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GENERAL HOSPITAL
CHAPTER I
INTRODUCTION
1.0. BACKGROUND OF THE STUDY
The primary purpose of this project is to improve the circulation and design of
public hospitals. Also to make the ambience more comfortable for the users. The following
are the major and minor problems that will contribute to the planning and designing of the
hospital.
To help the city of San Jose del Monte, Bulacan in developing a public medical
facility that will cater to the ordinary people who can’t afford to go to private hospitals.
To implement a more effective and healing design that can make the patients
recover faster. This study will help make a secure and comfortable environment for the
users.
To the proponent, this will strengthen the confidence of the proponent and embrace
the capabilities within the actual application of the skills and knowledge learned from
schools.
1.3.2. Indirect Users
For the Architecture students will do benefit on this research if their study was
about hospital. This can also be another source of information in gathering data.
Furthermore, the community and the society will gain profit for the hospital’s future
planning.
1.4. REVIEW OF RELATED LITERATURE
1.4.1. Local
Mary Mediatrix Medical Center, Lipa City, Batangas
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Mary Mediatrix Medical Center has become a full-pledged institution with addition
of more specialists, services and technologies, bringing a holistic state-of-the-art healthcare
closer to the people of Lipa and the surrounding localities. Showing that the dream never
ends, Mary Mediatrix received the ISO 9001:2008 certification, which attests to
international quality standards of the hospital, enhancing customer satisfaction. The
hospital added an annex building housing its new Dialysis Center, more patient rooms and
a larger emergency room. This symbolizes the relentless commitment of Mary Mediatrix
Medical Center to provide healthcare of the highest standards to the people of the region.
1. Cardiovascular Center
2. Food and Nutrition
3. Physical Medicine & Rehabilitation Center
4. Weight Management
5. Skin Center
6. Industrial Corporate Center
7. Hearing & Balance Center
8. Eye Center
9. Radiology
10. Pulmonary Center
11. Nuclear Medicine Center
12. Neuroscience Center
13. Dental Clinic
14. Laboratory Medicine
15. Clinical Pharmacy
In the late 80’s and early 90’s saw the arrival of a new breed of doctors who came
to the city of Lipa to establish their medical practice. Most of them are Lipeños while the
rest came from other parts of Batangas and even from far-away Mindanao.
Considering its strategic location, burgeoning economy, cool weather and over-all
warmth of its people, they came bringing with them their expertise after years of rigorous
training in various specialties. The established doctors in the city welcomed them with open
arms knowing that they are a boon to the health care delivery system and assets to the local
medical society.
Truly it did not take so long for these doctors to claim their niche in the medical
community. Eventually realizing that there’s so much ahead, these doctors made an
auspicious start by establishing a laboratory to cater to the needs of their patients. This
came to be known as Citimedics, Inc. which still stands today. The idea in putting this up
was the off-shoot of shared experiences of these doctors who foresaw that the only way to
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pursue continuous professional growth and at the same time offer better health services
would be to eventually to set up a medical center.
Among these doctors are Diosdado Capacia (Family Medicine), Ramiro de Castro
(General Surgery), Nestor Atienza (Internal Medicine/Oncology), Becky Que (OB-GYN),
Irene-Cita Dy (Pediatrics). Soon joining them were those who have already firmly
established their practice from way back: Esperanza Ilagan (Internal
Medicine/Cardiology), Dalisay Kison (Family Medicine), Iluminada Comia (Family
Medicine/Pediatrics), Priscilla Farinas (Radiology) husband and wife team of Cesar and
Imelda Dimayuga (both Family Medicine). It was at this time that the lease contract for
Lasig General Hospital managed by Dr. Jose Rene de Grano and co. was about to expire
and so was also that of Mount Carmel Hospital managed by Dr. Perla Olave leading them
to join the group.
The discussion of establishing a medical center at par with the biggest one in Lipa,
at that time was NL Villa Hospital, became a serious discussion. Dr. Alfred del Castillo
also joined the group and he was tasked in scouting for a more ideal location. The site now
occupied by Hotel ni Mang Jose was first considered but due to its steep terrain and a
relatively limited area of 2000 sq.m, it was disregarded.
The group soon managed to find the present site of Lipa Medix Medical Center
after negotiations with the owners (Bathan-Banawa Family) led to the initial purchase of
3000 sq.m at P1,300 per sq.m. It was a risky gamble as that area of Ayala Highway which
was how it was called then was rather bear with only a sprinkling of girlie bars and absence
of regular transportation service. However, with firm resolve and only fervent hope for a
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successful venture it gathered momentum and by the time the lot was purchased there were
already 45 “willing albeit nervous” incorporators. Each incoporator contributed P 100,000
for the purchase of the lot.
In one of the meetings held at Hapag Restaurant, the hospital vision and mission
were formulated. It was a wrong notion by some incorporators that a hundred thousand
pesos share was enough to have a building. Some kinks were ironed out and it was agreed
upon that P 5,000 to P10,000 each must be paid on monthly installment which continued
until the first year of hospital operation. An P18,000,000.00 loan was granted from SSS
through Metrobank in order to furnish the hospital with the required medical equipment
and to cope with other operational expenses.
On July 20, 1994, Lipa Medix Medical Center, a 3-storey hospital building with
50-bed capacity became fully operational. Dr. Nestor Atienza was the founding Chairman
of the Board and Dr. Jose Pepito Tenorio was the founding President. The first hospital
Medical Director was Dr. Jose Rene de Grano with Dr. Cesar Dimayuga, as the first
Hospital Administrator and Dr. Alfred del Castillo was the first Chief of Clinics. Said
hospital managers occupied their posts for several years without renumeration as the
daunting task of paying the loan without defaulting was a priority.
In 1996, the 23-room OPD was constructed, housing 60 clinicians. Under the
chairmanship of Dr. Celso Ramos, the construction of the 4th floor was started in 1999,
increasing its capacity to 75 beds. The Psychiatry Ward and Drug Detoxification Center
and the Industrial Clinic were also created. By this time too, the Dialysis Unit was already
in full swing.
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In August 2003, under the chairmanship of Dr. Larry Manaligod, saw a major
growth of LMI: 15 new incorporators were added, raising P28M from the sale, the lot
where the new building was erected. It was also during this year, that the 10th GMM held
aboard the Star Virgo in Singapore on Feb 22, 2004.
In 2005, under the chairmanship of Dr. Jose Lacorte, the Residency Training
Program was conceptualized. Part of the corporate obligation to the victims of calamities,
we donated one hundred thousand pesos (P100,000.00) to the landslide victims of Leyte
and Mindoro. He implemented the construction of the new building and acquisition of the
new 2D-echo machine and new ultrasound unit.
Barely 10 years after its operation, LMMC saw another milestone. Under the
chairmanship of Dr. Edwin Mendoza, the construction of the new building was started,
together with the expansion of the OR-DR complex and creation of state-of-the-art ICU.
The new building became operational in July 22, 2008 which housed the Heart Center,
Lithotripsy Center (the first in South Luzon), Dialysis Center, Pulmonary Unit and 20 suite
rooms making it a 100-bed capacity Medical Center.
In 2008, under the leadership of Dr. Edwin Mendoza and Dr. Nestor Atienza, the
construction of 3rd floor of the new building was started. It was also under their leadership
that the High Risk Pregnancy and Infertility Center was created and became operational.
Equipped with 4D Ultrasound and capable of basic infertility work up and management,
this center is manned by a Perinatologist, a Reproductive Endocrinologist and OB-GYN
Sonologists.
In line with their vision to achieve a complete and competitive medical facility,
these two leaders also approved the creation of Minimally Invasive Surgical Unit and
Training Program for the Department of Pediatrics. The OPD was also renovated. As part
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of corporate social responsibility, the corporation donated one house thru Gawad Kalinga,
the recipient being one of hospital female orderlies.
Additional doctors with subspecialties were accepted not only as practitioners but
as owners as well. The position of Quality Assurance Officer became active in line with
the Philhealth thrust of providing excellent service to patients. With Dr. Teresita Andal
being the head of Quality Assurance office who work in collaboration with QA team. The
Chief of Clinics Dr. Danilo Vergara, together with the Medical Executive Committee,
formulated the LMMC Medical By-Laws. He also updated the roster of medical
practitioners and initiated the completion and organization of their 201 files.
Several hospital committees were added and activated to address the requirements.
Ethics Review Board to protect the rights and welfare of human participating as subjects
in research study. Internal Audit System Department to safeguard hospital resources and
the Master Plan Committee – who suggests to the Board of Directors short and long term
plans for hospital infrastructure. As part of future infrastructure expansion another lot was
purchased. At present the hospital is situated in a 1.510 hectares of land.
1.4.2. FOREIGN
Bangkok Hospital was established in 1972 as one of the first private hospitals in
Thailand. Over the past 40 years we have expanded our operations to become a tertiary
care facility with dedicated hospitals for cancer and cardiology. At Bangkok Hospital, we
offer the full complement of diagnosis, treatment, and rehabilitation services, with
specialists in all major fields of healthcare, but what sets us apart from other hospitals is
our dedication to specialized tertiary care. Services and treatment processes are
internationally certified by the Joint Commission International, one of the largest and most
respected accreditation agencies for healthcare.
Thailand has long been a premier tourist destination. Its world-renowned, exotic
travel destinations and unique culture has contributed to a steady increase in the number of
annual visitors. At the same time, the demand for internationally accredited healthcare has
also been continuously increasing. With this in mind Thailand has proven itself to be a
significant component of global healthcare.
A PROPOSED SAN JOSE DEL MONTE, BULACAN
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Inpatient Facilities
10 Wards
258 beds, including
4 VIP Suites
1 Day Surgery Ward with 40 beds
1 Intensive Care Unit with 16 beds and 5 HDU beds
1 Neonatal Intensive Care Unit with 14 cots
1 Transplant Unit with 7 intensive care beds, 8 single rooms and 2 two-bedded
rooms
1 Major Operating Theatre with 12 operating rooms
1 Delivery Suite with 9 delivery rooms and a 4-bedded first stage room
Anaesthesiology
Blood Transfusion Services
Cardiology & Cardiothoracic Surgery
Dentistry
Dermatology
Dietary Services
Emergency Care
Endocrinology
Epilepsy Monitoring
Executive Health Screening
Gastroenterology
A PROPOSED SAN JOSE DEL MONTE, BULACAN
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General Surgery
Geriatric Medicine
Haematology
Hand Surgery
Infectious Diseases
Liver Transplant Services
Medical, Surgical, Paediatric, Obstetrics and Gynaecology Wards
Medical Oncology
Minimally Invasive Surgery (MIS)
Neonatology
Neurology and Neurosurgery
Obstetrics & Gynaecology
Ophthalmology
Oral & Maxillofacial Surgery
Orthodontics & Periodontics
Orthopaedic Surgery
Otorhinolaryngology (Ear, Nose & Throat)
Paediatric Medicine & Surgery
Pain Management Service
Pathology
Pharmacy Services
Plastic Surgery
Psychiatry
Radiation Oncology
Radiology Services
Reconstructive Surgery
Rehabilitation Therapy Services
Renal Medicine
Renal Transplant
A PROPOSED SAN JOSE DEL MONTE, BULACAN
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Respiratory Medicine
Rheumatology
Sleep Disorders
Sports Medicine
Therapeutic Radiology
Topical Medicine
Urology
Diagnostic Services
Ambulatory Blood Pressure (ABP)
Ambulatory Electrocardiogram (Holter Monitoring)
Diagnostic Echocardiography (Doppler and Colour Doppler)
Electrocardiogram (ECG)
Electroencephalogram (EEG)
Imaging Services
Radiology and Imaging Services
Bone Mineral Densitometry
Cardiovascular Interventional Services
Computed Tomography (CT)
Contrast Examinations
General Radiography
Fluoroscopic Examinations
Interventional Services
Angiography
Angioplasty
Full Field Digital Mammography (Breast Imaging)
Magnetic Resonance Imaging (MRI)
Ultrasound Scan
Urodynamic Studies
A PROPOSED SAN JOSE DEL MONTE, BULACAN
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Johnsons (1906) says “All architecture is shelter, all great architecture is the design of
space that contains, cuddles, exalts, or stimulates the persons in that space.”
- Philip Johnsons, American Architect
(http://www.searchquotes.com/search/Hospital_Architecture/#ixzz4gPXtmkxf)
Wright (1867) says “Architecture seeks superior sense of use and a finer sense of comfort,
expressed in organic simplicity.”
- Frank Lloyd Wright, Architect
(http://www.searchquotes.com/search/Hospital_Architecture/2/#ixzz4gPaf19IQ)
1.6. • Lack
CONCEPTUAL FRAMEWORKS of hospital in San Jose
INPUT Del Monte, Bulacan
• Research
• Site Assessment
PROCESS • Design Conceptualization
• Design Application
• Architectural Planning
• Architectural plans
OUTPUT • A General Hospital at San Jose
Del Monte, Bulacan
A PROPOSED SAN JOSE DEL MONTE, BULACAN
GENERAL HOSPITAL
Method of Data
Collection
Interview Thesis Site
Problem Assessment
Research
Findings Conclusion Observation
Design
Conceptualizati
on
1. Patients – The main concern and users of the research. Based on observing and
gathering data about them, designing a healing environment can help them
recover faster by the help of nature.
2. Department of Health (DOH) - is the principal health agency in the Philippines.
It is the executive department of the Philippine Government responsible for
A PROPOSED SAN JOSE DEL MONTE, BULACAN
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ensuring access to basic public health services to all Filipinos through the
provision of quality health care and the regulation of providers of health goods
and services.
3. Provincial Government of Bulacan (PGB) – a Philippine Government
responsible for ensuring the basic needs and services in the province of Bulacan.
4. Healing – the process of making or becoming healthy again.
5. Public Hospital – owned by the government and receives government funds.
Provides medical care free of charge.
6. Nature – the phenomena of the physical world collectively, including plants,
animals, landscapes and other features and products of the earth.
7. Healing Environment – An environment that can reduce stress and help to
reduce medical error and hospital acquired infections.
1.9.1. Abbreviations
1. OPD - Out-Patient Department
2. WHO - World Health Organization
3. ER - Emergency Room
1.10. BIBLIOGRAPHY
(http://freshome.com/2012/09/21/10-inspirational-and-architectural-lessons-from
zahahadid/)
(http://www.searchquotes.com/search/Hospital_Architecture/#ixzz4gPXtmkxf)
(http://www.searchquotes.com/search/Hospital_Architecture/2/#ixzz4gPaf19IQ)
http://www.herg.gatech.edu/Files/ulrich_role_physical.pdf
Guidelines in the Planning and Design of a Hospital and other Health Facilities (2007).
Manila: Department of Health
National Building Code of the Philippines. (2007). Quezon City: Vicente B. Foz
http://www.bullfrogfilms.com/guides/biodguide.pdf
http://uvadesignhealth.org/docs/blog/hospital-in-a-garden-by-timothy-beatley
http://health.usnews.com/best-hospitals/area/wa/legacy-salmon-creek-hospital-6910013
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http://bulacan.gov.ph/sjdm/history.php
http://www.marilao.gov.ph/index.php?p=history_sjdm
http://www.sciencedirect.com/science/article/pii/S0360132312001758