2021, Vol.27, No.3

JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE 2023 KCI Impact Factor : 0.46

pISSN : 2733-8649 / eISSN : 2733-8657
https://journal.kci.go.kr/ikiha

Purpose: This study identified the planning trends for formal and informal learning spaces in the college of medicine through literature reviews. And then, by the analysis of the actual condition of existing domestic facilities, It was organized the architectural planning baseline data and future directions for the formal and informal learning spaces in the college of medicine. Methods: This study was conducted using literature reviews on the existing medical education method and learning space planning. Subsequently on-site surveys and questionnaires were conducted at existing facilities. Results: In the past, learning space of the college of medicine was considered only a formal learning space such lecture rooms, labs. But lately it has been turned into a total learning concept that embraces shared learning spaces such as libraries, student spaces, amenities and common spaces such as lobbies and hallways. ① Formal learning spaces are composed of teaching and practice areas. Since It is the basic functions that comprise the college of medicine, this paper conducted a functional analysis based on the current operating system of the College of Medicine and provided baseline data on architectural planning such as function, layout, zoning, and detailed planning. ② The informal learning sharing space was divided into a library area and a student well-being and convenience area to analyze the real conditions of domestic medical college. In addition, by comparing the trends and differences in foreign medical colleges identified by literature analysis, this paper summarizes the need to revitalize informal learning spaces and their integration into formal learning spaces, architectural planning considerations, etc. Implications: the evolution of the learning method and the flexibility of the learning space bring about changes in the learning space.

Purpose: This study is a case study in which the space was improved by applying the design direction derived through the theoretical basis and service design process to the outpatient department and health examination center in mental health facilities used by various stakeholders. And it aims to present implications through this. Methods: The research method is based on the analysis of the service design process with a focus on literature review. Results: As a result of deriving the design direction, it was organized into 1) improvement of spatial arrangement, 2) improvement of wayfinding system, and 3) creation of comfortable environment. The design improvement plan suggested division of areas, change of nurse station location, creation of a pleasant waiting space for the outpatient department, reinforcement of access, improvement of room relocation and flow, and increased comfort of common spaces for the health examination center. Implications: First, it is necessary to expand research and application of spatial planning and environmental design reflecting the characteristics of patients and environments of mental health institutions. Second, in the medical environment, the divided territoriality should be reviewed for various stakeholders as well as the coexistence. Third, it is necessary to promote medical service and environmental improvement through the service design process.

Purpose: The purpose of this study is to compare the changes in hospital accreditation evaluations, the changes in hospital building design guidelines, and the development of design indicators for reducing medical accidents in the state-of-the-art healthcare providers. Methods: The changes and tools were carefully investigated and compared that had been taken place and used in the building certification standards, design guidelines, and patient safety design standards to reduce accidents in the United States and the United Kingdom. Results: First, medical accidents are recognized as multiple defense layers rather than personal ones, and a public reporting and learning system is created, reporting the accidents in question publicly and suggesting ways to improve them based on the data at a time. Second, for the accreditation institute that secures the service quality of medical institutions, detailed standards for patient safety are continuously updated with focus on clinical trials. The United States is in charge of the private sector, but on the other hand the United Kingdom is in charge of the public sector. Third, the design guidelines are provided as web-based tools that complement various guidelines for patient safety, and are improved and developed as well. Fourth, detailed approaches are continuously developed and provided to secure patient safety and reduce medical accidents through appropriate research, evidence-based design and strict evaluations. Implications: When medical institutions make efforts to strength patient safety methods through valid design standards, accidents are expected to decrease, whereby hospital finances are also to be improved. A higher level of medical quality service will sure be secured through comprehensive certification evaluation.