中美医疗设计对比上海

： ,China US Healthcare Design Compare Analysis 中美医疗设计对比分析,WARNER Architecture Studio华纳鸿业建筑设计咨询（北京）有限公司,ALAN J WARNER艾伦 杰 华纳,WARNER ARCHITECTURE STUDIO,AIA美国注册建筑师美国绿色建筑协会辛辛那提分会主席1990-2008年美国GBBN设计公司2008-2012年美国GBBN设计公司中国医疗设计总监2012 今美国Warner Architecture Studio总裁,Education教育背景:The University of Virginia Masters of ArchitectureThe Ohio State University Masters of Arts in History of ArtBachelors of Science in ArchitectureOxford University, England Certificate of Architectural Study弗吉尼亚大学建筑学硕士俄亥俄州立大学建筑学学士、艺术及艺术史硕士 牛津大学建筑科学访问学者,University of Kentucky Albert B. Chandler Hospital肯塔基大学阿尔伯特钱德勒医院Kings Daughters Medical Center金多特斯医疗中心Kings Daughters Medical Center金多特斯医疗中心Shangdong TCM university 2nd Hospital, Jinan China山东济南中医大学第二医院Yinchuan Binhe new district healthcare city, Yinchuan China宁夏银川滨河新区医疗城Weihai Boai Rehab hospital and senior living, Weihai, China威海博爱康复医院暨社会福利中心Sanya Fuwai Cardiovascular Hospital三亚阜外心脑血管医院Suzhou Science & Technology Town Hospital苏州科技城医院Henan Provincial Peoples Hospital河南省人民医院增建First Affiliated Hospital of Kunming Medical University昆明医科大学第一附属医院,Awards 获奖情况:AIA Kentucky Award and Healthcare Design Award for University of Kentucky, Chandler PavilionAIA Ohio Presidents Award for service of AIA Ohio肯塔基大学阿尔伯特钱德勒医院获美国建筑师协会奖美国建筑师协会“肯塔基建筑师协会公仆”奖,Major Projects: 近期主要医疗业绩:,Alan Jon Warner 艾伦 杰 华纳,WARNER ARCHITECTURE STUDIO,REGIONS MARKETS,AMERICA HEALTH,CHINA WORK,AFRICA LIFE,WARNER ARCHITECTURE STUDIO,OUR VISION FOR DESIGN,我们的愿景是成为全球客户的连接桥梁，全过程负责客户的成果交付，严格恪守使命，成功实现客户的目标。对中国的医疗建筑设计，我们力争将国际上先进的医疗建筑设计与规划流程和国际标准加以本地化利用，为中国的业主创造出兼具国际现代化标准和中国特色的医疗建筑。,Market driven Minimize patient movementMaximize staff efficiency Patient Privacy Maximize construction value (private finance)Sustainablity via maxing life cycle cost and minimize operational costsFit into existing campus with options for growth,Build facility scaled to community Clarity of functional zoningEase of Patient accessNatural ventilation and day lightingSolar and Orientation Patient safety and experienceConsider future campus development,美国医疗American Healthcare,中国医疗Chinese Healthcare,一般指导原则 General Design Guideline,More commonly additions and renovationsSpecialties driven by consider demand More Innovation and more fast change with new trend which bring more challenges to designersNeed for flexibility and Expansion Efficient compact facilities Access primarily by car,Commonly open “greenfield” site Legibility of key program elements OP, IP, D&T, EDThought our design themeMulti-modal access Natural ventilation and day lightingSolar and Orientation,美国医疗American Healthcare,中国医疗Chinese Healthcare,场地设计 Site Planning,美国医疗American Healthcare,中国医疗Chinese Healthcare,布局分区Organizational Zoning,Multiple spread out D&T to reduce patient movement Sterile materials delivered from adjacent sterile core Patient is considered the least sterileSeparate corridor s for medical staff and public or family,Ladder diagram clear orginzation (central D&T)High use of dedicated route for soiled materials Family often travels with patient in patient elevators Center use of D&T to deliver basic OP services,美国医疗American Healthcare,中国医疗Chinese Healthcare,医技总体布局 D&T,Commonly deployed closer, or within ED and SurgeryModular planning to increase flexibility Higher use of hybrid OR with Imaging Imaging document electronically shared,Generally contented within the department Closer relationship to EDImaging documents more likely in physical form,美国医疗American Healthcare,中国医疗Chinese Healthcare,影像科 Imaging,Hybrid OR,Hybrid OR,Operating rooms 40-85 square metersAccess is via a sterile core Sterile core with direct access to sterile processing Heavy use for OP procedures Sterile supplies arrives via a steriile core,Operating rooms 45-65 square metersAccess is via a common elevator to a bed exchange Dedicated clean and soiled circulation system in planFew OP surgeries Sterile supplies arrive via a cart through a common clean core,美国医疗American Healthcare,中国医疗Chinese Healthcare,手术室ORs,Hybrid OR,More procedures thus more prep and recovery spaces required 1.5 bays in PACU per OR2.0 bays Recovery per ORFewer VIP spaces,Average length of procedure is longerFewer patients in recovery Less separation between PACU and stage 2 recoveryICU located close to surgery More family waiting adjacent,美国医疗American Healthcare,中国医疗Chinese Healthcare,术前准备和术后恢复 Surgery Prep and Recovery,Patients commonly start at EDPatients pushed through an urgent core system Treatment provided in Separated bays Privacy is a strong priority Patient pushed home or to in-patient,Patient commonly start at OPCommonly grouped with physical exam and functional exam Treatment areas usually open wardsLittle privacy provided Observation Units Common,美国医疗American Healthcare,中国医疗Chinese Healthcare,急诊ED,Commonly 1 bed per room Nurse Station with small nurse stations near rooms Rooms face in any direction with little nature ventilation Room with separate zones for family and care givers More hotel like Specialized elevator groups per function,Multi-bed roomsCentered Nurse StationSouth-facing rooms with natural ventilation More family but less spaceMore functional appearance Use of elevators by all functions,美国医疗American Healthcare,中国医疗Chinese Healthcare,住院功能布局IP Functional Zoning,Private rooms 34 square metersSemi-Private 45 square metersPatient Toilet 5-6 square metersAverage 16rooms per Nurse Station with 16 beds,Private rooms 30 square meters3 beds room 40 square metersAverage 14 room per Nursing station with 40 bedsPatient Toilet 4-5 square meters,美国医疗American Healthcare,中国医疗Chinese Healthcare,病房尺寸 IP room size,Decentralized nursing area between patient roomsWalls pulled back to create space for family / doctor discussion,病房概念IP Ward Concept,Private roomsCaregiver area adjacent Family access Toilet room available Patient Visualization compromised,Usually large wards of up to multiple bedsDeployed either above ED or on an IP floor Excellent Patient visualization Average 3 meters wide Limited family access,美国医疗American Healthcare,中国医疗Chinese Healthcare,重症监护病房 ICU Ward,Medical Zone at the center Nurse Station at center of the circle Direct Visual access into multiple roomsFamily access to rooms at perimeter,重症监护病房概念ICU Ward Concept,重症监护病房概念ICU Ward Concept,Significant training Provide patient treatment under doctor directionGenerally long term employeesKey link to family communication,Modest training Provide patient support High turnoverLittle input into decision-making,美国医疗American Healthcare,中国医疗Chinese Healthcare,护士职责比较 Nursing Responsibilities,Central Nurse station and Distributed at private rooms Deployed support Encourage nurse contact with patient,Central nurse station Central Supply and supportLong distance from Nurse Station to beds,美国医疗American Healthcare,中国医疗Chinese Healthcare,护士位置Nursing Location,Extensive private physician system Appointment based service Can be many days/ weeks to see doctorPrimary care based in local community Hospital maintains patient records,No private physician systemFirst come first served All hospital based carePatient maintain personal record,美国医疗American Healthcare,中国医疗Chinese Healthcare,门诊 OP Service,OP visit at closer to 1 per bedOP often separate from hospital No courtyard, often no windowsConcept layout Multiple specialists in on building/ floor,Outpatient visits three times the bedsLarge public spacesEast-west orientation for sunlight and ventilation Repeating layout Organized by department,美国医疗American Healthcare,中国医疗Chinese Healthcare,门诊布局 OP Layout,Separate exam rooms and physician officeOne doctor typical 3 exam rooms 10-14 square metersMaximize patient flow,Combined exam room + physician officeOne doctor one exam room 16-22 square metersAbundant natural lightPatient time with doctor is more,美国医疗American Healthcare,中国医疗Chinese Healthcare,门诊检查室OP Exam rooms,Combine China and US goodTo be An International Standard 优势互补 国际标准,Patient center-provide care to the Patient Innovation-from Bench to BedsideFlexible, modular design Patient Privacy Integrate family into care Empower Patient into Decision making process,Clear Organizational structure Clean public space Sustainability stratigics including: Solar Orientation Management Natural light and Ventilation Green space and viewsTCM practicePatient family and staff safety,美国医疗American Healthcare,中国医疗Chinese Healthcare,优势互补的国际标准 International Standard,US,YOU,合作共赢 Cooperation,PROJECTS IN CHINA,SHANDONG TCM UNIVERSITY 2ND AFFILIATED HOSPITAL 山东中医药大学第二附属医院,建筑面积： 78000平方米床位数：950床设计时间： 2013年 Warner Architecture Studio合作方：山东同圆,PROJECTS IN CHINA,PROJECTS IN CHINA,SHANDONG TCM UNIVERSITY 2ND AFFILIATED HOSPITAL 山东中医药大学第二附属医院,PROJECTS IN CHINA,建筑面积： 78000平方米床位数：950床设计时间： 2013年 Warner Architecture Studio合作方：山东同圆,PROJECTS IN CHINA,SHANDONG TCM UNIVERSITY 2ND AFFILIATED HOSPITAL 山东中医药大学第二附属医院,PROJECTS IN CHINA,建筑面积： 78000平方米床位数：950床设计时间： 2013年 Warner Architecture Studio合作方：山东同圆,PROJECTS IN CHINA,YINCHUAN BINHE INTERNATIONAL HEALTHCARE CITY银川滨河新区国际医疗城,建筑面积： 109000平方米床位数：265床设计时间： 2013年 Warner Architecture Studio合作方：山东同圆,PROJECTS IN CHINA,PROJECTS IN CHINA,YINCHUAN BINHE INTERNATIONAL HEALTHCARE CITY银川滨河新区国际医疗城,建筑面积： 109000平方米床位数：265床设计时间： 2013年 Warner Architecture Studio合作方：山东同圆,PROJECTS IN CHINA,PROJECTS IN CHINA,YINCHUAN BINHE INTERNATIONAL HEALTHCARE CITY银川滨河新区国际医疗城,建筑面积： 109000平方米床位数：265床设计时间： 2013年 Warner Architecture Studio,PROJECTS IN CHINA,PROJECTS IN CHINA,WEIHAI BOAI REHAB HOSPITAL AND SENIOR LIVING APARTMENT威海博爱康复医院及老年公寓,建筑面积： 185000平方米床位数：1000床设计时间： 2013年 Warner Architecture Studio,PROJECTS IN CHINA,PROJECTS IN CHINA,WEIHAI BOAI REHAB HOSPITAL AND SENIOR LIVING APARTMENT威海博爱康复医院及老年公寓,建筑面积： 185000平方米床位数：1000床设计时间： 2013年 Warner Architecture Studio,PROJECTS IN CHINA,WEIHAI BOAI REHAB HOSPITAL AND SENIOR LIVING APARTMENT威海博爱康复医院及老年公寓,建筑面积： 185000平方米床位数：1000床设计时间： 2013年 Warner Architecture Studio,PROJECTS IN CHINA,WEIHAI BOAI REHAB HOSPITAL AND SENIOR LIVING APARTMENT威海博爱康复医院及老年公寓,建筑面积： 185000平方米床位数：1000床设计时间： 2013年 Warner Architecture Studio,PROJECTS IN CHINA,CHENGGONG HOSPITAL FIRST AFFILIATED HOSPITAL OF KUNMING MEDICAL 昆明医学院第一附属医院 呈贡新区医院,建筑面积： 165000平方米床位数： 1000床设计时间： 2008年 GBBN合作：中国中元,PROJECTS IN CHINA,CHENGGONG HOSPITAL FIRST AFFILIATED HOSPITAL OF KUNMING MEDICAL 昆明医学院第一附属医院 呈贡新区医院,建筑面积： 165000平方米床位数： 1000床设计时间： 2008年 GBBN合作：中国中元,PROJECTS IN CHINA,PROJECTS IN CHINA,SHENZHEN FUTIAN HOSPITAL OF TRADITIONAL CHINESE MEDICINE深圳福田中医院,建筑面积： 新增88000平方米床位数： 新增218床设计时间： 2012年 GBBN合作：中国中元,PROJECTS IN CHINA,PROJECTS IN CHINA,SHENZHEN FUTIAN HOSPITAL OF TRADITIONAL CHINESE MEDICINE深圳福田中医院,建筑面积： 新增88000平方米床位数： 新增218床设计时间： 2012年 GBBN合作：中国中元,PROJECTS IN CHINA,PROJECTS IN CHINA,FIRST AFFILIATED HOSPITAL OF KUNMING MEDICAL UNIVERSITY 昆明医学院第一附属医院,建筑面积： 89000平方米增建ED,TEACHING,OP,R/D 设计时间： 2009年 GBBN合作：中国中元,PROJECTS IN CHINA,PROJECTS IN CHINA,FIRST AFFILIATED HOS