﻣرﺿﻰ‬‫ﻟﻠﻣرﺿﻰ‬‫واﻟﻣوظﻔﯾن‬‫واﻟﻣوظﻔﯾن‬
‫رﺿﻰ‬‫رﺿﻰ‬‫اﻟﻣﺟﺗﻣﻊ‬‫اﻟﻣﺟﺗﻣﻊ‬‫اﻟﻣﺣﻠﻲ‬‫اﻟﻣﺣﻠﻲ‬
‫اﻟﺗﻧﺎﺳق‬‫اﻟﺗﻧﺎﺳق‬‫ﻣﻊ‬‫ﻣﻊ‬‫اﻻﺑﻧﯾﺔ‬‫اﻻﺑﻧﯾﺔ‬‫اﻟﻣﺟﺎورة‬‫اﻟﻣﺟﺎورة‬

‫ﺣﺟم‬‫ﺣﺟم‬‫اﻟﺧدﻣﺔ‬‫اﻟﺧدﻣﺔ‬‫وﺿﻐط‬‫وﺿﻐط‬‫اﻟﻌﻣل‬‫اﻟﻌﻣل‬
‫اﻟﻌﻼﻗﺎت‬‫اﻟﻌﻼﻗﺎت‬‫اﻟﻣﺗﺑﺎدﻟﺔ‬‫اﻟﻣﺗﺑﺎدﻟﺔ‬‫ﺑﯾن‬‫ﺑﯾن‬‫اﻟﺧدﻣﺎت‬‫اﻟﺧدﻣﺎت‬
‫واﻻﻗﺳﺎم‬‫واﻻﻗﺳﺎم‬
‫ﻧﻣﺎذج‬‫ﻧﻣﺎذج‬‫ﺗدﻓق‬‫ﺗدﻓق‬‫اﻟﻌﻣل‬‫اﻟﻌﻣل‬‫واﻟﺣرﻛﺔ‬‫واﻟﺣرﻛﺔ‬‫داﺧل‬‫داﺧل‬
‫اﻟﻣﺳﺗﺷﻔﻰ‬‫اﻟﻣﺳﺗﺷﻔﻰ‬
‫ﺣﺟم‬‫ﺣﺟم‬‫اﻟﺧدﻣﺔ‬‫اﻟﺧدﻣﺔ‬‫وﺿﻐط‬‫وﺿﻐط‬‫اﻟﻌﻣل‬‫اﻟﻌﻣل‬
‫اﻟﻌﻼﻗﺎت‬‫اﻟﻌﻼﻗﺎت‬‫اﻟﻣﺗﺑﺎدﻟﺔ‬‫اﻟﻣﺗﺑﺎدﻟﺔ‬‫ﺑﯾن‬‫ﺑﯾن‬‫اﻟﺧدﻣﺎت‬‫اﻟﺧدﻣﺎت‬
‫واﻻﻗﺳﺎم‬‫واﻻﻗﺳﺎم‬
‫ﻧﻣﺎذج‬‫ﻧﻣﺎذج‬‫ﺗدﻓق‬‫ﺗدﻓق‬‫اﻟﻌﻣل‬‫اﻟﻌﻣل‬‫واﻟﺣرﻛﺔ‬‫واﻟﺣرﻛﺔ‬‫داﺧل‬‫داﺧل‬
‫اﻟﻣﺳﺗﺷﻔﻰ‬‫اﻟﻣﺳﺗﺷﻔﻰ‬
§§‫اﻟﻌﻣﻠﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬‫اﻟﻌﻣﻠﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬ §§‫اﻟﻌﻣﻠﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬‫اﻟﻌﻣﻠﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬
‫اﻟﺘﺼﻤﯿﻢ‬‫اﻟﺘﺼﻤﯿﻢ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬
‫اﻟﻤﺴﺘﺨﺪم‬‫اﻟﻤﺴﺘﺨﺪم‬(User Perspective)(User Perspective)
‫اﻟﺘﺼﻤﯿﻢ‬‫اﻟﺘﺼﻤﯿﻢ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬
§§‫اﻟﻔﻧﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬‫اﻟﻔﻧﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬.. §§‫اﻟﻔﻧﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬‫اﻟﻔﻧﯾﺔ‬ ‫اﻟﻧواﺣﻲ‬..

••‫اﻟﻤﺮﯾﺾ‬ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫اﻟﺨﺪﻣﺔ‬ ‫إﻟﻰ‬ ‫اﻟﻮﺻﻮل‬ ‫ﺳﮭﻮﻟﺔ‬‫اﻟﻤﺮﯾﺾ‬ ‫ﻗﺒﻞ‬ ‫ﻣﻦ‬ ‫اﻟﺨﺪﻣﺔ‬ ‫إﻟﻰ‬ ‫اﻟﻮﺻﻮل‬ ‫ﺳﮭﻮﻟﺔ‬
‫اﻟﺨﺪﻣﺔ‬ ‫وﻣﻘﺪم‬‫اﻟﺨﺪﻣﺔ‬ ‫وﻣﻘﺪم‬AccessibilityAccessibility
••‫اﻟﻤﺮوﻧﺔ‬‫اﻟﻤﺮوﻧﺔ‬AdaptationAdaptation
••‫اﻻﻗﺘﺼﺎد‬‫اﻻﻗﺘﺼﺎد‬Economy and efficiencyEconomy and efficiency
••‫اﻷﻣﺎن‬‫اﻷﻣﺎن‬SafetySafety
‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬
‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬‫ﻧﻈﺮ‬ ‫وﺟﮭﺔ‬ ‫ﻣﻦ‬ ‫ﻟﻠﻤﺴﺘﺸﻔﻰ‬ ‫اﻟﺠﯿﺪ‬ ‫اﻟﺘﺼﻤﯿﻢ‬

“We shape our buildings and
thereafter our buildings
shape us”
Winston Churchill

sustainability
We needWe need
sustainable designsustainable design
practices topractices to
preserve andpreserve and
ensure the needsensure the needs
of futureof future
generations.generations.

•• Architects, engineers andArchitects, engineers and
designers should create facilitiesdesigners should create facilities
that don’t simply serve asthat don’t simply serve as
health carehealth care--delivery sites, butdelivery sites, but
that actuallythat actually enhance the careenhance the care
being delivered.being delivered.
•• Architects, engineers andArchitects, engineers and
designers should create facilitiesdesigners should create facilities
that don’t simply serve asthat don’t simply serve as
health carehealth care--delivery sites, butdelivery sites, but
that actuallythat actually enhance the careenhance the care
being delivered.being delivered.

placemaking
creates environments that
celebrate the human condition
– places where people feel
comfortable, safe, part of a
larger community. This takes
an understanding of the
broader issues of context,
scale and the public realm as
much as an emphasis on detail
and quality.

Florida Hospital
Waterman
Tavares, Florida

§§ NewNew designdesign modelsmodels shouldshould
promisepromise:: LOWERLOWER COSTCOST &&
HIGHHIGH QUALITYQUALITY OFOF CARECARE
““ONEONE SIZESIZE FITSFITS ALLALL”” isis nono
moremore validvalid..
§§ NewNew designdesign modelsmodels shouldshould
promisepromise:: LOWERLOWER COSTCOST &&
HIGHHIGH QUALITYQUALITY OFOF CARECARE
““ONEONE SIZESIZE FITSFITS ALLALL”” isis nono
moremore validvalid..

§§ AsAs healthhealth carecare designers,designers,
youryour missionmission shouldshould bebe toto
improveimprove thethe healthhealth carecare
experienceexperience forfor thethe consumerconsumer
andand providerprovider aa likelike..
§§ AsAs healthhealth carecare designers,designers,
youryour missionmission shouldshould bebe toto
improveimprove thethe healthhealth carecare
experienceexperience forfor thethe consumerconsumer
andand providerprovider aa likelike..

IntegratingIntegrating DesignDesign andand CareCare
shouldshould bebe ourour avenueavenue toto
qualityquality andand costcost effectiveeffective
healthhealth carecare..
IntegratingIntegrating DesignDesign andand CareCare
shouldshould bebe ourour avenueavenue toto
qualityquality andand costcost effectiveeffective
healthhealth carecare..
Design
Care

Thank You

New Trends in Healthcare and their Impacts on Hospital Planning and Design by Dr Musa T. Ajlouni

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New Trends in Healthcare and their Impacts on Hospital Planning and Design by Dr Musa T. Ajlouni