BAU Brearley Architects + Urbanists：福鼎市医院
Fuding Hospital is a regional general hospital situated in a small city but servicing a large catchment area of northern Fujian province. It includes the departments of: Gynecology and Obstetrics, 120 Emergency Department, Cardiovascular Internal Medicine, Respiratory Department, Infectious Disease Department, Neonatology, Orthopedics Section, Endocrinology Department, Critical Care Medicine Department, Urology Department, Pediatrics, Surgery Section 1, Neurology Department, Neurosurgery, Oncology Department of Traditional Chinese Medicine Clinical departments such as digestive medicine, renal hematology analysis, otorhinolaryngology, physical examination, stomatology, ophthalmology, anesthesia, blood purification room, digestive endoscopy room, burn surgery, anorectal surgery, traditional Chinese medicine internal medicine, rehabilitation department, etc. Medical and technical departments include consultation center, operation room, ultrasound department, laboratory department, radiology department, nuclear medicine department, pharmacy department, disinfection supply center, blood transfusion department and electrophysiology department.
emergency, maternity, gynecology, pediatrics, Infectious Diseases, Medical Technology, General Surgical Clinics, Administration, wards for 1010 patients; as well as providing the outpatient services of Consultation Room, Operation Room, lmaging, B Ultrasound Center, Chinese Medicine Storage, Nurse Station, Blood Station, Endoscope Centre, etc.
The challenge for hospitals can be seen as the provision of hardware (the built fabric) and software (latest technology). Most hospitals can, and do accommodate the software, but the hardware often leaves a lot to be desired. Beyond these essential challenges this design challenges the nation’s formulaic healthcare approach and provides bold inspiring, spaces and expression for the healing and welcoming of both patients and visitors.
The challenge for us was to:
• Connect internal and external spaces; ward rooms with balconies, departments with courtyard gardens and terraces, and primary circulation spaces with porticos and generously landscaped plazas;
• Create street scale circulation gallerias that provide an escape from the focus on illness and sterility;
• Connect the primary internal circulation with the site’s urban and landscape design framework;
4.) Ensure well-lit and ventilated spaces, within the necessarily large footprint, for patients and staff; 在建筑进深巨大的情况下，确保为患者和工作人员提供充足的照明和通风。
5.) Capture the river and mountain views from spaces where staff and patients spend most of the day; 让工作人员和患者一天中大部分时间都能看到河流和山景；
6.) Create clear and legible circulation spaces – way finding built into the architecture, not just the application of signage;
7.) Accommodate a number of options for future expansion WITHOUT compromising light, ventilation, outlook, and clear and legible circulation.
While most architects would see a hospital as a big complex building or a collection of buildings, as architects, urban designers and landscape architects, we were struck by the similarities between the design issues of hospitals and those of (small) cities – the need for Permeability, Variety, Legibility, Robustness, Visual Appropriateness, Richness, and Personalization.
Learning from the major and minor axes of Roman cities we made two large, site scaled street-like organizing gestures: the Tube and the Colonnade. The Tube is a relaxed and abstractly composed four-storey high space that runs east-west. It has views to the river at the western end and of a geological excavation at the other. The Colonnade is a more ordered and repetitively designed space that runs north-south. It is also four-storeys high. It has longer distance views of the river to the south and to the ward buildings to the north. The tube is currently under construction as part of stage 2.
The design, materials, colour, and detailing of the Tube and the Colonnade are distinctly different from each other. Each of the departments have been allocated a colour and that colour is used in the exterior and interior of the building in innovate ways. These gestures break down the scale of the buildings and provide an aesthetic of a collection of a variety of buildings, not a large scaleless institution.
Finally a variety of views have been provided: from long distant views of the river and the city of Fuding, to small and intimate views into carefully crafted garden coutyards for patients and staff.
The Tube and the Colonnade not only provide permeability through the site, they also provide a clear and strong focus for orientation and way-finding through this large and complex project.
In addition, colour in the department and ward buildings is used to visually link lift lobbies to reception areas and nurses stations – so, if you do get lost, just follow the coloured wall and you will be led to either a reception area or a nurses station or back to the lift lobby.
The Tube and Colonnade provide each department three opportunities for future expansion without compromising permeability or legibility: two horizontally, away from the Tube and Colonnade; and of course vertically, by adding future floors.
This is a public program, and the architectural language of the exterior and interior has been carefully considered to be cost effective, robust, clean, efficient, functional, contemporary, and human scaled, despite it size. The staff, the equipment, the services, and the building – ALL are part of a people oriented technology to make you well.
The project presents a rich and complex series of internal and external spaces that have been achieved through the co-existence of a series of clear, strong, yet simple design gestures.
The Tube, the Colonnade, and the use of colour within the departments and wards, breaks down the scale of this project and provides each department wards their own clear and strong identity – this is an assembly of individual elements, not a amorphous institution. At the ward and room scale, the numerous walls of pin-up material will provide the opportunity for the patients and the staff to personalize their own spaces.
Fuding Hospital: a small city to make you well.
We were struck by the similarities between the design issues of hospitals and those of (small) cities.
Learning from the clarity of ancient Roman cities, we made two large permeable gestures: the Tube and the Colonnade. The Tube is a relaxed abstractly composed four-storey high space that runs east-west. The Colonnade is an ordered space, that runs north-south.
These gestures also provide a clear legibility for orientation and way-finding through this large project. Colour is used to assist in way-finding, with the coloured walls linking reception areas, nurses stations, and lift lobbies.
These design, materials, and colour strategies provided an effortless variety. There are also a variety of views provided: long distance to the river and the city of Fuding, small and intimate into carefully crafted garden coutyards.
Robustness for each outpatient building is provided with two opportunities for future expansion (vertical and horizontal) without compromising permeability or legibility.
This is a public program, and an appropriate architectural language has been carefully considered to be cost effective, robust, clean, efficient, functional, contemporary, and human scaled.
The project presents a rich and rewarding series of experiences that have been achieved through the co-existence of a series of clear, strong, yet simple design gestures.
The Tube, the Colonnade, and the use of colour within the departments and wards, breaks down the scale of this project and provides each department wards their own clear and strong personalization – this is an assembly of individual elements, not an amorphous institution.
other ideas of hospital:
Project Status: Under construction
Location: Fuding, Fujian Province, China
Year: 2010-2015 and ongoing
Client: Fuding Hospital
Construction Area: Floor area: 309431m2 (stage one: 120343m2, stage two: 100589m2, future stage: 88499m2). Site area: 176734m2 (stage one+ two: 133408m2, future stage: 43326m2)
Typology: General hospital
Program: 24 hour quaternary, tertiary, and acute care. Emergency, surgery, maternity, intensive care, advanced diagnostic and laboratory services, obstetrics and pediatrics, teaching and research, infectious diseases, and rehabilitation
Fuding Hospital: a small city, not a big building