Commentary
Vol. 20 No. 2 (2022): New Horizons: Innovation in Medicine
Rethinking Modern Hospital Architecture Through COVID-19
University of California, Berkeley
Abstract
Lately, the premier ateliers of contemporary architecture -- such as Herzog & de Meuron, or the Office of Metropolitan Architecture -- are showing increasing interest in hospital design, once the realm of highly specialized architectural firms. This trend towards reevaluating hospital design and architecture is most opportune, as the COVID-19 pandemic urges us all to rethink the ways in which our healthcare institutions can be better designed. This commentary is a discussion on the emerging issues of contemporary hospital architecture, especially as reinforced by the pandemic. For instance, while hospital architecture today focuses on individualized care, providing each patient with hotel-like rooms, the pandemic has reminded us of the issue of capacity and inequality in these limited and costly spaces. To what extent should hospitals be centralized or decentralized? Specialized or despecialized? This commentary discusses how COVID-19 has provided insight into some of contemporary hospital architecture’s greatest problems; specifically, it argues that the hospital of the future must exist on a more decentralized platform, both physically and digitally, and be more flexible in function.
References
- Ravenscroft T. "Hospitals in drastic, drastic need of innovation" says Reinier de Graaf. Dezeen [Internet] 2021 March 3 [cited 2021 Jun 5]. Available from: https://www.dezeen.com/2021/03/03/hospitals-of-the-future-reinier-de-graaf/
- De Graaf R, Larsson H, Retegan A, Kouki A, Narkiewicz M, Abdurahman Y, et al. The Hospital of the Future [Internet]. Office of Metropolitan Affairs; 2020 [cited 2021 Jun 5]. Video: 12m. Available from: https://oma.eu/projects/the-hospital-of-the-future
- Binswanger C. 30th Arthur H. Schein Memorial Lecture: Christine Binswanger. [Internet] MIT Architecture; 2021 Apr 24 [cited 2021 Jun 5]. Video: 93 min. Available from: https://www.youtube.com/watch?v=Ra4U-aQ3gn8
- Adams A. Canadian hospital architecture: how we got here. CMAJ [Internet] 2016 [cited 2021 Sep 25]; 188, 370-371. doi.org/10.1503/cmaj.151233.
- Hu B, Guo H, Zhou P. et al. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol [Internet] 2021 [cited 2021 Jun 5]; 19, 141–154. doi.org/10.1038/s41579-020-00459-7.
- Sen-Crowe B, Sutherland M, McKenney M, Elkbuli A. A Closer Look Into Global Hospital Beds Capacity and Resource Shortages During the COVID-19 Pandemic. J Surg Res [Internet] 2021 [cited 2021 Jun 5]; 260, 56-63. doi.org/10.1016/j.jss.2020.11.062.
- Conlen M, Keefe J, Sun A, Leatherby L, Smart C. How Full Are Hospital I.C.U.s Near You? The New York Times [Internet] 2021 Dec 16 [cited 2021 Jun 5]. Available from: https://www.nytimes.com/interactive/2020/us/covid-hospitals-near-you.html
- Deschepper M, Eeckloo K, Malfait S. et al. Prediction of hospital bed capacity during the COVID− 19 pandemic. BMC Health Serv Res [Internet] 2021 [cited 2021 Jun 5]; 21, 468. doi.org/10.1186/s12913-021-06492-3.
- Remuzzi A, Remuzzi G. COVID-19 and Italy: what next? Lancet [Internet] 2020 [cited 2021 Jun 5]; 395, 1225-1228. doi.org/10.1016/S0140-6736(20)30627-9.
- Pilosof NP. Planning for Change: Hospital Design Theories in Practice. AIA Academy of Architecture for Health Journal [Internet] 2005 [cited 2021 Jun 5] 8, 13-20.
- Stall N. Private rooms: evidence-based design in hospitals. CMAJ [Internet] 2012 [cited 2021 Jun 5]; 184, 162-163. doi.org/10.1503/cmaj.109-4079.
- Martin D, Nettleton S, Buse C, Prior L, Twigg J. Architecture and Healthcare: A Place for Sociology. Sociol Health Illn [Internet] 2015 [cited 2021 Jun 5]; 37, 1007-1022. doi.org/10.1111/1467-9566.12284.
- Al-Amin M, Zinn J, Rosko MD, Aaronson W. Specialty hospital market proliferation: Strategic implications for general hospitals. Healthcare Manage Rev [Internet]. 2010 [cited 2021 Jun 5]; 35, 294-300. doi.org/10.1097/HMR.0b013e3181e04a06.
- Dash P, Henricson C, Kumar P, Stern N. The hospital is dead, long live the hospital! McKinsey [Internet] 2021 May 27 [cited 2021 Jun 5]. Available from: https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/the-hospital-is-dead-long-live-the-hospital
- Tung EL, Hampton DA, Kolak M, Rogers SO, Yang JP, Peek ME. Race/Ethnicity and Geographic Access to Urban Trauma Care. JAMA Netw Open [Internet] 2019 [cited 2021 Jun 5]; 2:e190138. doi.org/10.1001/jamanetworkopen.2019.0138.
- Scott E. 4 Reasons Coronavirus is Hitting Black Communities So Hard. Washington Post [Internet] 2020 [cited 2021 Jun 5]. Available from: https://www.washingtonpost.com/politics/2020/04/10/4-reasons-coronavirus-is-hitting-black-communities-so-hard/
- Richterman A, Meyerowitz EA, Cevik M. Hospital-Acquired SARS-CoV-2 Infection: Lessons for Public Health. JAMA [Internet] 2020 [cited 2021 Jun 5]; 324, 2155–2156. doi.org/10.1001/jama.2020.21399.
- Cilliers L, Retief FP. The evolution of the hospital from antiquity to the end of the middle ages. Curationis [Internet] 2002 [cited 2021 Jun 5]; 2, 60-6. doi.org/10.4102/curationis.v25i4.806.
- Wall BM. History of Hospitals. Penn Nursing [Internet] [cited 2021 Jun 5]. Available from: https://www.nursing.upenn.edu/nhhc/nurses-institutions-caring/history-of-hospitals/
- Verderber S. Innovations in Behavioral Health Architecture. Routledge; 2018.
- Ulrich RS. View through a window may influence recovery from surgery. Science [Internet] 1984 [cited 2021 Jun 5]; 224, 420-1. doi.org/10.1126/science.6143402
- Ulrich RS, Zimring C, Zhu X, DuBose J, Seo HB, Choi YS, Quan X, Joseph A. A review of the research literature on evidence-based healthcare design. HERD [Internet] 2008 [cited 2021 Jun 5]; 1, 61-125. doi.org/10.1177/193758670800100306
- Friedman M. Capitalism and Freedom. University of Chicago Press. 2002 [cited 2021 Sep 25].
- Dash P, Chen B, Stern N. Hospital Care in 2030. McKinsey [Internet] 2020 [cited 2021 Jun 5]. Available from:https://www.mckinsey.com/industries/healthcare-systems-and-services/our-insights/hospital-care-in-2030
- Vatandoost M, Litkouhi S. The Future of Healthcare Facilities: How Technology and Medical Advances May Shape Hospitals of the Future. Hospital Practices and Research [Internet] 2019 [cited 2021 Jun 5]; 4, 1-11. doi.org/10.21859/HPR-0104146
- Stokel-Walker C. Why telemedicine is here to stay. BMJ [Internet] 2020 [cited 2021 Jun 5]; 371, m3606. doi.org/10.1136/bmj.m3603
- Chowdhury A. Telemedicine’s Rise has been Accelerated by the Pandemic - But it should be Part of the New Normal. Glob Policy [Internet] 2021 [cited 2021 Jun 5]. Available from: https://www.globalpolicyjournal.com/blog/21/05/2021/telemedicines-rise-has-been-accelerated-pandemic-it-should-be-part-new-normal
- Landi H. Patients want to keep using virtual care after COVID-19 pandemic ends, survey finds. Fierce Healthcare [Internet] 2020 [cited 2021 Jun 5]. Available from: https://www.fiercehealthcare.com/practices/patients-want-to-keep-using-virtual-care-after-covid-19-pandemic-ends-survey-finds
- Dayal P, Hojman NM, Kissee JL, Evans J, Natale JE, Huang Y, Litman RL, Nesbitt TS, Marcin JP. Impact of Telemedicine on Severity of Illness and Outcomes Among Children Transferred From Referring Emergency Departments to a Children's Hospital PICU. Pediatr Crit Care Med [Internet] 2016 [cited 2021 Jun 5]; 17, 516-21. doi.org/10.1097/PCC.0000000000000761
- Garneski S, Hamilton D. Poor Access to a Trauma Center Linked to Higher Prehospital Death Rates in More Than Half of U.S. States. 2018 Clinical Congress of the American College of Surgeons; 2018 Oct 21-25; Boston, MA. Available from: https://www.facs.org/media/press-releases/2018/hashmihaider102218
- Carr BG, Bowman AJ, Wolff CS, et al. Disparities in access to trauma care in the United States: A population-based analysis. Injury [Internet] 2017 [cited 2021 Jun 5]; 48, 332-338. doi.org/10.1016/j.injury.2017.01.008.
- Hafner K. Fear of Covid-19 Leads Other Patients to Decline Critical Treatment. The New York Times [Internet] 2020 [cited 2021 Jun 5]. Available from: https://www.nytimes.com/2020/05/25/health/coronavirus-cancer-heart-treatment.html
- Medecins Sans Frontieres. As COVID-19 spreads, fear drives people away from hospitals in Yemen [Press release on Internet] 2020 [cited 2021 Jun 5]; Available from: https://www.msf.org/covid-19-spreads-fear-drives-people-away-hospitals-yemen
- Avtar R, Chakrabarti R, Pinkovskiy M. Unequal Burdens: Racial Differences in ICU Stress during the Third Wave of COVID-19. Liberty Street Economics [Internet] 2021 Aug 9 [cited 2021 Sep 25]. Available from: https://libertystreeteconomics.newyorkfed.org/2021/08/unequal-burdens-racial-differences-in-icu-stress-during-the-third-wave-of-covid
- Tynan A, November E, Lauer J, Pham HH, Cram P. General hospitals, specialty hospitals and financially vulnerable patients. Res Brief [Internet] 2009 [cited 2021 Jun 5]; 11, 1-8. PMID: 19452678
- Dummit LA. Specialty Hospitals: Can General Hospitals Compete? [Internet] Washington (DC): National Health Policy Forum; 2005 [cited 2021 Jun 5] Issue Brief, No. 804. Available from: https://www.ncbi.nlm.nih.gov/books/NBK559789/
- Verderber S. Pandemical healthcare architecture and social responsibility — COVID-19 and beyond [Internet]. University of Toronto Centre for Design+Health Innovation White Paper. 2021 Feb 26 [cited 2021 Sep 25]; Available from: https://www.daniels.utoronto.ca/pandemical-healthcare-architecture-and-social-responsibility-covid-19-and-beyond
- Bostock B, Pickrell R. China just completed work on the emergency hospital it set up to tackle the Wuhan coronavirus, and it took just 10 days to do it. Business Insider [Internet] 2020 [cited 2021 Jun 5]; Available from: https://www.businessinsider.com/photos-wuhan-coronavirus-china-completes-emergency-hospital-eight-days-2020-2
- Campus Hospitalo-Universitaire Saint-Ouen Grand Paris-Nord. Campus hospitalo-universitaire Saint-Ouen Grand Paris Nord : Renzo Piano Building Workshop, lauréat du concours du futur hôpital! [Internet] Paris, France. [updated 2021 May 3; cited 2021 Sep 25]. Available from: http://campus-hopital-grandparis-nord.fr/renzo-piano-laureat-hopital-nord/
Downloads
Download data is not yet available.
Similar Articles
You may also start an advanced similarity search for this article.