General Hospital 2019

REPORT ON

470 BEDDED GENERAL

HOSPITAL

SUBMITTED BY: - KULDEEP SINGH

B. ARCH 8TH SEM

A51204015017

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Acknowledgement

I would like to express my special thanks of gratitude to my teacher Ar. Meghna Vij who gave
me the golden opportunity to do this wonderful project on the topic 470 bedded general
Hospital, which also helped me in doing a lot of Research and I came to know about so many
new things I am really thankful to them.
Secondly I would also like to thank my parents and friends who helped me a lot in finalizing this
project within the limited time frame.

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Introduction
A hospital is a health care institution providing patient treatment with specialized medical and
nursing staff and medical equipment. The best-known type of hospital is the general hospital,
which typically has an emergency department to treat urgent health problems ranging from fire
and accident victims to a heart attack. A district hospital typically is the major health care facility
in its region, with large numbers of beds for intensive care and additional beds for patients who
need long-term care. Specialized hospitals include trauma centers, rehabilitation hospitals,
children's hospitals, seniors' (geriatric) hospitals, and hospitals for dealing with specific medical
needs such as psychiatric treatment (see psychiatric hospital) and certain disease categories.
Specialized hospitals can help reduce health care costs compared to general hospitals. Hospitals
are classified as general, specialty, or government depending on the sources of income received.

Evolution of Hospital

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•In Ancient Culture , Medicine And Religion Are Linked . Ancient Egyptian Temples Are The Earliest Documented
Institute To Provide Health Care (Around 100 BCE)
ANCIENT AGE •Temples Ang Religious Places Are Use To Be The Healthcare Center For The Peoples

•From the 6th to the 10th century, in Europe, the infirmary becomes an established part of every monastery.
MIDDLE AGE
•After the 10th century, monastic infirmaries continue to expand, and public hospitals are also opened.

•Many hospitals were developed during the early Islamic era.

ISLAMIC •Islamic hospitals tended to be large, urban structures, and were largely secular institutions, many open to all.
GOLDEN AGE

•The voluntary hospital movement begins in some parts of Europe.

•The earliest contemporary hospitals begin to appear in China in the form of missionary hospitals run by western
18TH CENTURY churches

•Hospitals and the medical profession become more professionalized

19TH CENTURY
•The modern hospital begins to take shape with a proliferation of a variety of public and private hospital systems.

•Middle-class patients enter the hospitals. Outpatient departments expand.

20TH CENTURY
•Technological transformation of hospitals accelerate.

•The role of hospitals evolves to centered health systems. Large hospitals start to be built.
1950 s
•Computer technology in medicine begins with the rise of the computers.

•District general hospitals rise as local, secondary and tertiary hospitals

1970 s

•Magnetic resonance imaging is introduced.

1980 s

•Acute care hospitals and ambulatory surgery centers consolidate.

1990 s

•Computing is generalized in hospitals. Robotics start to develop.

2000 s

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ARCHITECTURAL EVOLUTION OF HOSPITALS

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Need for hospital –

As per the world health organization analysis India needs 3.5 million hospital beds and 3
million doctors by 2034

HEALTH STATISTICS

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Departments and wards –

Hospitals consist of departments, traditionally called wards, especially when they have beds for
inpatients, when they are sometimes also called inpatient wards. Hospitals may have acute
services such as an emergency department or specialist trauma Centre, burn unit, surgery, or
urgent care. These may then be backed up by more specialist units such as the following:

 Emergency department
 Cardiology
 Intensive care unit
 Pediatric intensive care unit
 Neonatal intensive care unit
 Cardiovascular intensive care unit
 Neurology
 Oncology
 Obstetrics and gynecology, colloquially, maternity ward

In addition, there is the department of nursing, often headed by a chief nursing officer or
director of nursing. This department is responsible for the administration of professional
nursing practice, research, and policy for the hospital. Nursing permeates every part of a
hospital. Many units or wards have both a nursing and a medical director that serve as
administrators for their respective disciplines within that specialty. For example, in an intensive
care nursery, the director of neonatology is responsible for the medical staff and medical care
while the nursing manager/director for the intensive care nursery is responsible for all of the
nurses and nursing care in that unit/ward.

Some hospitals have outpatient departments and some have chronic treatment units such as
behavioral health services, dentistry, dermatology, psychiatric ward, rehabilitation services, and
physical therapy.

Common support units include a dispensary or pharmacy, pathology, and radiology. On the
non-medical side, there often are medical records departments, release of information
departments, information management, clinical engineering, facilities management, plant ops
(operations, also known as maintenance), dining services, and security departments.

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Aim
TO DESIGN A 470 BEDDED GENERAL HOSPITAL IN KHICHRIPUR , EAST DELHI

Objective
 Design for flexibility and expandability for the rapid changing needs of a hospital.
 To increase operational efficiency with respect to the functional need of the system.
 Providing a comfortable, healthy and user-friendly environment to the people of
district.
 Patient oriented design strategies.
 Understanding the complexity of Hospital design – how departments are interlinked
and equipment and machineries are used
 Application of green ideas into hospital design

Area of research
Understanding the functioning of various departments of hospital and there co relation with
each other.

 Circulation pattern
 Typologies in hospital design
 Understand the local culture and its influence on design.
 Understanding the components of healing environment which will enhance he healing
character of the hospital.
 Sustainable principles of energy conservation.

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Scope –
 A general hospital that will serve as a place healing providing Facilities of various
Disciplines of medicine.
 To understand the impact of built form on the environment conducive for the doctors,
patient and other staff.
 Understand and evolve the interrelationship between built form and Open spaces.

Limitations –
The project is limited to architectural solution of integrating management and procedural
processes in the hospital.

The project is limited to medical services, and staff accommodation will not be provided.

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Methodology –
Methodology is a three-step process and can be divided into – study, analysis & design

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Proposed site –

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THE PROPOSED SITE IS LOCATED NEAR KALYANVAS COLONY, MAYUR VIHAR PHASE II
KHICHRIPUR DELHI.
THE GEOGRAPHICAL COORDINATES ARE - 28.37 N 77.18 E

site

1. SITE AREA – 1.9 acres / 7,700 sqm

2. LOCATION – THE PROPOSED SITE IS LOCATED NEAR KALYANVAS COLONY, MAYUR VIHAR
PHASE II KHICHRIPUR DELHI.
THE GEOGRAPHICAL COORDINATES ARE - 28.37 N 77.18 E
3. SURROUNDINGS – Site is surrounded by residential area having LBS hospital on west.

Bye laws –
1. SITE AREA – 1.9 acres / 7,700 sqm
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2. MINIMUM WIDTH OF STAIRCASE – 2.0 M

3. MINIMUM WIDTH OF RAMP – 2.25 M WITH HAND RAIL ON BOTH SIDE
4. MINIMUM WIDTH OF COORIDOR – 1.5 M
5. WATER CONSUMPTION FOR >100 BED – 450 LPCD
6. GROUND COVERAGE – 40%
7. FAR – 2.5
8. SET BACK –12 M Front and 9 M Rear & Side

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Case Study –
 ESIC HOSPITAL JAIPUR
o Scale of project similar to my design
o Only multi specialist hospital in the nearby area
o To study the effect of location on design.

 INDRAPRASTHA APOLLO HOSPITAL

o 650 bedded multi specialist hospital
o The hospital was designed by Hafeez contractor
o Internal modifications were done by C. Shashidhar
 MAX HOSPITAL
o Nearby to the proposed site.
o One of the best hospitals of India
o To understand the effect on design when the scale of project increases so that I
can incorporate that in my design for the future extension with changing
scenario.

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Bibliography
http://isccm.org/images/Section1.pdf
http://europeanhealthcaredesign2017.salus.global/uploads/medi
a/conference_lecture_presentation.pdf
http://www.wrldesign.com/files/papers/2004hcsnewmodelsicu91
04.pdf

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