Gelun medical architecture research

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27Th International Public Health Seminar in
Beijing, China
How Important is Evaluation for Health Building
Design?
Joint paper Gelun, Associate Professor Institute
of Architecture and Civil Engineering Gelun
Medical Architecture Research Studio Rosemary
Glanville, Head of MARU Medical Architecture
Research Unit London South Bank University, UK
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Comparision of design process

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CHINA USA
UK
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Comparision of design process

• In China, we are extremely deficient in
• Pre-evaluation and
• Post-evaluation

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Pre-evaluation

• ---External conditions survey
• ---Internal conditions survey

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External conditions survey

• --Social conditions
• --Demographic composition
• --Management bodies
• --Surrounding environment survey
• --Climatic and cultural factors
• --Medical facilities planning
• --Medical standards and norms

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Internal conditions survey

• --Site environment
• --Present building Status
• --External circulation
• --Distribution of Functional departments
• --Internal circulation of functional departments
• --Space and function
• --Requirements of users
• Function/Physical environment/Communication
• --Constituents of users
• --Management Model
• --Medical equipment specifications
• --Medical operation regulation

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Pre-evaluation/case study
The pre-evaluation of Hospital of
Heilongjiang province
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Pre-evaluation/case study
The pre-evaluation of Hospital of
Heilongjiang province
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Pre-evaluation/case study
Operation department evaluation
The pre-evaluation of Hospital of
Heilongjiang province
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Post-evaluation

• Post-Project Evaluation is a process of
  systematic evaluation of
• building in use --at least on year

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Post-evaluation
Process
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Post-evaluation
Content
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Post-evaluation
Decision-making level Function level
Framework
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Decision-making level
Urban design and plan of medical resources
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Decision-making level
Overall project planning
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Decision-making level
Overall project planning
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Function level
Function departments
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Function level
Function departments
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Function level
Function units/room
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Function level
Function units/room
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Design guidelines

• vision
• brief design
• design guidelines guidelines
• production
• construction
• operation
• evaluation

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Guidelines for what?
planning and design information to support
decision making in the briefing and design
process guideline support must not stifle
innovation
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Criteria for a guidelines framework
spectrum of care support for briefing and design
Scope Audience Quality Status Easy to
use Sustainable

multi disciplinary
evidence based information in one place only
advisory or mandatory standards, benchmarks
consistent format knowledge management web based
with key word searching
up to date as possible scope matches resources
for updating
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The whole agenda
Modernisation of two industries
Visions for health care buildings

Construction industry
Healthcare industry
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Innovations
care delivery design construction
new ways of working new technology patient
pathways
future change therapeutic environments
off site construction whole life costing
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Information to support
Strategic briefing Design briefing
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Strategic brief
Activity data and trends Capacity
analysis Changes in clinical practice Future
model of care Environmental design
principles Affordability
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Design brief
Functionality Operational principles Clinical
adjacencies Space / room requirements Control of
infection Response to change
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Balance of Factors