Whether it is the main space of the hospital building or the setup of medical equipment, all need to be fully utilized in order to improve the efficiency of use and reduce costs. Pre-planning of architectural design is to develop a detailed mission statement for the owner and the near and far future overall planning, so that it has a plan, step by step gradual transition to achieve the modernization of the hospital. In recent years, with the rapid development of China's urban construction, hospital building design has entered a new period, the demand for modern hospital construction is increasing day by day, there are many new construction or renovation and expansion projects. In the past two or three decades, due to the implementation of the planned economy policy, the construction costs are allocated by the higher level, the hospital can only use the limited amount of money in the hospital base sporadic additions, so that the hospital's overall layout is messy and disorganized. Many houses are abandoned, leaving and hindering the development of the lack of a modern hospital requires the minimum hardware conditions. In today's gradually improving market economic policy and international economic integration of the new situation, most hospitals in the fight for government funding at the same time need to self-funding, how to make the new construction projects economically rational, while improving the quality of medical services to seek a high rate of recovery and fast, has become a very real problem. At present, the biggest problem is the lack of construction projects in a hospital to determine the lack of pre-construction planning process. In many projects, there is no comprehensive survey of the actual situation of the hospital, analysis, research, by the architectural design experts and hospital leadership decision-making level of communication, comparison, put forward a far near-term gradual development, transition, realistic architectural master plan, and the development of a detailed mission statement for the implementation of the project and other preparatory work. Only out of thin air to put forward the architectural design bidding, not only to participate in the bidding of the design unit due to the lack of sufficient design requirements and practical mission statement, so that the program design itself with a great deal of blindness, but also so that the owners spend a large amount of money and energy and can not get a practical and good program. Including international bidding, often only in the selection of the modeling and selection of a good internal function of the use of reasonable economic program. What's more, if not carried out under a rational master plan, more problems will arise. Hospital architectural design is a complex and highly specialized project in the field of architectural design. It should not only meet the hospital internal medical and technical functions of each part of the rational management, operation of the system; but also for the patients, medical staff from the psychological point of view to provide a comfortable, warm, beautiful medical, diagnostic and treatment environment; at the same time, there should be a hospital itself with the connotation and local characteristics of the shape. The combination of the above three design solutions is not possible through a or a month and a half behind closed doors can be completed. In our recent practice, in view of the above problems and through the hospital construction project pre-planning research, the collection of domestic and international experience, made a preliminary attempt. Our work is roughly divided into three stages: ① Field survey and data collection. Communicating and exchanging with hospital leaders and decision makers to clarify the characteristics of modern hospital building design, the relationship between hospital building and medical technology development, the new trend of hospital building development at home and abroad, and the actual problems and gaps in comparison with our hospital. Data analysis and feasibility study. Including the analysis and comparison of area indicators, the development of an appropriate area indicators, the proposed new or expansion projects in the near and distant future, the overall planning and design of the building and the gradual transition, phased implementation of the steps; with the hospital leadership decision-making level and representatives of the Staff Council to communicate, analyze the possibilities of various programs and the advantages and disadvantages of discussing the hospital's development plans. ③ The preparation of the mission statement of the current construction project (bylaw). The detailed mission statement of the current project is formulated through consultation with the relevant departments and by the leadership decision-making level. The main body of the hospital building or medical equipment can be utilized to the fullest extent to reduce costs and increase efficiency, rather than the bigger the better. The importance of pre-planning for hospital construction has not received widespread attention. Many owners do not realize that it plays a vital role in the overall construction of hospitals, and therefore are not willing to fund this work first. Do not know that the success of this work can make the owners in the construction process less detours, thereby improving efficiency, saving money, and the development of the hospital has a long-term plan and implementation steps. The following three municipal hospitals in Jiangsu Province as an example for discussion.1 Taicang New District Hospital Taicang New District Hospital, Jiangsu Province, in the design of the mission statement is very unclear, coupled with the fact that the hospital is a merger of the former Third People's Hospital and the former Hospital of Traditional Chinese Medicine, the current situation of the conditions of the complex. Therefore, first of all, in order to more accurately grasp the internal functional requirements of the hospital and the scale of development of the hospital, the special requirements of the hospital's drug rehabilitation center, such as an in-depth investigation and research, the development of a series of data collection forms, field surveys, collection, and then formulated a set of realistic mission statement for the hospital, and do a set of near and far future phased construction of the master plan in stages. Because it is located in the Gusu area, the urban height of the lot is controlled below 24 m, with a garden layout; considering the requirement that the hospital should be set up centrally accordingly, a semi-centralized layout can satisfy the convenience of the internal functional connection of the medical building; and also provide patients with a comfortable and beautiful gardening medical condition. At the same time, the vast majority of rooms can be directly external lighting and ventilation, not only energy saving, but also enable patients to enjoy the natural air conditions. The semi-centralized layout certainly facilitates the need for the hospital to be built in phases. Not to mention that the government can not be fully funded, the hospital needs to raise most of its own funds, which requires hospitals to be more careful with their own budgets, and realistically consider the possibility of implementation. Here to explain is that the hospital building master plan must be combined with the single building design.2 Nantong Medical College Hospital Nantong Medical College Hospital master plan design for an old hospital expansion. Although the original building complex are relatively dilapidated, but the hospital's expansion plan can only be phased in batches, in the current economic conditions of gradual transition is the best policy. Therefore, before we started designing, we formulated a series of data collection forms to analyze the area of the original building, and then compared with the Ministry of Health and the Ministry of Construction of the seven-nine construction standards for the hospital to put forward a standard plan for the area of the various ministries recommended. We communicated with the leadership while investigating and researching, and based on this, we carried out the overall planning and design of the building. It is particularly important for a hospital to position itself rationally. Today, many hospital directors and physicians have studied abroad, are very appreciative of modern hospital buildings, but as medical experts, they do not know much about the building. As an architect, even specializing in the design of hospital experts can not be a complete understanding of the needs of medical buildings. Therefore, the two need to communicate often and cooperate with each other, and this work requires a lot of time and energy. Hospital building planning work has been gradually recognized by the majority of hospital hospitals, only the preliminary work is done, in order to rationalize, economic and gradual development and less detours.3 Kunshan City Hospital of Traditional Chinese Medicine in Kunshan City Hospital of Traditional Chinese Medicine in the architectural design, the first to determine the brick structure of the original emergency outpatient clinic building has been no retention value. The original ward building is a frame structure of multi-storey buildings, but because it can not meet the requirements of today's inpatient department, so the hospital decided to acquire land in the east of the base, the whole hospital planning, phased construction. We did a phased construction of the overall planning, on the basis of the monolithic architectural design, a completion, phased implementation: the first step, the first inpatient department, completed after the inpatient moved in, and will be one or two floors as outpatient, emergency transition room, at the same time, the original ward building transformed into a medical and technical rooms; the second step, the original outpatient emergency room building demolition, back (according to the requirements of the red line) to build an outpatient emergency room building and the inpatient department The second step is to demolish the former outpatient emergency building, build the outpatient emergency building behind (according to the red line requirements) and connect it with the inpatient department to form a whole, and build an outdoor entrance green square. Pre-planning for a hospital construction project has just begun in China. I believe that in the situation of the hospital construction boom, it will be recognized by more and more owners, and pre-planning will eventually bring more benefits for hospital construction projects.
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