Dr. Hesham Mahmoud El-Naggar's lecture covers the classification of health care systems into indirect and direct types, as well as the design aspects of hospitals related to infection control. It outlines various categories of health care facilities, ranging from primary to tertiary care, and discusses hospital classifications by level of care, volume, specialty, and ownership. Students are expected to recognize these systems and their designs, and answer questions related to the material presented.

1. Types of Health care systems &
Types of Hospital design
Engineering aspects of infection
control practices
Dr. Hesham Mahmoud El-Naggar
Assistant Professor , Environmental Engineering
Environmental Health Department
High Institute of Public Health
Alexandria University, Egypt

2. By the end of this lecture, the students will
be able to :
1) Classify the Health care systems (Indirect and direct).
2) Sort the Health care systems.
3) Recognize the Hospital Design (Structure design,
Architecture design and Environmental design).
Intended learning outcomes of (ILOs)
:

3. 1) Systems constructors provide health
care indirectly.
a. Water purification.
b. Sewage treatment.
c. Food control Organization.
d. Quarantine.
Types of Health care systems

4. 2) System constructors provide health
care directly:
a. Primary Health care facilities (rural health
unit- health center).
b. Secondary Health care facilities (district
hospital).
c. Tertiary Health care facilities (all
departments in hospital).

5. *Classification by WHO (World Health Organization)
Alfredo Bravo, “Regional Planning of Health Facilities: From the Viewpoint of the Health Planner -
Approaches to Planning and Design of Health Care Facilities in Developing Areas, Vol.2”, pp. 19-20, WHO,
Geneva,1977.

6. **Classification by WHO " Jorje Mazure"
Jorje Mazure, “Regional Planning of Health Facilities: From the Viewpoint of the Architect - Approaches to Planning
and Design of Health Care Facilities in Developing Areas, Vol.2”, pp. 36-39, WHO, Geneva,1977.

7. Hospital
classifications
1
)
According
to the level
of health
care
2
)
According
to hospital
volume
3
)
According
to specialty
4
)
According
to
ownership
hospital

8. 1) According to the level of health care:
a. Secondary Health care facilities.
b. Tertiary Health care facilities.
Hospital classifications

9. 2) According to hospital volume:
a. Small (less than 50 bed).
b. Medium (50-250 bed).
c. Large (250-500 bed).
d. Extra-large (greater than 500 bed).

10. 3) According to specialty:
a. Specialized hospital.
b. General Hospital.

11. 4) According to ownership hospital:
a. Private sector.
b. Governorate hospital (Ministry of health
and educational hospitals, the armed forces
and police hospitals).
c. Health insurance.
d. Hospitals related to major companies and
bodies.

12. 1) Structure design (Civil).
2) Architecture design.
3) Environmental design.
Types of Hospital Design

22. Study Questions
Answer the following questions:
1. What are the types of Health care systems?
2. Draw the WHO classification for health care system?
3. Classify the hospital the hospital according:
a) ownership hospital?
B) volume?
3. What are the types of hospital design by drawing?