A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Medical Center Plans Future By Analyzing Alternatives
The role of planning in expanding and updating hospital facilities at Duke University Medical Center in Durham, North Carolina is discussed. The hospital was built before the single room concept became predominant and has uneven supplies of mechanical support systems such as electrical service, plumbing, and air conditioning. Additions have been added piecemeal and renovation efforts have been disjointed. A realistic role statement describes health care programs suited to the hospital's staff, facilities, and financial capabilities and meets the needs of the community and teaching programs. It was determined that Duke Hospital's role as a provider of primary medical care had diminished and that it is becoming primarily a referral hospital providing secondary and tertiary care. Additional outreach and linkages with primary care hospitals, clinics, and long term care facilities are needed. Short and long range goals were validated and accepted. In defining the construction program needed, there were two basic choices: to use existing buildings as the core for the future hospital or to construct all new buildings. Seven short term alternatives were defined using combinations of old and new building use. These possibilities were subjected to analysis, comparison, and discussion. It was determined that a two-location hospital concept is an undesirable goal, based primarily on cost-benefit analysis. Eventually, two partial implementations of total hospital replacement were developed: locating new buildings next to existing ones and a first stage 614-bed hospital construction project. Partial hospital replacement in a new location was selected.
Medical Center Plans Future By Analyzing Alternatives
The role of planning in expanding and updating hospital facilities at Duke University Medical Center in Durham, North Carolina is discussed. The hospital was built before the single room concept became predominant and has uneven supplies of mechanical support systems such as electrical service, plumbing, and air conditioning. Additions have been added piecemeal and renovation efforts have been disjointed. A realistic role statement describes health care programs suited to the hospital's staff, facilities, and financial capabilities and meets the needs of the community and teaching programs. It was determined that Duke Hospital's role as a provider of primary medical care had diminished and that it is becoming primarily a referral hospital providing secondary and tertiary care. Additional outreach and linkages with primary care hospitals, clinics, and long term care facilities are needed. Short and long range goals were validated and accepted. In defining the construction program needed, there were two basic choices: to use existing buildings as the core for the future hospital or to construct all new buildings. Seven short term alternatives were defined using combinations of old and new building use. These possibilities were subjected to analysis, comparison, and discussion. It was determined that a two-location hospital concept is an undesirable goal, based primarily on cost-benefit analysis. Eventually, two partial implementations of total hospital replacement were developed: locating new buildings next to existing ones and a first stage 614-bed hospital construction project. Partial hospital replacement in a new location was selected.
Medical Center Plans Future By Analyzing Alternatives
J. G. Elchlepp (author) / W. Henning (author)
1976
4 pages
Report
No indication
English
Planning Methodology , Health planning , Strategy , State regions , Revisions , Project planning , Policies , Objectives , North Carolina , Methodology , Health care technology , Health care facilities , Guidelines , Design , Reprints , Medical centers , Duke University Medical Center , HRP/AA , HRP/ADB , HRP/ZJ , HRP/HH , HRPGEO/YNC , HRPGEO/YCN , HRPOCC/XZ , Hospitals
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