t h e A r c h i t e c t u r e o f H o s p i t a l s

H o s p i t a l s a r e a m o n g t h e m o s t f a s c i n a t i n g b u i l d i n g s e v e r c o n c e i v e . T h e h a v e a d i r e c t i m p a c t o n t h e p e o p l e w h o u s e t h e m , w h e t h e r t h e y a r e p a t i e n t s , v i s i t o r s , o r m e d i c a l s t a f f .H o s p i t a l s a l w a y s g i v e p e o p l e a f e e l i n g o f “ s i c k -n e s s ” . S c a r y, b o r i n g , a n d s t r a n g e l y s m e l l e d … . . a r e c o m m o n i m p r e s s i o n s f o r h o s p i t a l s .I n r e a l i t y, e n v i r o n m e n t a l a n d s o c i a l f a c t o r s a r e a s i m p o r t a n t a s t h e h e a l t h s e r v i c e i t s e l f i n h o s p i t a l . N i c e h e a l i n g e n v i r o n m e n t s t o g e t h e r w i t h s o c i a l a c -t i v i t i e s a r e p r o v e d t o i m p r o v e t h e h e a l i n g p r o c e s s . T h e r e v o l u t i o n o f h o s p i t a l a r c h i t e c t u r e i s a t r e n d i n t h e 2 1 t h c e n t u r y .

R 4 H u d d i n g K A R O L I N S K A H e a r t C l i n i c E x t e n s i o n

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- C l o s e c o n n e c t i o n w i t h t h e n e i g h b o u r i n g t r a i n s t a t i o n . W i t h a n e w l y p r o p o s e d e n t r a n c e , t h e n e w H e a r t C l i n i c a l l o w i n g q u i c k a n d d i r e c t a c c e s s f o r t h e n e i g h b o u r i n g s u b u r b s t h r o u g h t h e c o n n e c t i o n o f t h e m a i n r o a d .

visitorsgoods

S i t e A n a l y s i s K a r o l i n s k a U n i v e r s i t y H o s p i t a l , H u d d i n g e S E - 1 41 8 6 S t o c k h o l m

- T h e m u l t i p l e N e w E n t r a n c e s f o r t h e R 4 H e a r t C l i n i c a l l o w s q u i c k a n d e a s y a c c e s s .

- 2 l e v e l c o n n e c t i n g b r i d g e t h e o l d h o s p i t a l a t 2 n d a n d 3 r d l e v e l .

P r o p o s a lT h e n e w p r o p o s e d h e a r t c l i n i c i s s i t u a t e d i n t h e h i l l y a r e a t o t h e s o u t h o f t h e o l d H u d d i n g e h o s p i t a l . T h a n k s t o t h e s l o p i n g g e o g r a p h i c c o n d i t i o n t h e n e w h e a r t c l i n i c e n j o y s g o o d v i e w , c l o s e c o n t a c t t o t h e n a t u r e a n d i n t e r e s t i n g a r c h i t e c t u r a l e x p e r i e n c e t o v i s i t o r s . W i t h a n e w l y p r o p o s e d e n t r a n c e g i v e s c o n n e c t i o n t o t h e t o m a i n r o a d a r o u n d t h e a r e a , i t c o n n e c t s t o t h e o l d b u i l d i n g w i t h a d o u b l e l e v e l b r i d g e , i t a l s o h a v e i t s o w n h e l i c o p t e r d r o p o f f p o i n t w h i c h g i v e s t h e n e w h e a r t c l i n i c h i g h a c c e s s i -b i l i t y.

different paths could be taken by visitors:

esculators/ ramps (walking up the “hills”)/ bridges creates interesting spatial experience inside the hallway

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+63.9 (6/F)

+60.0 (5/F)

+55.5 (4/F)

+51.2 (3/F)

+67.8 (7/F)

+71.7 (8/F)

+75.6 (9/F)

+59.5

+63.9 +63.9

+55.0+55.0

+59.5

+68.7

+73.5

+78.3

C o n c e p tT h e n e w h e a r t c l i n i c i s d i v i d e d i n t o t w o m a i n p a r t s – t h e O u t P a t i e n t D e p a r t m e n t a n d N i g h t P a t i e n t D e p a r t m e n t . T h e t w o p a r t s a r e c o n n e c t e d b y t h e c e n t r a l c i r c u l a t i o n h a l l -w a y, a s p a c e w i t h a c e i l i n g h e i g h t o f 3 0 m e t r e s a n d t h e i n c o r -p o r a t i o n o f t h e o r i g i n a l l a n d s c a p e i n t h e a r e a , t h e g l a s s w a l l o n b o t h s i d e s a l l o w s s u f f i c i e n t s u n l i g h t p e n e t r a t i o n i n t o t h e a r e a . I n s i d e t h i s c i r c u l a t i o n h a l l w a y, t h e r e a r e s h o p s s c a t -t e r e d a l o n g t h e w h o l e s p a c e , a n a r t g a l l e r y a n d a s m a l l l i b r a r y f o r t h e p a t i e n t s a n d v i s i t o r. T h e s p a c e i s d e s i g n e d i n o r d e r t o c h a n g e t h e d e f i n i t i o n o f o l d h o s p i t a l , a s b e i n g a h o r r i f y i n g , l a c k o f n a t u r a l s u n l i g h t a n d l i f e l e s s a t m o s p h e r e .

different paths could be taken by visitors:

esculators/ ramps (walking up the “hills”)/ bridges creates interesting spatial experience inside the hallway

central hallway

e x i s t i n g H u d d i g en e w h e a r t c l i n i c

Overview of the new heart clinic

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G/F Plan (+55.0)

indoor landscape

ENTRANCE HALL

staff resting area

T H E E N T R A N C E H A L LWelcoming 30m high hallway with urban devices scattering around. Esculators and elevators bring vistors to different levels.Visitors are also encouraged to exercise by walking up the indoor landscape.

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OUTPATIENT ZONE

1/F Plan (+59.5)

O U T PAT I E N T The Outpatient Department are devided into four zones:outpatient zones include various functions including day patient examina-tion rooms, health service rooms, doctor-nurse offices and their meeting rooms. Daypatients zone, Intensive Care Unit and Non-Invasive Part

OUTPATIENT ZONE

Shops, library and gallery scatters around the central hallway, with the incorporation of original landscape for patients and visitors to exercise on.

art gallery day patient

intensive care unit

ward

library

roof garden

entrance hallday patient

intensive care unit

ward

cafe

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OUTPATIENT ZONEDAYPATIENT ZONE

Daypat ient ZonePatients stay in the rooms for short period for preparation or revovery before/after medical treatment

SHOPPING ARCADE

library

cafe

Bridge connecting to existing building

art gallery

indoor landscape

restaurant

D a y p a t i e n t Z o n ePatients stay in the rooms for short period for preparation or revovery before/after medical treatment

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DAYPATIENT ZONE

SHOPPING ARCADE

2/F Plan (+63.9)

NON-INVASIVE ZONE

B

services boxes (desinfection room,monitor room,strorage) are arranges in the central axis, to be easily reached by everyone

the services boxes have lower ceiling to let more light penetrating trough the space

Spatial arrangement in outpatient department Width of the building is 20m to provide better daylighting.Ending of every wing is panoramic sitting out area for refreshing/gathering. The transparency of the end of corridors bring more delightful environment.Rooms are placed at both sides, services boxes are placed in the middle to be easily accessed.

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Bridges connecting two departments

Bridge for staff

INTENSIVE CARE UNITNON-INVASIVE ZONE

NIGHT PATIENT ZONE RESEARCH LABORATORY B’

A

A’

Bridge connecting to existing building R

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view from the ward builing to the hallway

N I G H T PAT I E N TThe second part of the heart clinic is the night patient areas, which are wards for patients who need to stay for a much longer time. The heart clinic have 10 double rooms and 10 single rooms, which allows the total num-ber of patient staying at one time 30. The three levels above the heart clinic wards are all single rooms, with an extra 72 rooms for further expansion. All of the room in the new heart clinic have their own balcony, which al-low patients to have closer connection to the surround-ing landscape, and have the choice of being indoor or outdoor as they wish. The research labs are also closely placed at the first level of the heart clinic allowing a good connection between wards and research activities.

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5/F plan

patient common

area

patient commonbalcony

4/F plan (+73.5)

3/F plan (+67.8)

multifunctionroom

5/F Plan (+78.3)

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doctor´s office

head nurse´s office

Common Balcony for patients

patient common

area

nurse station

staff meet-

ing

patient room

3.2m

1.6m4.8m

4.8m

4.8m

4.8m

4.8m

ward

ward

ward

night patient for heart clinic research laboratory

shopping arcade

W A R D U N I TRooms of 4 are grouped and each of these groups shares a common area and nurse station, and every 8 rooms there is a doctor office with meeting area, and office for the head nurse.

functional height 3.2m

generally designed basic installations (ICU-standards) 1.6mgeneral

floor-to floor height 4.8m

3.2m

1.6m4.8m

4.8m

4.8m

4.8m

section AA’ (ward building)

section BB’

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common area for patient to enjoy the view

all rooms with balcony allow patients to be close to nature