Sustainable healthcare solutions site sustainability meta design strategies for public-private partnership modelmega-healthcare structures
Başlık çevirisi mevcut değil.
- Tez No: 711924
- Danışmanlar: PROF. STEFANO CAPOLONGO, DR. ANDREA BRAMBILLA
- Tez Türü: Yüksek Lisans
- Konular: Mimarlık, Şehircilik ve Bölge Planlama, Architecture, Urban and Regional Planning
- Anahtar Kelimeler: Belirtilmemiş.
- Yıl: 2022
- Dil: İngilizce
- Üniversite: Politecnico di Milano
- Enstitü: Yurtdışı Enstitü
- Ana Bilim Dalı: Belirtilmemiş.
- Bilim Dalı: Belirtilmemiş.
- Sayfa Sayısı: 215
Özet
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Özet (Çeviri)
Background: Healthcare structures are one of the most vital components of a society's welfare infrastructure and the hospitals are the primary institutions that provide this service and medical care through diagnosis and treatment of people in need via equipped medical staff. Today, the governments are facing a variety of challenges and difficulties in the healthcare sector with the changing demographics, spread of chronic disease, rising healthcare costs and changing technologies. In the last couple of decades, with the development and the increase of private sector's capabilities, both financially and technically, private sector companies have been involving more in the healthcare sector. One of the recent models adopted by many countries is the Public Private Partnership (PPP) model in healthcare. In order to accommodate all the services and functions required to fulfill the need of modern society, hospitals at a much larger scale are needed. Megastructure hospitals, also known as superhospitals, are the application of the“megastructure”concept to hospitals and healthcare structures that hold multiple purposes such as basic health services, commercial activities, administration, etc. Furthermore, site sustainability in healthcare is extremely important as the mentioned healthcare structures are a huge part of human life and have great impacts mostly on the environment, and also on the economics and society due to the size and operational complexity. Assessment of site sustainability of healthcare structures is an essential way to understand and develop the facilities and the projects, in order to be able to design and structure the new healthcare buildings in compliance with the sustainability criteria. Method: This study focuses on qualitative and quantitative comparison and assessment of site sustainability of 12 European and 9 Turkish PPP model megahospitals, that are shortlisted by checking against a set of criteria. The hospital assessment is based on 6 macro and 17 micro criteria of the ATHOSS tool. The findings of the assessment are verified with a series of interviews with both public and private sector employees. Furthermore, a set of guidelines are derived as a reference for future hospital designs to complement the ATHOSS approach. Results and Conclusion: The ATHOSS points of Turkish City Hospitals are relatively lower when compared to European Superhospitals. The overall rating of European ATHOSS average is 11.4 with hospitals scored between 9-17 points whereas the Turkish average is 7 with hospitals scored between 4-10 points out of 24. The European hospitals' Macro Criteria averages are mostly higher than the Turkish ones despite the fact that the Turkish ones are relatively newer structures than the European ones. Turkish City Hospitals are significantly lacking on Macro Criteria 3 (Alternative Transportation) and Macro Criteria 5 (Connection to Natural World) compared to European Superhospitals. Furthermore, Turkish City Hospitals have significantly larger Gross Floor Area per bed than the European samples. This can be attributed to the large undefined voids inside the hospital buildings and the high number of covered or underground car park capacity. The Cost/ Gross Floor Area and Cost/Bed of European hospitals are substantially larger than Turkish ones. Further Research: This research can be developed further by enlarging the sample group of megahospitals; analyzing more hospitals from other countries that were excluded in this research; using another tool to assess site sustainability and validate the findings of ATHOSS; analyzing other areas of sustainability in each sample hospital; doing more interviews to collect and validate more data and study more recently operational hospitals.
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