SCENARIO PLANNING
FÁBIO BITENCOURT – ARCHITECT AND AUTHOR; ELISABETH HIRTH – ARCHITECT AND URBAN PLANNER; MARCOS FREITAS – PROFESSOR AT THE ENERGY PLANNING PROGRAM AT COPPE/UFRJ, BRAZIL
The masterplan as an instrument of guidance
Professor Fábio O. Bitencourt Filho, architect PhD, Professor Elisabeth D’Abreu Hirth, architect esp, and Professor Marcos Aurélio V. Freitas, geography PhD, present and develop design experiences related to hospital master plan development using scenario planning methodologies.
The study presented here was developed in the city of Belo Horizonte, in the central region of Brazil. With just over 2,315,000 inhabitants, the city has a hospital linked to the Brazilian public health system, with the Metropolitan Hospital Odilon Behrens being a strategic unit in the regional assistance network. The hospital, with a total constructed
area of 20,674 m , has 521 inpatient beds and is a reference in maternal and paediatric care for the State of Minas Gerais, which has a population of over 2.5 million inhabitants. The elaboration of the Hospital
Metropolitano Odilon Behrens (HMOB) master plan project considered, as a priority, the physical and functional needs of healthcare combined with the possibilities of potential use of the existing land, in accordance with the building standards of the municipality of Belo Horizonte.
North American architect and
researcher Stephen Verderber presents, among the different characteristics of the hospital building, its need to be frequently redesigned, because for him “The hospital building has an expiration date, and as many believe, an intrinsic social
Façade of the Hospital Metropolitano Odilon Behrens, Emergency Care access.
Fábio Bitencourt Elisabeth Hirth Marcos Freitas
•Professor Fábio Bitencourt holds a Doctorate in Sciences of Architecture, and a Master’s in Healthcare Comfort. He has been a member of the executive committee of the IFHE since 2014. A member of the Brazilian Academy of Hospital Management (ABAH), Fábio is the author of various books and publications on hospital architecture, human comfort, healthcare environments, and ergonomics. •Elisabeth Hirth, an architect and urban planner, graduated from the Federal University of Rio de Janeiro, with an MBA in Health Management from the Getúlio Vargas Foundation. She is a specialist and consultant in healthcare spaces and has the professional experience necessary to develop consultancy in the hospital sector, promoting the development of architecture projects for health that optimise the results of its clients. In addition, Elisabeth is an invited professor of the postgraduate course in Hospital Architecture at INBEC and PUC RJ and was national president of ABDEH – Brazilian Association for the Development of Hospital Buildings (2020-2022). •Marcos Freitas holds a Master’s in Nuclear Engineering and Energy Planning by COPPE/Federal University of Rio de Janeiro (1988) and a Doctorate in Economie de l’Environnement – Ecole des Hautes Etudes en Sciences Sociales – EHESS – Paris (1994). He is currently a professor at the Energy Planning Program at COPPE/UFRJ and has been superintendent of studies and hydrological information of the National Electric Energy Agency (ANEEL 1998-2000), director of the National Water Agency (ANA 2000-2004), executive secretary of the National Biomass Reference Center (1997-1998), and adviser of the Hydrology Commission of the World Meteorological Organization (WMO 2004-2008).
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responsibility to expand, continually rebuild and retool.” In his book Health environments in a period of radical transformation (Yale University Press, 2000) he quotes a statement by President Lyndon Johnson in March 1965 in his Message for Education and Health, in which he assumed that a third of all hospitals in the country were in “obsolete condition.” The absence of a master plan in hospital buildings can be decisive for the quality of investments and organisation of environments, considering their own dynamics of care operation regarding health services. The need to adapt to the current technology of coating materials and hospital building equipment, the importance of engaging with medical technological innovations and meeting the physical-functional organisation established by health care modelling, can represent the survival and longevity of architecture conceived in any period of its history and life cycle.
Master plan preparation The studies for the preparation of a master plan for HMOB, carried out between 2010 and 2014, provided the opportunity to think about and contribute to the inclusion of new spaces, in addition to the land delineated by its formal property. Considering the urban surroundings and their respective inhabitants as part of this transformation and health promotion was, in all its
IFHE DIGEST 2024
Portal PBH/Breno Pataro, 2023
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