Hospital background and difficulties in its renovation
Anda Hospital is an established private community hospital, founded in the late 1940s. Every building in Anda Hospital has undergone many transformations in different times. It is composed of many buildings with different structure forms and different floor heights.The hospital has an open bed of 500, though small in size, with a full range of departments.
We found that the facade of the project is too similar to that of the neighboring Shanghai First Maternity and Infant, and the entrance of the hospital cannot be found correctly.The entrance and exit are mixed with people and vehicles,the square is full of vehicles and lack of necessary outdoor public space.
The object of this renovation is the outpatient and emergency building. The inpatient building and the laboratory are kept as they are. The key problem of the elevation renovation is how to not only reflect the new quality, but also integrate with the old building.In the process of transformation, maintaining the daily operation of the hospital is undoubtedly a higher requirement for the designer.
Meticulous design concept and strategy
The redevelopment of Anda Hospital cannot be designed by building a complete functional and spatial design framework，and then implement a consistent design concept from the top down; rather, it needs to be like acupuncture, provide solutions for each specific problem.
Overall thinking in a small renovation
Although only 5,000㎡of the outpatient and emergency area needs to be renovated, the design aims to optimize the overall process and environment of the hospital, and ensure the normal operation during construction. From the overall situation, the layout of the hospital has been adjusted; the function and streamline of the hospital during the construction phase has been planned; and the various functional departments of the hospital are involved in the design process by means of scenario simulation.
The design modularizes the diagnosis and medical technology units. Each module is composed of a nursing station, a waiting room and a consulting room. The modules are connected in series through a transparent medical street with a width of 4m, which improves the recognizability of the internal space of the hospital and relieves The cramped feeling caused by the lack of internal space.
By sorting out the medical treatment process in the outpatient and emergency department, the relationship between the relevant functions in the hospital is strengthened: an external ring shed is added to connect the originally separated outpatient and emergency building, inpatient building, hyperbaric oxygen chamber, and central supply room; strengthened by the corridor Contacts between outpatient departments and inpatient departments.
In order to ensure that the hospital can maintain normal operations during the renovation period, We use the triangular open space on the northwest side of the hospital to build a temporary clinic, dividing the entrance into two areas. On the south side is a corridor for ambulance and pedestrian, and on the north side is a construction yard.
Fine design on expanding the sense of space
The design requires a 500-bed outpatient and emergency building in a triangular site of less than 2,000㎡. Therefore, through refined design, we start with improving the efficiency of space organization and optimization of space vision, which can meet the increase of functional rooms，and make the spatial scale more pleasant.
The main entrance hall integrates multiple functions such as triage, registration, medicine, outpatient services, hospital admission and other functions, making the area three times the original. The peak times of these functions are different, saving space and not being crowded at any time. Out-patient hall and emergency hall are horizontal connected. Looking indoors along the entrance square, the continuous large space appears transparent and open.
The small-scale space is well arranged without any waste through fine design. For example, the consultation bed is adjusted from the back of the traditional consultation room to the back of the door. This adjustment not only clearly divides the area of the doctor and the patient into two parts, but also while simplifying the flow of medical visits,reduces the size of space.
In terms of spatial visual experience, the design expands the visual experience through elements such as awnings, glass, lamp film, and natural light. For example, the long side of the outpatient and emergency hall unfolds along the entrance plaza. The large floor-to-ceiling glass and the horizontal extension of the outdoor canopy engrave the boundary, thus enhancing the connection and enlarging the visual sense of the hall space.
The majority of the patients served by the Anda Hospital are community residents. The improvement of the quality of hospital space needs to be embodied in humanized details. For the convenience of patients, each waiting room is designed with a built-in direct water dispenser; a place for renting and charging equipment is provided in public space; each corner is softened with an arc to avoid patients being knocked; a unique shape of nursing table not only make it easy for patients to locate, but also protect the safety of nurses in their work.
In terms of space atmosphere, the design aims at warmth, comfort and simplicity. Unlike general hospital interiors which are mainly made of cold tone, Anda Hospital's interiors use a combination of cold and warm. The white lighting, top surface and ground highlight the cleanliness of the hospital. The warm-toned stainless steel metal profiles are embellished to highlight the warm, natural and relaxing atmosphere of the hospital.
The new building adopts Spanish cream-color limestone as its exterior material, which is similar to the exterior of inpatient department. The copper-colored aluminum panels decorated on the wall make it different from the First Women and Children's Hospital nearby, forming a unique image of Anda Hospital which is also easy for way finding.
During the entire renovation process, Anda Hospital has not closed for a day. After the outpatient and emergency building was put into use, we conducted several return visits to ask the opinions of patients, doctors and hospital administrators. The most common feedback is that the overall image, brand sense and logo are strong; the entrances and internal flow are streamlined; The space is more spacious; the efficiency and the quality of the space are improved.
During the return visit, I often saw the elderly pushed by the family members of the inpatient department walking on the second floor of Medical Street, watching the sunset from the window. Patients and their families can feel comfortable and relaxed here, which is the greatest comfort of our designers.