Healthcare Design Basics

202 Pages·2023·6.382 MB·English

by  Saglinda H. Roberts, Kyra K. Tucker, Mark Karlen

H E A LT H C A R E
D E S I G N B A S I C S

H E A LT H C A R E
D E S I G N B A S I C S
MARK KARLEN,
PhD, AIA, NCIDQ (deceased)
SAGLINDA H ROBERTS,
Assistant Professor, Interior Architecture, Chatham University, PA, USA
KYRA K TUCKER,
Program Chair and Director, Interior Architecture Program, Chatham University,
PA, USA
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Library of Congress Cataloging-in-Publication Data
Names: Karlen, Mark, author. | Roberts, Saglinda, author. | Tucker, Kyra Krotec, author.
Title: Healthcare Design Basics/ Mark Karlen, Saglinda H. Roberts, Kyra Krotec Tucker.
Description: Hoboken, NJ: John Wiley & Sons, 2023. | Includes
bibliographical references and index.
Identifiers: LCCN 2023000320 (print) | LCCN 2023000321 (ebook) |
ISBN 9781119813675 (paperback) | ISBN 9781119813736 (pdf) |
ISBN 9781119813729 (epub)
Subjects: LCSH: Sustainable design—Textbooks
Classification: LCC QR111. P333 2023 (print) | LCC QR111 (ebook) |
DDC 579/.1757--dc23/eng/20230602
LC record available at https://lccn.loc.gov/2023000320
LC ebook record available at https://lccn.loc.gov/2023000321
Cover image(s): Courtesy of Saglinda H Roberts
Cover design: Wiley
CONTENTS
About the Authors ix
Acknowledgements xi
Chapter 1 Introduction 1
Organization 2
Design Exercises 2
Additional Resources 2
Getting the Most Out of This Book 3
Companion Website 3
Additional Resources 3
Chapter 2 Evidence-based Design 5
What Is Evidence-based Design (EBD) 5
Origins of Evidence-based Design – A Brief History 5
Importance to Design 6
Principles and Process 7
Attributes of Evidence-based Designers 8
Associated Organizations 9
Additional Resources 9
Chapter 3 General Elements of Healthcare 11
History of the US Medical System 11
Codes, Regulations and Industry Standards 12
Specialized Facility and Mechanical Requirements 12
Specialized Demands on Healthcare Workers 18
The Built Environment’s Role 18
Additional Resources 19
Chapter 4 Holistic Analysis 21
Stakeholders 21
v
vi
CONTENTS
Operating Standards, Codes, Profitability + Administrator’s
Perspectives 22
Holistic Analysis 22
Holistic Analysis of the Typology and Its Stakeholders 23
Case or Precedent Studies 24
Interviewing and Observation 25
Integrative Design 26
Summary 27
Additional Resources 27
Chapter 5 Room Requirements 29
Prototypical Space Requirements for Areas Found in Most
Healthcare Facilities 29
Technology 51
Resilience 51
Additional Resources 52
Chapter 6 Major Specialties 53
Pediatrics 53
Dentistry 55
Gerontology 59
Palliative Care 61
Psychological + Psychiatric Practice 61
Orthopedic Offices 63
Internal Medicine 65
Alternative + Naturopathic Medicine 66
Additional Resources 68
Chapter 7 Group Practices 71
Single Specialty Group Practices 71
Multiple Specialty Group Practices 71
Employed Physician Practices 72
General Considerations 72
Typical Shared Functions and Components 74
Additional Resources 77
Chapter 8 Clinic Practices 79
Community Health or Care Clinics 80
Urgent Care Facilities 82
Facility Specific Treatment Spaces 84
Additional Resources 85
Chapter 9 Specialized Ambulatory Centers 87
Ambulatory Surgery 88
Physical Therapy 91
Cancer Treatment Centers 93
Dialysis or Kidney Treatment Centers 96
Additional Resources 98
Chapter 10 Architectural Considerations 101
Sustainability 101
Structural Systems 103
Shell or Exterior Envelope 104
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CONTENTS
Mechanical Equipment + Technology 105
Interior Construction 106
Materials 111
Medical Equipment + Technology 111
Adaption + Resilience 112
Codes 113
Additional Resources 113
Chapter 11 Lighting 115
Review of Basic Lighting Principles 115
Natural Light 116
Artificial Light 119
Occupant Concerns 119
Additional Resources 123
Chapter 12 Interior Finishes + Furniture 125
Healthcare-Specific Considerations 125
Interior Finishes 127
Furniture 129
Additional Resources 131
Chapter 13 Biophilia 133
What It Is….and What It’s Not 133
Why Biophilia Is Important 134
Integrating Biophilic Elements 138
Attributes + Elements of Biophila 138
Application in Healthcare Facilities 141
Additional Resources 141
References 142
Chapter 14 Health + Well-Being 143
What Is Well-Being + Why Is It Important 143
Implications for Medical Facilities 143
Elements + Strategies in Healthcare Settings 144
Rating Systems that Address Well-Being 148
Foundations of a Healthy Building 149
Long-term Implications 150
Additional Resources 150
Appendix I Base Plans 153
Appendix II Assignments and Exercises 161
Glossary 173
Index 181

ABOUT
THE AUTHORS
Mark Karlen (1929–2022) was an architect, educator, and author with extensive expe-
rience working in and teaching in the field of interior architecture. His other titles
include Lighting Design Basics, Space Planning Basics, and Sustainable Design Basics.
Saglinda H Roberts is an Assistant Professor in the Interior Architecture program at
Chatham University and has over 30 years of extensive experience in a broad range
of project typologies. Her focused research is on the holistic analysis and integration of
stakeholder needs.
Kyra Krotec Tucker is Chair of the Interior Architecture & Immersive Media programs
at Chatham University and the principal of Kyra Tucker + Associates Interior Design.
She has over sixteen years’ experience working in commercial and healthcare design.
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