Nevidjon B M
Duke University Hospital, USA.
World Hosp Health Serv. 1998;34(2):30-2.
As the site for the patient care moves from inpatient settings, hospitals face major decisions about the future of their facilities. Those build in the 1970's and early 1980's do not necessarily accommodate today's technology and patient care equipment, not convert readily to outpatient space. Thus administrators face the challenge of deciding what and how much to remodel in a facility, and what should be new construction. Duke University Medical Center, which includes 1124 licensed inpatient beds, on campus clinics, and off-site primary care practices, has faced such a challenge. In the past five years, administrators, clinicians, and facility designers have systematically reviewed current facility status, and planned renovations and new construction. All inpatient units were renovated in less than two years. During this time, clinical services were maintained and occupancy issues were managed. Space utilization, design and new technology resulted in units better suited to the needs of patients, families and staff.
随着患者护理场所从住院环境转移，医院面临着有关其设施未来的重大决策。那些建于20世纪70年代和80年代初的设施不一定能容纳当今的技术和患者护理设备，也不容易改造成门诊空间。因此，管理人员面临着决定在一个设施中改造什么、改造多少以及什么应该是新建项目的挑战。杜克大学医学中心包括1124张许可的住院床位、校内诊所和校外初级保健机构，也面临着这样的挑战。在过去五年里，管理人员、临床医生和设施设计师系统地评估了当前设施的状况，并规划了翻新和新建项目。所有住院单元在不到两年的时间里进行了翻新。在此期间，临床服务得以维持，入住问题也得到了妥善处理。空间利用、设计和新技术使得这些单元更适合患者、家属和工作人员的需求。
