Details

Autor(en) / Beteiligte

• Willis, Julie
• Goad, Philip
• Logan, Cameron

Titel

The modern hospital: The rise, fall and rise again of architecture

Ist Teil von

• Architecture and the Modern Hospital, 2019, p.214-234

Auflage

1

Ort / Verlag

United Kingdom: Routledge

Erscheinungsjahr

2019

Quelle

Alma/SFX Local Collection

Beschreibungen/Notizen

• The chapter reviews the major changes in the design of the modern hospital by examining the waxing and waning of the influence of architects and architecture in the commissioning of hospitals over the twentieth century. By the 1960s, hospitals had reached a point of aesthetic stasis, yet even before that the seeds of rethinking the modern hospital had been sown, with evidence-based research that critically reflected upon and scientifically evaluated hospital spaces, the working practices of nurses and doctors, and patient experience. From this came a newly recharged emphasis on patient-centred design and an acknowledgement that specifically architectural solutions to providing flexibility in hospital planning might aid the constant need for growth and change. The changing role of architecture and design in the hospital, demonstrated through seven key sites of design, are each revisited and reconsidered in the light of contemporary healthcare needs: the bed, the nurse, the operating theatre, the spaces of diagnosis and therapy, the servicing of the hospital, the exterior expression of the hospital, and the changing nature of its site over time. This chapter reviews the major changes in the design of the modern hospital by examining the waxing and waning of the influence of architects and architecture in the commissioning of hospitals over the twentieth century. In the twentieth century, the patient remained mostly mute – a body to which medical things were done, space was given and amenity provided, but contained and bound to the bed, disempowered, controlled, passive and largely without a voice. Annmarie Adams structured her book on the development of modern hospitals in Canada, Medicine by Design (2008), around four figures: the patient, the nurse, the doctor and the architect. Recognition of the aesthetic problem of the modern hospital came late to the discourse of architecture. Catering to the needs of patients under the dominance of the medical expert in the design of hospitals inevitably meant some limitations to the patient experience.