CRUZ Rob Ritz E. THESIS BOOK Integrated Medical Mall and Wellness Development Center in Tagaytay

MAPUA INSTITUTE OF TECHNOLOGY
School of Architecture, Industrial Design and the Built Environment

Manila, Philippines
NATURE’S PARK MEDIPLEX

A Proposed Integrated Medical Mall and Wellness Development Center in Tagaytay City
Creating a Health-Sustaining Environment for One’s Optimal Health and Wellness
A Thesis presented to
The Faculty of the School of Architecture, Industrial Design and the Built Environment
Architect Junar Pakingan Tablan, UAP

Adviser
In Partial fulfillment of the course requirements in

Architectural Design 11: Architectural Design Thesis
For the degree of
Bachelor of Science in Architecture
Submitted by
Rob Ritz E. Cruz
2008150426
August 2012
A Proposed Integrated Medical

Mall and Wellness Development
Center
Tagaytay City, Cavite
Creating a Health-Sustaining
Environment for One’s Optimal Health
and Wellness
Rob Ritz E. Cruz

2008150426
August, 2012
i
LETTER OF TRANSMITTAL
Mapúa Institute of Technology

To: Arch. Junar Pakingan Tablan, uap
In partial fulfillment of the requirement in Architectural Design 11: Architectural Design Thesis, I hereby present to you my design proposal entitled
“NATURE’S PARK MEDIPLEX: A Proposed Integrated Medical Mall and Wellness Development Center in Tagaytay City (Creating a Health-Sustaining
Environment for One’s Optimal Health and Wellness)" I hope that this will prove to be satisfactory.
Respectfully yours,
Rob Ritz E. Cruz

2008150426
Noted by:
Arch. Junar Pakingan Tablan, uap

Architectural Design 11 Adviser
ii
Approval Sheet
This is to certify that I have supervised the preparation of and have read the “NATURE’S PARK MEDIPLEX: A Proposed Integrated Medical Mall and
Wellness Development Center in Tagaytay City (Creating a Health-Sustaining Environment for One’s Optimal Health and Wellness)" by Cruz, Rob Ritz E.
and that the said thesis proposal has been recommended for acceptance and approval for oral defense by the Thesis Evaluation Committee.
Arch. Junar Pakingan Tablan, uap

Architectural Design 11 Adviser
As members of the Thesis Evaluation Committee, we certify that we have reviewed and examined this thesis proposal with the grade of ______ and hereby
recommend that it be accepted as partial fulfillment of the requirements in Architectural Design 11: Architectural Design Thesis for the degree of Bachelor
of Science in Architecture.
______________________________ ______________________________
Arch. Daniel T. Dayan Arch. Aristeo Garcia
______________________________
Arch. Cristina S. Miraflor
This thesis proposal is hereby approved and accepted by the School of Architecture, Industrial Design and the Built Environment in partial fulfillment of the
requirements for the degree of Bachelor of Science in Architecture.
______________________________
Arch. Gloria B. Teodoro, fuap, piep
Dean
iii
Abstract
The Medical Tourism is an emerging huge market for different countries especially in Asia. With its growing competition and demand, the Philippines have
advantages in using its natural environment for health and wellness improvement, recovery from medical procedures, healthy lifestyle, and many more. In
this study, the proponent addressed the issue of lack of integrated healthcare and recovery facilities that could be use for rejuvenation, recuperation, and
health improvement of the medical tourists / patients while enjoying the natural environment of the country. Biophilic Design was also introduced by the
proponent as one of the green design concepts which act as a connection of one’s health and wellness with nature. Its architectural design principles were
used to develop a more comprehensive and new way of designing healthcare facilities.
iv
Acknowledgment
First and foremost, I would like to thank my family who has always been there for me whenever I need them, the encouragement they give to keep me
going and their love to empower me that never fails all the time. Thank you.
Thanks to my friends, JP, Tim, John, Al, Bianca, Jodie, and Abby for sharing my happiness when starting this project and following with encouragement
when it seemed too difficult to be completed. I would have probably given up without their support. And to all my classmates who became my close
friends, you know who you are. Thank you.
To my inspiration and God’s gift, I thank Katrina Aterrado.
I would also like to thank Arch. Junar Tablan and Arch. Ten Ealdama who have given me the chance to prove that I can do things on my own. They gave me
a lot of positive perspective in life. I thank them for challenging me to do this project. To you sir and ma’am, I give you lots of thanks and respect. And to all
the Mapua Architecture professors, thank you.
And I would like to thank our Heavenly Father. He who was and is to come; Him who is giving high hopes; for being my source of strength; for being true to
what He promised me. I praise you and I thank you my Creator and Savior. To God be the glory.
v
TABLE OF CONTENTS
Title Page i.
Letter of Transmittal ii.
Approval Sheet iii.
Abstract iv.
Acknowledgement v.
Table of Contents vi.
List of Tables and Figures vii.
1.0 THE PROBLEM

1.1 General Overview
1.1.1 Introduction……………….………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….1
1.1.2 Background of the Study.….……….…………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……2
1.1.3 Statement of the Problem……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..………3
1.1.4 Project Goal, Objectives and Strategies….……………………………………………………………………………………………………………………………………………………………………………………………………………………………..3
1.1.5 Significance of the Research…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..4
1.1.6 Scope and Limitations of the Study………………………………………………………………………………………………………………………………………………………………………………………………………………..........................4
1.1.7 Conceptual Framework………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….5
1.1.8 Definition of Terms………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..6
1.1.9 Acronyms……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….7
1.2 Review of Related Literature and Studies
1.2.1 Related Literatures…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………8
1.2.2 Case Studies…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………11
1.3 Research Methodology
1.3.1 Focused Interviews………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………15
1.3.2 Archival Researches……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..17
1.3.3 Survey………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….21
1.4 Summary of Findings and Analysis
1.4.1 Presentation of Collected Data and Analysis………………………………………………………………………………………………………………………………………………………………………………………………………………………..23
1.5 Conclusion and Recommendations.........................................................................................................................................................................................................................................................26
2.0 RESEARCH FOCUS: BIOPHILIC DESIGN

2.1 Rationale…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………27
2.2 Principles and Relevance to the Project……………………………………………………………………..…………………………….……………………………………………………………………………………………………………………………………28
2.3 Application to the Project…………………………………………………….………………………………………………………………………………………………………………………………………………………………………………………………………..31
vi
3.0 SITE IDENTIFICATION AND ANALYSIS
3.1 Site Selection Process
3.1.1 Setting the Criteria……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….36
3.1.2 Description of Site Options…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..37
3.1.3 Site Selection and Justification…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….38
3.2 Site Evaluation and Analysis
3.2.1 The Macro Setting……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….39
3.2.2 The Micro Setting…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………51
3.2.3 Laws and Ordinances Pertaining to the Site…………………………………………………………………………………………………………………………………………………………………………………………………………………………59
3.3 Site Development Options…………………...................................................................................................................................................................................................................................................61
4.0 ARCHITECTURAL DESIGN TRANSLATION

4.1 Design Program
4.1.1 Design Objectives……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….……….62
4.1.2 Design Considerations (Laws and Standards)……………………………………………………………………………………………………………………………………………………………………………………………………………………....62
4.1.3 Organizational Structure………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………66
4.1.4 User Profile and Analysis……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..67
4.1.5 Behavioral and Movement Pattern………………………………………………………………………………………………………………………………………………………………………………………………………………………………………71
4.1.6 Space Programming Index……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………72
4.1.7 Programming Matrix / Diagrams………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….74
4.2 Concept Development
4.2.1 Architectural Concept ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….76
4.2.2 Form Development………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………76
4.2.3 Sustainability Concept………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….77
4.3 Synthesis..................................................................................................................................................................................................................................................................................................78
4.4 Presentation Drawings
4.4.1 Site Development Plan………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..81
4.4.2 Floor Plans…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..82
4.4.3 Elevations…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….84
4.4.4 Sections……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….85
4.4.5 Exterior Perspectives……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………87
4.4.6 Interior Perspectives……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………89
4.4.7 Board Presentations…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….90
Bibliography or References
Appendix
vii
List of Tables and Figures
Figure 1.0 Conceptual Framework……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..5

Figure 1.1 Organizational Structures of Philippine Medical and Wellness Tourism…………………………………………………………………………………………………………………………………………………………………………………………..18
Figure 1.2 Medical Tourism Cluster………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….19
Figure 1.3 Registered Health Professionals………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………19
Figure 1.4 Top Visitor Arrivals, 2008…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………20
Figure 1.5 Internationally Accredited Healthcare Facilities……………………………………………………………………………………………………………………………………………………………………………………………………………………………….23
Figure 1.6 Tourist Motivations for Medical Tourism…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………23
Figure 1.7 Types of Medical Services………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..23
Figure 1.8 Holiday Packages…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………....24
Figure 1.9 Medical Tourist Arrival…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….24
Figure 1.10 Comparative Healthcare Costs…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………24
Figure 1.11 Marketability…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..25
Figure 1.13 Income Revenues…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….25
Figure 2.0 OHE Chart………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..28

Figure 2.1 Elements and Attributes of Biophilic Design…………………………………………………………………………………………………………………………………………………………………………………………………………………………………….33
Figure 2.2 Biophilic Design Recommendations………………………………………………………………………………………………..……………………………………………………………………………………………………………………………………………….34
Figure 3.0 Key map of Tagaytay City…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………39

Figure 3.1 Location Map…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..40
Figure 3.2 Terrain Map…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….41
Figure 3.3 Solid Waste Map……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..44
Figure 3.4 Land-use and Zoning Map……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….45
Figure 3.5 Land Capability Map………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..47
Figure 3.6 Soil Suitability Map………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….48
Figure 3.7 Road Map………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..49
Figure 3.8 Commuter’s Area Map…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….50
Figure 3.9 Vicinity Map…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….51
Figure 3.10 Site Location Map……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………52
Figure 3.11 Present Condition of the Site…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..53
Figure 3.12 Proximity Map …………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………54
Figure 3.13 Sun Path Analysis…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………….55
Figure 3.14 Wind Direction Analysis…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..56
Figure 3.15 Traffic and Noise Analysis………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..57
Figure 3.16 View Analysis…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..58
Figure 3.17 Site Development Options.……………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………..61
viii
1.0 THE PROBLEM

CHAPTER 1.1
GENERAL OVERVIEW
INTRODUCTION According to the Medical Tourism Association,
“It is where people who live in one country travel to another country, city, region, or state to
The trending global industry of Medical Tourism is a huge market for different countries especially
receive medical, dental, and surgical care while at the same time receiving equal to or greater care
in Asia. The concept of medical tourism was initially coined by the travel agencies and the media as
that they would have in their own country or home city, and are travelling for medical care because
a catchall phrase to describe a fast growing industry.
of affordability, better access to care or a higher level of quality of care. Leisure aspect of travelling
can be included on such a medical travel trip. “
MAPUA INSTITUTE OF TECHNOLOGY: SCHOOL OF ARCHITECTURE, INDUSTRIAL DESIGN, AND THE BUILT ENVIRONMENT || AUGUST, 2012 1
BACKGROUND OF THE STUDY

Through joint marketing of the Philippines as a medical tourism destination, and locating world-
class medical facilities at tourist spots, the potential of Philippine’s own natural environment will
According to the Philippine Department of Health (DOH), Asian countries earned US$600 million in
become the distinct market niche for better recuperation of the patients. The government,
revenues in 2005. Globally, medical tourism is a US$80 billion industry and counting. Having started
partnering with other private sectors like the Philippine Medical Tourism Inc. (PMTI), Philippine
late compared with its Asian neighbours, Philippines faces tough challenges in its quest to capture a
Medical Association, and foreign investors, will have the success of attracting more medical tourists
big chunk of the world’s multibillion dollar medical tourism industry. Philippines only began
from outside or even tourists already in the country and will give an opportunity to increase
institutionalizing its medical tourism program in 2004, as part of a government plan to generate
tourism and employment.
employment and earn foreign exchange. After the astounding success of India and Thailand in this
relatively new industry, the Philippines is now quickly following suit. Leveraging several factors such
as the country’s hospitable, English-speaking, high quality medical labor force and competitive costs
of services; the Philippine government envisions the country as the “new hub of wellness and
medical care” in Asia, where patients can go for healing, rest and recuperate after undergoing
medical procedures.
Despite having great potential in the field due to its lower medical costs and high quality medical
labour force, the Philippines must enhance its other unused potentials and develop its distinctive
market niche based on its strengths to be able to compete successfully with its regional rivals.
According to Tourism Research and Marketing (TRAM), Thailand is especially popular among
Western European medical tourists seeking cosmetic surgery. Singapore and India specialize in
more complex procedures such as heart surgery, with India having a cost advantage and Singapore
a technology advantage. Malaysia caters primarily to Muslims in the region.
Compared to these countries, Philippines have the competitive advantage in terms of its nature to
use for faster and better healing of the patients. Accredited high-end hospitals and medical
healthcare centers are only located in the perimeter of Metro Manila. This separates the medical
and tourism industries’ objectives in promoting and upgrading Philippine Medical Tourism.
STATEMENT OF THE PROBLEM PROJECT GOAL, OBJECTIVES, AND STRATEGIES
With the growing competition and demands of Medical Tourism here in Asia, the Philippine Goal
Government addressed the issues regarding Medical Tourism in the Philippines: Accreditation for The main goal of the project is to design a structure that will enhance and develop Philippine’s own
International Standards, holiday packages in tourist spots, practicality of the Medical Tourists, being unused potential and distinctive market niche based on its strengths to be able to compete
left behind by other global competitors, no comprehensive plan, and the Philippine Medical successfully with its regional rivals and to be internationally known in the medical tourism industry
Tourism Program (PMTP) is still in the development process. as a new hub of wellness and medical care in Asia.
This study will attempt to answer the main problem and the following sub-problems regarding Objectives and Strategies
Philippine Medical Tourism: To develop a design of structure that incorporates the Philippine’s natural environment for faster
“There is a need for a facility that will enhance the unused potentials and offer one-stop and better healing/recuperation of the medical tourists.
destination for the Philippine Medical Tourism.”  Read and review different information coming from books, articles, and journals related
to the current trends in Healthcare Architecture.
 Conduct different interviews about planning and designing healthcare facilities.
Sub Problems:
What structure must be designed to solve the problem? How can it be different from the traditional To design a one-stop shop structure for medical and wellness services that the Philippines can offer.
health care facilities in the Philippines?  Read and review different information coming from books, articles, and journals related
to the current trends of one-stop shop for medical services.
What professions/specializations in medicine that the Philippines can offer to the medical tourists?  Conduct different interviews about planning and designing healthcare and other support
facilities.
What are the facilities that the medical tourists are looking for a unique and holistic experience for
better recovery and relaxation after medical procedures? To incorporate health-related support facilities that will increase income and employment in the
country.
What are the support facilities that can be added to boost the trend of health and wellness?  Study of different local and foreign health facilities.
 Study of different local and foreign wellness and leisure facilities.
How will the medical tourism industry affect our market in terms of income generating and our
environment upon taking advantage on it? To define the effects of the environment on the health of the users.
 Investigate nature’s effect on health
 Review different theories and principles
SIGNIFICANCE OF THE RESEARCH SCOPE AND LIMITATIONS
The scope of the thesis book is to develop a study of nature’s effect on the recuperation of the
Economical Significance
patient. This will focus on the use of the environment in the healing process of the patients.
This project will create the greater opportunities for the country to be internationally known in the
medical tourism industry as a new hub of wellness and medical care in Asia. In a greater extent,
creating jobs and investments through this opportunity will help our medical practitioners and
The scope of the project is to develop a design for Philippine Medical Tourism that will enhance and
other professionals.
develop its unused potentials and distinctive market niche based on its strengths. This project will
focus on ambulatory-surgical clinics which is the major income generating facility of the structure.
The possible facilities that will incorporate healthy living will be included and the use of Philippine
Medical Significance
Alternative Medicine will also be featured in support for the faster and better healing of the
This project will give an opportunity in promoting the conventional and the rich
patient.
traditional/alternative medicine of the country has. This will also strengthen the Medical Tourism in
the Philippines.
Architectural Significance
This project will have a great impact in the Philippines to have a structure with a one-stop shop for
medical services. This will also be an opportunity to use the architectural space planning and design
elements to create an effective healing environment, and to combine medical and wellness
facilities for the Philippine Medical Tourism.
CONCEPTUAL FRAMEWORK
FIGURE 1.0
DEFINITION OF TERMS Hotel – a building, edifice or premises or a completely independent part thereof, which is used for
the regular reception, accommodation or lodging of travellers and tourist and the provision of
services incidental thereto for a fee.
Ambulatory Clinic – a government or privately owned institution which is primarily organized,
constructed, renovated or otherwise established for the purpose of providing elective surgical
treatment of out-patients whose recovery, under normal and routine circumstances, will not
Medical mall - a mall that has been converted from a commercial mall with retail and Department
require inpatient care.
Stores into a mall with different large and small medical providers and medical services providers,
including goods and services provided by drug and insurance companies. The mall will also have a
physicians’ offices complex attached and hotels for relatives who need a place to stay when their
Ambulatory Services – services that include elective (non-emergency) surgical procedures ranging
friends and loved ones have to stay in an attached Hospital center. The mall has a food court and
from minor to major operations, whether requiring local, regional or general anesthesia medical
restaurants of different kinds to cater to different price levels. And it would have several credit and
care (includes diagnosis, observation, treatment and rehabilitation) provided on an out-patient
lending providers including banks.
basis. Ambulatory care is given to persons who are not confined to a hospital but rather
ambulatory or able to walk.
Medical Spa – is an individual, solo practice, group and institution comprised of medical and spa
professionals whose primary purpose is to provide comprehensive medical and wellness care in an
Biophilic Architecture – The deliberate attempt to translate an understanding of the natural human
environment which integrates spa services, as well as conventional and complementary therapies
attraction to connect with natural systems and processes, known as biophilia, into the design of the
and treatments.
built environment.
Medical tourism – (also called medical travel, health tourism or global healthcare) is a term initially
Healing – to make hale, sound, or whole; to cure of a disease, wound, or other derangement; to
coined by travel agencies and the mass media to describe the rapidly-growing practice of travelling
restore to soundness or health.
across international borders to obtain health care. It also refers pejoratively to the practice of
healthcare providers travelling internationally to deliver healthcare.
Health care – is the diagnosis, treatment, and prevention of disease, illness, injury, and other
physical and mental impairments in humans. It is delivered by practitioners in medicine,
Medical tourist – is potentially anyone. Markets for medical tourism include patients and their
chiropractic, dentistry, nursing, pharmacy, allied health, and other care providers.
families; participants in academic medical conferences and conventions; business-to-business
meetings between product and service vendors. Hence, the medical tourist can include patients,
providers, healthcare administrators, payers, regulators, NGO’s, business people and interested
parties.
Organic Food – are foods that are produced using methods that do not involve modern synthetic ACRONYMS
inputs such as synthetic pesticides and chemical fertilizers.
DOT – Department of Tourism
Spa - is an establishment that has a holistic approach to health and wellness, rest and relaxation
DOH - Department of Health
that aims to treat the body, mind and spirit by integrating a range of professionally administered
health, wellness, fitness and beauty, water treatment and services.
DTI – Department of Trade and Industry
HEAL PHILIPPINES – Health and Wellness Alliance of the Philippines

Sustainable Healthcare- "A complex system of interacting approaches to the restoration,
management and optimisation of human health that has an ecological base, that is
MTA - Medical Tourism Assocciation
environmentally, economically and socially viable indefinitely, that functions harmoniously both
with the human body and the non-human environment, and which does not result in unfair or
NABH – National Accreditation Board for Hospitals and Healthcare Providers
disproportionate impacts on any significant contributory element of the healthcare system." (ANH,
2006)
PhilWell – Philippines Wellness and Spa Association
PMTI – Philippine Medical Tourism Inc.

Wellness Center – is a spa which provides services and an environment where in the
interconnectedness of diet, lifestyle, exercise, relaxation and rejuvenation must exist in order to
PMTP – Philippine Medical Tourism Program
bring about the balance.
OHE – Optimum Healing Environment
CHAPTER 1.2
REVIEW OF RELATED LITERATURE AND STUDIES
RELATED LITERATURE Medical Malls: National Trends

As for the book, “Medical Mall Planning Study”, this section is describing the national trends in
medical malls. This also describe the analysis for a medical mall, including supply and demand
Health Benefits of Gardens in Hospital
factors, the potential medical mall sites, and the medical mall concept.
According to Roger S. Ulrich, Ph.D, on his article, Health Benefits of Gardens in Hospital, the belief
that plants and gardens are beneficial for patients in healthcare environments is more than one
thousand years old, and appears prominently in Asian and Western cultures (Ulrich and Parsons,
National Trends in Supply of Medical Malls
1992). During the Middle Ages in Europe, for example, monasteries created elaborate gardens to
The concept of a medical mall has been around since the late 1980s. However, they did not come
bring pleasant, soothing distraction to the ill (Gierlach-Spriggs et al., 1998). European and American
into vogue until health care became more consumer driven in the face of rising health insurance
hospitals in the 1800s commonly contained gardens and plants as prominent features (Nightingale,
premiums and rising health care costs. Pressure by health insurers on health care reimbursements
1860).
was one of the major forces that led hospitals to offer outpatient services. The other force was
hospitals seeking new opportunities to capture health care dollars.
Gardens became less prevalent in hospitals during the early decades of the 1900s, however, as
major advances in medical science caused hospital administrators and architects to concentrate on
Medical malls offer the convenience to provide one stop shopping for medical service for
creating healthcare buildings that would reduce infection risk and serve as functionally efficient
ambulatory care. This medical mall provides easy access and delivers much needed health services.
settings for new medical technology. The strong emphasis on infection reduction, together with the
In addition to healthcare providers, it includes grocers, community development organizations,
priority given to functional efficiency, shaped the design of hundreds of major hospitals
restaurants, beauty salons, shoe stores, social service agencies, a credit union and education
internationally -- that are now considered starkly institutional, unacceptably stressful, and unsuited
providers. Medical Mall reflects the one-stop shop concept of medical services including pediatrics,
to the emotional needs of patients, their families, and even healthcare staff (Ulrich, 1991;
family practice and primary care, cardiology, ear, nose, and throat specialists, diagnostic and
Horsburgh, 1995). This article of Ulrich gave emphasis on the role of plants and gardens to the
laboratory specialists, hearing aid shop, and fitness center.
health of a patient and the staff. The benefits of being close to nature have a big effect on lessening
pain, stress, and diseases.
National Trends in Demand for Medical Malls Exceeding Expectations: Health and Wellness in the Philippines
Policies to address availability of wellness programs in various sectors are now in place.
There are five primary reasons for a hospital to establish a medical mall. They are: Manifestations of the shift in mindsets are seen all over in the Philippines. Today, we find well-
conceived spas in many places, from seaside resorts to plush hotels in business centers. “Health as
• To modernize the site with new equipment and structure to provide additional space for wealth,” is the buzz and a whole new range of services to address the care demand has emerged.
clinics and new equipment without expensive and disruptive remodeling of the hospital. And, for more systematized providers of medical and health care services such as hospitals, well-
conceived Wellness Programs are in place.
• To offer ambulatory care and diagnostics at one site.
• To provide office space for physicians and health-related services. Importantly, Wellness Programs find avid supporters in the government sector which believes in
the gospel of health. On the part of the Philippine Department of Tourism, encouragement and
• To increase profitability. aggressive support has come in the form of the Public-Private Partnership Task Force on Globally
Competitive Philippines Industries or PPPTF.
The group is composed of private and public sector leaders from different disciplines and includes
doctors, hospital directors and related agency representatives and is focused on steering Health
and Wellness cum tourism growth. One of its strategies is information awareness on programs that
are related to the promotion of health and wellness.
Professionals behind medical and wellness services in the Philippines are continuing to raise the bar
and visitors are finding amazing touches that not only delight the senses but reach their inner core
that seeks to be nourished by essential care. The project must have a unique factor so that the
medical will find Philippines as a perfect place for healing.
The Age-Old Healing Art of “Hilot” Natural Healing at The Farm, Philippines
Whether they are Filipinos, who are returning home from work overseas or are migrants coming According to Bardonado, Rounville N., an Asian doctor trained in western medicine who now
home for much-awaited family reunions and tropical vacations, they continue to look for the practices holistic healing draws his inspiration from ancient philosophies and traditions. “Natural
healing touch of the “hilot.” healing means the healer is nature. This boils down to food as our father of Western medicine
Hippocrates said, ‘Let your food be your medicine, and your medicine be your food’.” He is the
head of the medical team at The Farm, a prevention, healing and recovery resort in the Batangas
And while it is common among many Filipinos to seek the Western mode of medical treatment for province of the Phillipines. (Bardonado, Rounville N., 2011).
ailments, the “hilot”, as a remedy, still retains its esteemed and recognized place in the hierarchy of
non-invasive, traditional healing methods. “Hilot” is a word from the Tagalog dialect meaning
massage-rubbing or touch with soothing strokes. Touch is the modality of “hilot.” Initially, one These philosophies about nature’s help on prevention, healing and recovery stage are a big factor
might think it is simply a massage, but “hilot” is more. It is energy manipulation. which can be used in promoting Philippine Medical Tourism. This could help the Philippine’s market
niche on promoting its natural environment for better recuperation. The combination of
conventional and alternative approach will make a unique approach in the country. “Natural
While many popular massages had predetermined sequences of strokes, hilot manipulates the healing means the healer is nature”, Philippines is abundant in natural resources. This will be an
electrical charges of the body that creates a biochemical reaction where it is needed. This can be a advantage for the tourism industry to promote the country.
good factor for the project to develop better wellness and lifestyle. (DR. BIBIANO FAJARDO, 2008)
Reconnecting Roots ~ Discovering Clues from Nature

According to Cynthia Carrion on the Medical Tourism Magazine, the mantra of taking breaks from
routine and, oftentimes, sedentary work only presents its fullest benefits when the right choices for
vacation sites are made. In this travel front, clients who are coming over with the medical aspect in
mind can choose from the wide array of destinations and experiences offered by the Philippines.
Those whose families originate from the Philippines would do well to re-establish or reconnect with
their roots, providing them better psychic balance through the understanding and appreciation of
their past in relation to their present. Heritage and cultural tours bring travelers to eras gone, but
where hidden memories remain.
CASE STUDIES to treatment. The Centers are run by fellows with extensive training in the most renowned medical
institutions worldwide, including affiliates of St. Luke's, which makes possible diverse collaborative
work and important exchange of information. These specialty Centers are geared to provide
St. Luke's Medical Center – Global City meticulous care to achieve the best possible outcome, meeting the needs and expectations of the
patient and his family.
St. Luke's Medical Center is one of the state-

of-the-art healthcare facilities in the AESTHETIC CARDIAC BREAST CENTER
Philippines. It is internationally accredited by SURGERY CENTER ARRHYTHMIA
the Joint Commission International and the CENTER
Department of Health to participate in the
CENTER FOR CENTER FOR CENTER FOR JOINT
Philippines' Medical Tourism Program.
CONGENITAL DIABETES, REPLACEMENT SURGERY
HEART DISEASE THYROID AND
ENDOCRINE
DISORDERS
LIVER DISEASE CENTER FOR CENTER FOR RENAL
St. Luke's Medical Center-Global City showcases the future of healthcare with the most advanced AND TRANSPLANT OCCUPATIONAL DISEASES
medical equipment and excellent patient care. Located in the midst of business, commercial CENTER HEALTH AND
establishments, and residential communities, St. Luke's Medical Center-Global City has 14-storey, ENVIRONMENT
600-bed nursing tower with a helipad and a sprawling podium that houses the ancillary services. It SAFETY
also has a multi-level parking area with more than 1,100 slots. It has 400 clinics located at the 11- COMPREHENSIVE COMPREHENSIVE COMPREHENSIVE SLEEP
storey Medical Arts Building. Both buildings open to a grand hotel-like lobby with a concierge and BRAIN TUMOR PELVIC FLOOR DISORDERS CENTER
front desk officers ready to assist patients and guests CENTER CENTER
DERMATOLOGY GERIATRIC MEMORY CENTER
CENTER CENTER
Medical Arts Building (Outpatient Clinics) MINIMALLY MOVEMENT NEURODEVELOPMENTAL
INVASIVE DISORDERS CENTER
The multiple services of the Centers of St. Luke's are
SURGERY CENTER
dedicated to specific problems of various diseases. One-
OBESITY AND PAIN POSITRON EMISSION
stop diagnostic, therapeutic and treatment facilities for
WEIGHT MANAGEMENT TOMOGRAPHY (PET)
a broad spectrum of health concerns are offered to the
MANAGEMENT CENTER CENTER
patient, ensuring a thorough and stress-free approach
RHEUMATOLOGY, STONE AND STROKE CENTER Location:

ALLERGOLOGY PROSTATE
St. Luke's Medical Center Global City is easily accessible from the city's main artery, EDSA. The
AND TREATMENT
hospital is located at 32nd street near S & R Shopping Center and Bridgestone. It is a 154,000 sq.m.
IMMUNOLOGY CENTER
Tertiary Hospital with a Medical Arts Building housing 400 Clinics located on a 1.6 hectare property.
CENTER
VARICOSE VEIN VISION LASER VOICE, SWALLOWING
CENTER CENTER AND SINUS CENTER
Commercial establishments Schools near the Hospital:
around the hospital:
Serendra - Residential and British School Manila
Commercial Complex
Felicidad Sy Health and Wellness Center
S & R Membership Shopping Manila Japanese School
The Felicidad Sy Health and Wellness Center is a 2,000-sq.m Wellness MC Home Depot International School Manila
Center located at the 7th floor which offers a comprehensive wellness Market! Market! Mall Systems Technology Institute
program designed to promote preventive care and help patients achieve The Fort Strip Commercial MGC New Life Christian
success in lifestyle change. The Wellness Program also offers you a range Center Academy-Global City
of services to help you informed about your present total health NBC Tent (Event Venue)
condition, develop a realizable plan for achieving your specific goals.
Different Outpatient Services:
 CARDIAC CHECK-UP
 DIABETES CHECK-UP
 ROUTINE OUT-PATIENT CHECK-UP
 TOTAL FEMALE CARE EXECUTIVE CHECK-UP
 COMPREHENSIVE GERIATRIC ASSESSMENT
 CANCER SCREENING
Asian Hospital and Medical Center Location:
It is centrally located in the rapidly growing southern Metro Manila area, specifically in Filinvest
Corporate City, a modern 240-hectare business and residential development in Alabang,
Asian Hospital and Medical Center is wholly owned and
Muntinlupa City. The Hospital is a mere 10 kilometers from Makati City, the country’s premier
operated by Asian Hospital, Inc., a registered Filipino company
business district; and a quick 20-minute drive from the international and domestic airports. It is
engaged in the operation of hospitals and other healthcare
adjacent to the South Luzon Expressway (SLEX) that connects Makati City with the newly
facilities in the Philippines. It is a 55,000 sq.m. 250-bed
industrialized Calabarzon area in southern Luzon.
International Standard tertiary hospital with Medial Offices
Building housing 145 medical clinics, incorporating the latest
modern facilities and state-of-the-art structure ready for JCI
accreditation.
The 217-bed capacity, state-of-the-art medical center stands on a 17,258-square meter campus
that houses the main hospital and the medical office building. It has over 900 employees and 160
outsourced staff, all trained to provide personalized patient care.
Medical and Outpatient Services:
Center for Dermatology Laser Hearing Unit

Women's Health and Light
Heart Station Nutrition Clinic Pathology and
Services Laboratory
Pulmonary Services Radiology Services Rehabilitation
Services
Ancillary Services Center for Cosmetic Surgery
Executive Health
Diagnostic Services Emergency Services Genesis and
Huggery Center
The Farm at San Benito Bangkok Mediplex (Medical Mall)
The Farm is a center for holistic healing and Bangkok Mediplex, it is Thailand’s first lifestyle
wellness where people balance their mind, body and medical retail complex. The one-billion-
and spirit with nourishing live foods in an eco- friendly baht investment covered 12,000 square meters
place. It is the sole sanctuary of its kind in the and occupied the first four floors of the Nusasiri
Philippines and one of the best in the world. It is a Grand Condo Ekamai. It is located in the heart
life-changing retreat that enables its guests to of Bangkok in Sukhumvit Road. A corridor
cope with the ever-increasing stress-filled challenges of connects the building and the BTS Skytrain
everyday life through a well-managed and tailored wellness programs for restoration of balance station allowing for easy access. The complex is
and harmony by encouraging a commitment to a proactive healthy lifestyle. focusing exclusively on out-patient procedures,
with clinics offering treatments ranging from plastic surgery, dentist, holistic/alternative treatments
and Traditional Chinese Medicine to International Check-up and Hemodialysis. In addition to
Services and Facilities: medical clinics, Bangkok Mediplex features restaurants, cafes, a bank and other retail operations.
Bangkok Mediplex is pioneering the concept of one-stop shopping for all healthcare and wellness
Spa Treatments Medical Services Villa and Suites
needs, re-affirming Thailand’s position as a leader in medical tourism. The facade is a vital part of
Wellness and Movement and Dining and Cuisines
communicating this dynamic vision.
Prevention Spiritual
Retreats Development
The concept was based on the cellular structure that makes

LOCATION: up much of the human body. This idea was developed into
the dynamic skin of glass and lattice that now envelopes the
It is located at Lipa City, Province of Batangas. It has also horse farms, coconut plantations, lush
building. This has enhanced the building in a number of
jungle, scenic hills and low mountains dotted with mist. The location is about a two-hour drive from
ways. During the day, light floods the building, while at night,
the Manila airport.
custom lighting turns it into a glowing beacon. Accessibility
was also a key issue so the surrounding area is gently sloped,
neatly integrating the hardscape with the landscape. The logo has evolved from human tissue and
has a more lively and dynamic character. Signage columns and light poles are based on the Human
Spine and the way it twists like DNA. There is also a DNA portrait pattern on floor tiles inside the
complex. The lemongrass lawn in front of the complex is a natural / therapeutic feature.
CHAPTER 1.3
RESEARCH METHODOLOGY
FOCUSED INTERVIEWS
Department of Tourism (DOT)
Office of Product Research and Development:
Department of Health (DOH)
Bureau of Health Facilities and Services (BHFS) – Standards
Development Division:
What are the plans of the government to fully develop a strong promotion of the PMT?
Who are the target markets of the PMT?
What are the most common medical procedures availed by the medical tourists? How can PMT be unique compared to the other countries?
According to Arch. Jojo Rabe of the BHFS-Standards Development Division, Medical Tourism is According to Ms. Marie Recarro of the Office of Product Research and Development, Medical
composed of Ambulatory-Surgical Clinics. It offers different services like surgery, medical Tourism is still on the developing process. They are trying to combine Medical Tourism with
intervention, and dentistry. It is an outpatient clinics consist of medical, surgical, and dental Wellness Tourism for better healing and relaxation. She said that the target market are the
procedures. Balikbayans (OFW’s) and the citizens of the United States of America. She said that the high cost of
medical procedures and the difficulty to get easy appointments in their country are the reasons
why they are travelling to another country for medical purposes. Practically, the medical tourists
want to have a one stop medical and wellness experience as if they are also going on a vacation.
The Philippines has a great advantage in terms of its natural resources, but the country’s own
market niche is still on the process. This will help the country to distinguish itself for the medical
tourism industry. Right now, the government is looking for the potential of some tourist spots to
promote medical tourism.
Philippine Medical Tourism Inc. (PMTI):

Office of the President:
What are the needs and wants of the medical tourists?

What factors need to be considered for medical tourists?
According to Mrs. Eva Trinidad of the PMTI, the medical tourists want to have a one stop medical
and wellness experience as if they are also going on a vacation. The Philippines have a great
potential in terms of Medical Tourism. But to succeed in this industry, the government must have a
unified department and a comprehensive plan for it. Tourist’s convenience must also be
considered.
Government of Tagaytay
City Planning and Development (CPDO):
According to the City Planning and Development, Tagaytay is a perfect place to promote medical
tourism. They are on the process of developing the city as the medical tourism site in the
Philippines. The scenic views and the cool climate are some of the advantages of Tagaytay on the
other cities or municipalities. As a tourist center of CALABARZON, it is still the country’s best asset
to attract tourists.
ARCHIVAL RESEARCHES Review on Medical Tourism
Medical tourism refers to the growing practice of traveling across international borders in order to
A Brief History of Medical Tourism get health care or medical attention. It is also called medical travel or health tourism. The most
common medical treatment or procedures involved are elective procedures and complicated
Medical tourism is nothing new. The history of medical tourism cites that even in the early times,
specialized surgeries like joint replacement, heart surgery, dental surgery, bariatric surgery or
people have been traveling to other countries for health purposes. There were the ancient Greeks
weight reduction surgery and cosmetic surgeries.
and Egyptians who went to hot springs and baths to improve their health as well as the 18th and
19th century Europeans and Americans who flocked to health spas and sanitariums and even in
remote places in the hope that they will get treatment for diseases such as tuberculosis, gout,
A specialized set of medical tourism is the reproductive tourism which refers to the practice of
bronchitis or liver diseases.
traveling abroad to undergo in-vitro fertilization, surrogate pregnancy as well as other assisted
reproductive technology treatments. Factors that have brought about the success of medical
tourism include the high cost of health care in the US and in other countries, improvements in the
The history of medical tourism dates back to its first recorded case when Greek pilgrims traveled
technology and healthcare standards in many countries, the ease of international travel, and
from the Mediterranean to Epidauria, a small territory in the Saronic Gulf. History is indeed full of
sometimes the long wait times for certain medical procedures in certain countries. Medical tourists
medical travelers who made trips in various places across the globe to seek improvement for their
or foreigners seeking medical treatment abroad could come from anywhere in the world. They
health. Take the case of India. India has enjoyed a rich history of providing Yoga instruction as well
usually come from Europe, United Kingdom, Middle East, Japan and the United States. This is
as Ayurvedic healing to patients from around the world.
mainly due to the high cost of treatment and large population which adversely affect the health
However, dental surgery, cosmetic surgery and other more serious kinds of surgery abroad is care system in their countries.
relatively a new phenomenon. It started in the 80s and 90s when patients began looking for more
affordable options other than what was offered in their homeland or country. What was referred to
as "tooth tourism" grew quickly. Americans were then travelling to Costa Rica or other Central Here is how it goes. The tourist or the person seeking medical treatment abroad contacts a medical
American countries for dental bridges and other dental procedures that were not usually covered tourism provider. The provider will require the patient to provide a medical report, which includes
by their insurance. details about the ailment, the local doctor’s opinion, medical history, and diagnosis, and other
important information. The doctors or consultants from the medical tourism provider will advise
the treatment to be done on the patient. The estimated expenditure, choice of hospitals and tourist
In the late 1980s, Cuba started programs to attract foreigners from countries like India, Latin destinations, and duration of stay, are also discussed among others.
America and Europe for more affordable eye surgeries, heart surgery and cosmetic procedures. In
1990 alone, it was reported that the Cuban government had around 2,000 medical tourists from
various parts of the world. Thailand also became a hot destination for plastic surgery and other
routine medical procedures in the late 1990s. On the other hand, New Zealand is getting more
popular in hip and knee replacements surgery. Now, medical tourism is already a global
phenomenon. More and more countries will become destinations of medical tourism.
Philippine Medical Tourism The Philippine Medical Tourism Program (PMTP) is a private-public initiative aimed at attracting
foreign clients to the Philippines for needed medical care as well as health and wellness services
Situated in Southeast Asia, the picturesque and tropical Philippines offer visitors a high standard of
coupled with sightseeing tours, vacation, and shopping packages. It was created through Executive
medical treatment at very reasonable prices. The magnificent natural beauty of the many islands
Order No. 372 by President Gloria Macapagal-Arroyo last October 2004.
and beaches in the country make it a perfect place to relax before an operation and also to recover
afterwards. The Philippines has been growing in popularity in recent years, particularly with
American and European tourists seeking inexpensive hospital treatment.
E.O. 372 created a private-public sector partnership which brings together relevant government
agencies and private sector representatives under a Task Force, which formulates a development
strategy for each of the three named service sectors. The Task Force is co-chaired by DTI Secretary
PROS AND CONS ON PHILIPPINE MEDICAL TOURISM
Peter Favila for the public sector, and Ambassador Cesar Bautista representing the private sector.
Pros: Operations such as a full set of dental implants can cost as little as US$500 dollars in the The Departments of Health (DOH), Tourism (DOT), and Trade and Industry (DTI) are the lead
Philippines. Having medical treatment in the Philippines not only has the benefit of being government agencies. The program is comprised of private and government hospitals and medical
inexpensive, however, but the standard of facilities is world class. Many of the new hospitals are centers along with various businesses from the retail, wellness, spa, health, and tourism industries.
fitted with the latest in medical technology. Private hospital rooms are similar to five-star hotel
rooms, which makes the experience comfortable and stress-free. The doctors and hospital staff are
renowned for being caring, skilled and possessing great English skills.
Cons: Being positioned in Southeast Asia, travelling to the Philippines from Europe or North
America can be uncomfortable, with direct flights from the US taking up to 17 hours—longer with
stopovers. While the tropical weather is sunny and hot—perfect for beach activities—it can
sometimes make recovery from surgery uncomfortable. The country is tourist friendly and safe, but
the capital of Manila can be dangerous in some areas, with muggings and pick-pocketing
commonplace.
PHILIPPINE MEDICAL TOURISM PROGRAM (PMTP)
The Philippine Islands radiates the warmth of the sun and a thousand smiles. Experience a rare kind
of care and hospitality that extends into every facet of life, combining a complete vacation and
health care experience to nourish the mind, body and spirit.
FIGURE 1.1
The Philippines Medical Tourism Cluster HEALTH PROVIDERS:
The Philippines medical tourism cluster is an emerging cluster, which is supported by other related Department of Health
clusters and Institutes for Collaboration: BUREAU OF HEALTH FACILITIES AND SERVICES
No. of Licensed Ambulatory Surgical Clinic as of December 31, 2010
No. of Licensed Ambulatory Surgical Clinics/Center = 104

Health Providers: The health providers constitute the center of the cluster. The majority of them are
private hospitals and clinics concentrating on cosmetic surgery, eye surgery and dental healthcare, SERVICES: (Surgeries)
but other procedures such as kidney and heart surgery are also available.
1. Ophthalmologic = 64
2. General Surgery = 46
3. Plastic and Reconstructive = 44
Tourism Cluster: Supported by a robust tourism cluster, the medical tourism cluster benefits from
4. Otolaryngologic = 33
facilities like hotels, restaurants, travel consultants and spa clinics. Moreover, the availability of
5. Reproductive Health = 32
world-renowned resorts which medical tourists can visit during their recovery is an advantage for
6. Orthopedic = 28
the Philippines.
7. Urologic = 18
8. Pediatric = 10
9. Colorectal = 9
Business Process Out-Sourcing (BPO): The medical transcription segment of the BPO cluster
10. Thoracic = 5
supports the medical tourism cluster by providing a pool of transferable human resources with
11. Breast Surgery, Oral and Maxillofacial, Neurologic, Vasectomy, Lithotripsy = 1 each
medical training, for example to serve as assistants for medical tourists. The BPO industry also
serves as an interface to connect the cluster with international markets.
FIGURE 1.2 FIGURE 1.3

PHILIPPINE TOURISM STATISTICS:
TOP VISITOR ARRIVALS: PURPOSE OF VISIT (PHIL. DEPARTMENT OF TOURISM)

JANUARY – DECEMBER 2008
Country Health/Medical Reason

Volume Share
East Asia Japan 37 0.01%
South Korea 25 0.01%
Middle East Saudi Arabia 36 0.21%

UAE 47 0.43%
N. America Canada 58 0.06%

USA 1,616 0.28%
Australasia/Pacific Guam 3,653 9.05%
Overseas Filipino 543 0.28%
FIGURE 1.4
Philippines Health Spas
Throughout the Philippines, natural health spas and relaxation centers offering therapeutic healing
of the mind, body and soul are available. Many of these centers are set in resort style grounds, near
to picturesque beaches that make for a special experience at very reasonable prices compared to
their western counterparts. The natural healing resorts offer alternative treatments concentrating
on organic solutions. Packages that offer long stays with a detoxification process, a natural and
organic diet, meditation and massages are available. After having a major operation, visiting a
natural healing center that offers these services can greatly help the recovery process.
SURVEY On the scale of 1-5 (5 being the highest), how much

do you want to improve your lifestyle in terms of
health?
(See survey form on Appendix A) Percentage
The proponent conducted a survey to know different feedbacks on combining medical and wellness 1 0%
2
procedures. This is also a strategy to set the possible site criteria of the project. 3.33%
3 10.00%
4 23.33%
5 63.33%
To strengthen the information, the survey questionnaire was designed comprising the following:
services needed improvements to be made, comments and suggestions regarding health and
wellness, and common problems encountered.
Do you prefer medication/treatment plus wellness?
Percentage
The questionnaires are answered by the patients, tourists and employees of health and wellness
facilities. All the questionnaires were later checked for consistency in answers and suggestions and
comments of the respondents were taken into considerations. A total of 100 respondents
participated in the survey. Yes
76.67%
The following are the questions asked and results of the survey: No
23.33%
How do you improve/maintain your healthy What is your motivation for good healthcare service?
lifestyle?
Percentage
Percentage
Eating healthy foods 76%

Going to massage & spa… 3.33% Access to alternative/different
Going to fitness centers services 16.67%
3.33% Medical procedures combined with
All of the above 13.33% relaxation/leisure 33.33%
Other Both
3.33% 50.00%
The proponent found out that more people want to combine medical, wellness, and vacation at the
If you are a patient who went through surgery, what
place do you want for better and faster same time. The concept of a one-stop shop for medical services is a big factor to boost Medical
recuperation/recovery?
Tourism both for foreign and local tourists. Nature will have a big factor also on the health and
Percentage
wellness of the users.
A place that has a scenic view 73.33%

Resort 13.33%
Peaceful place within Metro Manila 10.00%
Inside the hospital or medical clinic 0.00%
Other 3.33%
Do you think combining medical and wellness

facilities can improve your health?
Percentage
Yes
96.67%
No
3.33%
Can it also help you to recover faster and better after

a medical/surgical procedure?
Percentage
Yes
100.00%
No
0.00%
CHAPTER 1.4
SUMMARY OF FINDINGS AND ANALYSIS
PRESENTATION OF COLLECTED DATA AND ANALYSIS PRACTICALITY OF MEDICAL TOURISTS
ACCREDITATION FOR INTERNATIONAL STANDARDS
FIGURE 1.6
TYPES OF MEDICAL SERVICES
FIGURE 1.5
The Philippines has only three (3) internationally accredited healthcare facilities compared to its
regional competitors like Thailand (23), India (19), Malaysia (8), and Singapore (19). This figure
indicates that the Philippine needs to have more accredited healthcare facilities to be able to
promote Medical Tourism.
FIGURE 1.7
HOLIDAY PACKAGES The Philippines is being left behind by other global competitors. This figure shows that Philippines
had only 100,000 medical tourists in the year 2008 while Thailand had a approximately 1.2 Million
medical tourists.
COMPARATIVE HEALTHCARE COSTS
FIGURE 1.8
MEDICAL TOURISTS ARRIVAL
FIGURE 1.10
FIGURE 1.9
MARKETABILITY
U.S. outbound patients are the main market of the approximately US$80 Billion Medical Tourism
industry.
INCOME REVENUES
The Philippines had a few share in terms of income revenues compared to other leading Medical
Tourism countries.
FIGURE 1.11
FIGURE 1.12
CHAPTER 1.5
CONCLUSION AND RECOMMENDATIONS
The study finds that medical tourism in the Philippines is a rapidly growing cluster with strong
governmental support. However, it is still trailing behind regional rivals such as Thailand, Malaysia
and Singapore. To tap into its growth potential, especially high-value customers from rich countries,
the government needs to improve the Philippines’ business environment and infrastructure.
Vigorous cluster-based efforts should also be made to encourage the linkage between the
healthcare industry, the tourism sector and supporting industries such as telecommunications and
advertising in terms of packaging products, coordinated marketing and upgrading of the cluster.
Lastly, the Architectural solution to the problem must adopt the natural environment of the
Philippines on the design. It must be considered so that the potential of the country can be
developed and strengthen.
CHAPTER 2.1
2.0 RESEARCH FOCUS
RATIONALE: A HEALTH-SUSTAINING ENVIRONMENT THRU BIOPHILIC DESIGN
RATIONALE
Biophilic design is the deliberate attempt to translate an understanding of the inherent human This research will provide perspective on the notion of biophilia and its importance to human well-
affinity to affiliate with natural systems and processes, known as biophilia, into the design of the being, as well as some specific guidance regarding dimensions, elements, and attributes of biophilic
built environment. design that Architects can employ to achieve this objective in the modern, especially urban and
built environment.
CHAPTER 2.2
PRINCIPLES AND RELEVANCE TO THE PROJECT
PRINCIPLES AND RELEVANCE
According to the book of Biophilic Design, the following growing body of knowledge that supports
the role of contact with nature in human health and productivity are the following:
 Contact with nature has been found to enhance healing and recovery from illness and major
surgical procedures, including direct contact (e.g.: natural lighting, vegetation) as well as
representational and symbolic depictions of nature (e.g.: pictures).
 People living in proximity to open spaces report fewer health and social problems, and this
has been identified independent of rural and urban residence, level of education, and
income. Even the presence of limited amounts of vegetation such as grass and a few trees
has been correlated with enhanced coping and adaptive behaviour.
 Office settings with natural lighting, natural ventilation and other environmental features
result in improved worker performance, lower stress, and greater motivation.
 Communities with higher-quality environments reveal more positive valuations of nature,

superior quality of life, greater neighbourliness, and a stronger sense of place than
FIGURE 2.0 communities of lower environmental quality. These findings also occur in poor urban as well
as more affluent and suburban neighbourhoods.
These studies provide scientific support for the ancient assumption that contact with nature is Examples: cost of patient care, recruitment or hiring costs due to staff turnover, revenue from
critical to human functioning, health, and well-being. As the psychiatrist Harold Searles concluded patients choosing a facility
some years ago (1960): “The nonhuman environment, far from being of little or no account to
human health and personality development, constitutes one of the most basically important
ingredients of human existence.” Outcome studies have major importance in healthcare because they provide the most sound and
credible basis for evaluating whether a particular medical intervention, treatment, or service is
medically effective and cost-efficient.
The evidenced-based biophilic design can have a positive impact by reducing stress, improving
emotional well-being, alleviating pain, and fostering improvements in other outcomes. Patients and
other users of healthcare facilities can potentially derive benefits from widely different types of Stress: A Major Problem in Healthcare
encounters with biophilic elements or nature including physically active experience (Wichrowski et
Stress is defined as a process of responding to events, environmental features, or situations that
al., 2005); less physically active contacts, for instance, sitting and talking in a garden; and passive
are challenging, exceed coping resources, or threaten well-being. Stress is central to understanding
interactions such as looking at nature through a window. (Ulrich, 1999)
how biophilic design, and healthcare physical environments more generally, can influence
outcomes. (Ulrich, 1991, 1999, 2006)
What are Health Outcomes?
Health outcome broadly refers to an indicator or measure of healthcare quality. There are many Examples of the many stressful aspects of hospitalization include:
different types of health or medical outcomes, including:
 Fear about impending surgery
 Lack of information
 Observable signs and symptoms relating to patients’ conditions  Painful medical procedures
Examples: intake of pain medication, blood pressure, length of hospital stay  Reduced physical capabilities
 Satisfactions and other reported outcomes  Depersonalization
Examples: patient satisfaction, health-related quality of life, staff satisfaction  Loss of control
 Safety outcomes
Examples: infection rates, medical errors, falls
 Economic outcomes
Findings: Effects of Nature Exposure on Pain
Several studies using experimental designs have shown convincingly that nature distraction can
produce substantial and clinically important alleviation of pain. A study of patients recovering from
abdominal surgery found that those assigned to rooms with a bedside view of nature (trees) had
better postoperative recovery courses than matched patients assigned to identical rooms with
windows overlooking a brick building wall. Patients with nature window view, compared to those
with the wall view, suffered significantly less pain, as indicated by needing far fewer doses of strong
narcotic pain medications than their matched counterparts with the wall view. Furthermore, the
nature view patients had shorter post surgery stays, better emotional well-being, and fewer minor
complications such as persistent nausea or headache. (Ulrich, 1984)
Gardens in Healthcare Facilities
Evidence from a few studies suggests that well-designed gardens can be efficacious settings in
healthcare facilities for fostering restoration among stressed patients, family, and staff (Ulrich,
1999; Marcus and Barnes, 1999). Gardens not only provide restorative and pleasant nature views,
but can also reduce stress and improve outcomes through other established mechanisms, such as
fostering access to privacy and social support, creating opportunities for restorative escape with
respect to stressful clinical environments, and providing settings that enable physically active
pursuits into physically rehabilitation. (Ulrich, 1999; Marcus and Barnes, 1995)
CHAPTER 2.3
APPLICATION TO THE PROJECT
RECOMMENDATIONS FOR APPLICATION

The proponent strongly recommends the principles of the Biophilic Design for the benefit of the
 Avoid site plans where some buildings block light from others.
project. The integrated relationship between health, buildings, and the environment can be a
perfect combination to promote better and faster healing to the project.
 Avoid deep plan building layouts and floor plans – with a large proportion of windowless
The topics related to space planning and building construction discussed by the book related to
rooms – as they may tend to worsen the patient and staff outcomes.
Biophilic Design can be used as a key plan for the project.
 Provide well-designed outdoor gardens for patients, family, and staff.
Biophilic Design Recommendations for Healthcare Environments
Efforts to put people in closer contact with nature can focus on buildings design, landscape design,
interior design, or any combination of the three. Many of the strategies are simply common sense.
Once the benefits of biophilic design are understood, strategies for achieving it are fairly intuitive.
 Architectural design should provide restorative window views of nature and gardens from
patient rooms, waiting areas, staff work spaces, and other interior areas where stress is a
problem.
 Provide nature views with characteristics identified by research as effective in alleviating

stress and improving outcomes.
Exterior Building Application Interior Building Application
Site / Landscape Application
Elements and Attributes of Biophilic Design
FIGURE 2.1
Biophilic Design Recommendations
FIGURE 2.2
3.0 SITE IDENTIFICATION AND ANALYSIS

CHAPTER 3.1
SITE SELECTION PROCESS
SITE SELECTION PROCESS
The proponent will focus on the possible sites that can strongly promote the Philippines as a
Medical Tourism hub. The possible site must support the goal and objectives of the project. The
process of selecting the best site will be determined based on the site criteria set by the proponent.
SETTING THE CRITERIA
MAIN CRITERIA
The possible site should be located near or within the tourism spots, strategically, near Metro
Manila according to the Department of Tourism (DOT) and Department of Health (DOH).
Environmental Quality of the Area: (30%)

The possible site must have scenic views that will give an environmental character on it (E.g.:
mountain, hills, sea, etc.). This can be an advantage to attract more tourists in the Philippines. It is
strongly recommended that the possible site is near or within tourism spots.
Accessibility: (20%)
The proximity of the possible site to major gateways (airports and seaports) must not be more than
1 to 2 hours. The distance of the site from the highway must be 4 to 5 km. to lessen the threats for
traffic and noise. The site should have also a better distance of 3 to 5 km. from the nearest
developments to support the other basic needs of the tourists. Site is easily accessible to tourists
with existing transportation services and good road condition.
Location/Zoning: (40%)
The possible site should be near hospitals to support the project’s medical arts building which
consists of outpatient clinics. It should also be situated in a safe and reputable location with clean,
calm and relaxing environment. There must be existing natural and man-made attractions in the
community and the location must have a good reputation in terms of health services and tourism
development.
Peace and Order: (10%)

The site must be safe for both domestic and foreign tourists (Low crime rate)
DESCRIPTION OF SITE OPTIONS PROVINCE OF LAGUNA

Laguna is located 30 kilometers from the City of Manila. It is the first province south of the Metro
Manila area. Laguna's proximity to Metro Manila makes it a strategic site for domestic and
Based on the site criteria set by the proponent, the following site options are being considered:
International business. The Ninoy Aquino International Airport is a 1-1/2 hour drive from Calamba's
industrial estates. The Manila International Seaport is 2 hours away. Laguna is also within
commuting distance from Makati, the country's main business and financial center.
PROVINCE OF BATANGAS
The province of Batangas is situated at southwestern Luzon in the midst of the Southern Tagalog
Region. It ranks sixth among the largest provinces of the region. It is bounded on the north by
Laguna is endowed with abundant natural resources. It is also known for its tourist attractions like
Cavite, on the east by the province of Quezon and Laguna, on the south by the Verde Island Passage
the Mount Makiling and Crocodile Lake in Los Baños, the Seven Lakes in San Pablo City, Dalatiwan
and on the west by the South China Sea. It has a land area of 316,165.81 sq. kilometers.
River in Botocan, Majayjay; Pagsanjan Falls in Cavinti, and Buruwisan Falls in Siniloan
The population is 1,550,000 based on the 1990 Census. It is located 2-3 hours from the Ninoy
Aquino International Airport. Batangas is known for its resorts and natural resources.
CITY OF TAGAYTAY SITE SELECTION AND JUSTIFICATION

Tagaytay City is located in the Province of Cavite, island of Luzon. It is approximately 56 kilometers,
a 1-1/2 to 2 hour drive, south of Manila. It has a total land area of 6,500 hectares, which represents
Because of the good location and reputation as one of the best tourist spots in the Philippines, the
about 5.14% of the total land area of Cavite.
proponent selected the City of Tagaytay as its project’s perfect location based on the criteria. It has
a strategic location that can be the perfect site in promoting the Philippines as a new medical and
wellness hub in Asia.
Tagaytay City has a cool climate and clean air. It is the perfect place for leisure activities like picnics,
horseback riding, camping, great golfing at two championship courses, plus breathe taking
sightseeing of the Taal Volcano. It makes for an affordable weekend getaway for most Filipino Its reputation for being the tourism center of CALABARZON can attract more tourists and
families, if they're astute enough to take advantage of the best bargains in Asia. investments for medical tourism. It has also a good record on health services and tourism
development. It will be a perfect location for medical procedures and at the same time, to have a
vacation for better and faster recuperation/recovery because of its remarkable scenic views.
CHAPTER 3.2
SITE EVALUATION AND ANALYSIS
THE MACRO SETTING Geographical Location

Tagaytay City is located in the Province of Cavite, island of Luzon. It is approximately 56 kilometers,
a 1-1/2 to 2 hour drive, south of Manila, with a total land area of 6,500 hectares, which represents
about 5.14% of the total land area of Cavite. It lies within 120 o 56’ latitude and 14o 16’ longitude
and overlooks Manila Bay on the north, Taal Volcano and Taal Lake on the south and Laguna de Bay
on the east.
The city is linked by the national highway to the Metropolitan Manila Area and to the Province of
Batangas. It is also connected by roads to the adjoining municipalities of Amadeo, Mendez, Indang,
Silang and Alfonso in Cavite towards the northwest, to the municipalities of Calamba and Sta. Rosa
in Laguna in the northeast and to the town of Talisay in Batangas in the south.
FIGURE 3.0
FIGURE 3.1
FIGURE 3.2
Topography
On the other hand, the portions adjoining the municipalities of Mendez, Indang, Amadeo and Silang
Tagaytay City is characterized by mixed topography. The southern and eastern portions are are level to nearby level areas interspersed with very gently sloping surface. The built-up areas
covered by hills and mountains which are generally forests and open grasslands. There are ridge including the urban center are situated in these relatively level portions of the city.
areas with slopes ranging from 10.1 to over 25 percent.
Climate SOCIAL PROFILE

Education
Tagaytay City’s climate is characterized by relatively low temperature, low humidity and abundant
At present, there are seven (7) high school in the city, four (4) of which are private and three (3) are
rainfall. The city is endowed with a cool and invigorating climate with an average temperature of
public. 16 Public Elementary Schools; 12 Private Elementary Schools; located at different
22.7o C. Situated approximately 600 meters above sea level, the city is misty and is relatively cooler
barangays. Out of the 34 barangays, 31 have their own day care center with playgrounds. There are
during the months of December, January and February. Like most areas in the Province of Cavite,
three (3) colleges in the city –City College of Tagaytay (CCT), Olivarez College and STI College.
the City has two pronounced seasons: dry from November through April and wet during the rest of
the year.
Health and Nutrition
Wind Direction The delivery of basic health care services to the general public is basically one of the primary
North-eastern winds prevail in the city during the months of October, November, December, concerns of the city. Thus, the City established its own Primary Hospital (Ospital ng Tagaytay) in
January, February, March and April. Winds came from the southwest during May, June, July, 1997 to render health services for the city residents especially to underprivileged patients. In order
August and September. The average speed of the wind is 6 knots per hour. to improve its services and accommodate the increasing number of in-patient, the City Government
constructed additional building (expansion) for additional hospital beds and to comply with the
minimum requirement of the Department of Health for hospital upgrading from primary to
Typhoons secondary. In addition, the construction of a state-of- the-art private tertiary hospital (Tagaytay
Thirty one to forty percent of the typhoons visiting the Philippines affect Tagaytay City. The Hospital and Medical Center) located at Barangay Silang Crossing East near Rotunda, also caters
probable months of typhoon season are from June to December. the needs not only of local residents but also the adjoining towns as well as tourists who visited
the city.
DEMOGRAPHIC PROFILE
Population
As per 2007 NSO report, the city’s total population is 61,623. Its night time population is the same
with its daytime population since the city does not have any university or industrial park that
encourages a different situation. Since Tagaytay is a major tourist destination, population doubles
on weekends and holidays due to influx of tourists and visitors. Household population is 13,150.
The city’s total labor force is 36,974 covering an age bracket of 15 – 65 years old.
ECONOMIC PROFILE Tourism
Commerce and Industry Tagaytay City is one of the vital tourist sites, which play a very significant role in the country’s
tourism industry. From the National and Regional points of view, Tagaytay City ranks very high in
The City of Tagaytay has no defined central business district. Instead, commercial activities tend to
tourism potentials due to its scenic attraction and available accommodation facilities that meet
conglomerate at four (4) different parts of the city namely: Barangays Mendez Crossing East and
international standards. Because it is very accessible and strategically near Metro Manila, which is
West; Silang Crossing East, City Market at Barangay Tolentino East and the Mahogany Beef Market
the main entry and exit point of the country’s local and international travellers, Tagaytay remains
at Barangay Kaybagal South.
one of the leading tourist areas in the country.
The main tourist attraction of Tagaytay is the captivating panoramic view of the natural beauty of
There are 3,121 commercial establishments situated at Tagaytay City based on the record from the
the Taal Volcano, which is the smallest volcano in the world and where two delectable rare species
License Office for businesses. These consist of 144 restaurants, 429 carinderia / canteens /
of fish, the “maliputo” and “tawilis” are found. In spite of its nearness to Metro Manila, Tagaytay
refreshment parlor, 16 coffee shops, 8 fastfood establishments, 15 pharmaceutical stores, 691
has a unique rustic atmosphere and invigorating cool climate. This is the reason why people do not
retailers and dealers, 15 Spa and wellness center, 24 water refilling stations, 31
only want to visit the place but prefer to hold seminars/conferences to the city. Complementing
medical/dental/veterinary/optical establishments, 35 bakeries, 21 grocery stores, 169 pasalubong
the natural endowment are several tourist establishments, which are attractions themselves.
and souvenir shops, 29 construction supply/hardware and lumber, 19 banks, 7 gasoline filling
stations, 19 auto mechanics shops, 34 hotels, motels, lodging facilities and inns, 73 houses and
rooms for rent, 25 lending and pawnshops, 18 real estate developers and offices, 38 insurance
agencies, 9 financial/investment offices, 14 money changers, 11 travel agencies, 335 sari-sari stores
and 892 other establishments.
ENVIRONMENTAL PROFILE In addition, the City Government constructed a Materials Recovery Facility covering an area of
Environmental Management 4,000 square meters with equipment to process mixed waste per day. It is designed to receive,
It is the city’s inherent environmental characteristics, which has fuelled its present state of growth. sort, process and store compostable and recyclable materials efficiently and in an environmentally-
Environmental management measures are provided for the city’s terrestrial, natural scenic sound manner in compliance with RA 9003 or the Solid Waste Management Act, and is in line with
environment, water resource and urban and rural environments. The protection and management the city’s action towards proper protection of the environment. Tagaytay also suffers from the
of all these is the key towards sustaining the city’s growth and development. absence of a central sewerage system/waste water treatment systems. Since these facilities
require massive resources, the city resorts to using natural drainage and a tree-chamber (sealed)
septic vault.
FIGURE 3.3
LAND AREA LAND USE TYPES

Tagaytay City has a total land area of 6,500 hectares, which is roughly 5.19% of the total land area Tagaytay City has the following land-use types: (ZONING)
of the Province of Cavite. The City is politically subdivided into thirty-four (34) barangays from the Tourism Strip, Primary Urban Core, Secondary Urban Core, General, Development Areas,
original twenty (20). Nine barangays remained in their original status while the rest were further Agricultural Development Areas, Ecological Development Areas, High Density Housing Areas,
divided into two or three smaller ones. Ecological Tourism Areas, Special Conservation Area, Special Institutional Areas, Greenbelt Zone
Primary Urban Core
The block enclosed by J.P. Rizal Avenue and the

Tagaytay-Nasugbu Road is the Primary Urban Core.
What make the sight an ideal urban core are its
central location, sufficient size for unitary planning
and the location of major urban facilities.
Developments shall focus on the provision of urban
facilities and amenities such as hotels, convention
halls, parks and similar institutions.
FIGURE 3.4
Land Use per Barangay

The barangays which host the Primary Urban Core include Mendez Crossing East, Kaybagal South,
Maharlika West, Tolentino East, Silang Crossing East and West, Sungay East and San Jose. Almost
all barangays comprise the General Development Areas except Zambal, Bagong Tubig and Sambong
(Ecological Development Area), Dapdap West, Dapdap East and Calabuso North (Ecological Tourism
Area).
Natural Drainage
The city’s ridge area is drained principally by the rivers Kaybubutong and Caloocan. The
Kaybubutong River drains the western part of the ridge and traverses through the town of Talisay
and Batangas towards Tanauan Bay, while the Caloocan River drains the central portion of the ridge
and leads towards Taal Lake. On the other hand, the whole stretch of the northern side of the city is
drained by a number of creeks.
The central portion of the city is drained by the Canas River towards the municipalities of Amadeo
and Trece Martires and eventually to the Manila Bay. Draining the city’s western end are the
Quibabaya River and Zambal Creek, both of which lead to the Manila Bay. The Quibabaya River
originates from Barangay Guinhawa and traverses the towns of Mendez, Indang and Naic while the
Zambal Creek merges with Clamon River in Mendez and Indang.
Land Capability Classification Land capability classes are grouped into four general uses from the standpoint of agricultural as
Land capability classification is a scheme for grouping soil units together according to the best use well as economic capabilities. This can be any or a combination of the four general purposes,
of lands in order to optimise production, preserve land and prevent soil damage through improper namely: (1) Lands suitable for cultivation (2) Lands limited to pasture (3) Lands limited to forests
use. The classification indicated the relative suitability of land for agriculture and the and (4) Lands limited to wildlife and recreation. In Tagaytay City, the lands suited for agriculture
corresponding land management requirements. This serves as one of the important bases in consists of four land capability classes. These arable lands which cover 3,836.95 hectares or 59.03%
recommending the use land, especially for areas to be returned for agriculture. The four major of the total land area and are currently cultivated and planted to diversified crops such as coffee,
factors considered in land capability classification are: (1) soil properties (2) degree of erosion and pineapple, corn, banana, sweet potatoes, coconuts, palay and vegetables.
(3) drainage and flooding hazard.
FIGURE 3.5
Soil Suitability Classification Soil suitability is divided into two categories:

Soil suitability classification is a more specific method of showing the relative suitability of the
Soil Suitability for Urban Use
different soil units to specific crops of land uses based on the soil qualities and other limitations,
Class I (Good)
which affect the crop or specific use. Please refer to Table A4 for the soil suitability classification
Class II (Fair)
per Barangay.
Class III (Poor)
Class IV (Not Suitable)
FIGURE 3.6
INFRASTRUCTURE AND UTILITIES Tagaytay – Talisay Road (2) (National Road)
Roads Tagaytay – Laguna via Calamba Road (National Road)

:Tagaytay – Manila via Silang Road (National Road)
Tagaytay – Taal Lake Road (National Road)
Tagaytay – Ulat Sto. Domingo – Sta. Rosa Road (National Road)
Tagaytay – Batangas via Tuy Road (National Road)
Tagaytay – Cavite vi Mendez Road (National Road)
Tagaytay – General Trias via Amadeo Road (City Road)
FIGURE 3.7
Mode of Transit Barangay Silang Crossing – jeepney route is towards Silang to Barangay Dapdap East and vice versa
As in other towns and cities, the major modes of transport in Tagaytay are buses, jeeps, tricycle and
City Market – jeepney route taken is from the City Market to Balibago, Sta. Rosa, Laguna and vice
cars. These transit types provide mobility services within the city. Public-utility-jeepneys (PUJ’s) are
versa
made accessible at strategic places where people usually unload. They are situated in the
following: Barangay Kaybagal – jeepney route is towards Amadeo and vice versa
Barangay Mendez Crossing – jeepney route is towards Indang; Anuling, Mendez; Silang, Cavite;
Nasugbu and vice versa.
FIGURE 3.8
THE MICRO SETTING
The Site It is located beside a tourism spot in Tagaytay City which is the Picnic Grove. It is strategically 1-2
hour drive from Manila and Batangas where major gateways are located. It is also 5-10 minute
Based on the City Government of Tagaytay, the recommended site for the project is the location of
drive from Emilio Aguinaldo Highway and Tagaytay-Sta. Rosa Road. It is located along a National
Nature’s Park. The site itself is a government lot which is aimed by the city government to be
Road. It offers a good and majestic panoramic view of Taal Volcano, Lake and Island and parts of
developed. The lot is located at Brgy. Sungay East, Tagaytay City. It has an area of 59, 622 square
Tagaytay and Batangas.
meters. It is relatively flat but has a few rolling terrain near the ridge.
VICINITY MAP
FIGURE 3.9
SITE LOCATION MAP
FIGURE 3.10
PRESENT CONDITION OF THE SITE (FIGURE 3.11)
Panoramic view from the major road (Tagaytay-Calamba Road)
Panoramic view from the Picnic Grove area
Panoramic view of Taal Lake and Volcano
EXISTING CONDITIONS (PROXIMITY MAP)
FIGURE 3.12
SUN PATH ANALYSIS
FIGURE 3.13
WIND DIRECTION ANALYSIS
FIGURE 3.14
TRAFFIC AND NOISE ANALYSIS
FIGURE 3.15
VIEW ANALYSIS
FIGURE 3.16
LAWS AND ORDINANCE PERTAINING TO THE SITE designed to appear as regular buildings. Open and unlandscaped parking lots are not allowed;
should open parking be provided, these shall be so landscaped to have a park-like character.
CITY ORDINANCE NO. 97-98 Series of 1997

Article V Section 11. Use Regulations in Primary Urban Core (PUC).
Setbacks
Minimum building setback shall be per the requirements of the National Building Code and the
provisions of Sec. 26 – Road Setback Regulations. In cases of discrepancy, the wider requirement
Bulk and Density
shall be deemed applicable.
The Floor Area Ratio (FAR) shall be 5.0 and the BHL shall be fifteen (15) storeys but not more than
sixty (60) meters above the Reference Elevation (as defined in Section 10). The PLO shall be 60%.
Building Color
All buildings shall be of earth tone or nature color.
Impervious Surface
Impervious surface area shall not be more than 5% of the resultant PLO.
Fencing
Fencing along Tagaytay-Nasugbu Road and J.P. Rizal Ave. shall be seethrough and have a maximum
height of 1.80 meters from the finished grade line and shall be of good quality such as wrought
iron; cyclon wire fences are also allowed.; fence base made of concrete, hollow blocks, rock or any
material shall have a height of no greater than 0.40 meters from the finished grade line.
Landscaping
A landscaping plan shall be prepared for approval by the office of the Zoning Administrator.
Parking
Parking area requirements shall be the per minimum requirements of the National Building Code.
No on-street parking nor parking without buffer strip shall be allowed; instead, parking spaces shall
be buffered from the street shoulder by planting strip with district entry and exit phone. Basement
and upper level parking are encouraged; parking buildings may also be built provided that these are
City Ordinance No. 2009-054 A. ZONE/AREA BOUNDARIES. The locations and boundaries for the zones or areas are hereby
An ordinance ammending section 7. ZONE/AREA boundaries of City Ordinance No. 97-93 known identified and specified specifically the boundaries of Primary Urban Core (PUC) and the Secondary
as “The City land Use Plan and Zoning Ordinance” Urban Core (SUC).
Explanatory Note: Specific Area Coverage for Primary Urban Core (PUC) Expansion:
When the existing Land use Plan and Zoning Ordinance were formulated in the early part of the
year 1997, among the primary considerations were the economic condition and rapid pace of CLUSTER 1 – Bounded on the North by JP Rizal Avenue; Bounded on the South by Tagaytay-
development in the realm of real estate and toursim development trends both in the level of Nasugbu Road; Bounded on the East by the Junction of JP Rizal Avenue and Tagaytay-Nasugbu
regional and national perspectives. For more than a decade of its implementation, the zoning Road; Bounded on the West by the junction of JP Rizal Avenue (Verbum Dei) and Tagaytay-Nasugbu
classifications as delineated in the Land Use Map which are intended for commercial use has Road
become smaller and smaller. This present condition needs to be addressed accordingly to
accommodate more investments particularly on areas adjacent to areas which are intended for CLUSTER 2 – Bounded on the East by the Property Line of City Land and Villa Pura Subdivision, Brgy.
commercial use. San Jose; Bounded on the West by Magallanes Drive, Brgy. Silang Crossing West; Bounded on the
North by a 500 meters distance from the National Road Right of Way; Bounded on the South by
Tagaytay-Batangas Road and Tagaytay-Calamba Road
As delineated in our existing Land Use Map, the northern and southern strip of the National Roads
(along Tagaytay-Calamba Road, Tagaytay-Nasugbu Road and J.P. Rizal Avenue) are intermittently
zoned as tourism strip wherein massive development such as high-rise structure and other CLUSTER 3 – Bounded on the East by the junction of Tagaytay-Calamba Road and Tagaytay-Sta.Rosa
commercial businesses are not allowed in the area. Thus some interested investors who plan to Road; Bounded on the West by the Junction of SVD Road and Tagaytay-Calamba Road; Bounded on
venture on this type of projects are hesitant or even constrained to push through their businesses the North by a 500 meters distance from Tagaytay-Calamba road; Bounded on the South by
due to development restrictions being imposed by the City. Moreover, the fact that the city’s land Tagaytay-Calamba Road
area is considerably small and buildable area is limited; the possible option is to allow vertical
development on specific areas that are closely adjoining with the commercial zones. It is a fact that
the current trend of econimic activities especially on tourism as well as real estate development CLUSTER 4 – Bounded on the West by Sungay Lane, Brgy. Sungay West; Bounded on the East by the
(residential subdivision, commercial condominiums, and the like) will lead our city towards a Property Line of Picnic Grove, Brgy. Sungay East; Bounded on the North by 250 meters from
genuine and sustainable economic growth. Nontheless, existing measures and policies pertaining Tagaytay-Calamba Road; Bounded on the South by a distance of 700 meters from Tagaytay-
preservation of natural environment (view of Taal Lake/Volcano) along the ridge areas have still to Calamba Road
be enforced or even strengthened.
Section 1. Section 7 is hereby amended to read as follows:
CHAPTER 3.3
SITE DEVELOPMENT OPTIONS

OPTION 1 OPTION 3
OPTION 2
FIGURE 3.17
CHAPTER 4.1
4.0 ARCHITECTURAL DESIGN TRANSLATION
DESIGN PROGRAM
DESIGN OBJECTIVES
NATIONAL PLUMBING CODE OF THE PHILIPPINES
 TO DESIGN AN ICONIC STRUCTURE THAT WILL CATCH THE ATTENTION OF THE TOURIST AND
THE PUBLIC. FIRE CODE OF THE PHILIPPINES (FCP) - P.D. 1185
 TO DESIGN A NATURE-INSPIRED STRUCTURE THAT WILL ENHANCE AND DEVELOP THE BUILT THE CODE ON SANITATION OF THE PHILIPPINES
ENVIRONMENT OF A HEALTH AND WELLNESS FACILITIES INTO A GREEN DEVELOPMENT.
COMPREHENSIVE LAND USE PLAN AND ZONING ORDINANCE (CLUPZO) OF CITY OF TAGAYTAY, 2009
 TO DESIGN A HEALTH-SUSTAINING ENVIRONMENT THROUGH EVIDENCED-DESIGN.
DESIGN CONSIDERATIONS (LAWS AND STANDARDS)
OBJECTIVE:
TO ENSURE THE BUILDING, SITE AND ITS DESIGN MEETS THE REGULATORY CRITERIA OF
INTERNATIONAL AND LOCAL CODES.
APPLICABLE CODES:
INTERNATIONAL CODES
INTERNATIONAL BUILDING CODE (IBC) 2009
LOCAL CODES
NATIONAL BUILDING CODE OF THE PHILIPPINES (NBC) AND ITS REVISED IMPLEMENTING RULES
AND REGULATIONS (IRR) 2005
BATAS PAMBANSA 344 (B.P. 344) – THE LAW TO ENHANCE THE MOBILITY OF DISABLED PERSONS
AND ITS IMPLEMENTING RULES AND REGULATIONS
ZONING CLASSIFICATION & BOUNDARIES: BUILDING RESTRICTIONS
CODE SECTION CLASSIFICATION CLASSIFICATION OF OCCUPANCY & HAZARD CONTENTS

NBC SEC. 701 DIVISION D-2:
A MUNICIPAL OR CITY LEVEL
OF COMMERCIAL USE OR
CODE SECTION CLASSIFICATION
OCCUPANCY, CHARACTERIZED
MAINLY AS A MEDIUM RISE NBC SEC. 701 GROUP D – INSTITUTIONAL
BUILDING/STRUCTURE FOR DIVISION 2
MEDIUM TO HIGH INTENSITY NURSERIES FOR FULL-TIME
COMMERCIAL/TRADE, CARE OF CHILDREN UNDER
SERVICE AND BUSINESS KINDERGARTEN AGE,
ACTIVITIES. HOSPITALS, SANITARIA,
NURSING HOMES WITH NON-
AMBULATORY PATIENTS, AND
CITY OF TAGAYTAY COMPREHENSIVE LAND USE PLAN AND ZONING ORDINANCE MAP SIMILAR BUILDINGS EACH
ACCOMMODATING MORE
THAN FIVE PERSONS.
ALLOWABLE AREAS & BUILDING HEIGHT LIMIT
FLOOR AREA DEFINITION PER NBC
BUILDING BULK SHALL BE GENERALLY DETERMINED BY THE APPLICATION OF THE FLAR, VERTICALLY
PROJECTING THE AMBF, ESTABLISHING THE OFB AND QUANTIFYING THE AMVB. THE BUILDING
BULK MAY BE ULTIMATELY GOVERNED BY THE WIDTH OF THE RROW AND OTHER APPLICABLE
PROVISION FOR THE LIGHT AND VENTILATION.
TYPE OF USE/OCCUPANCY TYPE OF BUILDING FLAR DESIGNATION

STRUCTURE
INSTITUTIONAL INSTITUTIONAL D-2 2.50
GROSS FLOOR AREA DEFINITION PER NBC BUILDING HEIGHT LIMIT DEFINITION PER NBC
GFA IS THE TOTAL FLOOR SPACE WITHIN THE PERIMETER OF THE PERMANENT EXTERNAL BUILDING DETERMINATION OF THE BUILDING HEIGHT
WALLS SUCH AS OFFICE AREAS, RESIDENTIAL AREAS, CORRIDORS, LOBBIES AND MEZZANINE
a. BUILDING HEIGHT LIMIT IS THE MAXIMUM HEIGHT LIMIT TO BE ALLOWED FOR
LEVELS. THE GFA SHALL ALSO INCLUDE THE BUILDING PROJECTIONS WHICH MAY SERVE AS FLOORS
BUILDINGS/STRUCTURES BASED ON THEIR PROPOSED USE OR OCCUPANCY; THE BHL IS
ON PLATFORMS THAT ARE DIRECTLY CONNECTED TO/INTEGRATED WITH AREAS WITHIN THE
GENERALLY DETERMINED AFTER THE APPLICATION OF OTHER DEVELOPMENT CONTROLS
BUILDING/STRUCTURE, E.G. BALCONIES AND THE GFA EXCLUDE THE FOLLOWING:
AND CERTAIN OTHER PARAMETERS. THE BHL SHALL BE GENERALLY MEASURED FROM THE
a. COVERED AREAS USED FOR PARKING AND DRIVEWAYS, SERVICES AND UTILITIES. ESTABLISHED GRADE LINE TO THE TOPMOST PORTION OF THE PROPOSED
b. VERTICAL PROJECTIONS IN PARKING FLOORS WHERE NO RESIDENTIAL OR OFFICE UNITS ARE BUILDING/STRUCTURE.
PRESENT. b. BHL EXCLUDES THE HEIGHT OF THE PERMITTED/ALLOWED PROJECTIONS ABOVE THE ROOF
c. UNCOVERED AREAS FOR HELIPADS, AIR CONDITIONING COOLING TOWERS OR AIR OF THE BUILDING/STRUCTURE.
CONDITIONING CONDENSING UNIT (ACU), BALCONIES, OVERHEAD WATER TANKS, ROOF c. THE BHL OF ANY PROPOSED BUILDING/STRUCTURE SHALL ONLY BE AS ALLOWED UNDER
DECKS, LAUNDRY AREAS AND CAGES, WADING OR SWIMMING POOLS, WHIRLPOOLS, THIS RULE OR UNDER DULY APPROVED CITY/MUNICIPAL ZONING ORDINANCE, WHICHEVER
JACUZZI, TERRACES, GARDEN COURTS OR PLAZAS, BALCONIES EXCEEDING 10.0 SQ. M., FIRE IS MORE RESTRICTIVE.
ESCAPE STRUCTURES AND THE LIKE.
CHARACTER OF TYPE OF BHL PROVIDED REMARKS

OTHER ALLOWABLE AREAS USE/OCCUPANCY BUILDING/
STRUCTURE
MAXIMUM ALLOWABLE PERCENTAGE OF SITE OCCUPANCY INSTITUTIONAL INSTITUTIONA NO. OF METERS
GROUP D L (D-2) ALLOWABLE ABOVE
COMMERCIAL % OF TOTAL LAND AREA (TLA) STOREYS/FLOO THE
ZONING PSO ISA USA TOSL RS ABOVE HIGHEST
INSTITUTIONAL 50 20 30 50 ESTABLISHED GRADE
(D-2) (W/O GRADE
FIREWALL) 15 60 (TCZO)
15 (NBC:
- OR MUST
FOLLOW
THE
MAXIMUM ALLOWABLE TOTAL GROSS FLOOR AREA DULY-
APPROVE
CHARACTER OF TYPE OF ALLOWABLE MAXIMUM D BHL ON
USE/OCCUPANCY BUILDING/STRUCTURE TOTAL GROSS FLOOR AREA THE
BY TYPE/LOCATION OF LOT MAJOR
INSIDE LOT ZONE IT
INSTITUTIONAL GROUP D INSTITUTIONAL (D-2) 60 X 50% OF TLA IS PART
15 X 50% OF TLA (NBC) OF)
COMPUTATIONS:
TABLE 1 TABLE 4
LOT AREA PSO ISA USA TOSL TOTAL LOT FLAR MAXIMUM MAXIMUM GROSS FLOOR
59,622 SQ. M. 50% 20% 30% 50% AREA DESIGNATION GROSS BHL AREA PER
29,811 SQ. M. 11,924.40 SQ. M. 17,886.60 SQ. M. 29,811 SQ. M. FLOOR STOREY/FLOOR
AREA LEVEL
(TLA X FD) (MGFA / MB)
59,622 SQ. 2.50 149,055 15 9,937 SQ. M.
M. SQ. M.
TABLE 2
PSO CLINIC HOTEL / COMMERCIAL ADMINISTRATIVE FOR FUTURE TABLE 5

CENTER SPA CENTER DEVELOPMENT
CENTER TOTAL LOT AREA LAND AREA REQUIRED FOR AMBF
29,811 SQ. 30% 15% 10% 5% 40% YARDS/COURTS (TLA – LAR)
M. 8,943.30 4,471.65 2,981.10 SQ. 1,490.55 SQ. M. 11,924.40 SQ. M. 59,622 SQ. M. 29,811 SQ. M. 29,811 SQ. M.
SQ. M. SQ. M. M.
TABLE 3
BUILDING/STRUCTURE ALLOCATED LOT 70% 30%

AREA
CLINIC CENTER 8,943.30 SQ. M. 6,260.31 SQ. M. 2,682.99 SQ. M.
HOTEL/SPA CENTER 4,471.65 SQ. M. 3,130.16 SQ. M. 1,341.50 SQ. M.
COMMERCIAL CENTER 2,981.10 SQ. M. 2,086.77 SQ. M. 894.33 SQ. M.
ADMINISTRATIVE 1,490.55 SQ. M. 1,043.39 SQ. M. 447.17 SQ. M.
FOR FUTURE DEV’T. 11,924.40 SQ. M. 8,347.08 SQ. M. 3,577.32 SQ. M.
ORGANIZATIONAL STRUCTURE
MAIN ORGANIZATIONAL CHART
USER PROFILE AND ANALYSIS RADIOLOGY DEPARTMENT

RADIOLOGIST SPECIALIZES IN THE RADIOGRAPHY READS AND INTERPRETS X-
USER PROFILE: CLINIC CENTER PHYSICIAN-IN-CHARGE OF HEAD PHYSICIAN IN THE RADIOLOGY
RAY FILMS
SUPERVISES THE WORK
RADIOLOGY DEPARTMENT FLOW IN THE RADIOLOGY
PRIMARY USERS DEPARTMENT
PHARMACY DEPARTMENT
• Medical tourist (patient) PHARMACIST SPECIALIZES ON THE CONTENTS AND PREPARING AND MIXING OF
• Medical staff PREPARATION OF DRUGS AND MEDICINES SOLUTIONS
SECONDARY USERS
USERS DESCRIPTION ACTIVITIES
• Patient's Family/Friend
MEDICAL TOURIST AN OUTPATIENT TOURIST WHO IS SEEKING SEEK CONSULTATION AND
(PATIENTS) MEDICAL/SURGICAL PROCEDURES AND RECEIVE TREATMENT
• Administration
HEALTH ENHANCEMENT AND IS ADMITTED • Medical Aids &
BUT DOES NOT REQUIRE AN OVERNIGHT
STAY Technicians
MEDICAL STAFF
CLINICAL
PHYSICIANS / SURGEONS SPECIALIZING DOCTORS FOR PATIENT PROVIDES PATIENT PATIENT’S FAMILY MEMBERS OR FRIENDS WHO ACCOMPANYING THE
CONSULTATIONS AND OPERATING CONSULTATION, FAMILY/FRIEND ACCOMPANIED THE PATIENT PATIENTS FOR THEIR CHECK-
PROCEDURES TREATMENT, AND UPS (OUT-PATIENTS)
OPERATING PROCEDURES ADMINISTRATION
ON PATIENTS
MEDICAL DIRECTOR HEAD OF THE WHOLE HEALTH FACILITY MANAGES AND OVERSEES THE
MEDICAL SECRETARY SECRETARY WHO ASSIST THE PHYSICIANS ASSIST, AND REPORT THE WHOLE OPERATION OF THE
SCHEDULE OF THE HEALTH FACILITY
PHYSICIAN
DIRECTOR’S SECRETARY ASSISTANT OF THE DIRECTOR WORKS DIRECTLY FOR THE
CHIEF NURSE HEAD OF THE NURSING DEPARTMENT OVERSEES NURSES’ WORKS DIRECTOR
AND SCHEDULE
ADMIN STAFF MEMBERS ADDITIONAL STAFF MEMBERS FOR FILLING AND RECORDING OF
NURSES NURSES SERVING ON FLOORS PROVIDES MEDICAL AID TO AUDITING AND OTHER OFFICE WORKS DOCUMENTS
PATIENTS
ADMIN SECRETARY ASSISTANT OF THE ADMINISTRATOR WORKS DIRECTLY FOR THE
SURGICAL ADMINISTRATOR
SURGEON DOCTORS ON DUTY IN THE OPERATING CONDUCTS THE OPERATING MEDICAL RECORDS IN-CHARGE OF KEEPING AND ORGANIZING ORGANIZES THE RECORDS OF
ROOMS PROCEDURES ON PATIENTS OFFICER MEDICAL RECORDS PATIENTS
OR NURSES NURSES ON DUTY IN THE OPERATING AIDS THE PHYSICIAN IN THE ADMIN OFFICER HEAD OF THE ADMINISTRATIVE
ROOM OPERATION DEPARTMENT
ANAESTHESIOLOGIST SPECIALIZES IN ADMINISTERING THE ADMINISTERS ANAESTHESIA RECEPTIONIST WELCOMES AND PROVIDES INFORMATION RECEIVING OF PATIENTS AND
ANAESTHESIA. HE/SHE IS THE LEGAL TO PATIENTS BEFORE TO PATIENTS AND VISITORS COMING IN THE VISITORS IN THE MAIN LOBBY
PHYSICIAN TO ADMINISTER THE SAID DRUG OPERATION MAIN LOBBY
CASHIER IN-CHARGE OF THE PAYMENTS RECEIVED RECEIVES AND RECORDS THE
LABORATORY FROM THE PATIENTS PAYMENT TRANSACTION OF
CLINICAL PATHOLOGIST SPECIALIZES ON THE HUMAN BODY’S REVIEWS, CONFIRMS, THE PATIENTS
CHEMICAL MAKE UP INTERPRETS AND REPORTS CHIEF FINANCIAL OFFICER HEAD OF THE FINANCE DEPARTMENT OVERSEES THE PRODUCTION
TESTS CONDUCTED IN THE OF THE FINANCIAL STAFF;
LABORATORY ACTS AS THE BOOKKEEPER
COMMISSION ON AUDIT IN-CHARGE OF MEDICAL AND FACILITY FILES FILES AND RETRIEVES UTILITY
AUDITOR AND RECORDS RECORDS
OPERATIONS MANAGER IN-CHARGE FOR THE OPERATION OF MANAGE, REPORT, AND MECHANICAL SERVICE IN-CHARGE OF REPAIRING AND CONDUCTS INSPECTIONS AND
COMMERCIAL FACILITIES OVERSEES THE COMMERCIAL MAINTAINING MECHANICAL EQUIPMENTS REPAIRS TO MECHANICAL
FACILITY OPERATION ELECTRICAL SERVICE IN-CHARGE OF REPAIRING AND CONDUCTS INSPECTIONS AND
MEDICAL AIDS & TECHNICIANS MAINTAINING ELECTRICAL EQUIPMENTS REPAIRS TO ELECTRICAL
NURSING ATTENDANTS PRACTITIONERS GIVING ASSISTANCE TO HELPS AND ASSISTS NURSES EQUIPMENTS
NURSES AND PATIENTS UTILITY WORKERS MAINTENANCE AND SANITATION SANITARY DISPOSAL OF
WASTES’ STORES AND
X-RAY TECHNICIAN OPERATOR FOR THE CT SCANNER OPERATES AND MAINTAINS
THE X-RAY EQUIPMENTS RETRIEVES SUPPLIES FOR
DIFFERENT HOSPITAL UNITS
CT SCAN TECHNICIAN OPERATOR OF THE CT SCANNER OPERATES AND MAINTAINS
THE CT SCANNER
TERTIARY USERS
• General Services

GENERAL SERVICES
SECURITY GUARDS AND OTHER SECURITY PERSONNEL MAINTAINS ORDER AND

PEACE W/N THE VICINITY OF
THE FACILITY
LAUNDRY & LINEN
SUPPLY OFFICER HEAD OF CSSU STORE AND RETRIEVAL OF

SUPPLIES
LAUNDRY UNIT HEAD HEAD OF LINEN AND LAUNDRY DEPARTMENT OVERSEES WORK
LAUNDRY WORKERS LINEN AND LAUNDRY DEPARTMENT STAFF WASHES, PRESSES AND SORTS
LINENS
MAINTENANCE
JANITORS HARD WORKERS ENSURING THE MAINTAINING THE

CLEANLINESS OF EACH FACILITIES CLEANLINESS BY SWEEPING,
WIPING, ETC.
LINEN STAFF IN-CHARGE OF THE CLEAN AND SOILED CLEANING SOILED LINENS,
LINEN, ITS STORAGE AND MAINTENANCE PRESSING, FOLDING AND
DISTRIBUTING CLEAN LINENS
USER PROFILE: HOTEL AND SPA CENTER

PRIMARY USERS SECONDARY USERS
• Wellness tourist • Administrative
(customers) • General Service
• Wellness staff
USERS DESCRIPTION ACTIVITIES USERS DESCRIPTION ACTIVITIES

WELLNESS TOURISTS A TOURIST WHO IS SEEKING INTEGRATED SEEK CONSULTATION AND ADMINISTRATION
(CUSTOMERS) WELLNESS AND PREVENTION APPROACHES TO RECEIVE TREATMENT MANAGER HEAD OF THE WELLNESS FACILITIES MANAGES AND OVERSEES
IMPROVE THEIR HEALTH/QUALITY OF LIFE THE OPERATION OF THE
WELLNESS FACILITIES
WELLNESS STAFF SECRETARY ASSISTANT OF THE DIRECTOR WORKS DIRECTLY FOR THE
DIRECTOR
ADMIN STAFF MEMBERS ADDITIONAL STAFF MEMBERS FOR FILLING AND RECORDING OF
SPA & WATER THERAPY AUDITING AND OTHER OFFICE WORKS DOCUMENTS
MEDICAL RECORDS IN-CHARGE OF KEEPING AND ORGANIZING ORGANIZES THE RECORDS
MASSUERS SPECIALIZING DOCTORS FOR PATIENT PROVIDES PATIENT OFFICER MEDICAL RECORDS OF PATIENTS
CONSULTATIONS AND OPERATING PROCEDURES CONSULTATION, RECEPTIONIST WELCOMES AND PROVIDES INFORMATION RECEIVING OF PATIENTS
TREATMENT, AND TO PATIENTS AND VISITORS COMING IN AND VISITORS IN THE MAIN
OPERATING PROCEDURES ON THE MAIN LOBBY LOBBY
PATIENTS CASHIER IN-CHARGE OF THE PAYMENTS RECEIVED RECEIVES AND RECORDS THE
FOOT MASSUERS SECRETARY WHO ASSIST THE PHYSICIANS ASSIST, AND REPORT THE FROM THE PATIENTS PAYMENT TRANSACTION
SCHEDULE OF THE PHYSICIAN GENERAL SERVICES
SECURITY GUARDS AND OTHER SECURITY PERSONNEL MAINTAINS ORDER AND
THERAPIST HEAD OF THE NURSING DEPARTMENT OVERSEES NURSES’ WORKS PEACE W/N THE VICINITY OF
AND SCHEDULE THE FACILITY
ASSISTING STAFF NURSES SERVING ON FLOORS PROVIDES MEDICAL AID TO LAUNDRY & LINEN
PATIENTS LAUNDRY UNIT HEAD HEAD OF LINEN AND LAUNDRY OVERSEES WORK
LAUNDRY WORKERS LINEN AND LAUNDRY STAFF WASHES, PRESSES AND
FITNESS GYM SORTS LINENS
MAINTENANCE
INSTRUCTOR DOCTORS ON DUTY IN THE OPERATING ROOMS CONDUCTS THE OPERATING JANITORS HARD WORKERS ENSURING THE MAINTAINING THE
PROCEDURES ON PATIENTS CLEANLINESS OF EACH FACILITIES CLEANLINESS
HOLISTIC HEALTH LINEN STAFF IN-CHARGE OF THE CLEAN AND SOILED CLEANING SOILED LINENS,
LINEN, ITS STORAGE AND MAINTENANCE PRESSING, FOLDING AND
DISTRIBUTING CLEAN LINENS
DOCTOR SPECIALIZES ON THE HUMAN BODY’S CHEMICAL REVIEWS, CONFIRMS, UTILITY
MAKE UP INTERPRETS AND REPORTS
MECHANICAL SERVICE IN-CHARGE OF REPAIRING AND CONDUCTS INSPECTIONS TO
TESTS CONDUCTED IN THE
MAINTAINING MECHANICAL EQUIPMENTS MECHANICAL
LABORATORY
UTILITY WORKERS MAINTENANCE AND SANITATION SANITARY DISPOSAL OF
SECRETARY SECRETARY WHO ASSIST THE DOCTOR ASSIST, AND REPORT THE
WASTES’ STORES AND
SCHEDULE OF THE DOCTOR
RETRIEVES SUPPLIES FOR
DIFF. HOSPITAL UNITS
USER PROFILE: COMMERCIAL CENTER

PRIMARY USERS SECONDARY USERS
• Tourists • Maintenance & Security
• Facility staff
USERS DESCRIPTION ACTIVITIES USERS DESCRIPTION ACTIVITIES
TOURISTS MAINTENANCE & SECURITY
CUSTOMERS HEAD OF THE WELLNESS FACILITIES MANAGES AND OVERSEES

THE WHOLE OPERATION OF SECURITY GUARDS AND OTHER SECURITY MAINTAINS ORDER AND
THE WELLNESS FACILITIES PERSONNEL PEACE W/N THE VICINITY OF
THE FACILITY
SHOPPERS ASSISTANT OF THE DIRECTOR WORKS DIRECTLY FOR THE JANITORS HARD WORKERS ENSURING THE MAINTAINING THE
DIRECTOR CLEANLINESS OF EACH FACILITIES CLEANLINESS BY SWEEPING,
WIPING, ETC.
DINERS ADDITIONAL STAFF MEMBERS FOR AUDITING FILLING AND RECORDING OF

AND OTHER OFFICE WORKS DOCUMENTS
FACILITY STAFF
OPERATIONS MANAGER SUPERVISE COMMERCIAL FACILITIES MANAGE, OVERSEES

COMMERCIAL FACILITIES
OWNER SUPERVISE COMMERCIAL UNIT MANAGE, OVERSEES UNIT
BEHAVIORAL AND MOVEMENT PATTERN
SPACE PROGRAMMING INDEX
Notes:
1. 0.65/person – Unit area per person occupying the space at one time
2. 5.02/staff – Work area per staff that includes space for one (1) desk and one (1) chair, space for
occasional visitor, and space for aisle
3. 1.40/person – Unit area per person occupying the space at one time
4. 7.43/bed – Clear floor area per bed that includes space for one (1) bed, space for occasional
visitor, and space for passage of equipment
5. 1.08/stretcher – Clear floor area per stretcher that includes space for one (1) stretcher
PROGRAMMING MATRIX / DIAGRAM
SPACE INTERRELATIONSHIP AND CIRCULATION
MACRO
MICRO
ADJACENCY MATRIX
CLINIC CENTER MAIN ADMINISTRATION
HOTEL AND SPA/WELLNESS CENTER COMMERCIAL CENTER
ESSENTIAL
DESIRABLE
NOT NEEDED
CHAPTER 4.2
CONCEPT DEVELOPMENT
ARCHITECTURAL CONCEPT
According to Biophilic Design Principles, the following growing body of knowledge that supports the
role of contact with nature in human health and productivity are the following:
 Contact with nature has been found to enhance healing and recovery from illness and major
surgical procedures, including direct contact (e.g.: natural lighting, vegetation) as well as
representational and symbolic depictions of nature (e.g.: pictures).
 People living in proximity to open spaces report fewer health and social problems, and this
has been identified independent of rural and urban residence, level of education, and
income. Even the presence of limited amounts of vegetation such as grass and a few trees
has been correlated with enhanced coping and adaptive behaviour.
 Office settings with natural lighting, natural ventilation and other environmental features
result in improved worker performance, lower stress, and greater motivation.
 Communities with higher-quality environments reveal more positive valuations of nature,

superior quality of life, greater neighbourliness, and a stronger sense of place than
communities of lower environmental quality. These findings also occur in poor urban as well
as more affluent and suburban neighbourhoods.
FORM DEVELOPMENT
SUSTAINABILITY CONCEPT
OPERATIVE TEMPERATURE THRU ATRIA GREY WATER USE (UTILITY)
Measurable magnitude of influence of thermal comfort inside atrium. Aside from heat exchange Grey water is waste water from households, stemming from shower, bathtub, bathroom sink and
through convection and long-wave infrared radiation, we often also need to consider the influence the washing machine and which, hence, is not contaminated with faeces or highly polluted kitchen
of direct solar radiation on a person and as it relates to operative temperature. waste water. This type of water can be processed into usable water, which is safe from a hygienic
point of view but does not have the same quality as drinking water. It can be used for toilet
flushing, watering and cleaning purposes.
BREATHING STRUCTURE (NATURAL VENT AND DAYLIGHTING)
INTERIOR FINISHES (ACOUSTICS)
Sound absorptive finishes on room surfaces in health care spaces can reduce the build up of noise
associated with speech, clinical alarms, medical devices and other sound sources. Different
products provide varying grades of sound absorption, so ceiling, wall covering and flooring Applying of natural system in the design to take advantage with the project’s location.
selections should be based on budgets, aesthetics and acoustical benefits.
CHAPTER 4.3
SYNTHESIS
SCHEME 1
CLINIC CENTER SPA/WELLNESS CENTER
SITE PLAN
HOTEL
SCHEME 2
SITE PLAN CLINIC AND COMMERCIAL CENTER
HOTEL AND WELLNESS CENTER
SCHEME 3
SITE PLAN
HOTEL & SPA
CLINIC
COMM.
CHAPTER 4.4
PRESENTATION DRAWINGS
CLINIC
CENTER
HOTEL AND
COMMERCIAL
SPA/WELLNESS
CENTER
CENTER
SITE DEVELOPMENT PLAN

FLOOR PLANS
NATURE’S PARK GROUND FLOOR PLAN

MEDIPLEX
N
3
RD
– 7TH FLOOR PLAN
NATURE’S PARK 2 ND
FLOOR PLAN
MEDIPLEX N
ELEVATIONS
NORTHWEST ELEVATION
SOUTHEAST ELEVATION
NORTHEAST ELEVATION
NATURE’S PARK
MEDIPLEX
SOUTHWEST ELEVATION
S
E
O
SECTION THRU A
N
NATURE’S
PARK
MEDIPLEX SECTION THRU B
SECTION THRU C
NATURE’S
PARK
MEDIPLEX SECTION THRU D
EXTERIOR PERSPECTIVES
NATURE’S PARK
MEDIPLEX
NATURE’S PARK
MEDIPLEX
INTERIOR PERSPECTIVES
HOTEL ROOM
BANQUET DINING /
LEISURE AREA
E & T ROOM
DOCTOR’S OFFICE
NATURE’S PARK
ATRIUM
MEDIPLEX
BIBLIOGRAPHY
DEPARTMENT OF HEALTH; www.doh.gov.ph
DEPARTMENT OF TOURISM; www.tourism.gov.ph
PHILIPPINE MEDICAL TOURISM, INC.; www.philmedtourism.com
PHILIPPINE MEDICAL ASSOCIATION; www.philippinemedicalassociation.org
NATIONAL BUILDING CODE OF THE PHILIPPINES
TIMESAVER STANDARDS
http://www.healthline.com
http://www.patientsmedical.com
http://www.healthline.com
http://www.yourdentistryguide.com
http://www.choicemedicalservices.com
http://www.globalspaandwellnesssummit.org
http://www.retirementthailand.info
http://www.dukeintegrativemedicine.org
http://www.integrativemedicineithaca.com
http://www.architectureweek.com
http://www.balancemedical.ca
http://www.bumrungrad.com
http://www.washingtonpost.com
http://www.wbdg.org
MAPUA INSTITUTE OF TECHNOLOGY: SCHOOL OF ARCHITECTURE, INDUSTRIAL DESIGN, AND THE BUILT ENVIRONMENT || AUGUST, 2012
APPENDIX (SAMPLE QUESTIONNAIRES) 5. If you are a patient who went through surgery, what place do you want for better and
faster recuperation/recovery?
PROPOSED MEDICAL MALL AND WELLNESS DEVELOPMENT COMPLEX
A place that has a scenic view of mountains, hills and lakes
NAME:
Resort
GENDER:
Some peaceful place within Metro Manila
AGE: Inside the hospital or medical clinic
DATE: Other:
6. Do you think combinig medical and wellness facilities can improve your health?
Main Goal: To design a structure that will enhance Philippine’s unused potential and develop
its distinctive market niche based on its strengths.
Yes
1. How do you improve/maintain your healthy lifestyle? No
7. Can it also help you to recover faster and better after a medical/surgical procedure?
eating healthy foods
going to a massage and spa establishments Yes
going to fitness centers No
8. In your own opinion, what health structure/establishment is better?
all of the above
Other: contains different services (clinics, restaurants, wellness facilities, etc.)
2. On the scale of 1-5 (5 being the highest), how much do you want to improve your
lifestyle in terms of health? surrounded by nature
both
1 Other:
2
3
4
5
THANK YOU VERY MUCH!!!!   
3. Do you prefer medication/treatment plus wellness?
Yes
No
4. What is your motivation for good healthcare service?
Access to alternative/different services

Medical procedures combined with relaxation/leisure
Both
MAPUA INSTITUTE OF TECHNOLOGY: SCHOOL OF ARCHITECTURE, INDUSTRIAL DESIGN, AND THE BUILT ENVIRONMENT || AUGUST, 2012

CRUZ Rob Ritz E. THESIS BOOK Integrated Medical Mall and Wellness Development Center in Tagaytay

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

CRUZ Rob Ritz E. THESIS BOOK Integrated Medical Mall and Wellness Development Center in Tagaytay

Uploaded by

Copyright:

Available Formats

MAPUA INSTITUTE OF TECHNOLOGY

School of Architecture, Industrial Design and the Built Environment

NATURE’S PARK MEDIPLEX

Architect Junar Pakingan Tablan, UAP

In Partial fulfillment of the course requirements in

A Proposed Integrated Medical

Rob Ritz E. Cruz

Mapúa Institute of Technology

To: Arch. Junar Pakingan Tablan, uap

Rob Ritz E. Cruz

Arch. Junar Pakingan Tablan, uap

Arch. Junar Pakingan Tablan, uap

To my inspiration and God’s gift, I thank Katrina Aterrado.

1.0 THE PROBLEM

2.0 RESEARCH FOCUS: BIOPHILIC DESIGN

4.0 ARCHITECTURAL DESIGN TRANSLATION

1.0 THE PROBLEM

INTRODUCTION According to the Medical Tourism Association,

BACKGROUND OF THE STUDY

STATEMENT OF THE PROBLEM PROJECT GOAL, OBJECTIVES, AND STRATEGIES

SIGNIFICANCE OF THE RESEARCH SCOPE AND LIMITATIONS

DOT – Department of Tourism

HEAL PHILIPPINES – Health and Wellness Alliance of the Philippines

PMTI – Philippine Medical Tourism Inc.

OHE – Optimum Healing Environment

REVIEW OF RELATED LITERATURE AND STUDIES

RELATED LITERATURE Medical Malls: National Trends

Reconnecting Roots ~ Discovering Clues from Nature

St. Luke's Medical Center is one of the state-

RHEUMATOLOGY, STONE AND STROKE CENTER Location:

Different Outpatient Services:

Asian Hospital and Medical Center Location:

Medical and Outpatient Services:

Center for Dermatology Laser Hearing Unit

The Farm at San Benito Bangkok Mediplex (Medical Mall)

The concept was based on the cellular structure that makes

Philippine Medical Tourism Inc. (PMTI):

What are the needs and wants of the medical tourists?

ARCHIVAL RESEARCHES Review on Medical Tourism

PHILIPPINE MEDICAL TOURISM PROGRAM (PMTP)

The Philippines Medical Tourism Cluster HEALTH PROVIDERS:

No. of Licensed Ambulatory Surgical Clinics/Center = 104

FIGURE 1.2 FIGURE 1.3

PHILIPPINE TOURISM STATISTICS:

TOP VISITOR ARRIVALS: PURPOSE OF VISIT (PHIL. DEPARTMENT OF TOURISM)

Country Health/Medical Reason

Middle East Saudi Arabia 36 0.21%

N. America Canada 58 0.06%

Australasia/Pacific Guam 3,653 9.05%

Overseas Filipino 543 0.28%

Philippines Health Spas

SURVEY On the scale of 1-5 (5 being the highest), how much

Eating healthy foods 76%

A place that has a scenic view 73.33%

Do you think combining medical and wellness

Can it also help you to recover faster and better after

SUMMARY OF FINDINGS AND ANALYSIS

PRESENTATION OF COLLECTED DATA AND ANALYSIS PRACTICALITY OF MEDICAL TOURISTS

ACCREDITATION FOR INTERNATIONAL STANDARDS

TYPES OF MEDICAL SERVICES

COMPARATIVE HEALTHCARE COSTS

CONCLUSION AND RECOMMENDATIONS