Future Hospitals אדריכלות ישראלית Architecture of Israel #130 August 2022 | | 70 More than any other purpose-oriented building, hospitals are a direct product of their planning evolution, central to which are technological progress, patient and medical staff welfare and efficient management of supportive logistics. Within this gradual evolution there are "extreme jumps", such as the one that occurred recently due to the 'communication revolution' that has motivated, inter alia, a fertile combination of imported technologies from other fields, particularly the advancing of robotic operations. This "evolutionary jump״ has been predicated on two major phenomena: One - the internalization of the need to physically keep distance between patients during the corona pandemic, and the other, a dizzying commercial competition between public and private medicine, the by-product of which was the establishment of dozens of Hospital Complexes financed by the insurance companies. Hence, one of the most important results in the public hospital sphere is a massive expansion of existing medical centers, turning them into medical "cities", the most prominent characteristic of which is a significant improvement of the hospitalization conditions together with the increase in the general standard of living. For example, if in the past, hospital rooms included 6-8 beds without an adjacent toilet, the next step was an in-patient room with 3 beds and a private toilet, while in the last two decades hospital rooms are generally based on only two beds. And along this line, the Ministry of Health has food for work the future hospital Architect Arad Sharon recently issued a guideline dictating that about half of the hospital rooms will contain only one bed, and the rest, two beds per room, with a private bathroom. At the same time, there has been great improvement in medical service itself, utilizing innovative treatment areas based on advanced technologies. In the field of oncology, for instance, cancer treatments are based on technologies that have been proven to be effective in other fields, including radiation institutes (radiotherapy and radio-surgery), using advanced devices such as MRI, proton radiation, Car-T-Cell and surgical robots. This multidisciplinary collaboration requires a massive expansion of existing wards, turning them into centers, such as the Cardiological System, the Heart Center, the Cancer Center and the Brain Center. As academic institutions, hospitals are research laboratories based on the use of empirical data, which establish online connections with other international institutions as well as commercial development companies that contribute greatly to improving and expanding treatment technologies. In addition to scientific and technological advancement, hospitals are now more cognisant of the well-being of the patient's and his family's environment, which requires the creation of a more friendly design that has been proven to greatly contribute to the recovery process. In this context, it is important to incorporate the new and existing medical campuses into public transportation interfaces by making the light rail accessible to the hospitals as well as expanding parking spaces and smoothing the path of arrival in emergencies. And, since robotics have become a key factor in operating rooms, they require maintenance, storage, and appropriate supporting systems such as efficient queue management and timing as well. Below: Image from the short film "OMA + Reinier de Graaf"
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