ABSTRACT

Architects and healthcare clients are increasingly coming to recognize that, once built, healthcare facilities are almost immediately subject to physical alterations which both respond to and affect healthcare practices. This calls into question the traditional ways in which these facilities are designed. If functions and practices are subject to alteration, the standard approach of defining required functions and practices before acquiring facilities is obsolete. We need other starting points, working methods, and ways of collaborating.

Healthcare Architecture as Infrastructure presents these new approaches. Advocating an infrastructure theory of built environment transformation in which design and investment decisions are organized hierarchically and transcend short-term use, the book draws the practice and research of a number of architects from around the world. Written by experts with experience in policy making, designing, building, and managing complex healthcare environments, it shows professionals in architecture, engineering, healthcare and facilities management how to enhance the long-term usefulness of their campuses and their building stock and how to strengthen their physical assets with the capacity to accommodate a quickly evolving healthcare sector.

chapter Chapter 2|19 pages

System Separation

A strategy for preventive building design

chapter Chapter 4|17 pages

Dynamic facilities development

A client perspective on managing change

chapter Chapter 5|20 pages

Planning for change

Banner Estrella Medical Center, Phoenix, Arizona

chapter Chapter 7|17 pages

Finding shared ambitions to design for change

Building the AZ Groeninge hospital

chapter Chapter 8|15 pages

Transformation of an existing hospital building to a hospice

Open Building as strategy for process and product

chapter Chapter 9|24 pages

Simulation

Tools for planning for change

chapter Chapter 10|32 pages

The growth and change of hospital buildings