Skip to main content
Top
Published in: Irish Journal of Medical Science (1971 -) 1/2017

01-02-2017 | Review

Towards a building typology and terminology for Irish hospitals

Authors: T. Grey, S. Kennelly, P. de Freine, S. Mahon, V. Mannion, D. O’Neill

Published in: Irish Journal of Medical Science (1971 -) | Issue 1/2017

Login to get access

Abstract

Background

The physical form of the hospital environment shapes the care setting and influences the relationship of the hospital to the community. Due to ongoing demographic change, evolving public health needs, and advancing medical practice, typical hospitals are frequently redeveloped, retrofitted, or expanded. It is argued that multi-disciplinary and multi-stakeholder approaches are required to ensure that hospital design matches these increasingly complex needs. To facilitate such a conversation across different disciplines, experts, and community stakeholders, it is helpful to establish a hospital typology and associated terminology as part of any collaborative process.

Aims

Examine the literature around hospital design, and review the layout and overall form of a range of typical Irish acute public hospitals, to outline an associated building typology, and to establish the terminology associated with the planning and design of these hospitals in Ireland.

Methods

Searches in ‘Academic Search Complete’, ‘Compendex’, ‘Google’, ‘Google Scholar’, ‘JSTOR’, ‘PADDI’, ‘Science Direct’, ‘Scopus’, ‘Web of Science’, and Trinity College Dublin Library. The search terms included: ‘hospital design history’; ‘hospital typology’; ‘hospital design terminology’; and ‘hospital design Ireland’.

Results

Typical hospitals are composed of different layouts due to development over time; however, various discrete building typologies can still be determined within many hospitals. This paper presents a typology illustrating distinct layout, circulation, and physical form characteristics, along with a hospital planning and design terminology of key terms and definitions.

Conclusion

This typology and terminology define the main components of Irish hospital building design to create a shared understanding around design, and support stakeholder engagement, as part of any collaborative design process.
Footnotes
1
Acute care hospitals are also referred to as acute hospitals or general hospitals.
 
Literature
3.
go back to reference O’Dwyer F (1997) Irish hospital architecture. Department of Health and Children, Dublin O’Dwyer F (1997) Irish hospital architecture. Department of Health and Children, Dublin
4.
go back to reference Prasad S (2012) Typology quarterly hospitals. Archit Rev 231(1383):67–79 Prasad S (2012) Typology quarterly hospitals. Archit Rev 231(1383):67–79
5.
go back to reference Beauchemin KM, Hays P (1996) Sunny hospital rooms expedite recovery from severe and refractory depressions. J Affect Disord 40(1):49–51CrossRefPubMed Beauchemin KM, Hays P (1996) Sunny hospital rooms expedite recovery from severe and refractory depressions. J Affect Disord 40(1):49–51CrossRefPubMed
6.
go back to reference Ulrich R, Zimring C, Quan X, Joseph A, Choudhary R (2004) The role of the physical environment in the hospital of the 21st century. The Center for Health Design, California, USA Ulrich R, Zimring C, Quan X, Joseph A, Choudhary R (2004) The role of the physical environment in the hospital of the 21st century. The Center for Health Design, California, USA
7.
go back to reference Ulrich RS et al (2008) A review of the research literature on evidence-based healthcare design. HERD: Health Environ Res Des J 1(3):61–125 Ulrich RS et al (2008) A review of the research literature on evidence-based healthcare design. HERD: Health Environ Res Des J 1(3):61–125
8.
go back to reference Monk T (2004) Hospital builders. John Wiley and Sons Ltd, New York, USA Monk T (2004) Hospital builders. John Wiley and Sons Ltd, New York, USA
9.
go back to reference Ulrich R (1984) View through a window may influence recovery. Science 224(4647):224–225CrossRef Ulrich R (1984) View through a window may influence recovery. Science 224(4647):224–225CrossRef
10.
go back to reference Ulrich RS (2001) Effects of healthcare environmental design on medical outcomes. In: Design and health: Proceedings of the second international conference on health and design. Svensk Byggtjanst, Stockholm, Sweden Ulrich RS (2001) Effects of healthcare environmental design on medical outcomes. In: Design and health: Proceedings of the second international conference on health and design. Svensk Byggtjanst, Stockholm, Sweden
11.
go back to reference Ulrich RS, Zimring C, Zhu X, Dubose J, Seo H-B, Choi Y-S, Quan X, Joseph A (2008) A review of the research literature on evidence-based healthcare design. HERD: Health Environ Research Design J 1:61–125 Ulrich RS, Zimring C, Zhu X, Dubose J, Seo H-B, Choi Y-S, Quan X, Joseph A (2008) A review of the research literature on evidence-based healthcare design. HERD: Health Environ Research Design J 1:61–125
12.
go back to reference Chiou S-T, Chen L-K (2009) Towards age-friendly hospitals and health services. Arch Gerontol Geriatr 49(Supplement 2):S3–S6CrossRefPubMed Chiou S-T, Chen L-K (2009) Towards age-friendly hospitals and health services. Arch Gerontol Geriatr 49(Supplement 2):S3–S6CrossRefPubMed
15.
go back to reference McGinnis JM, Saunders RS, Olsen L (2011) Patients charting the course: citizen engagement in the learning health system: work-shop summary. National Academies Press, Washington, D.C., USA McGinnis JM, Saunders RS, Olsen L (2011) Patients charting the course: citizen engagement in the learning health system: work-shop summary. National Academies Press, Washington, D.C., USA
16.
go back to reference Popper B et al (1987) A case study of the impact of a parent advisory committee on hospital design and policy, Boston Children’s Hospital. Child Environ Quart 4(3):12–17 Popper B et al (1987) A case study of the impact of a parent advisory committee on hospital design and policy, Boston Children’s Hospital. Child Environ Quart 4(3):12–17
17.
go back to reference Orpwood R (2009) Invloving people with dementia in the design process—examples of iterative design. In: Topo ÖBP (ed) Dementia, design and technology time to get involved. Assistive technology research series, vol 24. IOS Press, Amsterdam, Netherlands Orpwood R (2009) Invloving people with dementia in the design process—examples of iterative design. In: Topo ÖBP (ed) Dementia, design and technology time to get involved. Assistive technology research series, vol 24. IOS Press, Amsterdam, Netherlands
18.
go back to reference Steinfeld E, Maisel J (2012) Universal design: creating inclusive environments. Wiley, Hoboken Steinfeld E, Maisel J (2012) Universal design: creating inclusive environments. Wiley, Hoboken
21.
go back to reference Fernandez Diaz-Cabal N (2015) Hospitals. In: Colditz GA (ed) SAGE Encyclopedia of Cancer and Society, SAGE Publications. London, UK Fernandez Diaz-Cabal N (2015) Hospitals. In: Colditz GA (ed) SAGE Encyclopedia of Cancer and Society, SAGE Publications. London, UK
22.
go back to reference Verderber S, Fine DJ (2000) Healthcare architecture in an era of radical transformation. Yale University Press, New Haven, USA, London, UK Verderber S, Fine DJ (2000) Healthcare architecture in an era of radical transformation. Yale University Press, New Haven, USA, London, UK
23.
go back to reference Watson S (2006) The origins of the English hospital. Trans R Hist Soc 16:75–94CrossRef Watson S (2006) The origins of the English hospital. Trans R Hist Soc 16:75–94CrossRef
24.
go back to reference Weston R, Aalto A (1997) Alvar Aalto. Phaidon Press, London, UK, New York, USA Weston R, Aalto A (1997) Alvar Aalto. Phaidon Press, London, UK, New York, USA
25.
go back to reference Aalto A (1940) The humanizing of architecture. In: Schildt G (ed) Alvar Aalto in his own words. Rizzoli, New York, USA Aalto A (1940) The humanizing of architecture. In: Schildt G (ed) Alvar Aalto in his own words. Rizzoli, New York, USA
26.
go back to reference Monk T (2004) Hospital builders. Wiley-Academy, Chichester, p 224 Monk T (2004) Hospital builders. Wiley-Academy, Chichester, p 224
27.
go back to reference Nuffield Provincial Hospitals, T. and B. (1955) University of studies in the functions and design of hospitals. Oxford University Press, London Nuffield Provincial Hospitals, T. and B. (1955) University of studies in the functions and design of hospitals. Oxford University Press, London
28.
go back to reference Francis S, Glanville R, Noble A, Scher P (1999) 50 years of ideas in health care buildings. Nuffield Trust, London, UK Francis S, Glanville R, Noble A, Scher P (1999) 50 years of ideas in health care buildings. Nuffield Trust, London, UK
29.
go back to reference Cook M (2007) The design quality manual: improving building performance. Blackwell Publishing, Oxford, UKCrossRef Cook M (2007) The design quality manual: improving building performance. Blackwell Publishing, Oxford, UKCrossRef
30.
go back to reference Neufert E, Neufert P, Kister J (2012) Neufert architects’ data. Blackwell Publishing, Oxford, UK Neufert E, Neufert P, Kister J (2012) Neufert architects’ data. Blackwell Publishing, Oxford, UK
31.
go back to reference Hussain MK, Babalghith AO (2014) Quality of hospital design in healthcare industry: history, benefits and future prospect. Impact: Int J Res Appl Nat Soc Sci 2(5):61–68 Hussain MK, Babalghith AO (2014) Quality of hospital design in healthcare industry: history, benefits and future prospect. Impact: Int J Res Appl Nat Soc Sci 2(5):61–68
32.
go back to reference Ulrich RS (2006) Essay: evidence-based health-care architecture. Lancet 368:S38–S39CrossRef Ulrich RS (2006) Essay: evidence-based health-care architecture. Lancet 368:S38–S39CrossRef
33.
go back to reference Mitchell R (2012) Spaces that heal. Fast Co 171:46–50 Mitchell R (2012) Spaces that heal. Fast Co 171:46–50
35.
go back to reference Verderber S (2010) Innovations in hospital architecture. Routledge, New York, USA Verderber S (2010) Innovations in hospital architecture. Routledge, New York, USA
36.
go back to reference Verderber S, Todd LG (2012) Reconsidering the semiprivate inpatient room in US hospitals. HERD: Health Environ Res Des J 5(2):7–23 Verderber S, Todd LG (2012) Reconsidering the semiprivate inpatient room in US hospitals. HERD: Health Environ Res Des J 5(2):7–23
37.
go back to reference Singh I, Okeke J, Edwards C (2015) Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards. Age Ageing 44(6):1032–1035CrossRefPubMed Singh I, Okeke J, Edwards C (2015) Outcome of in-patient falls in hospitals with 100% single rooms and multi-bedded wards. Age Ageing 44(6):1032–1035CrossRefPubMed
38.
go back to reference Ugboma I et al (2011) Effect of bedroom size on falls in hospital: does one size fit all? J Am Geriatr Soc 59(6):1153–1154CrossRefPubMed Ugboma I et al (2011) Effect of bedroom size on falls in hospital: does one size fit all? J Am Geriatr Soc 59(6):1153–1154CrossRefPubMed
39.
go back to reference Malcolm HA (2005) Does privacy matter? Former patients discuss their perceptions of privacy in shared hospital rooms. Nurs Ethics 12(2):156–166CrossRefPubMed Malcolm HA (2005) Does privacy matter? Former patients discuss their perceptions of privacy in shared hospital rooms. Nurs Ethics 12(2):156–166CrossRefPubMed
40.
go back to reference Latimer HSAIAA et al (2008) Analysis of hospital facility growth: are we super-sizing healthcare?/commentary: right-size; don’t super-size/commentary: part of the cure or part of the problem? HERD: Health Environ Res Des J 1(4):70–91 Latimer HSAIAA et al (2008) Analysis of hospital facility growth: are we super-sizing healthcare?/commentary: right-size; don’t super-size/commentary: part of the cure or part of the problem? HERD: Health Environ Res Des J 1(4):70–91
41.
go back to reference van de Glind I, de Roode S, Goossensen A (2007) Do patients in hospitals benefit from single rooms? A literature review. Health Policy 84(2–3):153–161CrossRefPubMed van de Glind I, de Roode S, Goossensen A (2007) Do patients in hospitals benefit from single rooms? A literature review. Health Policy 84(2–3):153–161CrossRefPubMed
42.
go back to reference Casey N (1984) Hospital architecture in Dublin. In: O’Brien E, Crookshank A (eds) A portrait of Irish medicine an illustrated history of medicine in Ireland. Published for the Bicentenary of the Royal College of Surgeons in Ireland by Ward River Press: Swords, Co. Dublin, Dublin Casey N (1984) Hospital architecture in Dublin. In: O’Brien E, Crookshank A (eds) A portrait of Irish medicine an illustrated history of medicine in Ireland. Published for the Bicentenary of the Royal College of Surgeons in Ireland by Ward River Press: Swords, Co. Dublin, Dublin
43.
go back to reference Craig MJ (1997) The architecture of Ireland: from the earliest times to 1880. [Rev. ed.]. Lambay Books, Portrane, Co. Dublin Craig MJ (1997) The architecture of Ireland: from the earliest times to 1880. [Rev. ed.]. Lambay Books, Portrane, Co. Dublin
44.
go back to reference O’Dwyer F (1997) Irish hospital architecture. Department of Health and Children, Dublin, p 119 O’Dwyer F (1997) Irish hospital architecture. Department of Health and Children, Dublin, p 119
46.
go back to reference Daly ME (2012) The curse of the Irish hospitals Sweepstake: a hospital system, not a health system’. Work Papers Hist Policy 2:1–15 Daly ME (2012) The curse of the Irish hospitals Sweepstake: a hospital system, not a health system’. Work Papers Hist Policy 2:1–15
47.
go back to reference The Consultative Council on General Hospital Services (1968) Outline of the future hospital system. Government of Ireland Dublin, Ireland The Consultative Council on General Hospital Services (1968) Outline of the future hospital system. Government of Ireland Dublin, Ireland
49.
go back to reference Evashwick C, Evashwick W (1988) The fine art of strategic planning. Provider (Washington, DC) 14(4):4 Evashwick C, Evashwick W (1988) The fine art of strategic planning. Provider (Washington, DC) 14(4):4
53.
go back to reference Wickson F, Carew AL, Russell AW (2006) Transdisciplinary research: characteristics, quandaries and quality. Futures 38(9):1046–1059CrossRef Wickson F, Carew AL, Russell AW (2006) Transdisciplinary research: characteristics, quandaries and quality. Futures 38(9):1046–1059CrossRef
54.
go back to reference Rosenfield PL (1992) Special issue building research capacity for health social sciences in developing countries the potential of transdisciplinary research for sustaining and extending linkages between the health and social sciences. Soc Sci Med 35(11):1343–1357CrossRefPubMed Rosenfield PL (1992) Special issue building research capacity for health social sciences in developing countries the potential of transdisciplinary research for sustaining and extending linkages between the health and social sciences. Soc Sci Med 35(11):1343–1357CrossRefPubMed
Metadata
Title
Towards a building typology and terminology for Irish hospitals
Authors
T. Grey
S. Kennelly
P. de Freine
S. Mahon
V. Mannion
D. O’Neill
Publication date
01-02-2017
Publisher
Springer London
Published in
Irish Journal of Medical Science (1971 -) / Issue 1/2017
Print ISSN: 0021-1265
Electronic ISSN: 1863-4362
DOI
https://doi.org/10.1007/s11845-016-1537-0

Other articles of this Issue 1/2017

Irish Journal of Medical Science (1971 -) 1/2017 Go to the issue