Handbuch und Planungshilfe Books made by Architects Medical Facilities and Health Care Construction and Design Manual Dieses Handbuch präsentiert die Bandbreite modernen Innen architektur in den Bereichen Arztpraxis, Ambulanz, Apotheke und anderer medizinischer Einrichtungen. Mit maßstäblichen Grundrissen, wissenschaftlichen Analysen und aussagekräftigen Fotos werden über 35 Projekte vorgestellt. Fachbeiträge zur planungsrechtlichen Grundlagen runden den praxisorientierten Band ab. > Grundlagen der Planung medizinischer Einrichtungen > Maßstäbliche Grundrisse > Kommentar zu jedem Projekt Philipp Meuser, Jg. 1969, Architekt BDA und Verleger. Architektur studium in Berlin und Zürich. Architekturbüro in Berlin. Herausgeber weiterer Publikationen im Bereich Gesundheitsbauten: Apotheken (2009), Barrierefreie Architektur (2009), Krankenhausbauten (2006). M u LT I - D O C TO R P R aC T I C E Diagrammatic plans, to scale 1:400 Floor plans, to scale 1:200 BSMT 9 1 Waiting area 2 Patient toilet G 3 Store room 4 Patient toilet L 5 Staff changing cubicle 6 Patient changing cubicle Treatment room Patient shower Patient toilet Training room Staff toilet Staff shower Washroom Equipment room Office Fitness room Store room Inhalation room Consultation room Clean linen store room 21 Anteroom 22 Office 23 Reception 24 Dirty linen store room 25 Examination and treatment room 26 Admissions manager’s office 27 Clerical services office 28 Coding office 29 Relatives’ lounge 30 Assistant dietician’s office 31 Film processing 32 Examination HRT 33 Patient transfer room 34 Examination mammography 35 Installations room 36 Examination X-ray 37 Admissions room 38 Examination CT 39 Computer room 40 Switch room 41 Darkroom 42 Doctor’s office 43 Psychiatry office 44 Doctor’s office 45 Examination endoscopy 46 Prep room endoscopy 47 Quiet room 48 Sterile goods store room 49 Equipment preparation 50 Samples laboratory 51 Outpatient lounge 52 Administrative office 53 Examination psychiatric outpatient 54 Library 55 Examination room psychiatry 56 Blood analysis laboratory 7 8 9 10 11 12 13 14 15 16 17 18 19 20 3 10 13 12 8 15 11 7 6 13 10 12 16 4 5 14 14 14 14 13 17 18 1 10 Philipp Meuser 2 19 3 14 14 2 14 28 27 29 14 20 21 26 5 5 5 25 22 61 64 65 44 57 6 68 66 58 9 63 63 25 9 66 66 67 1 6 48 48 6 17 17 42 46 47 69 45 49 45 9 9 51 11 11 50 75 9 6 44 55 54 9 72 4 8 53 70 73 1 43 1 1 52 71 72 2 42 66 74 42 33 6 6 34 9 36 1 5 82 6 76 80 83 84 36 35 5 40 77 42 6 32 81 78 37 22 39 82 82 79 9 31 41 40 1 5 38 6 92 85 6 30 36 1 35 85 1 5 86 29 89 91 90 87 28 1 1 1 88 27 93 73 100 1 27 96 74 95 94 98 26 99 97 1 101 72 2 17 9 105 102 3 9 102 106 104 103 102 60 1 1 4 102 8 5 7 25 6 6 5 25 6 8 8 9 9 7 6 24 25 6 10 6 5 7 6 6 8 23 7 5 8 11 12 22 13 21 16 5 20 14 19 15 22 3 GF 5 This interplay is potentialised where all three elements are brought together — just as several different medications taken together may cause pharmaceutical interaction. The interaction profile of colour, shape and material should therefore be professionally coordinated with the corporate identity, so that it corresponds with the corporate philosophy. There, where people feel at home, heal or recover, the interplay between the interior design elements should be designed with the greatest possible care and circumspection. Depending on the given functional area of the pharmacy — whether over-the-counter sales and cash desk, self-service or over-the-counter display, whether prescriptions or advice — different goals are being pursued with regard to the stimulation of emotions and actions. The potential psychological effects of colours, shapes, and materials must be deployed and combined here in a carefully targeted manner. The suggestive strength and unconscious effect of colours were known long before Goethe’s colour circle. Depending on the intensity of the shade and degree to which they are used, yellow and red, blue and green, or black and white in all their tones and shades can spark off a huge variety of responses. In the healthcare area, and thus also in pharmacies, no general statement can be made on whether there are colours which are more likely to encourage recovery and well-being than 6 others. Thus white was traditionally seen as the [non] colour of the healing professions, but has lost ground continually since colour psychology became a fixed feature of the interior design of pharmacies, medical practices, and clinics. The situation is similar with regard to the selection of shapes and materials. Curves always appear softer than sharp edges and are also employed at a superordinate level in pharmacies: Wherever the space of the dispensary permits, bends and curves can be used to steer the paths of customers and patients. The psychology of paths can be applied, people’s automatic tendency to veer to the right can be taken into account, and customers can be unconsciously steered to the self-ser vice section if there is sufficient space in the sales area. The choice of suitable materials for a pharmacy is made in light of functionality and aesthetics. Where robustness and durability are required, they must also be guaranteed. For, just as a pharmacy’s corporate identity is built to last, equally, the interior design of the pharmacy should not be subject to frequent change or, even worse, display signs of wear and tear. A corporate identity is not a fashion statement and its visual must also communicate constant sustainability and tangible authenticity. If the personality of the pharmacy is best expressed in a glowing shade of orange then the communication of this personality can outlive any 7 FURTHER READING Antonoff, Roman: CI-Report 13. Darmstadt 2004. trend using precisely this colour, or possibly only using it as a highlight, in the pharmacy. Fashion consciousness however is no contradiction to a corporate identity geared to the long term. A good corporate identity can also be implemented by means of effective, topical advertising strategies and measures. This is a question of nuances, details — it is not about the pharmacy as a whole. It should be made clear here, that “measures” refers not just to the design of eye-catching posters and advertisements. Rather, it is the choice of product range, the type and way in which goods are placed, and the question of whether customers are addressed in a loud or quiet manner — all elements which are just as important as the consistent use of the corporate design. Even the training of employees with regard to providing expert advice during special, target grouporiented campaigns or in the areas of starting conversation, question techniques or handling objections, is an element of customer-oriented corporate identity. The interior design of a pharmacy is more than the harmonious composition of various functional areas to create a pretty dispensary, because an “attractive” pharmacy is either the expression of a corporate culture or it is an empty façade — and today’s customers and patients are well able to differentiate between exactly the two. 8 9 Bürger, Klaus R.: Apothekenarchitektur — funktionsgerecht & ästhetisch. In: Offprint Anzag Magazin. Frankfurt/Main 1997. Damaschke, Sabine/Scheffer, Bernadette: Apotheken. Planen, Gestalten und Einrichten. Leinfelden-Echterdingen 2000. Kreft, Wilhelm: Ladenplanung. Merchandising – Architektur. Strategie für Verkaufsräume: Gestaltungs-Grundlagen, Erlebnis -Inszenierungen, Kundenleitweg, Planungen. Leinfelden-Echterdingen 1993 . Weis , H. C.: Marketing. Ludwigshafen 1997. PCP FUNCTION GROUP FUNCTION UNIT FUNCTIONAL ELEMENT 1 1.1 1.2 1.3 1.3.1 1.3.2 1.4 1.4.1 1.4.2 Patient rooms Reception room Waiting room with cloakroom Patient lavatory [L] Anteroom Lavatory Patient lavatory [G] Anteroom Lavatory 2 2.1 Examination and treatment rooms Examination and treatment room [Consultation room] Examination room and changing facilities Laboratory 2.2 2.3 The function scheme for the medium-sized multi-doctor practice includes additional rooms for the function groups Specialist Medical Rooms and Supply and Disposal Rooms. In addition there will also be a multi-purpose room and a technical room [Fig. 25]. LIGHT ExPOSURE USAbLE FLOOR IN SQM 40 ° ° 14 22 l l 1 1 l l 1 1 GROUND PLAN | Retention of the previous ground plan structure shows that the limits of this form have been reached. A central corridor should not extend any further. A longer corridor is unacceptable, not only because of the long distances but also for design reasons [Figs. 26 and 27]. The alternative ground plan developed specifically for the medium-sized multi-doctor practice contains the same rooms, but needs 10 % more floor area after deducting the inner courtyard. The reason for the introduction of the inner courtyard in this schematic ground plan is the need to light all the practice rooms with natural daylight. Even so, the inner courtyard increases the overall quality of the design [Figs. 28 and 29]. 42 ° ° ° 22 8 12 3 3.1 Specialist medical rooms Examination room — Ultrasound l 8 4 4.1 Administration rooms Office ° 10 5 5.1 5.2 5.2.1 5.2.2 5.3 5.3.1 5.3.2 5.4 5.4.1 5.4.2 5.5 5.5.1 5.5.2 Offices and staff rooms Staff rest room with pantry Staff changing facilities — L Changing facilities Shower Staff changing facilities — G Changing facilities Shower Staff lavatory [L] Anteroom Lavatory Staff lavatory [G] Anteroom Lavatory ° 12 8 £ 8 2 6 6.1 6.2 6.3 Supply and waste disposal rooms Work room — Unclean Stores Cleaner’s room 10 Unlike the initial scheme, in which natural daylight penetrates the building both via the ends of corridors designed to allow the passage of light and via the central reception and waiting area, the alternative scheme seems to be flooded with light via the ends of four corridors designed to allow the passage of light, the similarly lightfilled reception and waiting area and the inner courtyard [Fig. 30]. 32 l £ l 4 2 l l 1 1 l l 1 1 ° 6 8 4 10 5.5 18 l l Usable floor of a medium-sized single-doctor practice 5.3 5.4 Hardcover mit Gummiband 2.1 5.2 5.1 5.1 2.2 2.3 6.3 6.2 4.1 1.3 1.1 FUNCTIONAL AND SPATIAL ALLOCATION PLAN AND FUNCTION SCHEME | The group of Multi-Doctor Practices begins at over 400 square metres of usable floor space. There is practically no upper space limit because these projects also include large medical buildings which can house up to 40 practices and more. Assuming an average minimum size of 60 square metres for a specialist GROUND PLAN | The structure of the ground plan is the same as that of the medium-sized multi-doctor practice variant [Figs. 33 and 34]. Because of the enlargement and different uses of some rooms, the office and the multi-purpose room must be accommodated by the inner courtyard. The two connections for the examination and treatment rooms have been lengthened by the addition of some 5.2 5.3 2.2 5.4 2.1 2.3 3.1 15 1.3 1.2 1.4 6.1 Schiller Apotheke, Heidenheim White is no longer the rule of thumb when designing healthcare amenities: rich red … Michaels Apotheke, Winterbach … dark blue, 6 Adler Apotheke, Göppingen … delicate green, 7 Hardt Apotheke, Hambrücken … restrained natural shades 8 Burg Apotheke, Grefrath-Oedt Customer orientation in loving detail: flowers at the cash desk 9 Aurelia Apotheke, Baden-Baden Beautifully staged dispensary in a city of culture 10 Alte Apotheke, Scheven An awareness of tradition is demonstrated all the way through to lounge and consulting room, old values with a modern twist. Standards for a large multi-doctor practice Recent developments in health care policy tend to concentrate outpatient care increasingly in large high-performance and economically efficient centres. The large multi-doctor practice is one of the first facilities of this type. Additionally, in Germany, hospital outpatient departments, medical centres, diagnostic centres, medical care centres and health centres have also sprung up. Essentially, these are also large multi-doctor practices but follow a different care approach. medical practice, then the medical centre referred to above would have at least 2,400 square metres of usable floor space. The example chosen here has seven specialist medical practices with a usable floor space of 500 square metres [Fig. 31]. In comparison with the medium-sized multi-doctor practice, four specialist examination and treatment rooms have been added. The available space for the remaining rooms has been expanded and given different uses. With regard to the function groups Patients, Specialist Medical Rooms, Administration Rooms, and Service and Staff Rooms and compared with the previous model, the function scheme for large multi-doctor practices shows that some individual rooms have been enlarged and given different uses, whereas the remaining function groups have merely been given more usable floor space. The linear arrangement of the related function groups displays a high degree of clarity and order. As for the supply and disposal rooms, the sterilisation rooms are, for functional reasons, situated in the vicinity of the specialist medical rooms [Fig. 32]. 1.2 1.4 6.3 4 A comparison of the distances to be walked shows, for example, that the distances between the furthest apart specialist medical rooms, measured from the middle of the door walls, are more or less the same [16.0 metres and 16.5 metres]. The central location of the staff rooms means that these distances are acceptable. Even if some distances should be a little longer, they would not pose a problem, as they would be balanced by the enhanced experience of the alternative. 3.1 5.5 150 6.2 4.1 1.1 1.2 14 190 191 5 Englische Ausgabe 978-3-86922-177-9 12 13 Diagrammatic plans, to scale 1:400 Floor plans, to scale 1:400 12 Example of a functional and spatial allocation plan for a medium-sized singledoctor practice 13 Function scheme of a medium-sized single -doctor practice 14 Standard ground plan of a medium-sized single-doctor practice, scale 1:200 15 Colour scheme for the ground plan of a medium-size single-doctor practice, scale 1:400 EUR 78,00 ISBN 978-3-86922-177-9 783869 221779 Verlag / Publisher: Pressekontakt / Public Relations: DOM publishers Caroline-von-Humboldt-Weg 20 10117 Berlin, Germany T +49. 30. 20 69 69 30 F +49. 30. 20 69 69 32 E-Mail: [email protected] www.dom-publishers.com gisela graf communications Schillerstraße 20 79102 Freiburg, Germany T +49. 761. 791 99 09 F +49. 761. 791 99 08 E-Mail: [email protected] www.gisela-graf.com L A B R YG A P R I N C I P L E S O F P L A N N I N G 118 119 18 1 and the willingness of employees and customers to communicate. At the same time, a genius loci must also be shaped, in which customers and patients feel safe, content, and well looked after. Good design has the aim of inspiring people, of making them stay, of arousing wishes, and of stimulating the imagination and ultimately, in terms of shop design’s functional aspects, the aim of enhancing people’s willingness to buy. This cannot be achieved in functional rooms in which the product-filled shelves lack emotional character. But where interior design serves its true purpose, it can convey aura and atmosphere, personality and a personal feel to people, thus rendering the corporate identity visible and making it tangible. As such, the design of pharmacies and other health amenities should, in particular, employ creative and sociopsychological expertise to complement the purely technical aspects of interior design. The elements which interior design can employ are both simple and complex: colour, shape, and material. Each element makes its very own statement and, in its individuality, has an effect on all those who come into contact with it. However, as soon as two or more colours, two or more shapes, two or more materials come together, the statement made by the individual element may no longer be valid, and the elements either mutually strengthen or foil each other: they enter into a dialogue. 4 7 24 6.1 9 42 62 62 17 47 46 47 225 × 280 mm 304 pages over 500 images 42 60 59 56 46 17 Medical Facilities and Health Care Construction and Design Manual Wissenschaftliche Beiträge von Klaus Bergdolt, Klaus R. Bürger und Franz Labryga (wissenschaftliche Beratung) 23 57 Washroom 58 Urine laboratory 59 Laboratory 60 Staff lounge 61 Laboratory monitoring 62 Laboratory reception 63 Specimen collection room 64 Gynaecology administrative office 65 Doctor’s office [gynaecology] 66 Examination 67 Administrative office 68 Admissions consulting room 69 On duty office 70 Doctor’s office [surgery] 71 Doctor’s administrative office 72 Patient toilet and shower 73 IT room 74 AV Elektro 75 Consultation room 76 Staff toilet and shower 77 Emergency doctor on duty office 78 Functional diagnostics reception 79 Examination ECG 80 Examination pulmonary function 81 Procedure room 82 Plaster room 83 Examination admissions 84 Treatment room surgery 85 Examination ultrasound 86 Examination ergometry 87 Examination EEG 88 Patient room 89 Washroom 90 Patient sluice 91 Treatment room shock therapy 92 Examination gynaecology 93 Waste disposal room 94 Waste disposal room 95 Supply room 96 Filing room 97 Emergency room 98 Clean store room 99 Small kitchen 100 Bed store area 101 Workroom unsterile 102 Admissions room 103 Admissions room for short-term inpatients 104 Admissions room for emergencies 105 Reception control centre 106 Accounts office R e d e s i g n | e x pa n s i o n 20 Examination X-ray 21 X-ray switch room 22 Examination ultrasound 23 Examination mammography 24 Private patients’ waiting area 25 Office 26 Telephonist’s office 27 Toilet for the disabled 28 Patient toilet L 29 Patient toilet G A m B U L A n C E I n h O S P I TA L 12 Examination magnetic resonance tomography [MRI] 13 Installations room MRI 14 Patient changing cubicle 15 MRI switch room 16 Treatment room 17 CT switch room 18 Changing cubicle for the disabled 19 Examination CT N e w Co N s t r u C t i o N 1 Coat-rack 2 Reception 3 Waiting area 4 Nuclear medicine switch room 5 Doctor’s consultation room 6 Nuclear medicine treatment room 7 Laboratory 8 Treatment room spray booth 9 Sluice 10 Patient toilet 11 Staff toilet a Construction and Design Manual Books made by Architects Medical Facilities and Health Care Construction and Design Manual This manual showcases the wide range of contemporary interior design in the areas of medical practices, pharmacies and other medical facilities, extensively documenting the most successful examples. Altogether more than 35 projects are shown with the help of large colour photos, true to scale ground plans and diagrams. The volume is completed by specialists’ contributions concerning methods of planning and questions of design. > Construction data, planning parameters and regulations for medical facilities > True to scale floor plans for different types medical facilities > Scientific comment and analysis to each projects > Essential for health care design, architecture and medical administration Philipp Meuser, born in 1969, architect and journalist. Has his own architect’s office in Berlin. Studied architecture in Berlinand history and theory of architecture in Zurich. Numerous publications on healthcare, urban planning, architecture and the history of architecture in the Soviet Union. M u LT I - D O C TO R P R aC T I C E Diagrammatic plans, to scale 1:400 Floor plans, to scale 1:200 BSMT 9 1 Waiting area 2 Patient toilet G 3 Store room 4 Patient toilet L 5 Staff changing cubicle 6 Patient changing cubicle Treatment room Patient shower Patient toilet Training room Staff toilet Staff shower Washroom Equipment room Office Fitness room Store room Inhalation room Consultation room Clean linen store room 21 Anteroom 22 Office 23 Reception 24 Dirty linen store room 25 Examination and treatment room 26 Admissions manager’s office 27 Clerical services office 28 Coding office 29 Relatives’ lounge 30 Assistant dietician’s office 31 Film processing 32 Examination HRT 33 Patient transfer room 34 Examination mammography 35 Installations room 36 Examination X-ray 37 Admissions room 38 Examination CT 39 Computer room 40 Switch room 41 Darkroom 42 Doctor’s office 43 Psychiatry office 44 Doctor’s office 45 Examination endoscopy 46 Prep room endoscopy 47 Quiet room 48 Sterile goods store room 49 Equipment preparation 50 Samples laboratory 51 Outpatient lounge 52 Administrative office 53 Examination psychiatric outpatient 54 Library 55 Examination room psychiatry 56 Blood analysis laboratory 7 8 9 10 11 12 13 14 15 16 17 18 19 20 3 10 13 12 8 15 11 7 6 13 10 12 16 4 5 14 14 14 14 13 17 18 1 10 Philipp Meuser 2 19 3 14 14 2 14 28 27 29 14 20 21 26 5 5 5 25 22 61 64 65 44 57 6 68 66 58 9 63 63 25 9 66 66 67 1 6 48 48 6 17 17 42 46 47 69 45 49 45 9 9 51 11 11 50 75 9 6 44 55 54 9 72 4 8 53 70 73 1 43 1 1 52 71 72 2 42 66 74 42 33 6 6 34 9 36 1 5 82 6 76 80 83 84 36 35 5 40 77 42 6 32 81 78 37 22 39 82 82 79 9 31 41 40 1 5 38 6 92 85 6 30 36 1 35 85 1 5 86 29 89 91 90 87 28 1 1 1 88 27 93 73 100 1 27 96 74 95 94 98 26 99 97 1 101 72 2 17 9 105 102 3 9 102 106 104 103 102 60 1 1 4 102 8 5 7 25 6 6 5 25 6 8 8 9 9 7 6 24 25 6 10 6 5 7 6 6 8 23 7 5 8 11 12 22 13 21 16 5 20 14 19 15 22 3 GF 5 This interplay is potentialised where all three elements are brought together — just as several different medications taken together may cause pharmaceutical interaction. The interaction profile of colour, shape and material should therefore be professionally coordinated with the corporate identity, so that it corresponds with the corporate philosophy. There, where people feel at home, heal or recover, the interplay between the interior design elements should be designed with the greatest possible care and circumspection. Depending on the given functional area of the pharmacy — whether over-the-counter sales and cash desk, self-service or over-the-counter display, whether prescriptions or advice — different goals are being pursued with regard to the stimulation of emotions and actions. The potential psychological effects of colours, shapes, and materials must be deployed and combined here in a carefully targeted manner. The suggestive strength and unconscious effect of colours were known long before Goethe’s colour circle. Depending on the intensity of the shade and degree to which they are used, yellow and red, blue and green, or black and white in all their tones and shades can spark off a huge variety of responses. In the healthcare area, and thus also in pharmacies, no general statement can be made on whether there are colours which are more likely to encourage recovery and well-being than 6 others. Thus white was traditionally seen as the [non] colour of the healing professions, but has lost ground continually since colour psychology became a fixed feature of the interior design of pharmacies, medical practices, and clinics. The situation is similar with regard to the selection of shapes and materials. Curves always appear softer than sharp edges and are also employed at a superordinate level in pharmacies: Wherever the space of the dispensary permits, bends and curves can be used to steer the paths of customers and patients. The psychology of paths can be applied, people’s automatic tendency to veer to the right can be taken into account, and customers can be unconsciously steered to the self-ser vice section if there is sufficient space in the sales area. The choice of suitable materials for a pharmacy is made in light of functionality and aesthetics. Where robustness and durability are required, they must also be guaranteed. For, just as a pharmacy’s corporate identity is built to last, equally, the interior design of the pharmacy should not be subject to frequent change or, even worse, display signs of wear and tear. A corporate identity is not a fashion statement and its visual must also communicate constant sustainability and tangible authenticity. If the personality of the pharmacy is best expressed in a glowing shade of orange then the communication of this personality can outlive any 7 FURTHER READING Antonoff, Roman: CI-Report 13. Darmstadt 2004. trend using precisely this colour, or possibly only using it as a highlight, in the pharmacy. Fashion consciousness however is no contradiction to a corporate identity geared to the long term. A good corporate identity can also be implemented by means of effective, topical advertising strategies and measures. This is a question of nuances, details — it is not about the pharmacy as a whole. It should be made clear here, that “measures” refers not just to the design of eye-catching posters and advertisements. Rather, it is the choice of product range, the type and way in which goods are placed, and the question of whether customers are addressed in a loud or quiet manner — all elements which are just as important as the consistent use of the corporate design. Even the training of employees with regard to providing expert advice during special, target grouporiented campaigns or in the areas of starting conversation, question techniques or handling objections, is an element of customer-oriented corporate identity. The interior design of a pharmacy is more than the harmonious composition of various functional areas to create a pretty dispensary, because an “attractive” pharmacy is either the expression of a corporate culture or it is an empty façade — and today’s customers and patients are well able to differentiate between exactly the two. 8 9 Bürger, Klaus R.: Apothekenarchitektur — funktionsgerecht & ästhetisch. In: Offprint Anzag Magazin. Frankfurt/Main 1997. Damaschke, Sabine/Scheffer, Bernadette: Apotheken. Planen, Gestalten und Einrichten. Leinfelden-Echterdingen 2000. Kreft, Wilhelm: Ladenplanung. Merchandising – Architektur. Strategie für Verkaufsräume: Gestaltungs-Grundlagen, Erlebnis -Inszenierungen, Kundenleitweg, Planungen. Leinfelden-Echterdingen 1993 . Weis , H. C.: Marketing. Ludwigshafen 1997. PCP FUNCTION GROUP FUNCTION UNIT FUNCTIONAL ELEMENT 1 1.1 1.2 1.3 1.3.1 1.3.2 1.4 1.4.1 1.4.2 Patient rooms Reception room Waiting room with cloakroom Patient lavatory [L] Anteroom Lavatory Patient lavatory [G] Anteroom Lavatory 2 2.1 Examination and treatment rooms Examination and treatment room [Consultation room] Examination room and changing facilities Laboratory 2.2 2.3 The function scheme for the medium-sized multi-doctor practice includes additional rooms for the function groups Specialist Medical Rooms and Supply and Disposal Rooms. In addition there will also be a multi-purpose room and a technical room [Fig. 25]. LIGHT ExPOSURE USAbLE FLOOR IN SQM 40 ° ° 14 22 l l 1 1 l l 1 1 GROUND PLAN | Retention of the previous ground plan structure shows that the limits of this form have been reached. A central corridor should not extend any further. A longer corridor is unacceptable, not only because of the long distances but also for design reasons [Figs. 26 and 27]. The alternative ground plan developed specifically for the medium-sized multi-doctor practice contains the same rooms, but needs 10 % more floor area after deducting the inner courtyard. The reason for the introduction of the inner courtyard in this schematic ground plan is the need to light all the practice rooms with natural daylight. Even so, the inner courtyard increases the overall quality of the design [Figs. 28 and 29]. 42 ° ° ° 22 8 12 3 3.1 Specialist medical rooms Examination room — Ultrasound l 8 4 4.1 Administration rooms Office ° 10 5 5.1 5.2 5.2.1 5.2.2 5.3 5.3.1 5.3.2 5.4 5.4.1 5.4.2 5.5 5.5.1 5.5.2 Offices and staff rooms Staff rest room with pantry Staff changing facilities — L Changing facilities Shower Staff changing facilities — G Changing facilities Shower Staff lavatory [L] Anteroom Lavatory Staff lavatory [G] Anteroom Lavatory ° 12 8 £ 8 2 6 6.1 6.2 6.3 Supply and waste disposal rooms Work room — Unclean Stores Cleaner’s room 10 Unlike the initial scheme, in which natural daylight penetrates the building both via the ends of corridors designed to allow the passage of light and via the central reception and waiting area, the alternative scheme seems to be flooded with light via the ends of four corridors designed to allow the passage of light, the similarly lightfilled reception and waiting area and the inner courtyard [Fig. 30]. 32 l £ l 4 2 l l 1 1 l l 1 1 ° 6 8 4 10 5.5 18 l l 5.3 5.4 2.1 5.2 5.1 5.1 2.2 2.3 150 6.3 6.2 4.1 1.3 1.1 GROUND PLAN | The structure of the ground plan is the same as that of the medium-sized multi-doctor practice variant [Figs. 33 and 34]. Because of the enlargement and different uses of some rooms, the office and the multi-purpose room must be accommodated by the inner courtyard. The two connections for the examination and treatment rooms have been lengthened by the addition of some 5.2 5.3 2.2 5.4 2.1 2.3 3.1 15 1.2 1.4 978-3-86922-177-9 (English) FUNCTIONAL AND SPATIAL ALLOCATION PLAN AND FUNCTION SCHEME | The group of Multi-Doctor Practices begins at over 400 square metres of usable floor space. There is practically no upper space limit because these projects also include large medical buildings which can house up to 40 practices and more. Assuming an average minimum size of 60 square metres for a specialist 1.3 6.1 Schiller Apotheke, Heidenheim White is no longer the rule of thumb when designing healthcare amenities: rich red … Michaels Apotheke, Winterbach … dark blue, 6 Adler Apotheke, Göppingen … delicate green, 7 Hardt Apotheke, Hambrücken … restrained natural shades 8 Burg Apotheke, Grefrath-Oedt Customer orientation in loving detail: flowers at the cash desk 9 Aurelia Apotheke, Baden-Baden Beautifully staged dispensary in a city of culture 10 Alte Apotheke, Scheven An awareness of tradition is demonstrated all the way through to lounge and consulting room, old values with a modern twist. Standards for a large multi-doctor practice Recent developments in health care policy tend to concentrate outpatient care increasingly in large high-performance and economically efficient centres. The large multi-doctor practice is one of the first facilities of this type. Additionally, in Germany, hospital outpatient departments, medical centres, diagnostic centres, medical care centres and health centres have also sprung up. Essentially, these are also large multi-doctor practices but follow a different care approach. medical practice, then the medical centre referred to above would have at least 2,400 square metres of usable floor space. The example chosen here has seven specialist medical practices with a usable floor space of 500 square metres [Fig. 31]. In comparison with the medium-sized multi-doctor practice, four specialist examination and treatment rooms have been added. The available space for the remaining rooms has been expanded and given different uses. With regard to the function groups Patients, Specialist Medical Rooms, Administration Rooms, and Service and Staff Rooms and compared with the previous model, the function scheme for large multi-doctor practices shows that some individual rooms have been enlarged and given different uses, whereas the remaining function groups have merely been given more usable floor space. The linear arrangement of the related function groups displays a high degree of clarity and order. As for the supply and disposal rooms, the sterilisation rooms are, for functional reasons, situated in the vicinity of the specialist medical rooms [Fig. 32]. 1.2 1.4 6.3 4 A comparison of the distances to be walked shows, for example, that the distances between the furthest apart specialist medical rooms, measured from the middle of the door walls, are more or less the same [16.0 metres and 16.5 metres]. The central location of the staff rooms means that these distances are acceptable. Even if some distances should be a little longer, they would not pose a problem, as they would be balanced by the enhanced experience of the alternative. 3.1 5.5 6.1 Usable floor of a medium-sized single-doctor practice 6.2 4.1 1.1 1.2 14 190 191 5 EUR 78.00 12 13 Diagrammatic plans, to scale 1:400 Floor plans, to scale 1:400 12 Example of a functional and spatial allocation plan for a medium-sized singledoctor practice 13 Function scheme of a medium-sized single -doctor practice 14 Standard ground plan of a medium-sized single-doctor practice, scale 1:200 15 Colour scheme for the ground plan of a medium-size single-doctor practice, scale 1:400 ISBN 978-3-86922-177-9 783869 221779 Verlag / Publisher: Pressekontakt / Public Relations: DOM publishers Caroline-von-Humboldt-Weg 20 10117 Berlin, Germany T +49. 30. 20 69 69 30 F +49. 30. 20 69 69 32 E-Mail: [email protected] www.dom-publishers.com gisela graf communications Schillerstraße 20 79102 Freiburg, Germany T +49. 761. 791 99 09 F +49. 761. 791 99 08 E-Mail: [email protected] www.gisela-graf.com L A B R YG A P R I N C I P L E S O F P L A N N I N G 118 119 18 1 and the willingness of employees and customers to communicate. At the same time, a genius loci must also be shaped, in which customers and patients feel safe, content, and well looked after. Good design has the aim of inspiring people, of making them stay, of arousing wishes, and of stimulating the imagination and ultimately, in terms of shop design’s functional aspects, the aim of enhancing people’s willingness to buy. This cannot be achieved in functional rooms in which the product-filled shelves lack emotional character. But where interior design serves its true purpose, it can convey aura and atmosphere, personality and a personal feel to people, thus rendering the corporate identity visible and making it tangible. As such, the design of pharmacies and other health amenities should, in particular, employ creative and sociopsychological expertise to complement the purely technical aspects of interior design. The elements which interior design can employ are both simple and complex: colour, shape, and material. Each element makes its very own statement and, in its individuality, has an effect on all those who come into contact with it. However, as soon as two or more colours, two or more shapes, two or more materials come together, the statement made by the individual element may no longer be valid, and the elements either mutually strengthen or foil each other: they enter into a dialogue. 4 7 24 Hardcover with elastic strap 9 42 62 62 17 47 46 47 225 × 280 mm 304 pages over 500 images 42 60 59 56 46 17 Medical Facilities and Health Care Construction and Design Manual with constributions by Klaus Bergdolt, Klaus R. Bürger and Franz Labryga (scientific advisor) 23 57 Washroom 58 Urine laboratory 59 Laboratory 60 Staff lounge 61 Laboratory monitoring 62 Laboratory reception 63 Specimen collection room 64 Gynaecology administrative office 65 Doctor’s office [gynaecology] 66 Examination 67 Administrative office 68 Admissions consulting room 69 On duty office 70 Doctor’s office [surgery] 71 Doctor’s administrative office 72 Patient toilet and shower 73 IT room 74 AV Elektro 75 Consultation room 76 Staff toilet and shower 77 Emergency doctor on duty office 78 Functional diagnostics reception 79 Examination ECG 80 Examination pulmonary function 81 Procedure room 82 Plaster room 83 Examination admissions 84 Treatment room surgery 85 Examination ultrasound 86 Examination ergometry 87 Examination EEG 88 Patient room 89 Washroom 90 Patient sluice 91 Treatment room shock therapy 92 Examination gynaecology 93 Waste disposal room 94 Waste disposal room 95 Supply room 96 Filing room 97 Emergency room 98 Clean store room 99 Small kitchen 100 Bed store area 101 Workroom unsterile 102 Admissions room 103 Admissions room for short-term inpatients 104 Admissions room for emergencies 105 Reception control centre 106 Accounts office R e d e s i g n | e x pa n s i o n 20 Examination X-ray 21 X-ray switch room 22 Examination ultrasound 23 Examination mammography 24 Private patients’ waiting area 25 Office 26 Telephonist’s office 27 Toilet for the disabled 28 Patient toilet L 29 Patient toilet G A m B U L A n C E I n h O S P I TA L 12 Examination magnetic resonance tomography [MRI] 13 Installations room MRI 14 Patient changing cubicle 15 MRI switch room 16 Treatment room 17 CT switch room 18 Changing cubicle for the disabled 19 Examination CT N e w Co N s t r u C t i o N 1 Coat-rack 2 Reception 3 Waiting area 4 Nuclear medicine switch room 5 Doctor’s consultation room 6 Nuclear medicine treatment room 7 Laboratory 8 Treatment room spray booth 9 Sluice 10 Patient toilet 11 Staff toilet a
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