Cons Ed A Ration of Hospital Design

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- ).(Primary Health care facilities
-

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Central
High
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Hospital

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Tertiary
Regional Hospital
District Hospital
Secondary
Health Center
Rural Health Unit
Primary
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.
Alfredo Bravo, Regional Planning of Health Facilities: From the Viewpoint of the Health Planner - Approaches to
Planning and Design of Health Care Facilities in Developing Areas, Vol.2, pp. 19-20, WHO, Geneva,1977.
2
Jorje Mazure, Regional Planning of Health Facilities: From the Viewpoint of the Architect - Approaches to Planning and
Design of Health Care Facilities in Developing Areas, Vol.2, pp. 36-39, WHO, Geneva,1977.
First Classification
Second Classification
Central
High
Specialized
Hospital
Central
Regional
Provincial Hospital
Educational Hospital
some of Specific Hospitals
Intermediate
District Hospital
some of Specific Hospitals
Basic
Rural Hospital, Rural Health Center,

Urban Health Center, Health group
Primary
Rural Health Unit, Childhood & Motherhood Care Unit,

Family Planning Unit
3
2
1
Tertiary
Secondary
Primary
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- ). (administration
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.
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- : .
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.
Rosenfield I., Hospital Architecture and Beyond, pp 51-55, Nostrand Reinhold, New York, 1969.
" " - .
3
WHO, District Hospitals: Guidelines for Development, p.53, World Health Organization, Geneva, 1992.
GENERAL
SERVICES
ADMINISTRATION
Kitchen
Laundary
Mortuary
Maintainance
Supply
Mechanical
Services
Storage
etc
INTERNAL HOSPITAL
)(INPATIENT DIVISION
Main
Entrance
INTERNAL MEDICAL
TREATMENT
DIVISION
Obstetrics
Emergency
Entrance
Operation Theatres
Intensive Care
EMERGENCY
ADJUNCT
DIAGNOSTIC
SERVICES
Laboratories
)Radiology (diagnostic
ADJUNCT
THERAPUTIC
SERVICES
Physical Therapy
)Radiology (theraputic
OUTPATIENT
DIVISION
Outpatient
Entrance
Outpatient Clinics
Pharmacy
: .
:
-
-
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District Hospitals: Guidelines for Development, World Health Organization, Geneva, 1992.
-
) (Hopkinson & Kostermans:
Building for Health Care: a Guide for Planners and Architects of First and Second Level Facilities, World
Bank, 1996.
- :
) (USPHS ) - (Isadore Roseinfield
- .
:
Hospitals, Clinics, and Health Centers, McGrew Hill, New York, 1960.
Hospital Architecture Integrated Components, Van Nostrand, New York, 1971.
- ) (E. Todd
.
. :
Hospital Design and Function, McGraw Hill, New York, 1964.
-
-
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.
].[3
Rosnfield I. Hospitals. Clinics, and Health Centers, p. 6, McGrew Hill, New York, 1960.
WHO, Ibid.
3
Rosenfield I. Hospital Architecture Integrated Components p. 211, Van Nostrand, New York, 1971.
2
....
:
.

)(

Internal
Medicine
2,40
3,00
CURTAIN
28.1 M 2
Consultation
Examination
4,20
16.2 M 2
2,40
3,00
2,40
3,00
Examination
3,60
3,00
12.6 M 2
Examination Consultation
Examination
Consultation
Surgery
CURTAIN
3,00
4,80
Consultation
4,80
10.8 M 2
Urology 37.2 M 2
Treatment
Examination
Treatment
Consultation
3,00
3,00
Examination
3,00
Consultation
4,20
Pediatrics 25.2 M 2
3,00
3,60
2,40
3,00
Examination
16.2 M 2
Obstitrics
3,00
Exam.
2,40
3,00
CURTAIN
2,40
Treatment
Examination Consultation
Otolaringology21.6 M 2
Consultation Treatment
4,20
3,60
Treatment
Consultation
Opthalmology 14.4 M 2
Psychiatry
2,40
Examination
CURTAIN
Consultation
CURTAIN
4,20
4,80
3,00
4,20
3,00
34.6 M 2
3,00
Consultation Treatment
3,00
3,00
21.6 M 2
4,20
14.4 M 2
Consultation
Consultation
( e. Todd) :
.
B
3,00
2,60
C
3,80
LAVATORY
2,75
EXAMINATION &
TREATMENT TABLE
DESK
CHAIR
2,70
,95
STOOL
EXAMINATION &
TREATMENT TABLE
CURTAIN
COUNTER
CHAIR
STOOL
STOOL
EXAMINATION &
TREATMENT TABLE
CURTAIN
LAVATORY
DESK
CHAIR
CURTAIN
EXAMINATION
& TREATMENT
TABLE
1,75
STOOL
,10
STOOL
1,15
,10
1,00
,10
STOOL
,90
LAVATORY
SHELF
,10
2,90
,10
DESK
,10
2,85
CHAIR
LAVATORY
4,70
DESK
4,55
CHAIR
STOOL
4,10
,90
AREA = 8.70 M 2
AREA = 10.45 M 2
AREA = 11.83 M 2
AREA = 19.27 M 2
. (Isadore Rosienfield) :
( :

.

) . (
) (Hopkinson )(Kostermans

][2
.
(
:
Mean Waiting
Time of patients
arriving at 9:45
Number of Patients
450
400
350
300
250
200
150
Mean Number of
Waiting patients
arriving at 9:45
100
50
Time of Day
14:00
13:00
12:00
11:00
10:00
9:45
9:00
8:00
00
7:00
Number of Arrived patients

Number of Examined & Treated patients
:
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]. [4

.
Vogel L.C., Inpatient Department, Approaches to Planning and Design of Health Care Facilities in
Developing Areas, vol. 3, p. 47, WHO, Geneva, 1979.
2
Hopkinsons M., Kostermans K. Building for Health Care : a Guide for Planners and Architects of First and
Second Level Facilities, p.36, World Bank, 1996.
3
Rosenfield I. Hospitals, Integrated Design, p. 188, Progressive Architecture Library, 1950
4
Hopkinson M., Kostermans K. Building for Health Care : a Guide for Planners and Architects of First and
Second Level Facilities, pp.35, World Bank, 1996.
:

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Todd E. Hospital Design and Function P. 139, McGraw Hill, New York, 1964.
WHO Hospitals: Guidelines for Development, pp. 56-57, World health organization, Manila, 1992.
3
Second Level Facilities, pp.36-45, World Bank, 1996.
2
:
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-
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Rosenfield I. Hospitals, Integrated Design, p.152-153, Progressive Architecture Library, 1950

2
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Todd E., previous reference, p. 155.
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Todd E., previous reference, p. 173.

Rosnfield I. Hospitals: Integrated Design, p. 77.
3
Hopkinsons M., Kostermans K., previous reference , pp.37,48-49.
4
Rosenfield I. Hospitals, Integrated Design, p. 76.
5
Todd E. Ibid, p. 173.
2
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Bedawy M. previous reference, pp. 64-65.
Bedawy M. Ibid, p.9.
1
2
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WHO, previous reference, p.62.
2 " " .
4 " " .-

Bedawy M., Ibid, pp. 66-72.
WHO, Ibid, p.37-49.
1
3
5
6
)Area for movement of surgical staff (0.90 m width

Working area for most of surgical operations
Area for movement of surgical staff of two operations

Working area for doing two surgical operations
25
R,
,90
,90
R,9
0
3,05
3,05
,90
2,60
R2
,90
6,25
6,25
3,20
3,20
,90
,90
R1,85
1,85
3,70
,90
2,75
2,75
2,75
5,50
2,45
2,75
7,95
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].[3
.
Hopkinsons M., Kostermans K. previous reference, pp.37,48-49.

Rosenfield I. Hospitals, Integrated Design, p. 119.
3
Todd E., previous reference, p.123.
2
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WHO, Ibid, p.66-67.
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Rosenfield I., Hospital Architecture Integrated Components p. 40.
1
2

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.
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:
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][1
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Rosenfield I. Hospitals, Integrated Design, pp. 127-128, Progressive Architecture Library, 1950.
Todd E. previous reference, p. 205.
3
Todd E. Ibid, pp. 205-206.
4
Hopkinsons M., Kostermans K, previous reference, p.37.
2
: )(USPS
-
-
)(
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-
:
) (

)(Nursing Station
) ( . Treatment room or rooms
.Day room
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)
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.
.
) (I. Rosenfield
.
) (Carl Erickson .

.

.

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- -

.
1 Bed
1 Bed
Storage
Toilets
WARD
Nursing
Station
Linen
NIGHTINGALE WARD
: .Nightingale
)(
4
7
2
1
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-1
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-2A
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-7
-8
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12
11
10
Case 2
M per bed
Case 1
9
6
10
Number of Beds in room
: ) .(
)(
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) -(. . . - ) (.
-- ):(Dietary Division
- :
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(
]) [1 .(
-:
.
.
).(E. Todd
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) (Central Tray ) (Bulk Service
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) (
) .[2] (
WHO, previous reference, p. 70.

Rosenfield I. previous reference, pp. 161-162.
1
2
)(
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) (
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-- ):(Housekeeping
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WHO previous reference, p. 71.

3
Rosenfield I. Hospital Architecture, Integrated Components, p. 94, Van Nostrand, New York, 1971.
4
Rosenfield I. Hospitals, Integrated Design, pp. 196-197, Progressive Architecture Library, 1950
5
Hopkinsons M., Kostermans K. previous reference, p.38, World Bank, 1996.
2
) (
-- ):(General Storage
- :
:
. .
. )(.
][1
. .
. )
(.
) (.
Service
Entrance
Kitchen
All
Hospital
Divisions
Laundry
GENERAL
STORAGE
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In other floors
.
In the same floor Pharmacy

) . (
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WHO Hospitals: Guidelines for Development, p. 71, World health organization, Manila, 1992.
WHO, Ibid.
3
2
)(
-- ):(Mortuary
-:
:
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) (.
) (.
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.
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.

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WHO, Ibid, p. 73.

Rosenfield I. Hospitals, Integrated Design, pp. 103-104, Progressive Architecture Library, 1950
1
2
) (
-- ):(Maintenance workshops
-:

.
:
) (.
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WHO, previous reference, p. 73.

.
.
:
:
.
.
.
.
.

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:
.
.
.

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.

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:
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.
.
.
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.

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.
.

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:

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:
:

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.
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.
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.
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:
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.
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.
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.

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: .

No.
Reference
1 Azmi H. "Inpatient Human Needs in the Egyptian Context" M Sc. Thesis, Cairo University, 1989.
2 Bedawy M. "Surgical Theatre Design Essay" M Sc. Thesis, Faculty of Medicine, Zagazig University, 1986.
3 Bodgan M. Klczkowski et al. "National health systems and their reorientation towards health for all" World
Health Organization, Geneva 1984.
4 Bravo A. "Regional planning of Health Facilities, in: Approaches to Planning and Design of Health Care
Facilities in Developing Countries - Vol.2" Geneva, 1977.
5 Cowan D. "A Method for Estimating the Number of Operating Theatres Required in a General Hospital"
Council for scientific and industrial research, Pretoria, 1963.
6 Ernst Neufert, "Les Elements Des Projects De Construction" Afnor, Paris.
7 Hesham H. Ali "Design and planning of urban district hospitals in Egypt, casestudy Assiut province" Ph.D.
Thesis, Assiut university, 2001.
8 Hopkinson M. & Kostermans K. "Building for Health Care: a Guide for Planners and Architects of First and
Second Level Facilities" World Bank, 1996.
9 Kleczkowski B. & Mansourian B. "Medical research institutions in the perspective of WHO's health
development policies" WHO, 1981.
10 Mazure J. " Regional planning of health facilities, in: Approaches to Planning and Design of Health Care
Facilities in Developing Countries - Vol.2" Geneva, 1977.
11 Putsep E. "Modern Hospital: International Planning Practices" Lloyd Luke, London, 1997.
12 Rosenfield I. "Hospital Architecture and Beyond" Nostrand Reinhold, New York, 1969.
13 Rosenfield I. "Hospital Architecture, Integrated Components" Van Nostrand, New York, 1971.
14 Rosenfield I. "Hospitals: Integrated Design" Progressive Architecture Library, New York, 1951.
15 Rosnfield I. "Hospitals. Clinics, and Health Centers" McGrew Hill, New York, 1960.
16 Smith W. "Planning The Surgical Suite" New York, 1960.
17 Todd E. "Hospital Design and Function" McGraw Hill, New York, 1964.
18 Vogel L.C. "Inpatient Department in: Approaches to Planning and Design of Health Care Facilities in
Developing Countries - Vol.3" WHO, Geneva, 1979.
19 WHO "District Hospitals: Guidelines for Development" WHO, Manila, 1992.
. " "
. " - - "
" - "
.
. " "
" "
.

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. /.

- ).(Tertiary Health care facilities

Rural Health Unit

Rural Hospital, Rural Health Center,

Rural Health Unit, Childhood & Motherhood Care Unit,

Number of Arrived patients

Rosenfield I. Hospitals, Integrated Design, p.152-153, Progressive Architecture Library, 1950

Todd E., previous reference, p. 155.

Todd E., previous reference, p. 173.

WHO, previous reference, p.62.

WHO, previous reference, p.62.

)Area for movement of surgical staff (0.90 m width

Area for movement of surgical staff of two operations

Hopkinsons M., Kostermans K. previous reference, pp.37,48-49.

WHO, Ibid, p.66-67.

Number of Beds in room

WHO, previous reference, p. 70.

WHO previous reference, p. 71.

WHO, Ibid, p. 73.

WHO, previous reference, p. 73.

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