IPH - Institute of Hospital Research

Publications IPH Magazine Revista IPH Nº17

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Download Revista IPH Nº17 May / 2021
It was with great pleasure that I accepted IPH's invitation to help organize the new issue of their magazine, a publication known for the quality of its contribution to the technical and scientifical knowledge concerning healthcare facilities. One of the late Jarbas Karman's main legacies, the IPH Magazine offers a priceless space for reflection and exchange of experiences among professionals, scholars, and researchers, serving as a true "platform engaged in disseminating ideas, research projects, innovations, projects and plans", as Karman himself described in his editorial for the first issue, published in February 2001. 

Celebrating the twentieth anniversary of this successful journey, this 17th issue includes seven unpublished articles, with contributions from renowned professionals and invited researchers from Brazil, Japan, Sweden, Italy, and the United States, as well as papers submitted to the magazine's editorial team. This edition also includes the collaboration of Prof. Elza Costeira, who reviewed the recent edition of "Feitos para Curar - A arquitetura e o processo projetual no Brasil", a book written by architect Luiz Carlos Toledo, a must-read for everyone interested in hospital architecture. 

From Toyo University, professor Kazuhiko Okamoto presents a study about the development of the concept Growth and Change, proposed by British architect John Weeks, in hospital architecture in Japan. In his study, Prof. Okamoto demonstrates how Weeks' theoretical approach related with and resonated among the existing practices in Japan from the end of the 60's and its influence in several Japanese hospital designs. 

In another article, a group of researchers from Chalmers University of Technology presents a qualitative study concerning the outcomes of a reform carried out in the Swedish health system, which tried to achieve, through a strategy based on decentralization making "healthcare closer to people". The study presents an overview on the repercussions and tensions arising from the implementation of local hospitals and, more generally, other decentralized public services in the management of the healthcare network. 

From Italy, researchers from the Polytechnic Institute of Milan discuss how COVID-19 pandemic has affected the tendencies in designing healthcare facilities, using as background the Decalogue for Resilient Hospitals, a study whose purpose was to indicate the main strategies to be considered when designing new hospitals and remodeling existing ones. By listing several strategies that can be used by designers, during both the hospital design and operations, researchers Stefano Capolongo, Marco Gola and Andrea Brambilla emphasize that the current pandemic has led to an extreme change in how healthcare services work, accelerating innovation and transformation processes.

For his contribution, architect and professor Haroldo Pinheiro presents a reflection on how the concepts of spatial flexibility and extensibility were applied on hospitals planned by João Filgueiras Lima, aka Lelé. From his experience gathered during the development of several projects when he teamed up with Lelé, Haroldo highlights the building elements and solutions from iconic designs for the Sarah Group, especially the units built in Brasília and Salvador (Brazil), enriching his text with historical details and valuable drawings and photographs from his personal collection. 

From Clemson University (USA), researchers David Allison, Herminia Machry and Anjali Joseph present the outcomes of a study concerning the design of ambulatory operating rooms. Initially, they seek to map, through case studies and visits, potential flow disruptions and other interferences that may be a hazard for the numerous activities involved in the daily routine of such settings. The researchers then present the design process of an ambulatory OR prototype, a study centered on evidence-based design recommendations, computer-based simulations and lessons learned with a post-occupancy evaluation of existing facilities. The prototype development included high-fidelity mock-ups in an iterative process that started with designing, continued with production and, finally, went to a phase of redesigning. The study findings include several recommendations on the dimension and layout of ambulatory ORs.

Researchers Chayane Galvão and Jonathas Silva, from PUC Campinas, present a discussion concerning the architectural evolutions of healthcare settings regarding social, technological, and legislative influences, highlighting the design solutions aimed at the control of hospital infections. By reviewing Chapecó Regional Hospital design, desined by architect Irineu Breitman, the authors identified design elements adopted by the architect with the purpose of decreasing the dissemination of hospital-acquired infections. 

Finally, the architect and researcher Katia Fugazza presents a historical overview of design solutions concerning natural ventilation within healthcare settings. Her study, which is a consequence from her master's dissertation, shows the timeline of natural ventilation solutions in hospital design throughout history, stressing its importance and illustrating with several examples of renowned designs.

We hope the variety and richness of topics presented in this issue of the IPH Magazine serve as more than just a source of research, but also as inspiration and encouragement for everyone currently or willing to work with technical-scientific production related to healthcare settings. This area's complexity and ever-growing technological evolution require constant new investigations and research and, after two decades of existence, the IPH Magazine reaffirms its commitment to keep its doors always open for imparting high-quality information.


Enjoy your reading!

Prof. Architect Marcio Nascimento de Oliveira

  • IPH Magazine #17 Prof. Arq. Marcio Nascimento de Oliveira
  • COVID-19 pandemic and the trends in healthcare design: insights from the "Decalogue for Resilient Hospitals" Stefano Capolongo, Andrea Brambilla and Marco Gola - Instituto Politecnico di Milano, Italy The COVID-19 pandemic has stressed the healthcare systems at global scale with specific regards to hospital organizations and facilities. The surge in infections and the huge number of critically ill patients has tested the flexibility of architectures for health forcing organizations to quickly adapt and exploit ad-hoc emergency solutions. The paper proposes insights from the "Decalogue for Resilient Hospitals" which includes a series of design strategies and considerations applicable...
  • Healthcare closer to people: A qualitative study of a Swedish reform on healthcare delivery Erika Eriksson, Göran Lindahl, Patrik Alexandersson, Sofia Park and Henrike Almgren - Chalmers University of Technology, Sweden The purpose of this paper is to explore the considerations and potential effects of moving healthcare closer to people by drawing from the planning process of a regional initiative to establish two local hospitals in Sweden. Three main dimensions were identified: (i) closeness; (ii) collaboration, (iii) citizen and patient involvement. The interconnectedness among the three main dimensions was found to be important for understanding the new landscape resulting of the Swedish reform of...
  • Spatial flexibility and extensibility in hospitals designed by João Filgueiras Lima Haroldo Pinheiro The detailed study of multiple elements constituting a building is a constant practice in the design process employed by architect João Filgueiras Lima, aka Lelé; and the logical interaction among these components is a purpose he cultivates with obstinacy. His work, especially in hospitals, reflects a high alignment of construction systems to favor building efficiency. In this article, I comment on some of these contributions from my own point of observation, since I had the opportunity to...
  • Design Insights from a Research Initiative on Ambulatory Surgery Operating Rooms in the U.S. David Allison, Herminia Machry and Anjali Joseph - Clemson University, USA This paper reports on significant physical design implications and findings of a multidisciplinary iterative research-design-prototype initiative focused on the development and systematic evaluation of an ambulatory surgery operating room (OR) prototype. The overall goal of this project was to design a safer, more ergonomic, and efficient OR prototype for ambulatory surgery through evidence-based research that can inform the design of future ambulatory surgery ORs. The methodology involved...
  • A study on the development of the concept growth and change on hospital architecture in Japan Kazuhiko Okamoto - Toyo University, Japan This study aims to find how the concept Growth and Change on hospital architecture proposed by U.K. architect John Weeks has been introduced and developed in Japan. Literature review and interviews were carried out and the findings are as follows; 1) John Weeks was introduced to Japan by Professor Makoto Ito in 1965 followed by Weeks' concept Growth and Change by Professor Tadashi Yanagisawa in 1969 while similar concept has already been found by Rintaro Mori in 1899 and theorized by Masao...
  • A study on hospital infection control through architecture in 1980: Chapecó Regional Hospital case study Chayane Galvão and Jonathas Magalhães Pereira da Silva - PUC Campinas, Brazil This article is part of a master's research that seeks to investigate architectural developments in healthcare spaces through social, technological, and legislative influences. Part of the work presented here seeks to exemplify and illustrate by means of a case study of how Infectious-Predictive Architecture appeared in Brazil between 1974 and 1994. The Hospital Regional de Chapecó (Santa Catarina), designed by Irineu Breitman in 1980, is analyzed with markings and re-reading of the design...
  • Natural ventilation for hospitalization environments: historical aspects Kátia Maria Macedo Sabino Fugazza - UFRJ, Brazil This article derives from the master's thesis presented in 2020, entitled "The Path of the Winds: The Perception of Natural Ventilation in Hospitalization Environments" presented to the Post-graduation Program in Architecture at the Federal University of Rio de Janeiro. This work focuses on the historical background of healthcare environments with an emphasis on natural ventilation to thus evaluate the changes throughout the process of admitting users.
  • Hospital architecture and its propositions for beginners and experts Elza Costeira, Brazil Rio Books publishing house, teamed up with IPH and based on the great interest in hospital architecture, is pleased to announce the release of a new and revisited edition of Made for Healing - Architecture and Design Process in Brazil, by Luiz Carlos Toledo. The book results from the architect and urban planner's master's thesis and was published in 2006 in partnership with ABDEH. Even though it was sold out, it was still in great demand by students and architecture professionals eager to...
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