SUSTAINABLE HOSPITAL DESIGN
design – from the building components to the integrated management and design criteria – being applied from an early stage and supported by advanced digitalisation tools. The sustainability of building systems will be increasingly determined by a wide range of factors. Energy consumption, alternative energy sources, thermal comfort, use of water, waste management, ventilation systems and lighting efficiency, air quality, materials and construction techniques, will all play a part. On a broader scale, smart choices – in terms of location, aiming to reduce land consumption while maximising the potential of existing infrastructural areas, will be critical to promoting sustainability and urban regeneration strategies. Sustainability should ultimately be assessed holistically, through the implementation of models based on scientific evidence and robust methodologies. From the location study, accessibility and functional design, to the presence of greenery, safety, and resilience strategies, hospital design is tasked with the development of innovative strategies through a comparison between the latest scientific literature and notable best practice cases from around the world. Innovation can only occur when there is continuous synergy between research, training, and technological transfer. This is key to shaping cutting-edge, inclusive, and sustainable care spaces that benefit from an evidence-based approach of a multidisciplinary nature. Intrinsic to the hospital of the future is a firm commitment to facing the most complex social, environmental, and organisational sustainability challenges.
References 1 Campbell-Lendrum D, Neville T, Schweizer C, Neira M. Climate change and health: Three grand challenges. Nature Medicine 2023 29(7):1631–8.
2 Shumake-Guillemot J, Villalobos-Prats E, Campbell-Lendrum D. Operational framework for building climate resilient health systems. Geneva, World Health Organization, 2015.
3 New Karolinska Solna Hospital [Internet]. 2023].
https://tinyurl.com/ysuhk65t
4 World Health Organization (WHO). Hospitals of the future: a technical brief on re-thinking the architecture of hospitals. Report number: WHO/EURO:2023- 7525-47292-69380, 2023. 22 May 2023.
https://tinyurl.com/2we93mvx
5 Wark R, Galvin A. Design Guide for Health Space, Places and Precincts. New South Wales: Government Architect New South Wales Health Infrastructure; 2023.
6 Sagredo R. Santa Fe de Bogotá Foundation / el equipo de mazzanti [Internet]. ArchDaily.
https://tinyurl.com/ bddbssk8
76 Health Estate Journal September 2024
Figure 6: An interior view of the private rooms located in the Jacobs Medical Center in San Diego, California.
7 Burger Grunstra Architecten, Rob Hoekstra · New Martini Hospital in Groningen [Internet]. 2007.
https://tinyurl.com/nwk3kd4v
8 Martini Hospital by Dutch Hospital Design [Internet]. 2013. https://tinyurl. com/27pvxmuh
Other sources n Brambilla A, Rebecchi A, Capolongo S. Evidence Based Hospital Design. A literature review of the recent publications about the EBD impact of built environment on hospital occupants’ and organizational outcomes. Ann Ig 2019; Mar-Apr; 31(2): 165-180.
n Capolongo S, Gola M, Brambilla A, Morganti A, Mosca EI, Barach P. COVID-19 and Healthcare Facilities: a Decalogue of Design Strategies for Resilient Hospitals. Acta Biomed 2020 Jul 20; 91(9-S):50-60.
n Brambilla A, Capolongo S. Healthy and Sustainable Hospital Evaluation – A Review of POE Tools for Hospital Assessment in an Evidence-Based Design Framework. Buildings 2019; 9 (76).
https://doi.org/10.3390/ buildings9040076
n Partnership for Health System Sustainability and Resilience (PHSSR). A Stitch in Time: Early Intervention to Tackle Europe’s NCD Crisis. The Partnership for Health System Sustainability and Resilience. November 2023. Accessible at
https://www.phssr. org/reports
n Jacobs Medical Center at UCSD health [Internet]. 2016. https://www.
cannondesign.com/work/ucsd-jacobs- medical-center
n Sammy Ofer heart building – ziss architects [Internet]. 2012. Available from:
https://ranniziss.com/Sammy-Ofer- Heart-Building
n Capolongo S, Sianesi. JRP Health Infrastructures Annual Report 2022. The Next Generation Hospital. Politecnico di Mialno; 2022.
Professor Capolongo
Stefano Capolongo is Full Professor in Hospital Design and Urban Health at Politecnico di Milano, where he is also director of the Department of Architecture, Built Environment and Construction Engineering (DABC). He has a PhD in Public Health from the University of Milano. He is President of the Urban Public Health Section of the European Public Health Association (EUPHA), Scientific coordinator of the Design & Health Lab and of the Joint Research Partnership Healthcare Infrastructures (JRP HI) at Politecnico di Milano, and General Secretariat of CNETO (Italian Center for Hospital Building and Design). Prof. Capolongo is the scientist responsible for the World Health Organization’s report, ‘Hospitals of the future’, and the Working Group, ‘Hospitals and Social-sanitary Facilities’ of the Italian Standards Body (UNI). His research interests include the health and sustainability of the built environment, hospital building and design, and finance in public health and social architecture.
CannonDesign
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