REDEVELOPMENT Maria Elena Galesio, Silvina Pan, Maria Elizabeth Rial – Architects Studio A4 Ricardo Ressonico – Doctor in medicine
A master plan for hospital redevelopment in Argentina
When discussing an integrated design process for ‘master plan in stages’ for centennial pavilion hospitals in Argentina the authors are referring to a sequential process of multidisciplinary and interdisciplinary work that integrates all the processes involved.
This article looks at the requirements for a new hospital. How it is planned, designed, executed, constructed, operated, maintained, and refunctionalised over its lifetime. In Argentina, the majority of Public
Pavilion hospitals are now more than 60 years old. During their lifetime many of these buildings have been altered, and there is often a need for planning and relocation in order to modify the establishment’s building processes. The final result should adequately support
the new medical model in the region, covering today’s needs in addition to any possible new needs and requirements that may emerge over the next two decades. The work presented in this article is the
development of a new methodology called ‘MAT building, public street and chess system.’ This methodology can be applied to
existing Public Pavilion Hospital Buildings in order to achieve the necessary refunctionalisation of the estate to update both the physical and technological resources as well as medical models. The proposed MAT building, public street
and chess system method can be replicated in various Public Pavilion Hospitals throughout Argentina, which have a similar organisation of pavilions and whose buildings are in a similar state of repair and incorporate similar outdated technology and operational structures. The methodology proposed by the Chess
system results in buildings that are feasible from an economic perspective and that are able to respond to the needs of 21st
Century
medicine, as well as producing buildings that are the result of a generic system of simplicity of design and construction. Importantly, the methodology also allows
for the preservation of existing buildings that are valued, either for their historic heritage
42 Ricardo Ressonico MD
Ricardo Ressonico, MD gained a Doctorate in Medicine from Universidad Buenos Aires in 1963.
Between 2002 and 2005 he was Director Of Ramos Mejía Hospitlal and in 2003 became Technical Legal Secretary of Favaloro Foundation. In 2006 be became Academic Secretary at Favaloro University .
Studio A4 Architects – Maria Elena Galesio, Silvina Pan, Maria Elizabeth Rial
Between 2010 and 2012 the team worked on Master Planning and Design for Health Buildings at the University of Catalunya. Together the team has worked Master Plan in Stages at Ramos Mejia Hospital; Gutierrez Children’s Hospital and, in 2011 undertook research work for an Integrated Master Plan for Public Hospitals in Argentina.
IFHE DIGEST 2013
or their continuing value to the community. The methodology will add value to these
existing buildings to ensure they are better suited to meet current and future requirements. Many of the recovered of 19th Century patrimonial buildings can be assigned simple functions with low technological complexity, going forward. During the process, centennial buildings
are replaced by new ones, constructed in successive stages, to host medium and high complexity areas in such a way that at completion of the final stage, they comprise an integrated, consolidated building.
Continuing operation In all examples, addition and subtraction are proposed in every example while the hospital continues to operate. This is achieved through the implementation (in stages) of new technologically advanced buildings up to completion of all the new areas. This ensures and maintains the operation of the hospital as a whole throughout all the stages of the process. The proposed integrated hospital is
therefore a whole, and not merely the sum of its parts – both in its architectural appearance and care. It is important that the
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50 |
Page 51 |
Page 52 |
Page 53 |
Page 54 |
Page 55 |
Page 56 |
Page 57 |
Page 58 |
Page 59 |
Page 60 |
Page 61 |
Page 62 |
Page 63 |
Page 64 |
Page 65 |
Page 66 |
Page 67 |
Page 68 |
Page 69 |
Page 70 |
Page 71 |
Page 72 |
Page 73 |
Page 74 |
Page 75 |
Page 76 |
Page 77 |
Page 78 |
Page 79 |
Page 80 |
Page 81 |
Page 82 |
Page 83 |
Page 84