The hospital is an integral part of social and medical organization. The function of which is to provide for the population complete healthcare, both curative and preventive, and whose outpatient services reach out to the family and its home environment; the hospital is also a centre for training of health workers and for biosocial research.
Syed Amin Tabish
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Hospitals and Nursing Homes: Planning, Organisations & Management
© 2003, Syed Amin Tabish
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by the author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters to be settled under Delhi jurisdiction only. |
First Edition: 2003
Publishing Director: RK Yadav
9788180611544
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
To
my parents
(Syed Ghulamuddin and Syeda Zainab)
my wife (Farhat)
and my children
(Syed Abeer and Syed Nabil)
without whose inspiration and sacrifice
this work could not have materialised
fm6fm7Preface
This book has been developed so that those involved in planning, designing, building, and operating healthcare facilities can understand and appreciate all the work required to produce a facility that will be as reasonably safe and efficient as possible for staff to work in and for patients to be treated and housed in. This book provides the step-by-step process of planning and state-of-the-art design to achieve a viable facility to meet this objective. It covers the planning and design problems of hospitals with a deep insight.
A hospital is a community in which the interaction of individuals is fundamental to the successful working of the whole. The great depth of technical knowledge required for the design, enables the complexities to be brought together into a whole concept which respects the fundamental requirement, to build a community.
The process of planning, design and construction of hospitals involves the coordination of many groups and agencies on many levels. A endeavour has been made to sort out the many ingredients necessary to construct a hospital and presenting them in such a way that the whole process can be comprehended and showing how the multitude of requirements necessary in building a hospital can be satisfied (the order of topics).
Materials have been organised as much as possible in the order in which events occur.
Healthcare facility planning and construction could be the result of a growing population; an aged building becoming too aged; or a desire of benefactors to help others by contributing to the building of a hospital in memory of someone. The result is a decision by some group, administration, or agency to build a particular type of hospital in a certain location.
Even after construction, the operation of a hospital requires more surveillance because of the nature of its activities and its special occupants. Any modification, therefore, must be viewed with more than normal concern.
The process of planning, design and construction of a hospital has become a complicated one. These are building codes, fire codes, health codes, inspection agencies, certificates of need, certifications, licensure, accreditation—all in order to build a healthcare facility.
Balancing needs, desires, costs, and regulations, in the planning, design and construction of a hospital requires knowledge of a host of complicated and hospital care is a dynamic process. Architecture for health has to strive for shells for living, continuously changing organisms. Health facilities have, after being designed, built and commissioned, to be maintained, adapted to changing requirements and have also been modernised. This means architecture for health leads into planning which is continuously escorting the life and the operation of the facility.
Planning, organisation and management of healthcare facilities are more and more influenced by the rapid developments of information and computerisation. Modern informatics open up for us, new different possibilities in the functional and architectural composition of healthcare facilities, respectively.
fm8Dealing with hi-tech medicine on the one hand, and with conditions of limited resources on the other, one has to become more conscious of the time factor. In planning under limited resources, adaptability to changing (and usually increasing) demands is indispensable if misinvestments are to be avoided.
We have to learn to think of setting limits and to design and organise for efficiency, economy and humanity.
This book presents new planning concepts and recent trends in the hospital architecture that ought to be thoroughly considered by hospital administrators and trustees in anticipation of their arduous work with architects, consultants, and responsible staff members over the problems involved in trying to make their buildings, as up-to-date as possible to accommodate the current technology and as adjustable as possible for the new, revised, or expanded functions that they will be expected to house in the future.
The aim of this book is to introduce the reader to some of the basic ideas and research in hospital planning, design, construction, organisation and management. Each chapter of the book deals with a particular topic beginning with a theoretical framework from which the subject could be approached. I hope that the book will be particularly relevant for administrators or chief executive officers of a facility and their staff; healthcare facility board members; building committees; medical facility plant engineers; healthcare architects, designers; and engineers; contractors; financial advisors; business, economics, architecture, hospital administration students who plan to enter the healthcare field; and medical and nursing personnel who are responsible for the planning, organising and management of a healthcare facility.
This book is useful particularly for clinical directors/head of the clinical and paraclinical departments; unit managers; in-charge of service departments, laboratories and patient care areas. All therapeutic and diagnostic facilities have been discussed in detail with extraordinary emphasis on nursing zone, clinical zone, support zone and utility services.
An endeavour has been made to place under one cover a lot of material that heretofore was scattered throughout various books, articles, and documents to make it the most comprehensive treatment of this subject to date.
I am extremely grateful to Mr RK Yadav, Director Publishing, M/s Jaypee Brothers Medical Publishers, for his unswerving dedication, commitment and conviction of courage to advance medical knowledge by encouraging promising authors to put their ideas into action.
Syed Amin Tabish