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Hospital design principles implementation: Reflections from practitioners in Thailand

Viryasiri, Traiwat; Laovisutthichai, Vikrom; Sangnin, Kullathida; Dhanakoses, Kawin; Roopkaew, Pakwan; Viryasiri, Pundharee; (2024) Hospital design principles implementation: Reflections from practitioners in Thailand. Journal of Asian Architecture and Building Engineering , 23 (1) pp. 43-56. 10.1080/13467581.2023.2215842. Green open access

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Abstract

Due to the inherent complexity of medical service procedures, safety standards, and functional requirements in healthcare facilities, numerous design principles have been advocated for more systematic and straightforward design practices. However, most of them are established in developed economies. There is a scarcity of practitioners’ perspectives on their implementation process, difficulties, and outcomes in other socio-cultural conditions. Therefore, this research reflects the realization of these principles in Thailand. It does so by literature review, hosting four public discussion forums in Bangkok, thematic analysis, and data triangulation with case studies. Despite many hospital design principles established, this research shows that it is still a chaotic task to execute them in different contexts. As some may conflict with the national health system, practitioners have to both scrutinize the principles and acquaint themselves with the existing system before balancing, prioritizing, and deciding whether to follow, adjust, or deny the principles. This decision-making process also varies from hospital to hospital due to health disparities, site constraints, local culture, and laws and regulations. This research forms an understanding of healthcare facility design in developing economies and reveals some dilemmas. It also paves the way for future research on hospital design principles localization.

Type: Article
Title: Hospital design principles implementation: Reflections from practitioners in Thailand
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/13467581.2023.2215842
Publisher version: https://doi.org/10.1080/13467581.2023.2215842
Language: English
Additional information: Copyright © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group on behalf of the Architectural Institute of Japan, Architectural Institute of Korea and Architectural Society of China. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. The terms on which this article has been published allow the posting of the Accepted Manuscript in a repository by the author(s) or with their consent.
Keywords: Developing countries; Healing environment; Healthcare architecture; Hospital design principles; Sustainability
UCL classification: UCL
UCL > Provost and Vice Provost Offices > UCL BEAMS
UCL > Provost and Vice Provost Offices > UCL BEAMS > Faculty of the Built Environment
URI: https://discovery-pp.ucl.ac.uk/id/eprint/10203316
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