Purpose: This study is to propose direction for healing environment design in hospital architectureconsidering the characteristics of elderly patients. The primary goal of a public hospital is providingcheap health care and quality service chance to the underprivileged and elderly in the dead zone.
Compared to the rapid increase of the aged population and chronic diseases, Ministry of Health& Welfare is currently planning model of health promotion hospital in development plans of localbased public hospital. Due to the increased elderly medical expenses, elderly patients’ highutilization is considered. Methods: The literature on the design factors of healing environments wereinvestigated. based on this, analyzed drawings of surveyed hospitals ward in architecturalcharacteristics and observe and evaluate directly healing environment design through field surveys.
Results: The design of hospital environment affects patient’s therapeutic effect. There is no anyofficial formula for hospital design but environment that architect create could be a big part of thehealing process. To increase the quality of the environment, apply the characteristic factors andharmonize well as a human-centered healing environment. Implications: Healing environmentdesign for the elderly is first necessary condition due to high proportion of elderly patients.
Purpose: Mental health facilities are facing a new social environment. To provide appropriatepatient care environment, mental health and mental healthcare is changing the paradigm. In thissituation, this study research and analysis mental healthcare service system and mental healthcarefacility in Germany. The reason is that Germany has cosistently been building mental healthcareservice system and mental healthcare facility for patient. Therefore, it aims to suggest afundamental resource for amental healthcare service system and mental healthcare facility formental healtn. Methods: This study was conducted literature researches and field studies.
Literature researches for mental healthcare service system and facilities. Field study is to identifythe characteristic and configuration of mental healtncare facilities. Results: Findings of this studycan be summerrized inth three points. First, In Germany, Mental healthcare facility is criticalenvironment in the community. And, the facilities are being turned into reasonable and alternativeenvironment. Second, Facilities of Mental healthcare and service system designed by various leveland configurations that can be providing places for people with mental problems. Third, Mentalhealthcare facilities consist of healing environment for patient. Implications: The future study onfinding of the specific environment planning citeria in mental healthcare facility on the basis offindings of present study.
Purpose: As the nation is becoming an aging society, there is an increasing number of the patientwho has Neuroscience disease. So it is necessary to build a facility which provides specialized healthcare. Methods: Field surveys to facilities and analysis to the floor plan have been conducted in orderto suggest adequate architectural composition to the specialized neuroscience center and thedimensions of rooms. Results: The result of this study can be summarized into six points whichcontain guide to how to organize the specialized neuroscience center. One of the most importantthings in this study is to suggest the architectural type which provides efficient collaborating systembetween the outpatient and angiography unit. Implications: It can be said that this paper can beuseful research material when the architect tries to plan the specialized neuroscience center.
Purpose: At the moment, a lot of Public Hospitals in Korea have adopted 5 or 6 bedrooms as astandard multi-bedroom type. However 5-6 bedrooms have many problems related to inpatientsatisfaction and nosocomial diseases. Therefore 4 bedroom is under considering for standardmulti-bed room in Public Hospitals in Korea. This paper tries to prove that adoption of 4 bedroomin Public Hospitals has nothing to do with economic loss which is now an obstacle in adopting 4bedrooms. Methods: 3 Methods have been used in this paper. 1) Comparative analysis betweenmedical insurance fee and service cost for hospitalization has been conducted through literaturesurvey. 2) Scenario analysis has been used for the estimation of inpatient number when 4 bedroomsare adopted in Public Hospitals. 3) Relation analysis between profit and proportion of 4 bedroomin Public Hospitals. Results: Adoption of 4 bedroom as a standard multi-bedroom in PublicHospitals has been proved to have nothing to do with the economic loss of hospitals. Implications:It is necessary to introduce and expand 4 bedrooms instead of 5-6 bedrooms in hospitals for theupgrade of hospital environment and easy control of cross infection in inpatient bedrooms.
Purpose: AIn recent years, the rapid progress of aging and the increase in the elderly people withdementia is becoming a big social issue. Therefore, this paper studies the development of therapeuticenvironmental rating scales for the elderly people with dementia in korean nursing homes.
Methods: We identify the development process and structure of TESS-NH and understand the detailsof its nature and features. Then, based on the detailed items, we provide major scale factorswhich do influence on therapeutic environmental rating scales using PCA. Results: In the results,TESS, in the case of the initial stage of TESS-NH, has an advantage to evaluate on physical environmentsfor a short period of time. TESS-2 + sets a large rage of activities of the elderly people withdementia, and tries to evaluate ongoing cares. TESS-NH has a complete set of well-thought-out assessmentfeatures for improving quality of care (Quality of Care) On the other hand, the main factorsaffecting the therapeutic environmental rating scales in nursing homes are “a consideration forfacility management (Care for facilities' maintenance)", "a consideration for spatial cognition (Carefor spatial cognition) ", and "a consideration for the safety (Care for safety)". Implications: In thefuture, to develop the therapeutic environmental rating scales on Korea's dementia nursing home,we should actively consider cares of spaces and facility utilization which the residents (the elderlypeople with dementia) are more secure and comfortable.