ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE

H.E.A.L. (Helping to Establish Anew Living):

Tertiary Hospital with Burn and Research Center

A Thesis Proposal Presented to the

College of Architecture
Adamson University

In Partial Fulfillment
Of the Requirements of the Degree
Bachelor of Science in Architecture

By

DENNIS VIRTUDES CABALZA

MARCH 2018
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ABSTRACT

Hundreds of thousands of pain that would lead to endless scream and

struggle of burn patients as they plead for an end on their agony.
The proposed Tertiary Hospital with Burn and Research Center aims to
provide a medical care that is responsive to the health needs of the public that
specializes in treatment of burn and to design a venue that will aid the
development of new method of treatment that involves tilapia fish skin as an
alternative and so these patients would be able to start anew.

Keywords: tertiary hospital, burn center, research center, treatment, post-

trasumatic stress disorder
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LIST OF TABLES

Table of Contents
ABSTRACT V
LIST OF TABLES VI
THE INTRODUCTION 1
1.1. BACKGROUND OF THE STUDY 1
1.2. STATEMENT OF THE PROBLEM 5
1.3. OBJECTIVES OF THE STUDY 6
1.4. SIGNIFICANCE OF THE STUDY 7
1.5. CONCEPTUAL FRAMEWORK 7
1.6. PROJECT SCOPE, LIMITATIONS & DELIMITATIONS 8
1.7. DEFINITION OF TERMS 9
THE LITERATURE REVIEW 11
2.1. REVIEW OF THE LITERATURE 11
2.2. CASE STUDIES 16
2.3. SYNTHESIS 18
THE RESEARCH METHOD 19
3.1. RESEARCH DESIGN 19
3.2. DATA GATHERING 19
3.3. DATA PROCESSING 20
REFERENCES 22
APPENDIX 24
APPENDIX 1: SURVEY 24
APPENDIX 2: TIMETABLE FOR RESEARCH 25
APPENDIX 3: BUDGETARY REQUIREMENTS 29
APPENDIX 4: MIND MAP 30
APPENDIX 5: REQUEST LETTER FOR INTERVIEW 31
APPENDIX 6: INTERVIEW QUESTIONNAIRE 36
ABOUT THE AUTHOR 39
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CHAPTER 1

THE INTRODUCTION

The Philippines medical health care faces various major health issues and

challenges such as inadequate health facilities, lack of health workers and medical

practitioners and a lot more that have to be addressed in the study.

1.1. BACKGROUND OF THE STUDY

With the decrease in the 2017 budget allocation for the Department of

Health, allotting only P90.9 billion from 2016’s budget allocation of P122.63

billion, it would be a lot more difficult in providing good and adequate hospitals

and health facilities.

The lack of improved health care facilities with burn units in the country is

the main issue that needs to be addressed. The lack of good and adequate health

care facilities hinders the objective of achieving socio-economic development and

the people’s well-being in general.

The figure 1 shows the

dominant disparity of private

hospitals than public,

especially in the number of

Figure 1 – Number of Hospitals by Classfication and Ownership, 2009

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tertiary hospitals where private hospitals are four times than the government

hospitals.

Figure 2 - Distribution of Hospitals by Level and Geographical Distribution

The figure shows the distribution of different classification of hospitals in

the Philippines, wherein levels 1 and 2 hospitals are relatively well-disributed in

the country; however, hospitals with higher service capabilities such as tertiary

and quartenary are found in Region 3 and National Capital Region (NCR).

There is also a large deficit in the case of hospitals with burn units. With

only 4 hospitals with burn units namely Philippine General Hospital, East Avenue

Medical Center, Jose Reyes Memorial Medical Center and Davao Medical Center.
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Table 1: Proportion of Population who sought inpatient care by facility and selected variables

The table above shows that there is a large proportion of people who

belongs in the poor sector are not covered oh Philhealth and are most like to be

admitted to public hospitals because of lack of expense and affordability

(Department of Health, n.d.). This shows the inadequacy of government

owned and public hospitals in the country; thus, a huge number of indigents lack

of access to proper health care.

Fires, on the other hand, is one of the most common disasters in the

Philippines that causes casualties and damage properties.

Table 2 – Areas Affected of Fire and Fire-Related Casualties

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The table 2 shows the areas affected by incidents inflicted by fire and the

residential area is the most affected area of all, as most fire-related incidents

happen at homes.

Table 3 – Fires and Fire-Related Casualties by Region

Fire continues to be a major problem in the Philippines. The table above

shows that it is still National Capital Region (NCR) with the most number of fire-

related incidents and casualties with 680 fire casualties and followed by Region 4A

with 41 fire-related cases.

The study conducted by the Department of Health – Health Emergncy

Management Staff (DOH-HEMS) revealed that there are no improvements in the

fire situation from 2010 to 2012 in the country; thus, it is necessary to review the
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present local and national methods of fire control and prevention. Further

research and analysis of fire determinants and its occurrence would be able to

provide information for its prevention in the policies and planning in the

Philippines by the Bureau of Fire and Protection, Department of Health and other

affiliated departments. (Velasco, 2013)

1.2. STATEMENT OF THE PROBLEM

The current condition of our medical health care is quite lacking in terms

of facilities and number of medical staff and practitioners. This study will be able

to address the problems and issues the country is facing right now.

Identifying the main problems and its sub problems would help the

researcher provide architectural solutions to the existing problems of the study.

Guiding questions for this area are the following:

 How will the proposed tertiary hospital with burn and reaserch center be

able to provide a facility that give medical care that is responsive to the

needs of the public, especially in treating burn injuries?

 How will the proposed tertiary hospital with burn and research center be

able to design a venue that will aid the development of new method of

treatment that involves tilapia fish skin as an alternative?

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 How will the proposed project provide a venue that will give psychological

assistance to burn patients that have developed post-traumatic stress

disorder?

 How will the proposed project improve the poor situation of today’s health

care system through its design?

1.3. OBJECTIVES OF THE STUDY

PROBLEM OBJECTIVES

How will the proposed project To design a tertiary hospital with

provide a facility give medical burn and research center that is
care to the public needs responsive to the health needs of the
especially in burn treatment? public that specializes in burn
injuries.
How will the proposed project To design a facility thank will aid the
be able to design a venue that development of new method of
will aid the development of new treatment which uses tilapia skin as
method of treatment? an alternative for burn patients.
How will the proposed project To provide and design a venue that
provide a venue that will give will give the psychological assistance
psychological assistance to the needed by the burn patients that
burn patients that have have developed post-traumatic
developed post-traumatic stress stress disorder.
disorder?
How will the proposed project To provide a well designed tertiary
improve the poor situation of hospital that has high class facility
today’s health care system and good circulation.
through design?
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1.4. SIGNIFICANCE OF THE STUDY

The proposed tertiary hospital with burn and research center addresses

the issues of Philippine health care system such as good and inadequate facility

and neglecy of burn patient’s post-traumatic stress disorder which could be filled

by designing a well-circulated facility that could develop and enforce effective

policies, promote interventions and strengthening the capacity to carry out

programs for the improvement and fill its void.

1.5. CONCEPTUAL FRAMEWORK

INPUT PROCESS OUTPUT

Improved health care Effective circulation of Tertiary Hospital with

facilities plan and policies Burn and Research
Center

Venue for the Well-designed Departmentalized and

development of new research center accredited services for
of method of dedicated to Level 3 Hospital
treatment for burn development of new (primary component)
patients treatment for burn with provisions for
patients Physical Medicine,
Rehabilitation Unit,
Venue for Dialysis Facility, and
psychological An atmosphere that is Ambulatory Surgical
assistance and help for sensitive to the Unit (secondary
patients with PTSD patients with post- components).
traumatic stress Designed with
disorder commercial stalls
(auxiliary component)
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Upon identifying the existing problems the study have, the researcher has

come up with a conceptual framework which shows the objectives of the study

through means of providing a design solution for improved health care facilities

and well-circulated venue for the development of new method of treatment of

burn patients and a venue that offers psychological assistance for burn patients

that have developed post-traumatic stress disorder (PSTD).

With the problems and design objectives presented, the process of

implementing and designing of a tertiary hospital with burn and research center

is then followed. This is achieved through proper analyzation of the existing

problems and its corresponding solution.

1.6. PROJECT SCOPE, LIMITATIONS & DELIMITATIONS

Project Scope :

The scope of the study is concentrated on the efficiency and adequacy of

health care system of the proposed tertiary hospital with burn and research

center through well-circulated design. In accordance to the DOH guidelines,

tertiary hospital includes, but not limited to the following:

1. teaching and/or training hospital with accredited residency training

program for physicians in the (4) four major specialties namely: Medicine,

Pediatrics, Obstetrics and Gynecology, and Surgery.

2. Provision for physical medicine and rehabilitation unit;

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3. Provision for ambulatory surgical clinic;

4. Provision for dialysis facility;

5. A DOH licensed tertiary clinical laboratory with standard equipment/

regeants/ supplies necessary for the performance of histopathology

examinations;

6. A DOH licensed level 3 imaging facility with interventional radiology.

Limitations

The objective of the study has been purposely limited to the architectural

plans and design of the proposed project. The researcher has not considered the

inclusion of structural, mechanical and electrical plans. Furthermore, an attempt

to partially discuss the related cases of burn injuries and its treatment.

1.7. DEFINITION OF TERMS

1. Heal – to recovery from an injury or disease.

2. Tertiary Hospital – a hospital having all level 2 capacity that has provisions

for physical medicine and rehabilitation unit, ambulatory surgical clinic,

dialysis facility, and blood bank. Moreover, with standard equipments

necessary for histopathology examinations and imaging facility with

interventional radiology.
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3. Burn center – a hospital that specializes in burn treatments.

4. Research center – a facility dedicated for research and gathering of

information of a particular topic.

5. PTSD (Post-Traumatic Stress Disorder) - a condition of persistent mental

and emotional stress occurring as a result of injury or severe psychological

shock, typically involving disturbance of sleep and constant vivid recall of

the experience, with dulled responses to others and to the outside world.

6. Surgeon – a licensed medical practitioner who practices surgery.

7. Obstetrics – a field of medicine spealizing with childbirth.

8. ICU – Intensive Care Unit

9. Pediatrician – a licensed medical practitioner that specializes with children

and their diseases.

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CHAPTER 2

THE LITERATURE REVIEW

2.1. REVIEW OF THE LITERATURE

2.1.1 Medical History

The history of medicine in the Philippines has gone through a drastic

change throughout the years, during Spanish colonial period up to the present. It

was evident that the medical facilities and resources were limited to Manila as

medical, surgical, and pharmaceutical needs depended on overseas supply

transactions, specifically from New Spain. To make matters worse, the local

population suffered from different kinds of ailments with which the Spaniards

could offer abundant spiritual consolation but only limited physical respite

(Bantug, 1953). The provincial health care system though of the early Filipinos for

the most part of the early Spanish colonial period revolved and depended upo the

ability of the local curandero or matanda to provide the necessary cure for the

ailing patients (Blair, 2009). Still, it was not enough to cure some arising diseases

of tropical countries like Philippines, so it was necessary for the friars to find

alternatives like herbal and botanical cures.

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Table 4 – Early Major Spanish Hospitals in the Philippines

The table above shows the first hospitals that were present during the

Spanish period. Inspite of having these hospitals, it was evident that Philippines
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still lack medical sources for the medical activities during seventeenth and

eighteenth period.

The most accepted method of traditional indigenous healing during

Spanish era was herbal medicine. It was then Fr. Blas de la Madre de Dios become

the very first recorded missionary that has identified and recordd the medicinal

qualities of different plants in his work entitled Flora de Filipinas (Philippine Plants)

that are based from his studies and works from Cagayan. (Fernandez, 1979)

Upon recognizing that there is a deficiency of medicinal and

pharmaceutical supplies and professionals especially in rural areas whose people

lack the ability to travel to metropolis to seek aid, as a result, religious missionaries

looked for alternatives within the Philippines. Various methods of healing were

then discovered such as hydrotheraphy, obstetrics and general surgery. Other

than the herbal medicine, the Franciscans and Agustinians popularized the

curative properties of natural baths for the cure of certain afflictions and diseases.

The transition of medicine in philippine’s history indeed showed progress

and development despite its limitations because of Spanish colonial

administrators. Indeed, the friars played a huge role in the development and

enabling inexpensive yet effective medical care, especially in places that are

beyond the reach of western physicians and surgeons. (Joven, 2012)

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2.1.2 Drugs and Medicine Imported

Southeast Asian countries like Philippines played a role in its regional trade

from importing from China of remedies and other medicines. In accordance to

reports of Don Juan Grau y Monfalcon, most valuable dugs were obtained from

the king of Cambodia in 1600, this includes transactions involving drugs and

medical supplies necessary for the cure of extreme diseases. (Monfalcon, 1903)

2.1.3 Functional Capacity

It is always best to know the quality of health care of a hospital that would

be rendered to an individual because the health and well-being should be one of

our priorities. Proper health care means that you can function at your utmost

capacity on doing your tasks; furthermore, sufficient and proper medical care of

the overall population is necessary in nation building.

2.1.4 Classification
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Level 1 hospital has services that includes minor care and supervisions that

are in accordance to the Administrative Order No. 2012 of Department of Healt

(DOH), while level 2 hospital consists of all the services level 1 hospitals have with

additional facilities such as intensive care unit (ICU) and additional services from

gynecologist and pediatrician. Specialties like physical rehabilitation and dialysis

treatment and training facilities are found in level 3 hospitals, of which the other

2 level of hospitals don’t have.

Table 5 - Classification of General Hospitals according to AO No. 2012 of DOH

2.1.5 Quality and Quantity: Staff and Facilities

In order to provide a proper medical health care, it is necessary to have a

good number of qualified staffs and facilities that will go hand-in-hand with one

another.
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The nature of patient’s outcome relies on the care that will be provided by

its staff. With the workload’s management, it requires one staff nurse for every

twelve beds on a shift, plus one reliever for every three nurses. Also, there should

be one doctor assigned for every twenty beds.

Medical knowledge tend to change every 3 years and in order to keep up,

it is necessary that we invest our interest and valued human resources and

continuous professional education on its development. (Tulio, 2016)

2.2. CASE STUDIES

2.2.1 PHILIPPINE GENERAL HOSPITAL

The Philippine General

Hospital is one of the best tertiary

hospitals that the Philippines has.

It is a tertiary state-owned
Figure 3 – Philippine General Hospital
hospital that is being administered

by the University of the Philippines Manila which is located in Ermita, Manila.

Having a 1,500-bed capacity, with 1000 beds designated for indigent patients and

500 beds for private patients, it is considered as one of the biggest hospital in the

country. Being the largest training hospital in the country, it is considered the

laboratory hospital of health science, consisting of 15 clinical departments such as

anesthesiology, Neurosciences, ophthalmology and a lot more. About 600,000

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patients are being admitted into PGH on an average year, as a result, many

organization help the hospital on its expenses and maintenance such as PGH

Medical Foundation and Fr. Barbero Foundation.

2.2.2 NEW LADY CILENTO CHILDREN’S HOSPITAL

New Lady Cilento Children’s

Hospital is a specialist pediatric

teaching hospital that provides

tertiary and quartenary health

services to patients. It also Figure 4 – New Lady Cilento Children’s Hospital

incorporated highl functional and advanced diagnostic, interventional and

treatment facilities. Its design concept was based on a living tree, that

incorporates design strategies that support patient health and wellbeing,

connections to the exterior views of nature which provides a green and

sustainable environment for patients and staffs. (archdaily.com, 2015)

The key element of

the design is the

accessibility to green space.

It includes rooftop gardens,

green walls, enclosed

Figure 5 – Green Space of New Lady Cilento Children’s Hospital courtyard gardens and
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views that surrounds the parklands of the hospital’s healing environment. These

green elements of the hospital which are used by the patients and staff for passive

and active recreation as part of the hospital’s rehabilitation program.

2.3. SYNTHESIS

Hospitals are composed of various integrated design strategies needed to

function properly. It is necessary to understand the past and future trends of

hospitals in order to provide new solutions to the existing problems of the

community. The related case studies has shown the need for integration and

innovation in medical expertise because the phase it undergoes is rapidly moving.

The sudden change in trends and concepts opens an opportunity in

providing various design solution for the advancement and improvement of the

medical health care in the Philippines.

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CHAPTER 3

THE RESEARCH METHOD

3.1. RESEARCH DESIGN

The study utilized both qualitative and quantitative research methods that

are necessary in fulfilling its objective. The research design is determined through

the collection of data such as survey questionnares, personal interviews and keen

observation that will able to design an efficient and well-circulated type of

structure it needed to be – to be a responsive tertiary hospital with burn and

research center.

3.2. DATA GATHERING

3.2.1 SURVEY

The researcher provided a survey where there would be participating

respondents that are necessary in gaining information for the study in order to

give a broad and wider understanding on the particular matter and know the

different perspectives people have regarding the propose project.

3.2.2 INTERVIEW

The researcher conducted interviews to various professionals that have a

better understanding in this line of field such as medical doctors, physicians,

psychologists, burn patients and individuals that could give necessary information
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for the development of the study. These professionals and individuals would give

an insight to the existing problems and needs of the target users of the researcher.

3.3. DATA PROCESSING

Upon gathering the necessary data for the study, the researcher then

tabulates it and will do an assessment of the problems of the study that have been

showed. Through assessment, the researcher then makes an evaluation of the

acquired data; furthermore, this will give a wider perspective on the study to be

able to consider on what is lacking within the proposed project.

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REFERENCES

(2015, February 9). Retrieved from archdaily.com:

http://www.archdaily.com/595827/new-lady-cilento-children-s-hospital-lyons-

conrad-gargett

Bantug, J. P. (1953). A Short History of Medicine in the Philippines. Colegio

Médico-Far-macéutico de Filipinas.

Blair, E. H. (2009). The Philippine Islands (Vol. 45). Fb &C Limited.

Department of Health. (n.d.). Retrieved from

http://www.doh.gov.ph/sites/default/files/basic-page/chapter-one.pdf

Fernandez, P. (1979). History of Church in the Philippines. National Book

Store.

Joven, A. E. (2012). Colonial Adaptatons in Tropical Asia: Spanish Medicine

in the Philippines in the Seventeenth and Eighteenth Centuries (Vol. 38). Tokyo:

International Christian University.

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Monfalcon, J. G. (1903). The Philippine Islands. (E. H. Blair, Ed.) Grau y

Monfalcon’s Memorial of 1637, 27, 114.

Tulio, J. (2016, January 19). rappler. Retrieved from rappler.com:

http://www.rappler.com/brandrap/health-and-self/119175-hospital-checklist-

guide

Velasco, G. N. (2013). Epidemiological Assessment of Fires in the

Philippines, 2010-2012. Makati City: Philippine Institute for Developed Studies.

Retrieved from pids.gov.ph.

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APPENDIX

APPENDIX 1: SURVEY
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APPENDIX 2: TIMETABLE FOR

RESEARCH

A. First Semster JUNE JULY AUG SEPT OCT

ACTIVITIES 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

>Choosing a topic
Title Defense
Part 1: Introduction to
thesis
a. Submission/Consultation
>Proposed thesis
Chapter 1:
>Project Objectives
>Introduction
>Background and Nature of
the Study
>Statement of the Problem
>Significance of the Project
c. Review of Related
Literature
d. Submission of final draft
of Part 1 Chapter 1
Part 2: Chapter 1
a. Submission/Consultation
>Project Scope of Work
>Site Criteria and
Description
>Proposed thesis outline
>Proposed time frame and
schedule
>Tentative Bibliography
>Tentative Appendices
b. Site Investigation
>Preliminary Interview
c. Gathering of Preliminary
Data (Maps and
Demographies)
d. Investigation of
rehabilitation programs
f. Further
researches/submission/con
sultation of:
>Review of Related
Literature
>Site Criteria and
Description
>S.W.O.T. Analysis of the
Site
g. Revision of chapter 1 &2
i. Submission of Volume 1,
Part 1: Chapter 1&2

Chapter 3: Methodology
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Part 1: Chapter 4 Project

Profile and Analysis
a. Site Investigation
> Maps and other related
materials
b. Interview with the locals
> History of the Place
> Case Studies and
Investigation
> Legal Issues (rules,
regulations, building
programs and government
codes)
c. Submission/Consultation
of chapter3
d. Further reserches and
interviews
e. Finalized SWOT
Analysis
Part 2: Chapter 4 Site
Analysis
a. Site Investigation
b. Further Researches
c. Submission/Consultation
of :
> Location and Area
>Geographical and
environmental
> Utilities and Infrastrusture
> Microclimate Analysis
> Environment Condition
d. SWOT Analysis of the
Site
e. Revised Chapter 4
f. Review of Related
Literature
g. Submission of final draft
of part 1: chapter4
Part 3 : Chapter 4 Spatial
Programming
a. Preliminary Site
Development
b. Functional Analysis of
the Project
c. User Analysis
d. Spatial Requiremnts
Analysis
e. Space Programming
> Organizational Analysis
and set-up
> Role of the Staff
> Room Data Sheet
> User Analysis
> Bubble Diagram
f. Further researches
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g. Submission of final draft

of part 1: chapter 4
h. Revision of Chapter 4
Part 4: Chapter 4
Conceptual Analysis
a. Consultation of:
> Design Goals and
Objectives
> Design Philosophy and
Concepts
> Design Strategies
> Utility and Structural
Concepts and Systems
> Design Solution
b. Revision of Part 1
c. Preliminary Floor Plan
d. Preliminary Elevation
and Section
e. Massing and
Perspectives
Part 1: Chapter 5
Summary, Conclusion and
Consultation
a. Consultation
b. Design Strategies
Final Submission
Thesis Book Deliberation

B. Second Semester OCT NOV DEC JAN FEB

ACTIVITIES 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4
I. Structural Details
A. Structural Framework
1. Floor Slab Plans
and Details
2. Fixture Layout
a. Lighting
Fixtures
b. Plumbing
Fixtures
3. Electrical Layout
4. Plumbing Layout
5. Detail and
Specifications
B. Detail Section
1. Longitudinal
Section
2. Cross Section
3. Detail and
Specifications
a. Column Detail
b. Wall Detail
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c. Beam Detail
C. Ceiling and Roof Detail
1. Ceiling Plan
a. Lighting
Layout
b. Ceiling Design
2. Roof Detail
a. Truss Detail
b. Roof Deck
Detail
D. Engineering Detail
1. Electrical
2. Mechanical
3. Plumbing
Sanitary
II. Design Detail
A. Detailed Perspective
1. Exterior
2. Interior
B. Detailed Floor Plans
C. Detailed Sections
D. Detailed Site
Development
E. Vicinity Map
F. Landscape Detail
G. Specifications
H. Rendering
III. Consulation
IV. Practice of Deliberation
1. Production of
Brochures
2. Props and
Scripts
3. Costume
Effects
4. Final Rehearsal
V. Final Deliberation
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APPENDIX 3: BUDGETARY

REQUIREMENTS

SOURCES OF EXPENSES Quantity Amount

(PhP)
Transportation 4,000
Food 5,000
Printing of book 1,500
Printing of other documents 4,000
Laptop 80,000
Others 5,000

Total : Php 99,500

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APPENDIX 4: MIND MAP

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APPENDIX 5: REQUEST LETTER FOR INTERVIEW

ADAMSON UNIVERSITY
900 SAN MARCELINO STREET, ERMITA, 1000 MANILA
COLLEGE OF ARCHITECTURE

Date:
Contact person:
Contact person address:
Contact person number:

To whom it may concern,

The researcher, Cabalza, Dennis V., student of Adamson University
studying Architecture, would like to ask permission to conduct a survey interview
about the proposed study for thesis requirements.
The proposed study tackles about the tertiary hospital with burn and
research center. The researcher thesis title is “H.E.A.L. (Helping to Establish
Anew Living): Tertiary Hospital with Burn and Research Center. The researcher
need to conduct a research about the said topic in order know the requirements
in the said study. The interview will serve as one of the requirements in
completing the subject matter.
All data to be gathered will remain confidential and for the use for thesis
purposes only. The researcher is hoping for your kind consideration.
Thank you and God Bless.
For further information do not hesitate to contact the researcher. The
detail as follows: 09752556446
Your approval to conduct this study and interview will be greatly
appreciated.

Sincerely,
_________________________________
Cabalza, Dennis V.
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APPENDIX 6: INTERVIEW QUESTIONNAIRE

I, Cabalza, Dennis V, a 5th year student currently taking up Bachelor of

Science in Architecture at Adamson University and is currently working on my
thesis research Architectural Design 9 (Thesis Writing), with the approved
working title “H.E.A.L. (Helping to Establish Anew Living): Tertiary Hospital with
Burn and Research Center”. The objective of undertaking this project is to provide
a better understanding on what is lacking in the current condition of Philippine’s
medical health care
I would like to request an interview schedule opportunity with you to have
a deeper understanding about health care here in the Philippines. I am very much
interested in recognizing the gaps our current health system have and how it can
be addressed and provide solutions into it. Your recommendation in proposing a
Regional Prison in ____________________ will be highly appreciated.
I assure you that the interview will be solely use for academic purposes and
will be treated confidential. I hope you can accompany and help me with my thesis
project. I look forward to hear from you and meet with you soon.
Thank you for accepting my request of interview, it will be my pleasure to
meet with you and discuss about the said project.

 Date:
 Venue:
 Time:
 Interview:
 Interviewee:

Only researchers on the project will have the privy to the information you
will give. Essentially, this document states that: (1) all information will be held
confidential, (2) your participation is voluntary and you may step at any time if you
feel uncomfortable, and (3) we do not intend to inflict any harm. Thank you for
your agreeing to participate.
This interview will last no longer than one hour. During this time, we have
several questions that we would like to cover. If time begins to run short, it may
be necessary to interrupt you in order to push ahead and complete this line of
questioning.
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 33

In partial fulfillment of the requirements for Architectural Design 9, I, Cabalza, Dennis V.,
an Architecture student of Adamson University is presently working on my thesis
proposal entitled, “H.E.A.L. (Helping to Establish Anew Living): Tertiary Hospital with
Burn and Research Center”. In this regard, may I ask for some your time to answer this
interview questions. The information provided will be a substantial contribution to my
ongoing study. Thank you and Good day.

INTERVIEW QUESTIONS

Subject: Health, Burn and Research Facilities

Q: Does the facilities in the existing tertiary hospital comply to the
needs of the patients in the area?
> If no, what are the missing or lacking facilities needed?

Q: Is there a need to upgrade several facilities, staff and others?

> If there are still some, what are their condition?

Subject: Availability of Medical Practioners

Q: Is it lacking doctors, nurses and other medical practicioners in
the country right now?
> If not, what do you think are the cause of migration of
doctors, nurses and medical practioners to other country?

Subject: Hospitals
Q: What are the current condition of the hospitals in the country?
Q: Are these hospitals in the country able to attend the needs of
its people?
> What could be done to improve the voids in it?
> If not, what could be lacking in these hospitals?

I, Cabalza, Dennis V, a 5th year student currently taking up Bachelor of

Science in Architecture at Adamson University and is currently working on my
thesis research Architectural Design 9 (Thesis Writing), with the approved
working title “H.E.A.L. (Helping to Establish Anew Living): Tertiary Hospital with
Burn and Research Center”. The objective of undertaking this project is to provide
a better understanding on what is lacking in the current condition of Philippine’s
medical health care
I would like to request an interview schedule opportunity with you to have
a deeper understanding about health care here in the Philippines. I am very much
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 34

interested in recognizing the gaps our current health system have and how it can
be addressed and provide solutions into it. Your recommendation in proposing a
Regional Prison in ____________________ will be highly appreciated.
I assure you that the interview will be solely use for academic purposes and
will be treated confidential. I hope you can accompany and help me with my thesis
project. I look forward to hear from you and meet with you soon.
Thank you for accepting my request of interview, it will be my pleasure to
meet with you and discuss about the said project.

 Date:
 Venue:
 Time:
 Interview:
 Interviewee:

Only researchers on the project will have the privy to the information you
will give. Essentially, this document states that: (1) all information will be held
confidential, (2) your participation is voluntary and you may step at any time if you
feel uncomfortable, and (3) we do not intend to inflict any harm. Thank you for
your agreeing to participate.
This interview will last no longer than one hour. During this time, we have
several questions that we would like to cover. If time begins to run short, it may
be necessary to interrupt you in order to push ahead and complete this line of
questioning.

In partial fulfillment of the requirements for Architectural Design 9, I, Cabalza, Dennis V.,
an Architecture student of Adamson University is presently working on my thesis
proposal entitled, “H.E.A.L. (Helping to Establish Anew Living): Tertiary Hospital with
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 35

Burn and Research Center”. In this regard, may I ask for some your time to answer this
interview questions. The information provided will be a substantial contribution to my
ongoing study. Thank you and Good day.

INTERVIEW QUESTIONS

Subject: Health, Burn and Research Facilities

Q: Does the facilities in the existing tertiary hospital comply to the
needs of the patients in the area?
> If no, what are the missing or lacking facilities needed?

Q: Is there a need to upgrade several facilities, staff and others?

> If there are still some, what are their condition?

Subject: Availability of Medical Practioners

Q: Is it lacking doctors, nurses and other medical practicioners in
the country right now?
> If not, what do you think are the cause of migration of
doctors, nurses and medical practioners to other country?

Subject: Hospitals
Q: What are the current condition of the hospitals in the country?
Q: Are these hospitals in the country able to attend the needs of
its people?
> What could be done to improve the voids in it?
> If not, what could be lacking in these hospitals?
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 36

APPENDIX 7: INTERVIEW CONSENT FORM

<Yr,- category= Program-

Sequence> 2016-01-ARC-2
INFORMED CONSENT FORM
For ___________________________

I. PROTOCOL BASIC INFORMATION

Title: H.E.A.L. (Helping to Establish Anew Living): Tertiary Hospital with Burn
& Research Center
Approval Date: Study Site:

Principal Investigator (PI):

Email: cabalzadennis@gmail.com Mobile Number: 09752556446
Sponsor: Contact Person:
Email: Mobile No.:

II. Information Sheet <All of the following elements should be considered in the writing of
the ICF. However in the actual ICF, it is not necessary that these elements would appear
as headings>
Introduction <invitation to participate in the research with the provision for allowing the
prospective participants to ask questions about the research from whoever they feel
comfortable with and the right to stop and ask the Principal investigator or other
researchers should there be words/ statements that are not clear to them>
Purpose of the Study <explanation of the purpose of the study should be direct to the
point and use simple and easy-to-understand words more than scientific or professional
jargon. State how the participation of the subject could help>
Procedures <brief description on how the study would be conducted including the nature
and process that they would go through. It should explain every detail of their participation
especially the sensitive aspects. Interventions that would be carried out like taking of blood
sample, interview etc. should be elaborated well.>
Voluntary Participation <provides the criteria in the selection of participants and how they
best fit. It should be noted however the voluntary nature of their participation and more
importantly their non-participation is not detrimental to the current benefits they are
enjoying, affiliation, job and relationships>
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 37

Duration <states how much time is asked from the participants for the whole duration of
the study including the follow-ups. It should describe exactly how much time is demanded
from them for the whole duration and each time they meet, how often including intervals,
how to go about their participation including logistics and the place to conduct the study>
Possible risks, discomforts and inconveniences<any risk, discomfort and
inconvenience both anticipated (expected) and not anticipated (unexpected) have to be
mentioned and the participants are given the option to refuse to participate without
explanation.>
Possible Benefits < the benefits are the positive consequence/s if the research problem/s
is/are answered. Benefits can be for the individual, immediate community where the
participants are and the society in general.>
Compensation, reimbursements, alternative procedure or treatment <The giving of
financial or material gifts for their participation is not encouraged, however the participants
should be compensated/reimbursed/treated for any untoward incident/ cost/ injury or other
similar cases that may happen to them because of their participation>
Confidentiality/ Anonymity <as far as the investigators are concerned, the participants
should be assured that any information or data obtained from them be treated with respect
and utmost confidentiality. Their identity should likewise remain anonymous or free from
any suggestion or clue that would lead others to connect/ relate personal information with
the actual person. Specimens should be treated with utmost care and well defined access
information including details about storage (duration, type of storage facility, location)>
Sharing of Results <the plan of sharing the results of the study should be elaborated in
details. If there’s a plan to publish the results, such should be mentioned as well. The
confidentiality and anonymity aspect of this ICF should be reiterated. This part should
likewise include the regulatory body, UERC, who can access the obtained data including
personal information if it is called for by the query for VERFICATION PURPOSES only.>
Rights of the Participants
< right to withdraw from the study- the participants shall be informed of their right to
discontinue or withdraw from their participation at any stage of the study anytime without
prejudice to the benefits they are enjoying, job, relationships, affiliations, etc.
<right to just benefit or compensation or royalty- (if applicable) the participants have
the right to demand for any financial or material benefit if their particular contribution
(specimen, idea etc) is planned to be commercialized>
<right to refuse continues usage of personal information, specimen, personal
contribution- (if applicable) participants may withdraw anytime his/her contribution to the
study or demand for the discontinuation of usage, destruction or disposal of his/her
contribution (specimen)
<right to access results of the study- the participants should be informed of the results
of the study.

Contact <provide contact information of the person who can answer queries or anything
untoward happens like injury etc. It is important to mention that the study has been
approved by the UERC and can be contacted with the given contact information.>
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 38

III. Certificate of Consent

<I have read the foregoing information, or it has been read to me. I have had the
opportunity to ask questions about it and any questions I have been asked have been
answered to my satisfaction. I consent voluntarily to be a participant of this study>

_______ <Signature over printed name>___________

_ _/_ _/ _ _ _ _
 ADAMSON UNIVERSITY COLLEGE OF ARCHITECTURE PAGE 39

ABOUT THE AUTHOR

DENNIS V. CABALZA

Email Address:
cabalzadennis@gmail.com

Contact Information:
09752556446/ 854-9701

The researcher has gone different circumstances; be it being delayed, failing a

couple of times, not making it in deadlines, not having a lovelife and what not.

These circumstances have put him into the person he is right now – bent but not

broken.