This document discusses concepts and design considerations for a proposed 500-bed city hospital. It outlines a conceptual philosophy of the hospital representing both divine healing and modern medical technology. It proposes a vertical hospital design with diagnostic, surgical, and ward departments grouped in rear blocks and emergency and outpatient departments in a front block, with central transition spaces. The design aims to minimize circulation, place services away from patient areas, and arrange areas according to wind patterns and sterile-to-non-sterile zones.

1. CONCEPT…….A PHILOSOPHY, A THOUGHT PROCESS, A SOLUTION FOR THE DESIGN CRITERIA
CONCEPTUAL PHILOSOPHY
DIVINE BODY IN MECHANICAL BODY:
FIRST OF ALL I PERCIEVE THE HOSPITAL THAT THEY ARE
THE DIVINE BODY AS THESE BUILDINGS ARE THE
SAFEGUARDS OF THE LIFE .AND THESE BUILDINGS ARE
MECHANICAL BODY AS THEY ARE THE HIGHLY
TECHNICAL ORIENTED BUILDINGS HAVING LOT OF
SERVICES.
I WANT TO CREATE SUCH A HOSPITAL THAT GIVES THE
PATIENTS A COMFORTABLE ENVIRONMENT AND ALSO
COMPRISING OF ALL THE PROVISIONS FOR THE
SERVICES AND THE EVERCHANGING MACHINES.
FORM FOLLOWS FUNCTION” IS AN ARCHITECTURAL
DICTUM LAID DOWN BY ONE OF THE MODERN
MOVEMENT IN ARCHITECTURE’S MOST WELL KNOWN
PRACTITIONERS, LUDWIG MIES VAN DER ROHE.AND
ON THIS CONCEPT WHOLE THING IS TO BE STRESSED .
LE CORBUSIER, ANOTHER FAMOUS MODERNIST
ARCHITECT, TALKED OF A HOUSE AS A “MACHINE
FOR LIVING IN”. BUT IN THE MEDICARE ONE CAN SAY
THAT MACHINES FOR HEALING IN
WHY CITY HOSPITAL?
THE NAME FOR THIS HOSPITAL IS CHOSEN CITY
HOSPITAL AS IT SHOULD BE FOR THE WHOLE CITY TO
CATER ALL CLASSES AS IT IS PUBLIC SECTOR HOSPITAL
SO IT SHOULD BE RESPONSIBLE FOR THE STATUS OF
HEALTH OF THE CITY
………..that’s why city hospital
WHAT THIS BUILDING ULTIMATELY AIM AT
TOWARDS SOCIETY- THE BUILDING SHOULD BE IN HARMONY
WITH THE SOCIAL SET UP OF DWARKA.IT IS LIABLE TO CATER
ALL TYPES OF CLASSES OF THE SOCIETY
TOWARDS ENVIRONMENT- IT WILL BE IN ACCORDANCE
WITH THE CLIMATE OF DWARKA LIKE MINIMZE THE USE OF
GLAZING
TOWARDS ECONOMY- THE BUILDING WILL BE ECONOMICAL
AS THE SPACES ARE TO BE ARRANGED IN A DEFINITE
HIERARCHY AND WITH THE FUTURE CONSTRAINTS
TOWARDS THE ARCHITECTURE- AS THE HOSPITALS ARE
SUBJECTED TO GIVE A VERY RIGID FORM BUT MY HOSPITAL
WILL HAVE THE INTREST IN ITS ELEVATION AND THE FORM
WITH ALL THE FUNCTIONS FULFILLING.
PLANNING OF BUILDING
PLANNING IS NON CENTRALIZED MANNER AND IT WILL
CATER THE LARGE NUMBER OF EMERGENCY PATIENTS AS IT
IS A TERTIARY LEVEL GOVT HOSPITAL SO EMERGENCY IS TO
BE EMPHASIZED ALONG WITH ALL THE DEPARTMENTS
HOSPITAL IS NOT SUBJECTED TO EXTRAORDINARY RUSH
ALL THE TIMES AS IT HAS NUMBER OF MULTISPECIALITY
HOSPITALS IN THE VICINITY.
SECTOR 10- 330 BED HOSPITAL
SECTOR 11- 300 BED HOSPITAL
SECTOR6 - 200 BED HOSPITAL.
ALONG WITH DIFFERENT PRIMARY AND SECONDARY
HOSPITALS
CONCEPTS THAT COULD BE USED IN THE DESIGN OF A
HEALTHCARE FACILITY, ENUMERATED BELOW ARE A FEW
THAT COME TO MIND.
1.AN IDEA FOR BUILDING FORM DERIVED FROM (OR
DICTATED BY!) THE PROPOSED SITE.
2.AN IDEA ABOUT HOW TO LAY OUT THE MAJOR
CIRCULATION PATHS THROUGH THE BUILDING / CAMPUS,
FOR EASE OF WAY FINDING AND EFFICIENCY OF MOVEMENT
OF STAFF, PATIENTS AND MATERIALS.
3.THE FUNCTIONAL RELATIONSHIPS AND AREA REQUIREMENTS
OF THE VARIOUS DEPARTMENTS TAKEN POSSIBLY IN
CONSIDERATION TOGETHER WITH ALL THE ABOVE FACTORS.
4.THE CLIMATE OF THE LOCATION, OR THE WAY IN WHICH
THE BUILDING WILL BE LIT AND VENTILATED, BY ARTIFICIAL OR
NATURAL MEANS.
SITE PARAMETERS:
…aerial view of site
wind direction

2. STARTING WITH THE SOLUTIONS TO DESIGN
CRITERIA:
IN THIS I HAVE DISCUSSED THE CONNECTIVITY OF
VARIOUS SECTIONS AS MENTIONED IN THE DESIGN
CRITERIA
PLACEMENT OF INCINERATOR AT THE BACK AWAY
FROM THE HOSPITAL
PLACEMENT OF DIAGNOSTIC DEPARTMENT AND THE
SUPPORTING AND ENGINEERING SERVICES AT THE
BACK IN THE PODIUM BLOCK
STEP 1
AS IT IS A 500 BED HOSPITAL COMPRISING ALL THE
SPECIALTIES SO I WILL INCORPORATE A VERTICAL
HOSPITAL
THE REASON FOR THIS IS THAT THE IN THE VERTICAL
HOSPITAL ALL THE SERVICES GET ASSEMBLED AT ONE
PLACE AND THERE IS VERY LESS FATIGUE FOR THE
HOSPITAL STAFF.
I M TAKING THE TOWER ON PODIUM CONCEPT IN
BOTH THE BLOCKS
STEP 2
IN THIS STEP I HAVE CLUBBED ALL THE DEPARTMENTS
IN THE 3 BLOCKS….NAMELY FRONT BLOCK, REAR
BLOCK AND CENTRAL BLOCK.
•THE EMERGENCY AND THE OPD IN THE FRONT
BLOCK AND ALL THE DIAGNOSTIC, SURGICAL,
WARDS AND ICU IN THE REAR BLOCK WHILE
TRANSITION AND WAITING IN THE CENTRAL BLOCK
•ALL THE ENGINEERING SERVICES ARE TO BE
CLUBBED IN THE BASEMENT OF THE REAR BLOCK
ALONG WITH THE BASEMENT PARKING
•CARE IS TAKEN OF THE MINIMUM CIRCULATION
ROUTE INSIDE THE BUILDING AND THE CENTRAL
TRANSITION AND WAITING SPACE WILL REDUCE THE
EXCESSIVE CIRCULATION IN THE OTHER TWO BLOCKS
•PLACEMENT OF SURGICAL BLOCK AND THE
DIAGNOSTIC BLOCK AT THE BACK DUE TO THE WIND
FACTOR AS THE AIR MOVEMENT ON THE SITE SHOULD
BE FROM STERILE TO NON STERILE ZONES
STEP 3
IN THIS STEP I HAVE WORKED OUT ON THE ACCESS
TO THE SITE AND THE PATTERN OF THE INTERNAL
LAYOUT OF THE SITE ACCORDING TO THE DIFFERENT
NATURE OF CIRCULATION ON THE SITE
•FROM THE CENTRAL POINT TAKEN THE BUILDING
EXPANDS IN ALL THE DIRECTIONS GIVING THE CLEAR
VIEW TO ALL ITS EDGES FROM THE MAIN ROADS SO
THAT THE MAIN DEPARTMENTS OF BUILDING TO BE
VISIBLE FROM THE ROAD
•SEGREGATION OF THE EMERGENCY CIRCULATION
AND THE GENERAL PUBLIC ALONG WITH THE
DISCUSSION OF ENTRIES AND EXITS OF HE DOCTORS
AND THE ANCILLARY STAFF
•THE PROVISION FOR THE SEPARATE SERVICE ENTRY
IS ALSO PROVIDED