Large-Scale General Hospital Medical Area Index Of Function Space

Ever since the 21 st century,with the social and economic development,the construction of hospitals in China has also entered from slow development stage to leaping development stage,which is mainly demonstrated in two aspects: one is that at current stage,a large amount of hospitals have been constructed,and each year,the government’s investment in constructing hospitals reaches more than 20 billion yuan;another is that the construction scale of hospitals are ever increasing.At present,95% of newly constructed large-scale comprehensive hospitals have more than 1,000 beds.As the fresh troops guaranteeing basic social medical treatment,large scaled hospitals’ quality plays a vital role in the society’s medical security ability and the hospital’s operation efficiency.However,compared with the large-scaled construction of hospitals,the development of Comprehensive Hospital Construction Standards(Construction 110-2008),which controls and guides the construction of China’s comprehensive hospitals,is relative lagging behind,which is mainly demonstrated in four aspects: 1,applicability;2,practicality;3,systematical;4,content structure.Under such background,this paper adopts the international advanced “evidence-based design” concept and takes large-scaled comprehensive hospitals with more than 1,000 beds as the research objects to study the main medical functions-space area ratio as well as spatial constitution closely related to hospitals and medical treatment behaviors at both the macro and micro levels so as to make up for the deficiency and lack of national standards and regulations,providing guidance for the preliminary planning of hospitals and architectural design so as to improve the cost performance of fund investment and reduce the randomness of design.This paper consists of six parts: Part One elaborates on the background,object,significance,contents and methods of studying this topic;Part Two introduces the medical functional space and studies the dynamic features as well as relevant influencing factors;Part Three is a core part of this paper.On one hand,it points out the lagging behind of current standards of constructing comprehensive hospitals through the horizon comparison of national standards and longitudinal comparison with the American construction guideline;on the other hand,it points out that Comprehensive Hospital Construction Standards is not so systematic in spatial division through studying spatial division and spatial classification;Part Four starts from the system to classify hospitals’ construction spaces into ten functional spatial systems and studies each of them;Part Five studies the space distribution with relevance analysis at the macro level of the relationship between creating beds and medical functional space against the background of ten functional spatial systems;Part Six studies the medical function unit area index with the standard nursing unit as the example,analyzes and concludes the nursing unit area index as well as internal functional area division through investigating 6 large-scaled comprehensive hospitals’ nursing units,trying to provide suggestion to the distribution of each unit’s areas and average rational bed areas of standard nursing unit so as to provide reference for the construction of hospitals.