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geometric forms The size 01 hospitals grew in parallel 10 Ihe installation
of expensive medical technology equipment. The dominant type of Ihis
period. the ideal 1960s hospital, was Ihe "matchbox on a muffin" mOdel that
arraflged nursing wardS in a high.,i!;e slab above a wider plinth building.
The attitude that gave rise to these buildings may become comprehensible if one
looks more closely at the words of the then Br~ish minister of heatth in 1946. He
"would rather be kept alive in the efficient altruism of a large hosp~al then die
in a smaller r.ospital's outpouring of warm sympathy: Here, size and efficiency
are diametrically contrasted with a humane, but inefficient, environment and
evaluated pos~ively. People counted on the power of medicine, technology and
functionalism. However. psychosocial aspects were neglected. The importance of
the surrounding space. integration of green areas into building complexes and the
impact of daylight on pafients and sfaff were questioned. Today we can fall back
on the increasingly detailed findings of neurosciences about human perception of
surrounding space Spafial impact on wel~being. which oould previously only be
guessed at, now appears 10 have a scientific basis.
Consequenfly, our individualisfic society declines to make human well.
being dependenf solely upon proper medical care. Since the findings of
environmental psychology entered the thinking of architects and doctors,
there has been an attempt to link size and efficiency with a healing
environment - and prove this symbiosis to be health-promofing, which is the
objective of evidence-based design.
We were faced with this disparity, which arose from the different socio-
cultural viewpoints of two different generations, at the beginning of the
competifion for fhe university hospifal in Frankfurf at fhe furn of the century.
The universify hospital's cenfral building is a classic representative of this
"mafchbox on a muffin" fype, It was builf about 1970 as an addition and
new centre for the campus. which was originally erected on the Theodor
Stern Quay in pavilion style. and contained wards in a high rise slab that
sits on a broad care and freatment plinth. The campus lies in a prominent
posifion on fhe banks of river Main. which could not prevent the hospital
experiencing a loss of image at the end of the 1990s due to structural aging
and inefficiency, despite top medical performance. The exisfing building
no ionger met modern requirements for medical technology equipment and
structural standards. Changed work procedures required new deparfments,
the merger of functions and. thus. renovation and building extensions.
Consequenlly, parallel to the transformation of the hospifal into a public
law insfitution, a compefition for the re·organisation and revitalisation of
the blJilding invenfory was announced, a major component of which was
the task of communicating fhe university hospifal's reputation for medical
performance fo the commun~y fhrough an appropriate corporate identity.
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