DESIGNING A PUBLIC HOSPITAL IN MALAYSIA: A COMPREHENSIVE APPROACH IN ENHANCING HEALTHCARE FROM THE ARCHITECTURAL PERSPECTIVE
DOI:
https://doi.org/10.21837/pm.v22i31.1482Keywords:
Healthcare Facilities, Healthcare Services, Hospital Designs, Public HospitalsAbstract
The public healthcare system in Malaysia was established in the 1850s, prior to the country's independence. Today, it encompasses 146 public hospitals to provide affordable and accessible healthcare services to all Malaysian citizens. However, the public healthcare sector faced various challenges, including ageing facilities and infrastructures, deferred maintenance, limited accessibility, and inefficient layouts. This paper presents a comprehensive approach in designing public hospitals in Malaysia, with a focus on addressing the healthcare needs of the population and improving healthcare infrastructures through architectural optics. This article explores key aspects of hospital designs, including architectural considerations, functional requirements, technological integration, and compliance with regulations and relevant acts. Eight expert samples were employed through semi-structured interviews to ensure credibility and validity. This methodology allowed flexibility in questioning and yet tailored exploration of relevant issues and expertise. Clear data sources and research objectives were established to minimize potential bias and limitations. By incorporating patient-centric design principles, enhancing accessibility, promoting sustainability, and considering future scalability, the proposed design aims to improve public hospitals that can effectively meet the healthcare demands of Malaysia. The recommendations outlined in this study can serve as a guideline for policymakers, healthcare authorities, and designers involved in the creation of efficient and effective healthcare facilities.
Downloads
References
Ab Ghani, M. Z., & Aripin, S. (2018). A comparative review of design requirements for natural smoke ventilation in hospital buildings. Planning Malaysia, 16(2), 334–344. DOI: https://doi.org/10.21837/pm.v16i6.487
Abd Rani, N. A., Baharum, M. R., Nizam Akbar, A. R., & Nawawi, A. H. (2015). Perception of Maintenance Management Strategy on Healthcare Facilities. Procedia - Social and Behavioral Sciences, 170, 272–281. DOI: https://doi.org/10.1016/j.sbspro.2015.01.037
Abdellah, R. H., Masrom, M. A. N., Chen, G. K., Mohamed, S. &, & Omar, R. (2018). The Potential Of Net Zero Energy Buildings (NZEBs) Concept At Design Stage For Healthcare Buildings Towards Sustainable Development. IOP Conf. Series: Materials Science and Engineering 271, 271, 1–10. DOI: https://doi.org/10.1088/1757-899X/271/1/012021
Abu Samah, Z., Ibrahim, N., Othman, S., & Abd Wahab, M. H. (2012). Assessing quality design of Iiteriors : A case study of a hospital outpatient unit in Malaysia. Procedia - Social and Behavioral Sciences, 35, 245–252.
Alalouch, C. R. (2009). Hospital Ward Design: Implications for Space and Privacy. Phd Thesis. Heriot-Watt University, Edinburgh
Alkali, I. A., Kawuwa, A. S., & Khalil, I. S. (2018). Revisiting hospital ward design basics for sustainable family integration. International Journal of Architectural and Environmental Engineering, 12(1), 28–32.
Ashraf, H., & Nambiar, A. Dvara Research: Designing Health Systems. Dvara Research Working Paper Series No. WP-2022-01 January 2022 Version 1.0, 2022. https://www.dvara.com/research/wp-content/uploads/2022/02/Designing-Health-Systems-Working-Paper-20220204.pdf
Crabtree, B. F., & Miller, W. L. (1999). Doing Qualitative Research (2nd ed.). Thousand Oaks, CA: Sage.
Christiansen, N., Kaltschmitt, M., & Dzukowski, F. (2016). Electrical energy consumption and utilization time analysis of hospital departments and large scale medical equipment. Energy & Buildings, 131, 172–183. DOI: https://doi.org/10.1016/j.enbuild.2016.09.023
DeWalt, K. M., & DeWalt, B. R. (2002). Participant Observation: A Guide for Fieldworkers. Walnut Creek, CA: AltaMira.
Gatea, A., Mohideen Batcha, M. F., & Taweekun, J. (2020). Energy Efficiency and Thermal Comfort in Hospital Buildings: A Review. International Journal of Integrated Engineering, 12(3), 33–41. https://publisher.uthm.edu.my/ojs/index.php/ijie/article/view/2763.
Gupta, R., & Du, H. (2013). Adapting the Design of a New Sustainable Hospital Building Against a Warming Climate. 13th Conference of International Building Performance Simulation Association, 2503–2510. DOI: https://doi.org/10.26868/25222708.2013.1290
Han, S. (2014). A Study on the Evaluation and improvement of healing environment for public hospital wards considering elderly inpatient characteristics-focused on the public hospitals in Yeongnam area. Journal of the Korea Institute of Healthcare Architecture, 20(3), 7-15. https://doi.org/10.15682/JKIHA.2014.20.3.7 DOI: https://doi.org/10.15682/jkiha.2014.20.3.7
Hanie Suraya, M. (2015). Uniform Building by-Laws (UBBL) 1984: A Contemporary Analysis on the Practice of Building Inspection. Doctoral dissertation , INTI International University.
Jaafar, M., & Othman, N. L. (2016). Maintainability and design aspect of public hospital. Jurnal Teknologi, 5, 107–113. DOI: https://doi.org/10.11113/jt.v78.8251
Harrouk, C. (2020). Architecture post COVID-19: The Profession, the Firms, and the Individuals. ArchDaily https://www.archdaily.com/939534/architecture-post-covid-19-the-profession-the-firms-and-the-individuals,ISSN 0719-8884.
Hyväri, I. (2016). Roles of top management and organizational project management in the effective company strategy implementation. Procedia - Social and Behavioral Sciences, 226, 108–115. DOI: https://doi.org/10.1016/j.sbspro.2016.06.168
Mason, J. (2002). Researching Your Own Practice: The Discipline of Noticing. London: Routledge. DOI: https://doi.org/10.4324/9780203471876
Maynard D. W., Schaeffer N. C. (2006). Standardization-in-interaction: The survey interview. In Drew P., Raymond G., Weinberg D. (Eds.), Talk and interaction in social research methods, pp. 9–27. Sage DOI: https://doi.org/10.4135/9781849209991.n2
Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook (2nd ed.). Sage Publications, Inc.
Mills, G. R. W., Phiri, M., Erskine, J., & Price, A. D. F. (2015). Rethinking healthcare building design quality: An evidence-based strategy. Building Research and Information, 43(4), 499–515. https://doi.org/10.1080/09613218.2015.1033880 DOI: https://doi.org/10.1080/09613218.2015.1033880
Ministry of Health Malaysia. (2016). Annual Report Ministry of Health Malaysia 2016. https://hq.moh.gov.my/ohd/images/pdf/annual_rpt/annual_rpt16.pdf
Ministry of Health. (2020). Strategic framework of the medical programme, Ministry of Health 2021-2025. https://www.moh.gov.my/moh/resources/Pelan_Strategik_KKM.pdf.
Mohd Fateh, M. A., Arshad, R. A., Ahmad Marzuki, S. M., & Yusof, M. R. (2023,). Improvements of the communication between consultants and contractors during the construction phase in Malaysia. Planning Malaysia, 21(2), 80–103. DOI: https://doi.org/10.21837/pm.v21i26.1261
Mohd Nawawi, N. (2016). Physical Development of Public Hospitals in Malaysia. Architecture Forum III 32nd IHF Congress, January, 1–24.
Mozaffar, F., Jamaleddin, S., & Khakzand, M. (2009). A holistic approach to ward design. Health Estate, 63(6), 50–55.
Nirit, P.P., & Yehuda, K. (2017). Open Architecture for Healthcare: Case Study of Hospital Change in Practice. UIA 2017 Seoul World Architects Congress, 1–10.
Rahman, N. M. (2021). A literature review of naturally ventilated public hospital wards in tropical climate countries for thermal comfort and energy saving improvements. Energies, 435. DOI: https://doi.org/10.3390/en14020435
Robson, C. (2002). Real World Research: A Resource for Social Scientists and Practitioner Researchers (2nd ed.). London, UK: Blackwell Publishing.
Rong, W., & Bahauddin, A. (2023). The heritage and narrative of Confucian courtyard and architecture in sustainable development in Shandong, China. Planning Malaysia, 21(2), 226–239. DOI: https://doi.org/10.21837/pm.v21i26.1273
Rezazadeh, N., & Sarbangholi, H. S. (2017). Architectural green spaces design of medical centers with passive defense approach. Canadian Center of Science and Education, 11(2), 69–78. DOI: https://doi.org/10.5539/mas.v11n2p69
Sahamir, S. R., Zakaria, R., Raja Muhd, R. R., Ismail, N. A. A. & Mohmad Zainordin, Z. (2019). Key Influencing Factors For Green Public Hospital Building Development In Malaysia. MATEC Web of Conferences: IConBEE 2018, 25(266). DOI: https://doi.org/10.1051/matecconf/201926601025
Sal Moslehian, A. K. (2023). The nature of innovation in hospital building design: a mixed grounded theory study. Construction Innovation, 792-814. DOI: https://doi.org/10.1108/CI-12-2021-0236
Samah, Z. A., Ibrahim, N., Othman, S., & Hanif, M. (2012). Assessing Quality Design of Interiors: A case study of a Hospital Outpatient Unit in Malaysia. Asia Pacific International Conference on Environment-Behaviour Studies, Salamis Bay Conti Resort Hotel, Famagusta, North Cyprus, 35, 245–252. DOI: https://doi.org/10.1016/j.sbspro.2012.02.085
Setola, N., Borgianni, S., Martinez, M., & Tobari, E. (2013). The role of spatial layout of hospital public spaces in informal patient-medical staff interface. The Ninth International Space Syntax Symposium, Seoul: Sejong University 2013, 025:1-025:11 DOI: https://doi.org/10.1088/1475-7516/2013/02/025
Schreuder, E., Lebesque, L., & Bottenheft, C. (2016). Healing environments: What design factors really matter according to patients? An exploratory analysis. Health Environments Research & Design Journal, 10(1), 87–105. DOI: https://doi.org/10.1177/1937586716643951
Sudin, M. (2016). Hospital Services and Physical Expansion Plan (Hospital Masterplan). Health Facility Planning Seminar: Hospital Master Planning, October, 1–44.
Takashi, M., Shuichi, H., Daisuke, O., Masahiko, T., & Jun, S. (2013). Improvement of thermal environment and reduction of energy consumption for cooling and heating by retrofitting windows. Frontiers of Architectural Research, 2(1), 1–10. DOI: https://doi.org/10.1016/j.foar.2012.10.006
Yau, Y. H., Chandrasegaran, D., & Badarudin, A. (2011). The ventilation of multiple-bed hospital wards in the tropics: A review. Building and environment, 46(5), 1125–1132. https://doi.org/10.1016/j.buildenv.2010.11.013 DOI: https://doi.org/10.1016/j.buildenv.2010.11.013
Zainudin, M. M., Asif, N., Nur, A., & Mohd, S. (2023). Effect of hospital interior environment and decoration on healthcare providers-patient communication: A case study of Sultan Ahmad Shah Medical Center and Kuantan Medical Center. Abstracts & Proceedings of DARCH 2023 April - 4th International Conference On Architecture & Design, 17-18 April 2023. April. https://doi.org/10.46529/darch.2023apr08 DOI: https://doi.org/10.46529/darch.2023apr08
Liyanatul Najwa Z., Nadiatul Ima Z., Wan M.K., Noor Haslinda I., Intan Syafinaz S., Hasneezah H., VC Anuratha S., Hafeez I., Faisal I., Rosliza A.M. (2016). The concept of district health management in Malaysia. International Journal of Public Health and Clinical Sciences, 3(1), 2289–7577.http://publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/260
Downloads
Published
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 Unported License.
Copyright & Creative Commons Licence
eISSN: 0128-0945 © Year. The Authors. Published for Malaysia Institute of Planners. This is an open-access article under the CC BY-NC-ND license.
The authors hold the copyright without restrictions and also retain publishing rights without restrictions.