In Partial Fulfillment of Requirements Research Method Of Architecture

Thesis Proposal

To be presented to

Ar./EnP. Gerelson Ray R. Bernardino UAP, PIEP ,MSCM

,CIPM

Thesis Adviser

Submitted by
Capina ,Ashley M.
ARCH-4A
 University of Batangas – Lipa Campus
RESEARCH METHOD OF ARCHITECTURE

Designing Resilience Health Care Facilities: A Specialized Pneumology And Tertiary

Hospital Through Humanistic Architecture

Background of the Study

Physical, mental, and social well-being are all included in the broad and
multidimensional concept of health. Full physical, mental, and social well-being is
what it is, not just the absence of illness. A healthy lifestyle is influenced by a number
of factors, including genetic predispositions, environmental influences, healthcare
access, and lifestyle choices.
A hospital is a sophisticated facility created to offer sick or injured patients nursing,
medicinal, and surgical care. Often called a lung hospital or pulmonary hospital, a
hospital that specializes in respiratory treatment is prepared to diagnose and treat
a wide range of respiratory disorders. A lung hospital's amenities are designed to
meet the particular requirements of patients suffering from respiratory and lung
conditions.
The architecture of health unites buildings for medical, rehabilitation, and health
institutions, in which a special architectural environment is created that contributes
to a full-fledged healing process with all of its components (modern medical
technologies and engineering systems, the setting and arrangement of premises
and services, interiors). A hospital building's public space consists of aa multitude
of interconnected and dependent elements that result ina sophisticated and unique
hierarchical arrangement the primary guarantee of efficient and orderly
administration of a hospital. As a result, it requires a strong theoretical foundation.

The system framework serves as a design tool. From macroscopic to microcosmic,

public spaces serve as a complete integration of interior and outdoor spaces to suit
the requirements users' needs and to ensure the hospital's overall success In the
future, optimization and appropriate extension are possible.

Although it is widely believed that medical care significantly reduces mortality, the impacts
of medical services on health are frequently underappreciated since some of the same
characteristics that drive demand for primary health care (PHC) services are also linked
to higher rates of morbidity and death. Determining the factors that influence the demand
for medical services is crucial for assessing health outcomes.

The strategies chosen to provide health services to rural areas in low-income countries
are motivated in part by the following widely held beliefs about the health conditions and
patterns of demand for medical services in such countries: Many Third World health
problems are thought to be susceptible to elementary types of care and simple drugs that
can be supplied by paraprofessionals; Conventional modern medical resources are
thought to be located primarily in urban areas; Many Third World health problems are
thought to be susceptible to basic types of care and simple the notion that straightforward
solutions, typically preventive in nature, can be used to address many issues in rural health

Theoretical Framework

Architecture, beneath all its limitations of engineering, safety, purpose, environment, and
economy, move with designs in space and light achieved in the abstract. It gives people a
sense of location and supports a variety of human activities. In addition, it health and well-
being, enriches lives aesthetically and spiritually, provides economic opportunities, and
Understand patients' medical needs, as well as their preferences and expectations
regarding healthcare services, forms the foundation of patient-centered care.Moreover, it
is also the physical manifestation of a notion or idea. This concept could be related to the
way people will utilize a structure, how the development will fit into a physical or social
landscape or how architecture can participate in the crucial changes affecting people’s
lives, how it can engage with their communities through health education, preventive
programs, and partnerships to improve public health and community well-being. and not
simply form a backdrop to them. Lastly, for a design to be timeless, it must be created with
purpose and be able to withstand the test of time.
Conceptual Framework
Statement of the Problem
Increasing access to suitable and adequate health facilities for the underprivileged
and marginalized parts of society is a significant concern for the Philippine health
system. However, with the institutionalization of the Department of Health Facility
Enhancement Program (DOH-FEP), everyone will have access to high-quality, low-
cost healthcare. Since health facilities have been so blatantly neglected and poorly
managed in Bicol .

Lack of resources, health facilities and full ignorance of standards are the most
frequent problems.

The study opted to answer the following minor and major problems that are
chronologically stated as follows:

1. What are the conditions of the health care facility in the Bicol region?
2. What are the requirements and considerations in building a specialized pulmonology
and tertiary hospital in accordance with the Department of Health ordinances?
3. what will be the benefits of humanistic architecture in designing a resilience
Pneumology And Tertiary Hospital?

Goals and Objectives

This study's goal is to help the community in particular way, by offering innovative and technical
support. Identifying the Specialized Pneumology hospital's current condition can assist in
determining the additional facilities that are required. Also it increasing the hospital's capacity
for service and raising the standard of its medical services. The findings of this study could be
helpful in formulating suggestions for the hospital's as a key healthcare facility in Bicol.

Objectives of the Study

The objectives of the study are sectioned into two parts such as the project objectives
and the design objectives. This matter is presented for readers to perceive why the study is
conducted.

Project Objectives
The work interpreted in this paper aims to establish a development that provides an
Health Care Facilities that will Help and support the local and regional economies. The
following are the study's goals:
1.7.1. To provide a range of medical services, including diagnosis, treatment, surgery, and
emergency care, to patients.
1.7.1.2 To engage in health promotion and preventive care initiatives to reduce the prevalence
of diseases and improve community health.
1.7.1.3 To deliver healthcare services that meet or exceed established quality standards,
ensuring patient safety and positive health outcomes.
1.7.1.4 To provide a positive and supportive environment for patients and their families,
focusing on compassionate care, communication, and respect for patient preferences.
Design Objectives
The work interpreted in this paper aims to establish a development that provides an
opportunity for change and self-discovery. That, too, in an environment that promotes
relaxation and healing while also supporting the local and regional economies. The following
are the study's goals:
1.7.2.1 To preserve the natural landscape of the site.
1.7.2.2 To incorporate natural lighting, ventilation, and other aspects into the
built environment to make it more productive and healthful for people.
1.7.2.3 To take into account the local climate as well as the site's indigenous
materials.
1.7.2.4 To design a space that promotes people's health, fitness, and well being.
1.7.2.5 To consider their environmental impact, implementing sustainable practices and eco-
friendly initiatives.
1.7.2.6 To comply with various healthcare regulations and standards to maintain licensure and
accreditation.
LITERATURE REVIEW

The healthcare system in Bicol needs improvement, and building a new hospital in
Legaspi is a step towards achieving that goal. This new hospital will benefit not only the
people of Albay but also the neighboring provinces in Bicol.( QUISMORIO 2023)

LEGAZPI CITY -- Tuberculosis (TB) remains to be a health problem that needs to be

addressed in Bicol, as close to 11,000 people were reported to be afflicted with this lung
disease last year, the Department of Health (DOH) in the region said DOH data indicated
that 10,614 TB cases were recorded in 2018 and of this figure, 278 died, according to Dr.
Ernie Vera, DOH regional director .He said the agency is still collating the data reported
from various provincial health units in Bicol for the first semester of this year Out of 10,514
cases of tuberculosis recorded in Bicol, Camarines Sur has the highest with 3,685;
followed by Albay, 2,756 cases; Masbate, 1,537; Sorsogon, 1,278; Camarines Norte, 959,
And Catanduanes 399.According to the 2018 World Health Organization (WHO) report,
TB is one of the leading causes of death worldwide and it is the leading cause of death
from a single infectious agent.Vera, however, said: “As of June 2019, the treatment
success rate for TB in the whole region is 93 percent, and we are hoping and aiming to
have a drastic drop in cases of TB and fully prevent death caused by the disease, TB is a
curable disease and through combined efforts, we believe that we will be able to accelerate,
and sustain TB response,” he added.

In Bicol, among the leading killer diseases are heart ailments, pneumonia, hypertension,
tumors, tuberculosis, trauma/injuries, kidney disease, cerebrovascular, diabetes and
septicemia. The WHO report said a total of 1 million Filipinos or 1% of the national
population have active TB and many of them do not even know that they are carriers of
the disease. Around 70 Filipinos die daily or 27,000 Filipinos annually from TB, which is
supposed to be a highly-curable disease.With around 113.2 thousand cases in the Bicol
area of the Philippines in 2020, acute respiratory infection was the most common ailment
there. Hypertension and fever of undetermined origin were the other main causes of
morbidity in the area.

Humanization is a notion that takes various forms. in the user's convenience,

lifestyle, and operating habits for addressing the needs of the users. Humanization
comprises Humanization design and management. Hospital humanistic design is
at the heart of patient-centered care. It is a patient-respecting habit and a
humanistic trait spirit. It is the blueprint for ideal male-female harmony. and natures
using art to demonstrate the integration of People and things Hospitals are no
longer solely for the sick. medical devices. Doctors must concentrate on the
patient's needs. emotional experience and the patient's physical difficulties.

How to reduce the patient's uneasiness while waiting for room and how to help a
hospitalized patient's melancholy mood become Health architecture is the art of
untangling many technical flows in order to create a high- tech, comfortable, and
visually appealing environment for both patients and employees. How to Relieve
the Patient's Anxiety While Waiting room and how to lead the patient's melancholy
mood in the hospital become the topics of discussion about the demands of the
hospital's design was made more human.

A contemporary notion that has gained popularity among hospitals is to vigorously

promote wellness rather than merely treating disorders. The infrastructure design
of the hospital is very crucial for a better outcome of patient results, which includes
patient safety. The intended hospital structure is a once-in-a-lifetime design, and
substantial alterations cannot be implemented later, therefore the thought process
must be completed at the outset, taking into account all of the various diverse
elements. The building's infrastructure should be appealing, functional, and
respond to the needs of patient care.
RIGHT COMPONENTS ON FACILITY DESIGN, Despite the fact that millions of
dollars were spent on the development of these facilities, little consideration was
given to facility design, which harmed the functional systems within the hospital as
well as patient safety. The proper components considered for the facility's design
and planning have a very significant and beneficial impact, which increases human
performance and, in particular, the safety of employees, patients, and their families.

PLANNING OF THE FACILITY IN ADVANCE, To create a better environment in

the facility, the team members, namely the medical planner, engineers, architect,
interior designer, site and landscape designer, should take overall responsibility,

as they are responsible for the overall design that will affect the patients, families,
and employees in a positive way throughout the facility.

Resilient design is the practice of designing buildings, landscapes, and entire

communities to reduce the impact of extreme weather and other external hazards.
Resilient design prioritizes practical and realistic solutions.Resilience is a technique
for improving a building's, facility's, or community's ability to both avoid and recover
from damage. Each structure is intended to serve a specific purpose. Each
function, each tenant, has a set of requirements and support systems that are
required for that function. In developing the specialized resilience strategy and
design, consideration should be given to those specific needs. Achieving resilience
for tenants will require a combination of physical building attributes that determine
the structure's ability to resist disruptive events and programs and procedures that
minimize impact and

enable a timely return to operations. Both sorts of resilience accomplishment

aspects should be anticipated and incorporated into an effective building design.

Since we are positioned on the eastern side of the Pacific, typhoons, whether small
or strong, travel past us (Bicol Region). We have built a culture of constantly being
prepared for typhoons throughout the years, which is why developing a resilient
health care facility in Bicol is crucial.

The objective of humanistic architecture is to put human welfare at the center of the
art and science of building design and environmental management. Humanistic
architecture strives to design buildings and environments that improve the human
experience, promote well-being, and make a positive difference in the lives of
individuals and communities. It symbolizes a dedication to designing with empathy
and a thorough understanding of how people interact with their surroundings.

Humanistic architecture in hospital design involves with developing places that

prioritize the physical, emotional, and psychological requirements of all users. It
emphasizes that healthcare surroundings can have a substantial impact on the
healing process and the general well-being of patients and employees. Humanistic
design frequently focuses on building places that are "human-scaled," or pleasant
and relatable in size and proportion to the people who use them. This can help to
create a sense of intimacy and connection.
Tertiary hospitals and specialized lung hospitals typically offer a wide range of facilities and
services to meet the complex healthcare needs of patients. Here are some common facilities
you might find in such hospitals:
Tertiary Hospital Facilities:
Emergency Department (ED
Specialized Departments
Surgical Suites
Intensive Care Units (ICUs)
Diagnostic Imaging
Laboratory Services
Pharmacy
Rehabilitation Services
Inpatient Wards
Outpatient Clinics
Lung Hospital Facilities:
A specialized lung hospital may have facilities tailored to the diagnosis and treatment of
respiratory conditions. This can include:
Pulmonary Function Testing (PFT) Lab
Chest Imaging Services
Bronchoscopy Suite
Respiratory Therapy Services
Sleep Disorders Center
Lung Cancer Clinic
Pulmonary Rehabilitation Center
Thoracic Surgery Department
Smoking Cessation Programs
Critical Care Units
 Case Study (Local)

Figure (2023). Doh.gov.ph. https://ntp.doh.gov.ph/wp-

content/uploads/2021/07/2019_lcp.jpg

Figure (2023). Wordpress.com.

https://lakansining.files.wordpress.com/2020/06/02-1982-lung-center-of-the-
philippines.jpg?w=672

The Lung Center of the Philippines (LCP)

The Lung Center of the Philippines (LCP) is a government tertiary hospital in

Quezon City, Philippines, specializing in the treatment and prevention of lung and
other chest ailments. The national government provides funding support for the
center's operations.
The Philippine Lung Center is designed in a modern manner with clean lines and a
minimalist feel. The exterior of the building is made up of glass, concrete, and steel,
giving it a sleek and modern appearance. The Philippine Lung Center has a modern
architectural style with clean lines and a minimalist design. The building's facade is
made up of glass, concrete, and steel, giving it a sleek and contemporary
appearance.To optimize natural light and offer a sense of openness, the design
combines wide windows and open spaces. The Philippine Lung Center is intended
to house a variety of medical facilities and respiratory health services.Outpatient
clinics, diagnostic laboratories, therapy rooms, and administrative offices are all
located in distinct locations.The structure is divided into floors or wings, each of
which is dedicated to a certain function, such as consultation, surgery, or research.

The Philippine Lung Center's architectural design promotes functionality and

efficiency in healthcare delivery.

The layout promotes seamless patient flow and reduces distance between
departments, making it more convenient for both patients and employees.To keep
patients with respiratory disorders clean and healthy, the facility integrates
innovative ventilation systems and air filtration technology.

Overall, the Philippine Lung Center's architectural analysis highlights its modern
design, efficient layout, and emphasis on respiratory therapy. Aesthetics and
functionality work together to create a welcoming atmosphere for both patients and
healthcare workers.
 Research methodology

Research Design (Data Gathering Procedure)

Research Paradigm
This is a step-by-step approach conducted by the researcher for the project
proposal. Pragmatic organization of the research study will result into a basis of facts and
ideas throughout the design process
 The range of architectural options and technologies used in today's resiliency
constructions is outstanding. Due to the difficulty of the task, conducting an in-depth
analysis of the technological innovations utilized in these structures calls for a special
technique. Thus, the following components of a research methodology were created:
• Gathering information on the most recent technologies utilized in resilient
structures today and compiling images and documentation;
• • An analysis of the collected data based on the literature, addressing the
problem of advanced technology used in finished constructions generally.
• • Using technology that was significantly more advanced than that employed in
earlier projects, conducting architectural studies of selected Tertiary Hospital
buildings in line with the building code.

Research Generation
The researcher was able to gather information on the project's profile and space
requirements through various authorities. An investigation of the site was performed to
discover more about the development project's current location, assess its physical condition,
and determine the requirements for the proposed retreat center.In addition, the researcher
acquired some crucial data by:

Library Research
The researcher did some preliminary investigation on the project by looking through several books.
These are references that have been published in connection proposed project. Several case
studies and theses based on publicly available data and information assist the researcher in
justifying the intended undertaking.

Government Agencies
The researcher obtained crucial and technical information about the planned project
through the help and aid of government institutions such as the City Planning and
Development Office of Bicol . With the support of the administration of Naga ,Bicol , a solution
for the problems mentioned can be implemented using the information and data acquired.

Internet
The researcher was aided greatly by the use of the internet, which is the most inventive
and easiest method of searching, in locating relevant literature and case studies for the
proposed subject. The researcher looked through several websites relating to the proposed
Specialized Pneumology and Tertiary Hospital
Site

Figure 01
• Map of Site A ,BMC Rd., Concepcion Pequeña, Naga City, Camarines Sur
4400
• The name Bicol first came to be known as the name of the biggest and
longest river in the region. The river comes from the outflow of lakes and
springs from the provinces of Albay, Camarines Sur and Camarines Norte
and form a large stream that exits in the San Miguel Bay, off the shores of
Camarines Sur. This paper estimates the parameters of a simple model of

• the demand for health services using data from the Bicol Multipurpose
Survey data from the Philippines.
• Naga City is famously referred to as the Heart of Bicol for being the regional
center of commerce and trade, culture, and religion.
•

Figure 02
• Paso de blas, Valenzuela City , National Capital Region(NCR) Philippines
• Valenzuela officially the City of Valenzuela (Filipino: Lungsod ng Valenzuela),
is a 1st class highly urbanized city in the National Capital Region.Paso De
Blas is a barangay of Valenzuela City in the Third District within the National
 Capital Region (NCR) of the Philippines.

•
Figure 03
• Panglao , Bohol , Cebu Philippines
• Panglao, officially the Municipality of Panglao is a 4th class municipality in the
province of Bohol, Philippines.

Site Selection
Site Criteria
Listed below are the general and specific site characteristics that aided the
researcher in selecting the most suitable location for the proposed project. Choosing
a site is not easy; it should meet the requirement of the desired program.
1. Accessibility and Proximity – It is defined as easily reached or entered
physically, refers to the public transportation and refers to the closeness to users.
2. Availability – This term deals with presence of important utilities such as water
supply, power, and community lines, telephones, and drainage.
3. Flexibility – It is described with sufficient space and can adapt changes for
future expansion.
4. Environment – It is the key aspect in rehabilitating the people.
5. Geographical Location – It is the point of view in the area.
6. Topography – land character of the site.
7. Zoning – It should be permitted to be used as health care facility
8. Views - Site design should maximize views of natural features and minimize views
of visitor and support facilities.
9. Natural Hazards - Development should be located with consideration of natural
hazards such as precipitous slopes, dangerous animals and plants, and hazardous
water areas.Specific Criteria:
1. Site should be accessible to resident, visitors and guests
2. Site should be accessible along major or minor line of circulation
3. Site must have effective waterline, power supply, communication, facilities
and other essential utilities
4. Size, including ability to accommodate future expansion
5. Environmental issues and remediation requirements, if any
6. Relationship to surrounding proposed future land uses
7. Relationship to municipal planning initiatives
8. Real estate catalyst potential for the surroundings areas
9. Vehicular traffic patterns (both public and service)
10. Parking
11. Pedestrian circulation patterns/ease of pedestrian access
12. Utilities
13. Sustainability considerations
References

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Designing RETRIEVED FROM
https://www.linkedin.com/pulse/importance-hospital-
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• MICHAEL TOBIAS (2023) NEARBY ENGINEER, Introduction to Resilient
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https://www.ny- engineers.com/blog/introduction-to-resilient-
design#:~:text=Resilient%20design%20is%20the%20process,on%20practical%
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design#:~:text=Design%20strategies%20that%20not%20only,of%20site%20an
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https://www.statista.com/statistics/1119546/philippines-leading-cause-
morbidity-
bicol-region-by-disease/

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Discharge Process at the Bicol Medical Center
(BMC)retrieved from https://coe-
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the- bicol-medical-center-bmc-2/
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new Legazpi hospital ,Retrieved from https://mb.com.ph/2023/3/27/bicol-solon-
announces-plans-for-new-legazpi-hospital
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