Technology has advanced swiftly in recent years and is still proceeding with associated alterations in multiple areas, including hospital, functionally and structurally. The transformation of the role and function of the hospital through the years has been metamorphic. Future uncertainties are considered the major challenges for healthcare designers. Healthcare facilities should be planned in a flexible way to address these future uncertainties and have the capability to adapt to changes. There is a significant gap between theoretical statements emerged in literature and the practical application of flexibility within the healthcare context. Several assumptions, terminology, and strategies that are shared in academic environments seem to be rarely applied in practical examples in design or construction fields. This research aims to examine the relationship between theoretical statements and practical experiences in the realm of flexibility in healthcare architecture. This is to determine and cover the gap between theory and practice through the provision of innovative tools and methodologies to help hospital planners and designers. The objective of this research is to design an assessment tool that is based on a comprehensive list of flexibility principles for designers to evaluate their healthcare facilities proposals during designing and planning process in order to identify to what extent their healthcare facilities follow and implement the flexibility principles. It investigates the available literature about flexibility in healthcare design, the most contemporary and innovative hospitals that apply flexibility principles to guarantee future proofing, and the main criteria for evaluating flexibility in hospital design. Following an Evidence Based Design research approach through analyzing state of the art and selected innovative case studies and evaluating them using the “Assessment Tool for Open Building Flexibility”, it was concluded that there is a necessity of developing a more elaborated, multi-layered and comprehensive assessment tool that considers emerged principles through an optimized assessment with a wider spectrum of principles with the minimum possible ambiguity levels. This comprehensive research resulted in developing Optimized Flexibility Assessment Tool for Hospital Planners (OFAT) for designers to evaluate to what extent a healthcare facility, which is still in the design process or already existing, follows the principles of flexibility.
La tecnologia è progredita rapidamente negli ultimi anni e sta ancora procedendo con le alterazioni associate in più aree, incluso l'ospedale, funzionalmente e strutturalmente. La trasformazione del ruolo e della funzione dell'ospedale nel corso degli anni è stata metamorfica. Le incertezze future sono considerate le principali sfide per i progettisti sanitari. Le strutture sanitarie dovrebbero essere pianificate in modo flessibile per affrontare queste incertezze future e avere la capacità di adattarsi ai cambiamenti. C'è un divario significativo tra le dichiarazioni teoriche emerse in letteratura e l'applicazione pratica della flessibilità nel contesto sanitario. Numerose ipotesi, terminologia e strategie condivise in ambienti accademici sembrano essere applicate raramente in esempi pratici in campi di progettazione o costruzione. Questa ricerca ha lo scopo di esaminare la relazione tra affermazioni teoriche ed esperienze pratiche nel campo della flessibilità nell'architettura sanitaria. Questo per determinare e coprire il divario tra teoria e pratica attraverso la fornitura di strumenti e metodologie innovative per aiutare i progettisti e i progettisti ospedalieri. L'obiettivo di questa ricerca è quello di progettare uno strumento di valutazione basato su un elenco completo di principi di flessibilità per i progettisti per valutare le proposte delle loro strutture sanitarie durante la progettazione e il processo di pianificazione al fine di identificare in che misura le loro strutture sanitarie seguono e attuare i principi di flessibilità . Indaga la letteratura disponibile sulla flessibilità nella progettazione sanitaria, gli ospedali più moderni e innovativi che applicano i principi di flessibilità per garantire le prove future e i criteri principali per valutare la flessibilità nella progettazione ospedaliera. Seguendo un approccio di ricerca basato sul progetto basato sull'evidenza attraverso l'analisi dello stato dell'arte e la selezione di casi studio innovativi e la loro valutazione utilizzando lo "Strumento di valutazione per la flessibilità dell'edificio aperto", si è concluso che è necessario sviluppare un più elaborato, multilivello e strumento di valutazione globale che considera i principi emersi attraverso una valutazione ottimizzata con uno spettro più ampio di principi con i livelli minimi di ambiguità possibili. Questa ricerca completa ha portato allo sviluppo di uno strumento di valutazione della flessibilità ottimizzata per i pianificatori ospedalieri (OFAT) per consentire ai progettisti di valutare in che misura una struttura sanitaria, che è ancora in fase di progettazione o già esistente, segue i principi di flessibilità.
Flexibility paradox between theory and practice. Optimization of an assessment tool for hospital planners
ELSHAZLY, WALEED ASHRAF HASHEM MUHAMMAD;GHAZY, AHMED ABDELRAHMAN SAAD ELSAID
2019/2020
Abstract
Technology has advanced swiftly in recent years and is still proceeding with associated alterations in multiple areas, including hospital, functionally and structurally. The transformation of the role and function of the hospital through the years has been metamorphic. Future uncertainties are considered the major challenges for healthcare designers. Healthcare facilities should be planned in a flexible way to address these future uncertainties and have the capability to adapt to changes. There is a significant gap between theoretical statements emerged in literature and the practical application of flexibility within the healthcare context. Several assumptions, terminology, and strategies that are shared in academic environments seem to be rarely applied in practical examples in design or construction fields. This research aims to examine the relationship between theoretical statements and practical experiences in the realm of flexibility in healthcare architecture. This is to determine and cover the gap between theory and practice through the provision of innovative tools and methodologies to help hospital planners and designers. The objective of this research is to design an assessment tool that is based on a comprehensive list of flexibility principles for designers to evaluate their healthcare facilities proposals during designing and planning process in order to identify to what extent their healthcare facilities follow and implement the flexibility principles. It investigates the available literature about flexibility in healthcare design, the most contemporary and innovative hospitals that apply flexibility principles to guarantee future proofing, and the main criteria for evaluating flexibility in hospital design. Following an Evidence Based Design research approach through analyzing state of the art and selected innovative case studies and evaluating them using the “Assessment Tool for Open Building Flexibility”, it was concluded that there is a necessity of developing a more elaborated, multi-layered and comprehensive assessment tool that considers emerged principles through an optimized assessment with a wider spectrum of principles with the minimum possible ambiguity levels. This comprehensive research resulted in developing Optimized Flexibility Assessment Tool for Hospital Planners (OFAT) for designers to evaluate to what extent a healthcare facility, which is still in the design process or already existing, follows the principles of flexibility.| File | Dimensione | Formato | |
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FLEXIBILITY PARADOX BETWEEN THEORY AND PRACTICE_OPTIMIZATION OF AN ASSESSMENT TOOL FOR HOSPITAL PLANNERS.pdf
Open Access dal 08/04/2023
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https://hdl.handle.net/10589/153702