10 forward-thinking design trends in hospitals today

hospital design presentation

For more than a century, we have seen paradigm shifts and pivots in healthcare and the concept of the hospital as a typology. Going back to the 1800’s, sanitation and hygiene were recognized as being beneficial to overall health. The flu pandemic of 1918 brought recognition of the importance of light and ventilation.  Le Corbusier and the International school drove forward the machine aesthetic in architecture.  In reaction to that, Alvar Aalto’s Paimio Sanitarium for tuberculosis emphasized the role a building can play in the healing process, with the building acting as a ‘medical instrument’. In the 1940’s architect Charles Neergaard rejected the concept of natural ventilation and daylight as representative of health and proposed a hospital with windowless inpatient rooms. Through the 1950’s, we saw a transition towards more enclosed building with integration of HVAC environmental controls, which further removed the humanity from the environment.  In the 1960’s, Le Corbusier proposed the “New Venice Hospital” reintegrating light through venetian square or courtyards and skylights.  In the 1970’s E. Todd Wheeler even imagined a Tropicarium, or tent hospital made of tree-like structures served by drones, as a way to return to nature –which in the current atmosphere of COVID alternate care facilities may not be so unrealistic.  In recent years we have seen a return to biophilia and natural environments.

Now, as we look ahead, here are the key trends in healthcare we expect to see:.

The healthcare industry was one of the first markets to embrace resilience and RELi rating system.  COVID-19 has further reinforced the importance of resilience in hospitals. The Rush University Medical Center Tower , which opened in 2012, is a perfect example. The building, which was designed in the aftermath of 9/11 for bioterrorism events and pandemics, was readily converted to accommodate surge capacity and negative pressure patient treatment areas in the early days of the COVID 19 pandemic.

hospital design presentation

As data becomes more accessible and institutions continue to weigh the value of design decisions, we expect to see an expansion in the use of evidence-based design (EBD) and data in healthcare. Such research and neuro-architecture principles, along with input from a Patient and Family Advisory committee, were used as guideposts throughout the design and construction of the UC Gardner Neuroscience Institute , ensuring each decision was made to support the unique patient population served in the building.

With the continued globalization of healthcare, we expect to see merging of local culture, conditions, and building methodologies with the advanced care, high safety standard and cutting-edge medical planning across the world. There are lessons to be learned from all countries and cultures. In the era of COVID, Singapore’s open-air inpatient units and outdoor spaces could be a well-tested solution to our ventilation concerns surrounding airborne diseases, where the climate allows it.

hospital design presentation

Leading up to the pandemic, there was an increased focus on prevention and holistic wellness, with healthcare institutions investing in facilities like the Piedmont Wellness Center in Fayetteville, GA. This state-of-the-art facility offers fitness and sports training, nutritional counseling, and outpatient rehab services all surrounded by hiking trails dotted with art installations.  The COVID pandemic has certainly turned the $4.5 trillion wellness industry on its head, but we expect to see the continued growth of community health and wellness, just in new ways and locations

January 21, 2020 was the first reported case of coronavirus in the US. Just under 11 months later, on December 14, 2020, the first vaccine was administered. Our lesson? The often life and death importance of integrated science and research in medicine. We’re hopeful that COVID will serve as a catalyst for expansion of translational medicine and research.

Even before COVID, we were experiencing worldwide healthcare staffing shortages.  have shown that by 2030, 23 of 50 states will have critical shortages of physicians , with 30 states facing nursing shortages . After a decade’s long focus on patient experience, experiential design can be expected to expand its focus to creating staff spaces that support recruitment and retention.  Robotics and A.I. may be expanded to supplement staff and help to reduce transmission of infection in case of future pandemics.

Technology is advancing at a rapid pace – bionics, robots to clean hospitals and lift patients, and microchip implants, to name a few, are all now a reality.  The impact of more yet-to-be-discovered technologies is a mystery to us all.

COVID forced the implementation of telehealth far faster than may have happened otherwise, but we think it is here to stay.

hospital design presentation

To complement this technology-driven culture, we’re witnessing a resurgence of nature and biophilia in healthcare spaces.  While not quite the open-air natural environment that E. Todd Wheeler dreamed of with his Tropicarium, The Lucile Packard Children’s Hospital Stanford seamlessly links gardens and terraces with clinical spaces – providing a natural, healing environment for patients and staff alike.

According to Scripps Health, adults spend an average of 11 hours a day staring at a screen.  Healthcare is not immune to this reliance on immediate access and the internet of things. We expect to see continued growth of wearable technology, access to providers and medical records, and connectivity between personal health data and healthcare.

hospital design presentation

While infection control is not a new concept, COVID has made us hyper aware of the materials we select for all spaces, be they healthcare or not. The University of Virginia Health System’s Hospital Expansion Project in Charlottesville, VA, is a perfect example. The lobby, with its light-colored wood ceiling and warm white floors and walls, isn’t just beautiful, it’s also functional as overflow for the ED, and features cleanable, durable materials.

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Presenting a conceptual model for designing hospital architecture with a patient-centered approach based on the patient's lived experience of sense of place in the therapeutic space

Mansour pagiri ghalehnoei.

Department of Architecture, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfshan, Iran

Mohammad Massoud

1 Faculty of Architecture and Urban Planing, Isfahan University of Art, Isfahan, Iran

Mohammad H. Yarmohammadian

2 School of Managment and Medical Information Science, Isfahan University of Medical Sciences, Isfshan, Iran

BACKGROUND:

In recent years, among managers and designers of health-care spaces, there has been a growing tendency to move toward hospital design by combining patient perceptions and expectations of the physical environment of the care area. The main idea of this study was to present a conceptual model of hospital architecture in our country with a patient-centered approach based on some factors that were affecting the sense of place. This model determined the architectural features of treatment spaces from a patient's lived experience that could have a positive mental effect on patients as well. The main question of the research was how to adapt the objective perception to the patient's mental perception to create a sense of place in the hospital space?

MATERIALS AND METHODS:

This research was qualitative with a phenomenological approach, conducted between July and December 2020. Purposeful sampling consisted of 23 patients, 13 males in the male surgery unit and 10 females in the gynecology unit, who were interviewed in-depth. They were hospitalized for at least 3 days in two hospitals (Dr. Pirooz in Lahijan and Ghaem in Rasht). The data were analyzed by the Colaizzi method.

The results consisted of 530 primary codes, 57 subthemes, and 7 main themes. The main themes were hospital location, access to hospital, hospital identity, hospital dependency, hospital attachment, human interactions in the hospital, and hospital evaluation.

CONCLUSION:

The hospital form guided the patient, and the hospital function directed and obviated the patient's needs. The healing environment and human interactions with it caused the patient to be satisfied with the hospital environment.

Introduction

Health is one of the most essential and basic human needs. Hospitals and other medical centers, with doctors and nurses, are the most significant base and supporters of the people in times of illness, dangers, and accidents. Hospitals and medical centers are part of the safety subjects and the context of the treatment process.[ 1 ] One of the recent concerns in the design of hospitals and health-care centers is to be patient centered, which means focusing on improving the patient's experience by providing facilities and attention to their concerns and comfort.[ 2 ] The original mission of hospitals is to provide quality care for patients and meet their needs and expectations.[ 3 ] Since patient satisfaction is a quality indicator in health care,[ 4 ] carrying out this serious mission and patient satisfaction requires quality institutionalization in hospitals. Numerous studies on the quality of hospital services and the rate of patient satisfaction with hospital care indicate many challenges and shortcomings. According to experts, in 90% of public hospitals in our country, patients are not satisfied with the way services are provided.[ 3 ] Patient-centered services are a new approach in the medical systems. In addition, the research shows that this approach increases satisfaction, shortens the duration of treatment, reduces medical costs, reduces medical errors, and overall improves the treatment status.[ 2 ] That is why the features of the system health-care providers are inevitable to change with a patient-centered approach, following that patient-centered care has become one of the main issues in the design and redesign of health-care services.[ 5 ]

Architectural design and quality perception in health-care buildings have changed over time. At first, the architectural quality meant physical structure security and functional efficiency, then esthetic, cultural values, physical needs, and patient psychology added to it. In transforming health-care buildings into patient-centered buildings, the main goal in design is to provide a healing environment for patients.[ 6 ] Most of the time, the hospitals are weak in meeting the patients’ needs and expectations and their emotional needs.[ 7 ] As Berwick (2000) points out, in a modern mindset, the patient is pivotal between the boundaries of two opposing perspectives, such as professionalism and consumerism. For this reason, participation needs to provide a solution. In this sense, the patient experience could consider as the phenomenon key because it covers a wide range of qualities, from performance to more intangible dimensions such as emotional needs, comfort, and satisfaction.[ 8 ]

Understanding the patient experience is sometimes essential in moving toward patient-centered care. Evaluation of the patient's experience by effectiveness and safety of the care, determines the whole picture of the quality of health care. Patient experience and patient satisfaction are not the same. It needs to evaluate the patient's experience by asking the patient if something should have happened at a health-care facility, which is happened or not? In addition, satisfaction is whether the patient's expectations for health-care treatment are met. Two people who receive the exact same care, but who have different expectations for how that care is supposed to be delivered, can give different satisfaction ratings because of their different expectations.[ 9 ]

Weiss and Tyink (2009) discuss the opportunity to provide the ideal patient experience through creating a patient-centric culture. The components of a patientcentric culture encompass competent, high-quality care, personalized care, timely responses, care coordination, and are reliable and responsive. While Frampton (2002) does not provide a clear definition of the patient experience, he implicitly refers to the consistency of the patient's experiences of caring, so he suggests that the experiences focus on two main areas: human interactions and the care environment. He adds that patient-centered care is the living space between what care and treatment provide and how patients and their loved ones experience it.[ 10 ] Among managers and designers of health-care spaces, there is a growing tendency to move toward hospital design by combining patient perceptions and expectations of the physical environment of the care area. Increasing interests and physical environment can help better understanding their role in patient improvement outcomes and user benefit.[ 11 ] From a patient-centered perspective, considering the view of the patients and other users by the hospital designer is significant. Moreover, understanding the quality of the structural environment is also necessary to help understand the relationship between people and the hospital environment.[ 12 ]

Patient-centered care focuses on patients and their companion experience in the hospital, and the design of the health-care environment should support the patient-centered care concept.[ 13 ] The physical environment of health care is an integral part of the patient experience.[ 14 ] The physical environment consists of the building, the organizer of the interior space, the materials, and the exterior space that establishes the spatial connections between buildings.[ 15 ]

Schweiter et al ., 2004, claim that the hospital environment affects the actions, interactions of the patients and their families, and the service providers. Many studies have shown a relation between health-care design and patients’ medical outcomes, for example, the effects of environmental characteristics and interior design on patient recovery and staff performance.[ 16 ] The relationship between the behavior and well-being of healthcare users with their feeling of comfort, relaxed and secured,[ 17 ] and the potential of creation of a healing hospital atmosphere that could reduce negative psychological impact such as stress, depression, and anxiety.[ 7 ] The environment, and a sense of place, play a significant role in improving the quality of treatment and maintaining well-being. For this reason, it is necessary to understand the patient's perspective and perception of the treatment experience and the people involved in the treatment path.[ 18 ]

Harris et al . to identify the environmental sources of satisfaction of that hospital, determined the ratio of the satisfaction with the environment to the overall satisfaction of the patients’ experience of the hospital and examined the differences between the four wards (internal medicine, gynecology, orthopedics, and surgery) in 6 hospitals. The 380 hospitalized patients were interviewed by telephone. The analysis showed that the interior design, architecture, housekeeping, privacy, and ambient environment, identified as sources of satisfaction. Environmental satisfaction was an essential predictor factor of overall satisfaction that in the ranking was below the quality of nursing and clinical care. There was no significant difference between hospitals or wards of levels or sources of environmental satisfaction.[ 19 ] Douglas et al . examined patients’ perceptions and attitudes toward the hospital environment and the factors which helped their experiences. The results showed that patients had a perfect understanding of the range of factors that affected them. They had data, especially given their health status, independent of the specific health conditions that led to their hospitalization. A case study of patients in the four head wards of the hospital showed a wide range of considerations affecting health. The main set of indicators extracted from the internal and external set, each set of indicator factors, had separate elements to evaluate the design. Designing the hospital's interior and exterior, including transitional spaces for patient access, and movement should provide a supportive environment that minimizes anxiety and promotes healing by creating an inviting, calming, and engaging overall effect. The human demand-driven health-care environments have a broader scope than organizational growth and physical development. Patients need environments that support their normal family lifestyle and family functioning. They need a space that protects privacy, dignity, ownership and territory, access needs, and movement through transitional spaces and public spaces.[ 20 ]

Salonen et al . controlled the positive effects of environmental characteristics on health and recovery from health-care facilities to show that a well-designed interior environment supports public health and the sense of well-being. Positive effects of space and the environment on people well known in the era before modern science. In ancient Greece, the temples of the god Asclepius were quite evident, designed to equip patients with nature, music, and art to restore harmony, and developed healing in the absence of other treatment methods. After that, many studies showed that environments with healing properties improve patient safety, reduce patient stress, analgesics, staff tiredness, and stress, and increase overall health and effectiveness. The environmental features that affect the health and recovery outcomes included: environmental safety, indoor air quality (e.g., odor and temperature), sound and noise, building area, and interior design (e.g., building materials, looking at nature and experiencing nature, windows versus no windows, light, colors, furniture layout, and location, room type, ability to control quality elements, complexity environmental and sensory simulations, cleanliness, ergonomics, accessibility, and routing), and art and music.[ 21 ] Indoor environments with healing elements can, for example, reduce anxiety, lower blood pressure, reduce pain, and shorten hospital stays.[ 21 ] The main idea of this study is to present a conceptual model of hospital architecture in our country with a patient-centered approach based on some factors that are affecting the sense of place.

Theoretical framework of research

Phenomenology is the study of lived experience or lifeworld, and the human lived experience of space focuses on understanding the sense of place.[ 22 ] Sense of place means people's mental perception of the environment and their more or less conscious feelings about it. In the interaction between humans and place, three types of relationships are formed. The first one is the cognitive relation that is general perception to understanding the geometry of space and its orientation. The second is the behavioral relationship that is the perception of space capabilities to meet the needs. Third, an emotional connection means the perception of satisfaction and depending on the place. The sense of place is cyclically interconnected and is formed in three stages: 1 – place identity, 2 – place attachment, and 3 – place dependence. In other words, identity, dependence, and attachment to place consider as cognitive, behavioral, and emotional variables, respectively. The constituent elements of these concepts are placed together in different degrees of physical elements, personal, immaterial, and mental elements. The main question of this study was how to adopt the objective perception to the patient's mental perception in creating a sense of place in the hospital space in The Patient,s Lived Experience.

Research method

This research is a qualitative study with a descriptive phenomenological approach. Phenomenology as a method means to study and accurate identification of lived experiences of people in different situations. Living space or place is also the situation where lived experience is formed.[ 23 ] Descriptive phenomenological research aims to be aware of the researcher biases and assumptions to put them in parentheses or put them aside to have a preconceived notion of what they achieved? in the research. This awareness prevents the researcher from assuming the influence of presuppositions or biases on the study[ 24 ] since the main idea of a phenomenological research method is to create a comprehensive description of the experienced phenomenon to understand its intrinsic structure.[ 25 ]

In this study, patients’ lived experience of factors affecting the sense of place in the hospital spaces, applied to create a comprehensive description of the experienced phenomenon. Purposeful sampling consisted of 23 patients. Patients included 13 males in the male surgery unit and 10 females in the gynecology unit with a maximum of 48 h of discharging from the hospitals.

The participants were hospitalized for at least 3 days in two hospitals and interviewed in-depth. An orderly pattern was used from repetitive data collection and analysis at the same time to data saturation, and the data were analyzed by the Colaizzi method. Colaizzi speaks of the final validity that is done by referring to each informant. Therefore, he considers the validation of comprehensive descriptions of the studied phenomenon by the participants as the most significant criterion for evaluating the findings of phenomenological research.[ 26 ]

Accordingly, the researcher provided the participants with the text of the interviews and asked them to study the findings and control their consistency with their experiences. Furthermore, the ability to generalize the results of qualitative research is not as discussed in quantitative research. In qualitative research, more than paying attention to the fact that the samples represent the whole society, it pays attention to the fact that the obtained information shows the available data.[ 27 ]

The place of research

A 225-bed public hospital with a gorgeous landscape opened in March 2017. This hospital was a general hospital with 225 active beds and more than 700 personnel, considered as the medical center of the west of the province. The hospital built according to the latest standards and regulations of the Ministry of Health, Treatment, and Medical Education and was put into operation in March 2016. The design of this hospital was a process of analysis and composition that included a list of required functions for the plan and a list of design standards to combine them and making A form that follows the performance of the hospital. This hospital, mainly designed to maximize performance and workflow, included four wards: internal medicine, general surgery, obstetrics, and pediatrics, as well as laboratory, radiology, pharmacy, emergency, and nutrition wards.

A 200-bed private hospital opened in 2013. This hospital, located on a highway in one of the most beautiful areas with a beautiful and natural landscape having 200 active beds and more than 700 staff with providing different physical spaces, using advanced equipment, specialized and subspecialized physicians along with Special facilities is One of the first choices for area patients.

The statistical population

The statistical population consisted of 23 patients, including 13 men and 10 women, whose selected from the gynecology and male surgery wards of the two hospitals (to obtain more rich and unique narratives about their lived experience). The average day of hospitalization in public hospitals was 3–5 days (at least 3 days). The selected patients were hospitalized in one, two, or four-bedroom treated, discharged and, interviewed (at a maximum time of 48 h after discharge). Whereas, the quality of the care, the type of surgery, and the financial subjects could affect the levels of patient satisfaction such as disturbing variables, so preferably patients selected who mostly performed light operations such as the appendix, hernia, and benefited from the same nursing services. They were workforces, and all of them were employed and covered by insurance.

Ethical considerations

Prior to the interview, participants were informed About the goals and importance of research. And Their participation in this study was with their consent. and to They were assured of conversation and information Used only for academic research and interview details Remain confidential during and after this investigation. Let us record Interview and its use in the study.

Demographic description of participants

The participants in the study were a total of 23 people, including 10 women and 13 men. The average age of the participants was 41.8 years, who are neither old nor young but middle aged. Middle age is the peak of the ability and efficiency of a person in society, has gained in youth, and has not lost its strength and power due to not reaching old age and old age. Perhaps consequently, it is said that middle-aged people gain the highest quality of life in their social relationships. One of the most famous researches on the age of youth and old age, related to the detailed study that Domenic Abram (2010) conducted in Europe and tried to show with a high statistical sample (40 thousand people) people of different countries of age and what is their perception of the year. The result demonstrated that people in average age consider the end of youth to be around 30 years old, and the beginning of aging is about 60 years old.[ 28 ] Alistair et al ., 2016, pointed out: the effect on satisfaction, divided into two categories: factors that determine satisfaction and its components. As a determining factor, older patients are generally more satisfied than young people. Other determinants of satisfaction investigated show a possible relationship to education level, where less educated patients are more satisfied. Studies have shown that gender and race, however, are not influencing factors or determinants of satisfaction[ 29 ] To reduce the effects of the disturbing variables not selected in the study of elderly and very young or illiterate people. There was no significant difference between men and women in terms of gender.

Research finding

This study used semi-structured in-depth interviews and in-depth talks with patients in the male and female surgery wards. The sequence of questions was not the same for all participants and depended on the interview process and the patient's answers.

However, the interview guide assured the researcher that they would collect a similar type of data from all informants.[ 30 ] The focus of the interview was generally on the patient's experiences in the hospital environment. To this end, the researcher tried to create a safer space for the participants to express their experiences without asking detailed questions. The researcher with a general question (What happened when you came to the hospital) Began to ask questions and left the next step of the interview to the participants. The seven-step Colaizzi method was applied to analyze the data. First, the whole provided descriptions with participants recorded to convert into a text commonly called a protocol, revised many times to get a feeling and get used to them. Second, referred to each of the protocols and extracted sentences and phrases related directly to the phenomenon of the sense of place (this step is known as extraction of the essential sentences). Third, a trial to understand the meaning of each sentence. This stage is known as formulating meanings. In the fourth stage, the concepts, formulated and related to each other and placed in clusters of themes (main themes).

The theme or theme expresses the requisite information about the data and research questions and partly shows the meaning and concept of the pattern in the data set. It is a pattern found in the data and describes and organizes observations at the least and interprets aspects of the phenomenon utmost. In general, it is a repetitive and distinctive feature in the text that reflects the specific understanding and experiences of the research questions.[ 31 ] The result of the effort included 530 codes, the 7 main themes, and 57 subthemes, summarized in Table 1 .

Results of information analysis of steps 1-4 of Colaizzi method

STEP 5: Factors affecting the sense of place from the patient's lived experiences in the therapeutic space included 530 codes, 7 main themes, and 57 subthemes, summarized in Table 2 .

Combining the results in the form of a comprehensive description of the research topic

The sense of place in the hospital space refers to the patient's specific experience in a hospital environment. It is a general feeling that the patient feels about the hospital. To create a sense of place, the hospital environment must have a particular structure and features that increase the sense of place and strengthen it. Then, the product will be a positive evaluation of patients from the hospital environment. Factors obtained in evaluation of patients from the hospital in the patient's lived experiences of the hospital space include the location of the hospital (e.g., hospital location in the city, adjacent, parking, and passage width), access to the hospital (e.g., proximity, communication network, and public transport), hospital identity (e.g., visibility attributes, form attributes, use and significance attributes, being different from specific places, being similar to other places, and knowledge of being located in hospital), hospital dependence (e.g., way, wayfinding, space, space performance, space relationship, space location, space access, space dimensions, overall hospital atmosphere, full hospital, individual location past, and successful treatment), attachment to the hospital (e.g., light, noise, odor, color, lighting, thermal comfort, safety, cleanliness, fresh air, view out, viewing nature, positive distraction, number of beds, single room, good sleep, privacy, personal space, facilities, family facilities, artwork, texture like flooring materials, inside and outside, local information, and waiting time), human interactions between hospital users (including doctor, nurse, office personnel, service staff, treatment staff, and family), and the hospital evaluation (general evaluation).

Factors affecting the sense of place from the patient's lived experience in the therapeutic space included 530 codes, 7 main themes, and 57 subthemes, summarized in Table 2 .

STEP 6: Comprehensive description of the factors affecting the sense of place in the lived experience of the hospital space

(Step 6 of the Colaizzi method: Comprehensive description of the factors affecting the sense of place in the lived experience, of the hospital space as a clear statement of the basic structure of sense of place in therapeutic dwelling presented, under the title (intrinsic structure of the phenomenon).

Architecture plays a central role in human life. It provides the most dominant kind of human-made places and well-designed buildings by supporting and enhancing the unique worlds. For example, schools sustain a world of teaching and learning; dwellings, a world offering privacy; and at-homeness, familial intimacy, and hospitals, a world facilitating health and healing.[ 32 ] On the other hand, architecture is the art of creating space,[ 33 ] and when the relationship between man and space, based on experiences for man, space becomes place.[ 34 ] A place or living space is a situation where our lived experiences take shape,[ 35 ] and lived experience is an experience that is achieved without voluntary thinking and without resorting to classification or conceptualization.[ 36 ]

Man's lived experience of space focuses on a sense of place,[ 22 ] and a sense of place is a sensory relationship with a place perceived through concepts and signs. Human attention to that place leads to forming a rich image of it.[ 34 ]

Sense of place refers to a person's experiences in a particular environment. It is a general feeling that a person feels about places.[ 37 ] To create a sense of place the environment, must have a particular character and structure that gives a sense of place, increases, and strengthens it. The product is the positive evaluation of residents of that environment.[ 38 ]

STEP 7: Final validation.

Colaizzi speaks of the final validity that is done by referring to each informant. Therefore, he considers the validation of comprehensive descriptions of the studied phenomenon by the participants as the most significant criterion for evaluating the findings of phenomenological research.[ 26 ]

Accordingly, the researcher provided the participants with the text of the interviews and asked them to study the findings and control their consistency with their experiences.

Limitation and recommendation

In this study, the sense of place subject, considered only from the patient view. Since patient-centered care design focused on improving the patient and family experience to achieve a more inclusive result and model, subjects also could assess from the companion perspective.

In this study, factors presented in the patients’ lived experience of the hospital environment in the overall evaluation of the hospitals included hospital location, hospital access, hospital identity, hospital dependency, hospital attachment, and human interactions within the hospital. The mentioned factors indicated that the evaluation of the hospital environment was the result of a conscious effort to assess the actual quality of the hospital environment rather than familiarity through the extended stay in it and expressed as a general evaluation that represented the patient's feelings toward the hospital. The study also showed that providing a successful and perfect treatment with human interactions between patients and users and companions in an ideal hospital creates a general sense of place toward the hospital. A complete hospital has an efficient space through fixed features of the environment and a healing environment with the help of variable elements of the environment and hospitalization in one position. Appropriate position in the city, accessibility, and easy identification could create a general sense of place in the patients.

The proposed conceptual model of the hospital, based on the factors affecting the sense of place in the patient's lived experience of the hospital space, shows a picture [ Figure 1 ] of the simultaneous presence of the features of the hospital space architecture based on the factors affecting the sense of place and how a sense of place forms. According to this model, the hospital architecture creates by influencing the creation of space and experiencing it by the patient and turning that space into a place and understanding the components of the place, namely a place, site, users, form, function, and concept of the healing environment.

An external file that holds a picture, illustration, etc.
Object name is JEHP-11-188-g001.jpg

Conceptual model of hospital-based factors which affect the sense of place of the patient's lived experience in the therapeutic space

The location of the hospital and how to access it are the factors of its choice. The hospital form guides the patient, and the hospital function directs and meets the patient's needs. The healing environment and human interactions with it cause the patient to be satisfied with the hospital environment.

Acknowledgment

  • Dr. Pirooz hospital staff in Lahijan, Ghaem hospital staff in Rasht, and the patients participating in this study
  • Dr. Paridokht Karimian
  • Zahra Pagiri Ghalehnoei.

Approval ID: IR.IAU.KHUISF.REC.1400.107.

Financial support and sponsorship

Conflicts of interest.

There are no conflicts of interest.

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Healthcare Design Conference + Expo 2023 Call for Presentations

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2023 Healthcare Design Conference + Expo — Call for Presentations New Orleans Ernest N. Morial Convention Center 900 Convention Center Blvd. New Orleans, LA 70130  November 4-7, 2023 HCDconference.com

Submission Deadline — January 9, 2023  

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How the Design of Hospitals Impacts Patient Treatment and Recovery

Photo: A colorful sketch of a hospital design with markers laying on top of it

Diana C. Anderson, a BU expert on hospital design, says her patients and clinical work help inform her research and design solutions. Sketch courtesy of Anderson

BU’s Diana C. Anderson is a “dochitect”—a medical doctor and an architect—who says everything in a hospital’s design, from the location of a room to the patterns on the floor, can shape how patients heal

Andrew thurston.

If you’re going into hospital for treatment, you want the best: the finest doctors, the latest medicines, the most-advanced surgical techniques. But the success of your care could also come down to something much more mundane than medical or technical wizardry: the location of your room. Land in an out-of-sight intensive care room and your chances of bouncing back tumble versus getting placed opposite the nursing station—you might even be more likely to die . Other aspects of your hospital room’s design—the position of the bed, the location of the sink, whether there’s a window—may also shape your recovery.

Poor hospital architecture and design could be keeping you laid up, but it doesn’t have to be that way, says Diana C. Anderson , a Boston University geriatrician who is also an expert on hospital design. She studies healthcare facilities with the goal of raising awareness of the potential for the built space to influence care and recovery.

Photo: A woman with dark hair smiling and wearing a blazer in a headshot portrait

Anderson isn’t just a medical doctor and researcher with a side interest in hospital design. She’s a licensed architect who helps plan hospitals and clinics. In a paper for the independent bioethics think tank, the Hastings Center, Anderson has argued that healthcare architecture is so impactful it should be held to the same standard as medications and surgical procedures. Design, she and her coauthors wrote, can alter behavior, shape patient-clinician interactions, and sway treatment outcomes. A building’s ability to influence—or harm—us must, they argued, be disclosed.

“The built environment should be considered a medical intervention,” says Anderson, a BU Chobanian & Avedisian School of Medicine assistant professor of neurology. “We think a lot about the social determinants of health now: loneliness, isolation, socioeconomic status, diet. But the physical determinants of health—the built space around us, and our understanding of how that affects our health on an individual and public health level—is very poorly understood.”

That’s something Anderson is trying to change through her research, and her practice. She calls herself a “dochitect”—a combo that’s so rare, she trademarked the word. Last year, she was selected by the American College of Healthcare Architects to serve on its Council of Fellows .

In recent papers, Anderson has looked at the layout of intensive care units and residential care homes, studied the importance of design that fosters social connections, and examined the health effects of older adults’ access to transitional spaces—like windows, yards, and porches.

“As architects, we have a responsibility to do no harm through our designs,” she says. “What we’re building touches thousands of lives over many years. If data exists that suggests certain design techniques might be harmful, we have a responsibility to harness that research and utilize it in our building codes and guidelines.”

Understanding Good Design and Good Health

Doctor was never part of Anderson’s plan growing up in Montreal, Canada. She calls architecture “a sort of family business.” Her parents were both architects—they ran their own firm together and her dad led McGill University’s architecture school. But as an architecture student, Anderson started getting interested in the design of healthcare facilities. As part of her studies, she took a trip to a renowned tuberculosis clinic turned rehabilitation center in Finland, the Paimio Sanatorium.

“It was a wonderful place—I’d expected a horrible smell and dismal atmosphere,” says Anderson, who instead walked into a building surrounded by trees and suffused with light. “I wanted to understand the research behind that: Why did I have that [positive] reaction? What about the space triggered that response?”

As she toured more healthcare centers, she became fascinated not just by their design, but by the work happening in them.

“It spawned an idea to go and do medicine, partly because I also felt I wanted more contact with people than architecture could bring me. I made the shift over to medical studies, but I could never take off that design hat.”

Like when she took on a residency in a New York City hospital and found many patient beds were in the wrong place.

Architects have the best of intentions when designing spaces, but if they don’t have the clinical knowledge…issues are going to come up. Diana C. Anderson

“I was trained in medical school to always examine a patient from the right-hand side as medical convention, but I would walk into a patient room in New York and the clinical exam table would be pushed up against the wall, so it took me longer to do the exam,” she says. “That’s what the dochitect idea is supposed to bridge: architects have the best of intentions when designing spaces, but if they don’t have the clinical knowledge, those issues are going to come up.”

Next time you’re in a hospital, look down. Are there stripes on the floor? The direction of those lines might seem innocuous, but could have a big influence on the mobility of some people with dementia.

During a clinical fellowship at a San Francisco geriatric facility, Anderson says she and her colleagues found many patients would spend too much time in their rooms. They weren’t getting out and walking, which would slow their recovery: “One day of strict bed rest as an older adult, it’ll take you a week to get that deconditioning reversed—we want people to move.”

One possible reason they were so sedentary, says Anderson: the stripes on the floor all went in the wrong direction.

“If you paint stripes on the floor in front of an exit door, people with certain types of dementias and cognitive impairments will not approach it,” says Anderson, who published a paper in 2022 on the topic and last year completed a review of 20 years of research on long-term residential care environments for Health Environments Research & Design . “If you turn those stripes 90 degrees, people will go out the door.” Among other findings she highlighted in that latest paper: how kitchen-dining areas promote social interaction, outdoor gardens reduce depression, and higher ambient temperatures increase agitation among people with dementia.

“It’s an example of how we might be able to utilize certain design techniques that may cause less harm than others,” says Anderson. She’s the cofounder of a health design lab at Mass General Brigham, which is pursuing funding and conducting a pilot study on how to use technology to reduce delirium in patients in intensive care unit rooms; previous research has shown windowless rooms are associated with an increased risk of acute confusion .

Designing Better Well-Being for Older Adults

Her scrutiny of the health benefits—and potential detriments—of design doesn’t just apply to hospitals and care homes. Anderson is heading an Alzheimer’s Association–funded project to review environmental design and health outcomes related to older adults living in their communities.

“Most older adults are not living in nursing homes, fancy dementia villages, or specialized memory care units; they are in the community, being cared for by their family and friends,” says Anderson, who just wrapped up a three-year fellowship with the Veterans Affairs Boston Healthcare System, where she studied cognitive neurology. One particular focus of the new multiyear project is transitional spaces, areas that bridge the inside and the outside. “Do these spaces have an importance for older adults in terms of their social health, their isolation, their loneliness, which we know is a huge risk factor for health issues?”

In a recent study published in the Journal of Aging and Environment , for example, Anderson looked at how the use of transitional spaces changed during the COVID-19 pandemic. She and her colleagues compared older adults’ use of these areas in Boston and Chieti, Italy, finding the Italians were more likely to use these spaces in community with others, while their American peers spent more time in them alone.

Anderson’s latest article, in the AMA Journal of Ethics , argues that designers have a moral obligation to foster social interactions through their work, so crucial is it to our well-being. “Designers of community policies, programs, structures, and spaces should be accountable for promoting social connection,” she and her coauthors write, “to help generate measurable health outcomes, such as longevity.”

Given her unusual dual careers, Anderson is often asked to mentor others interested in healthcare architecture; mostly, she says, new doctors who want to shape the design of the spaces they interact with every day. One question she gets a lot: How do you combine two demanding jobs—architect, doctor—into one?

“I could leave clinical medicine and still have that knowledge and bring that to architecture,” says Anderson, who splits her workweek between the two fields, seeing patients a couple of days a week. “But it’s really through the patient encounters where ideas come up for research studies, for design work. It’s the users of the space that will drive the change we need in health systems.”

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Home » Templates » Presentation Templates » 15+ Hospital PowerPoint Template PPT FREE Download

15+ Hospital PowerPoint Template PPT FREE Download

Looking for the best hospital PowerPoint template for designing the awesome presentations of hospital promotion. If you are looking to promote the hospital business in a professional way then these promotional templates are perfect for you. These presentation templates are fully customizable so you can design a professional slide for your hospital business using these templates. All the presentation templates that are included in the article are well layered and organized so you can design a customized slide according to your hospital. You can change all the text, colors, and images on the slides according to your hospital promotion requirement. Use the hospital logo and medical logo on the slides.

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Medical and Hospital PowerPoint Template

Medical and Hospital PowerPoint Template

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SIGCHI Workshop - Moscow State University. The Design Enterprise: Revising the HCI Education Paradigm December 2004 Anthony Faiola Associate Professor, Informatics Associate Director, Human-Computer Interaction Graduate Program Indiana University - School of Informatics (IUPUI).

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SIGCHI Workshop - Moscow State University The Design Enterprise: Revising the HCI Education Paradigm December 2004 Anthony Faiola Associate Professor, Informatics Associate Director, Human-Computer Interaction Graduate Program Indiana University - School of Informatics (IUPUI)

HCI’s Evolutionary Path • Every discipline has its own evolutionary path from which its practitioners should reflect upon its past to better assess the future, • e.g., the development of HCI educational programs and the preparation of future HCI practitioners. • This inquiry is important because these questions address the role that HCI professionals play in the development and deployment of technologies that will increasingly transform our daily personal and work lives.

Relationship between HCI and other fields • Academic disciplines contributing to HCI: • Psychology • Social Sciences • Computing Sciences • Engineering • Ergonomics • Informatics • Human Factors • Cognitive Engineering • Cognitive Ergonomics • Computer Supported Co-operative Work • Information Systems • Design practices contributing to HCI : • Graphic design • Artist-design • Industrial design

Advancing HCI in the New Millennium • Hollan, Hutchins, and Kirsh (2000) state that for HCI to advance in the new millennium • “we need to better understand the emerging dynamic of interaction in which the task is no longer confined to the desktop but reaches into a complex, networked world of information and computer-mediated interactions” (p. 19). • They argue that for people to pursue their goals in collaboration in future work environment, i.e., in a social and material world, will require a “new theoretical basis and an integrated framework for research” (p. 19). • Dillon (2002) also asked how HCI might construct itself as an intellectual field in light of the current disparity of practice between interface designers and academic researchers. • Distributed Cognition: Toward a New Foundation for Human-Computer Interaction Research

Winograd’s Revelation • Winograd’s (1996) text, Bringing Design to Software shifted the focus of software development away from computing and toward design. • Norman’s (2002) recent discussion of emotion and design suggests that • “effect and emotion are not as well understood as cognition, but are both considered information processing systems, with different functions and operating parameters” (p. 38). • “The surprise is that we now have evidence that aesthetically pleasing objects enable you to work better” (p. 10). • “good design should now refer to artifacts that, “embody both beauty and usability in balance” (p. 40).

The Boundless Domain • The Shift Away from Computing-Centricity toward Human -Centricity • Beyond User-Centricity—Toward the Boundless Domain • By1990s - gradual acceptance of the human-centered model • Shneiderman (2002)- the “second transformation of computing – a shift from machine-centered automation to user-centered services and tools, i.e., pedagogical shift referred to as the Copernican shift • Barnard, et al (2000) argue that there is a dynamic shift away from the theorizing and experimentation (pure science of cognitive psychology) and toward the “boundless domain,” i.e., that • “everything is in a state of flux: the theory driving the research is changing, many new concepts are emerging, the domains and type of users being studied are diversifying, many of the ways of doing design are new and much of what is being designed is significantly different” (p. 221).

HCI educational course content design • HCI has become a multidisciplinary field • HCI demands a useful pedagogical framework that deals with the tensions between these fields by placing more emphasis on the strategic planning, design, and synthesis of product creation • (Faiola, 2003, 2002; Fallman, 2003; Löwgren, & Stolterman, 2004).

The Significance of Design: Knowledge Convergence, not Form Making • Design has the ability to be broadly applied within many disciplines. • Jones argues that Design is a hybrid term that includes art, science, and mathematics, …“both artists and scientists operate on the physical world as it exists in the present” (p. 10). • However, design, more than the arts or science, is a deeply embedded process of human ingenuity - to make order from chaos. • Design is the convergence of knowledge, innovation, and the hope that a concept could be realized. • Design is a process of • problem-solving that demands a protocol that is systematic and broad in scope • excavating the mind to discover patterns of knowledge that can formulate new solutions. • rearranging knowledge into restructured patterns or frames of information, DeBono (1990)

Pedagogical strategy needed • Provide a broader integration of knowledge domains that can account for understanding design, social context, and business strategies in addition to computing. • Provide design knowledge that is: • a framework that supports and can help to merge all other knowledge domains • is instrumental for enhancing the conceptual model of future interactive products • Human-computer interaction (HCI) programs have made great strides over the last ten years, placing increasing emphasis on human-centricity and the social sciences. • However, HCI continues to need new knowledge domains that directly impact product design.

The Design Enterprise Model in HCI • The design enterprise model (DEM) outlines a methodology that is central for organizing and building design knowledge within a theoretical framework. • A pedagogical model referred to as the “design enterprise” is proposed that focuses on a three-fold integrated framework consisting of computing, social science, and business. • The model is proposed as the operation and centrality of design management.

The human-centered model is not new, but DEM pushes the traditional HCI model further by placing more emphasis on design as knowledge management, while extending its boundaries to include: • 1) computing (interface and system design), • 2) social science (human theory and methods), and • 3) business practice (market strategizing).

In the DEM paradigm: • designers have a means of administrating the enterprise of knowledge acquisition, process integration, and product modelling within a given social context. • design becomes a knowledge tool for facilitating the coordination and execution of product development • design is not subordinate to knowledge management, as is commonly applied by knowledge management professionals • design is not a component of computing or social science practice • design is much more broadly defined as a philosophical and methodological framework • all components, processes, and operations are transferred to design as a central repository that facilitates product managers with a knowledge map.

In the DEM paradigm • the framework places humans at the center, but design establishes order, organization, and above all, direction. • human-centricity is at the core of principles and practices, but design is pivotal to the operating domains of computing, social science, and business. • the role of design is far more universal to the conceptualization, administration, and evolution of a product’s life-cycle.

Design must be demystified • HCI students must learn “good design” fundamentals • Despite a wealth of course content on computing, cognitive theory, and interface design, HCI students still lack an adequate understanding of problem-solving as an enterprise that is human-centered and design-managed. • Design as knowledge management, includes the responsibility of domain collaborators to bridge cross-disciplinary boundaries within the DEM paradigm. • Two domains that are especially important to note besides computing, are the application of the social sciences, such as ethnographic theory and practice and business strategies.

Design, Social Science, and Ethnography • Need for HCI professionals to give a considerable degree of commitment to understanding and applying social context to system design • The logical positivist model of science continues to dominate in computing research • There is, however, an increasing shift to understanding social contexts for system design (Crabtree, et al., 1999; Hughes, et al.; Weinberg, & Stephen, 2002). • Ethnography and other social design processes are also playing an increasing role in providing the rationale for human-centered design that supports theories in psychology and sociology.

Ethnography and System Design • As an approach derived directly from anthropology, ethnography can provide information about the context of social and organizational phenomena, as well as ways that make those technologies human-centered. • Ethnography gives system designers a way to understand a social setting as it is perceived by those involved in that setting • This makes the contextual world of the human and computer visible through a thick and detailed description of activities observed. (Geertz, 1994) • Hughes, et al. (1994) describe it as a “portrait of life.”

Benefits of Ethnography • Ethnography enables designers to do what traditional usability methods, such as time-on-task studies, cannot. • one criticism of time-on-task testing is that it falls short of delivering relevant design information. • Observation and interview sessions collect information that allows the user to co-direct a dialogue of inquiry. In this way: • the designer and user can co-interpret and co-design by sharing ideas and solutions and an overall understanding of the design problems. • A co-invested collaboration is done through design techniques such as design ethnography, participatory design and pluralistic (cognitive) walkthroughs. • HCI students must understand the psychological and behavioural effects that transpire within the daily activities of social actions.

By exploring the differences across various quantitative and qualitative techniques for measuring human-system interaction,

Design and Business • HCI students should learn to leverage new knowledge from a social context, while integrating existing business conditions that give tangible value to product development. • Traditional design and HCI programs rarely teach their students the relationship between design value and market value. • Donoghue (2002) suggests that usability is now linked to revenues—and profits—as never before. • Designers must educate themselves about business culture, business language, and business strategies, without becoming business professionals (Norman, 2003).

Design Education • NSF 2-day workshop (1996): Design@2006. • Report produced: Design in the Age of Information*; topics and recommendations: • rising technological opportunities, • new design principles, • design education, and • key research issues. *Printed and distributed by the Design Research Laboratory, School of Design, North Carolina State University, July 1997; Contact Jay Tomlinson, [email protected]

Expanding Boundaries • If we teach HCI and interaction design, then we may subscribe to Herbert Simon's definition that "design is concerned with how things should be" (Simon, 1969). • “Everyone designs who devises courses of action aimed at changing existing situations into preferred ones.” • “Design, …is the core of all professional training: it is the principal mark that distinguishes the professions from the sciences. Schools of engineering, as well as schools of architecture, business, education, law, and medicine, are all centrally concerned with the process of design.” • The boundaries of graphic design and industrial design have drastically changed over the last ten years. • Traditional designers are involved in the development of new products and their interactions, e.g., software and Web sites, strategic plans, wearable computers, digital libraries, gaming, database architecture, and interactive exhibitions. • The traditional disciplines of design are slowly realizing they no longer own the word “design.” • As Simon (1969) describes, design is being practiced by engineering, computer science, information systems, professional writing, and business. Simon, Herbert A. The Sciences of the Artificial. Cambridge, MA: MIT Press, 1969.

Converging Disciplines • If this is the case, … • who is a designer, • how should they be educated, and • what should they learn? • With a convergence of disciplines, caused primarily by technology, there are multiple partnership that must emerge between the current fields of design, technology, the humanities, and business. • Both design and computer science education should consider a further evolution in education.

Human-Environment Interaction Research Science Technology Conceptions Use Design Criticism Presentation at the IU Informatics Conference, Fall 04, Interaction Design Research, by Professor Erik Stolterman, Department of Informatics, Umeå University, Sweden

Some characteristics Science Criticism Design Explain & predict Knowledge The True Emancipate & challenge Meaning The Ideal Create & change Competence The Practical Presentation at the IU Informatics Conference, Fall 04, Interaction Design Research, by Professor Erik Stolterman, Department of Informatics, Umeå University, Sweden

Implications for research and teaching • Areas of design research and teaching: • Interaction design studies, w/ course development • Interaction critical studies, w/ course development • Interaction science studies, w/ course development • Each group has different purposes, goals, intentions, methodology, and outcome

Future of Interaction Design Research & Teaching • New patterns of interaction will come with new inventions, but usually not where we expect them. • An understanding of the digital transformation, based on critical reflections of the primary role and meaning of technology • Focus on how people experience their lifeworlds, i.e., their organic and interactive contextual environment. • An intentional blend of science, criticism, and design approaches in research and teaching • Design will have a closer and more intimate relation to the technology

From HCI to Interaction Design • Human-computer interaction(HCI) is: • “concerned with the design, evaluation and implementation of interactive computing systems for human use and with the study of major phenomena surrounding them” (ACM SIGCHI, 1992, p.6) • Interaction design (ID) is: • “the design of spaces for human communication and interaction” • Winograd (1997) • Increasingly, more application areas, more technologies and more issues to consider when designing ‘interfaces’

Relationship between ID, HCI and other fields Academic disciplines (e.g. computer science, psychology) Design practices (e.g. graphic design) Interaction Design Interdisciplinary fields (e.g HCI, CSCW)

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Moscow Engineering Physics Institute (State University)

Moscow Engineering Physics Institute (State University)

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262 views • 13 slides

SIGCHI Workshop - Moscow State University

SIGCHI Workshop - Moscow State University . The Design Enterprise: Revising the HCI Education Paradigm December 2004 Anthony Faiola Associate Professor, Informatics Associate Director, Human-Computer Interaction Graduate Program Indiana University - School of Informatics (IUPUI).

555 views • 48 slides

Moscow State Automobile & Road Technical University

Moscow State Automobile & Road Technical University

Moscow State Automobile & Road Technical University. Vasilyev Yury Emmanuilovich Ph.D., associate professor, Executive Director of MADI innovative infrastructure development program [email protected] Evgenyeva Anna Glebovna , Ph.D. student.

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Moscow State Technical University “N.E.Bauman”

Moscow State Technical University “N.E.Bauman”

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A.P. Minyar-Beloroutcheva Lomonosov Moscow State University

A.P. Minyar-Beloroutcheva Lomonosov Moscow State University

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Lomonosov Moscow State University Physics Department

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Andrei Shastitko Moscow Lomonossov State University

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Collaborators: V. Kulikov (Moscow State University)

Collaborators: V. Kulikov (Moscow State University)

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Vladimir Protasov (Moscow State University , Russia )

Vladimir Protasov (Moscow State University , Russia )

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Moscow State University P.P.Shirshov Institute of Oceanology, RAS, Moscow

Moscow State University P.P.Shirshov Institute of Oceanology, RAS, Moscow

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L.G. Dedenko M.V. Lomonosov Moscow State University, 119992 Moscow, Russia

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Olga Znoyko Moscow State University of Dentistry and Medicine, Moscow

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Moscow State University of Civil Engineering

Moscow State University of Civil Engineering

Moscow State University of Civil Engineering. Scientific and Educational Center “Nanotechnology”. Synthesis and investigation of properties of nanoscale foam stabilizer for foam concretes with synthesized foamers. Spokesperson: Anna Grishina.

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Sholokhov Moscow State University for the Humanities

Sholokhov Moscow State University for the Humanities

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Alexander Granovsky Moscow State University, Moscow 119991, Russia

Alexander Granovsky Moscow State University, Moscow 119991, Russia

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MOSCOW STATE FOREST UNIVERSITY

MOSCOW STATE FOREST UNIVERSITY

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Vladimir Protasov  (Moscow State University , Russia )

Vladimir Protasov (Moscow State University , Russia ). Joint spectral radius of matrices: applications and computation. The Joint spectral radius (JSR). The geometric sense :. JSR is the measure of simultaneous contractibility.

360 views • 35 slides

Vladimir Protasov  (Moscow State University)

Vladimir Protasov (Moscow State University)

Vladimir Protasov (Moscow State University). Primitivity of matrix families and the problem of distribution of power random series. R andom power series. x. How to separate these two cases by a criterion ?.

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Exhibition stands contractors in Russia

Proekta has been involved in organizing promotional stands since 2012, with our specialists fulfilling a number of large projects for both Russian and foreign clients.

Participation in exhibitions is impossible without an exhibition stand contractor to create your brand’s business card and temporary office. There are two main types of exhibit stands – modular and exclusive stands. Almost every time there is a need for an exhibition booth, organizers will end up providing different additional services, including electricity, water, hanging installations, etc. Modular stands are built from pre-produced components, and this is the most cost-effective solution, as these components can be used many times. The more expensive and functional solution is an exclusive exhibit booth. It is assembled by combining materials based on a custom design. The exhibition stand arrangement is a multiple stage process where procedure is important because it addresses all significant nuances. Today’s exhibition stands at large events are real masterpieces that require complicated construction and solid experience. Exhibition stand building in Moscow is in-demand as there are many large, occurring business events in the area. 

THE MAIN PROBLEMS

To make a promotional booth, you have make many decisions with your event manager during each stage of building. To get approval, consider the hall’s technical features and how to deal with logistics issues. Normally, construction time is limited, and any delay can negatively affect quality. Depending on the project’s complexity, equipment can be brought from other cities or countries, and all these details must be considered beforehand. Many advertising stands are part of a brand concept, so everything should be according to official branding. There are engineering designs featured at automobile exhibitions, where floor sturdiness should be considered. It is important to test the structural integrity of the venue when placing cars. Stand construction for exhibitions in Moscow should be entrusted to an experienced, responsible exhibition stand building professional with customer recommendations. That’s why it’s important that a builder has project delivery experience in the field of your exhibition. Also, you have to remember that different exhibition contractors offer different technologies and solutions, so some contractors may not fit your needs.

MIAS 2016

Building of the exhibition stand and exhibition management at MIAS 2016

MIAS

Presentation of new models at Moscow International Automobile Salon

Comtrans 2015

Exhibition set up on the Comtrans commercial vehicles show

Golden Dragon

Stand buildup for Golden Dragon Company on Comtrans exhibition

Moscow, Butyrskaya Street 62

+7 (499) 653-65-25 (Mon-Fri 10:00-18:00)

[email protected]

facebook.com/proekta

Saint Petersburg, St. Lva Tolstogo 1-3

[email protected]

Rostov-on-Don, St. Koroleva 5b

+7 (863) 333-21-96 (Mon-Fri 10:00-18:00)

[email protected]

COMMENTS

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    In a paper for the independent bioethics think tank, the Hastings Center, Anderson has argued that healthcare architecture is so impactful it should be held to the same standard as medications and surgical procedures. Design, she and her coauthors wrote, can alter behavior, shape patient-clinician interactions, and sway treatment outcomes.

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  22. Contacts

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