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HEALTHCARE REMODELLING


community, and a civic square that serves as the main public entrance. This comprehensive strategy is intended to provide a fresh centrality to an area that has featured a remarkable growth in recent years. It is a singular space that combines medical care, research, education and recreational activities that provides access to the public healthcare system, to high-complexity services and to quality care for a large number of people. The regional hospital will contain a


clinical research center with the aim of enhancing the quality of care. It will be open to all the professionals working in the provincial healthcare network. The complex will also encompass the new


building of Technical School number 407, in order to meet the demand for secondary education. The new school will offer certificates to meet healthcare’s future labour demands. The school’s design incorporates spaces that suit educational needs and is equipped with the technology required by different courses of study, such as Master Builder, Economics and Management of Organisations, both focusing on healthcare demands and medical equipment maintenance. The architectural design for the specific studies required by hospital operations is under study. The idea is to include studies on biosecurity, hospital nutrition, hospital kitchen management and laundry services. The goal is to link education to healthcare and employment and create opportunities for social inclusion in poor agglomerations. The complex also comprises an area for


recreation and sports, open to the community and properly integrated into the school building. There will be two football fields (one of professional dimensions and the other for five-a-side football) plus two further areas with infrastructure for games such as basketball, volleyball and tennis.


The architectural project Rosario Regional Hospital will be a Level II complexity facility, focusing on both non traumatic and trauma emergencies, on clinical, surgical, obstetrics and gynecology


‘The uniqueness of this initiative is rooted in its architectural design: a regional, high-complexity hospital, a research center, a new building for Technical School number 407, a large area for recreation and sports which is open to the community, and a civic square.’


pathologies, treating patients that reside in the reference health area. It will include 210 beds, 64 in the obstetrics unit. The design has taken into consideration


current trends in architecture and the latest equipment to integrate care, clinical research and training. The design supports the principles and


criteria established for Santa Fe regional hospitals, some of which are already under construction in the nodal cities. Organised according to complexity levels and progressive care, the building itself is a system that establishes service subsystems. This architecture translates into the determination of fixed points, compatible with a geometrical, structural and a spatial system that, from a basic module, can create a mesh that is capable of absorbing and adapting to different programs. The general public areas, the medical


services and the technical support are arranged in order of importance and connected by corridors that create a sequence that defines and restricts access. This original arrangement does not challenge fire hazard safety and prevention. Indeed, paths can be clearly seen, interference between different users is prevented, the sanitary control of the space is made simple. The building is an architectural volume


that is able to hold today’s programme, as well as being able to adapt to future needs. The strategy focuses on the building’s ability to prevent its quick obsolescence, to adjust to new, changed uses, services, medical equipment, instruments and techniques, changes which are usually difficult to predict. The building has been designed as an


open system, mainly horizontal, that integrates the structure, the flow of services, and the circulation of people and materials with the equipment, support and service areas. The design has also considered a minimum number of entrances, low-cost construction and equipment, low operational costs, maximum sunlight and natural ventilation and minimum maintenance requirements. It will also include a modern maternity


hospital, offering the latest birthing options. The obstetrics unit is supported for a safe and humane childbirth experience, currently fostered by the WHO and PAHO. There will be six wards for labour, delivery and recovery. Patients will, therefore, not need to be transferred to other wards in order to deliver their babies. This design aims to ensure that a women’s biological needs, as well as her own and her family’s psychological, social and cultural requirements are met. The maternity hospital will be able to handle 5,000 deliveries a year. It will use safe techniques that are gaining support worldwide and that that have been proven to significantly reduced infant mortality rates in the province in recent years. The Clinical Research Center adds a


notable programmatic innovation to the operation of the entire complex. It most representative and innovative contribution probably being made on the spatial plane. The design features morphological freedom and makes the complex available to everyone. The Center’s aim is to promote and facilitate knowledge production so that clinical and basic research will result in potential treatment options.


Design flexibility Flexibility is the basis of the building’s design. It is intended to meet the specific needs of researchers. Open spaces, glazed walls


A digital impression of the frontof the Rosario hospital. IFHE DIGEST 2013


‘The set of resources, services and actions undertaken by the provincial administration will ensure the right to health for all citizens.’


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