DESIGN
The main entrance of the hospital.
A model hospital The aim of the project was to create an innovative building that could be used as a model for other Brazilian university hospitals in terms of the quality of services, commitment to sustainability and the humanised environment. The hospital is located in the inland Brazilian city of Lavras, which has 100,000 inhabitants, is at high altitude and has a tropical climate. Designed to be a general teaching hospital of high complexity, the first step was to develop a master plan, which included: analysis including strategic planning; regional epidemiology and regional healthcare structure; prognosis that included the development of the functional programme; and master planning that proposed zoning for the hospital areas. The aims of the project were to achieve high complexity with: perfect management of flow, safety, hygiene, operation and assistance; and to explore the natural qualities of the landscape to achieve user wellbeing and increase energy efficiency, reducing costs and preserving natural resources. A systemic sectorisation with care
services for outpatients located in areas that are easy to access, the 21,000 m2
and
140 bed facility is zoned into three distinct areas - public, healthcare and support –
The qualities of the natural landscape as well as therapeutic gardens have been designed to enhance wellbeing.
with different access points for the general public and staff and supplies, thereby optimising flow.
Layout of services The building has four blocks, three of which make up the base and are separated from each other by vertical circulations - one social and the other for service - that connect the tower above the roof garden columns. Block A accommodates the main entrance and central registration on the ground floor and administration on the second. Block B ground floor accommodates the surgical centre, endoscopy, diagnostic imaging clinic, laboratories, the intensive care unit (ICU) - with 30 beds divided into adult, pediatrics and neonatal, the birthing centre (BC) - with normal and surgical parturition facilities and sterilisation material central (SMC) on the second floor. Block C accommodates: the emergency room (ER) - with independent entrance, and technical and logistical support activities - laundry, morgue, storage and maintenance on the ground floor; laboratory, linen room and pharmacy on the second; and staff support, dietary and clinical engineering on the third. Also on the third floor, near the roof garden, is the cafeteria. The inpatient tower (Block D) has three floors,
from four to six, with 100 beds in total that are subdivided into surgical clinics, general clinics and pediatrics. The project provides flexibility and the
option to expand by creating three more blocks: for the expansion of diagnostic and treatment services (Block E); for the oncology unit (Block F); and the second tower for inpatient expansion, interconnected by catwalks to the original tower, doubling the bed capacity. The inpatient floor has elevators and stairs on both sides, one for social use and the other for services, with a nursery in the centre with learning facilities. The model inpatient bedroom has space for at least two patients, a bathroom and a balcony that provides natural light and ventilation.
Therapeutic spaces Therapeutic spaces can help users identify with their environment. The qualities of the natural landscape as well as therapeutic gardens have been designed to enhance wellbeing. Therapeutic gardens can also reduce stress and depression by humanising environments that may be associated with coldness and sterility. The roof garden is located at the same level as the cafeteria and the staff comfort area, creating a space for rest and natural contemplation for visitors, staff and students. In addition, it provides
A volumetric representation of the hospital. IFHE DIGEST 2019
Energy efficiency strategies are based on the efficient use of sunlight and ventilation.
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