A Prototype for a Mobile Peritoneal Dialysis Unit, Case Study of Lamsonthi Model, Lopburi Province

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Soranart Sinuraibhan
Saithiwa Ramasoot
Supreeya Wungpatcharapon
Kuanchai Kakaew

Abstract

Chronic kidney disease has been a major health problem in Thailand as confirmed by the growing number of patients every year in every region. Reports pointed out that poverty and difficult access to public hospitals are among factors that prevent underprivileged kidney disease patients in rural areas from receiving proper medical treatments. Frequent visits to the nearest haemodialysis center are not always affordable, while many dwellings do not meet hygienic standard for home treatments. A mobile peritoneal dialysis unit invention was then initiated by Lamsonthi Hospital, Lopburi, as a part of alternative services known as “Lamsonthi Model” in attempt to fill in service gaps and transform healthcare provisions to fit specific conditions in rural villages. Researched and designed by the Built Environment for Health research unit of Kasetsart University, the prototype was developed through participatory design process between designers, patients and multidisciplinary staffs from Lamsonthi Hospital to create an integrative design outcome responsive to sensitive conditions. With emphasis on affordability and movability, the final design proposed a budget foldable prototype that can be transported in a truck and installed at any location, and later movable to another place to service another patient in need. The unit accommodates wheelchair access and is equipped with sanitary and lighting systems. The post-occupancy assessment of the prototype installed for a 25-year-old male patient at his village home since September 2017 suggested that the unit is able to support required peritoneal dialysis procedures and deal with limitations of rural home environment for the medical treatments. While the prototype still needs further development on material weight and interior environmental comfort, the invention represents a convergence through multidisciplinary approaches to transform healthcare services and encourages awareness of the necessary collaborations between medical discipline and built environment. At the same time, it demonstrates an alternative community-based approach toward specific problems in healthcare that cannot be solved by the traditional system alone.

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References

Albert, S. M. (2010). Impacts of cultural, social, and community environments on home care. in The role of human factors in home health car: workshop, Washington, DC: The National Academies Press.
Borasi, G. and Zardini, M. (Ed.) (2012). The medicalization of architecture. Germany: Lars Muller Publishers.
Despommier, D. and Chen, S. X. (2004). Medical ecology. Division of environmental health sciences, Mailman school of public health at Columbia University. [Online]. Retrieved February 12, 2018, Retrieved from http://www.medialeology.org/.
Gotschi, E., Delve, R. and Freyer, B. (2009). Participatory photography as a qualitative approach to obtain insights into farmer groups. Field Method, 21(3), 290-308.
Natakun, B. and Teerapong, K. (2014). Social design enterprises in Thailand: potentials and challenges. Journal of Architectural/Planning Research and Studies, 11(1), 119-136.
Nissenson, A. R. and Fine, R. N. (Ed.) (2017). Handbook of Dialysis Therapy. Elsevier.
Pateman, C. (1970). Participation and Democratic Theory. Cambridge: Cambridge University Press.
Sanders, EB-N. and Stappers, P. J. (2008). Co- creation and the new landscapes of design. Co-design, 4(1), 5-18.
Sanoff, H. (Ed.). (2007). Special issue on participatory design. Design Studies, 28(3), 213-215.
Schneekloth, L. H. and Shibley, R. G. (2000). Implacing architecture into the practice of placemaking. Journal of Architectural Education, 53(3), 130–140.
Till, J. (2005). The negotiation of hope. In Jones PB, et al. Architecture and participation. Oxon: Spon Press.
Till, J. (2006). The architect and the other, [Online]. Retrieved January 12, 2018, Retrieved from https://www.opendemocracy.net/.
Wibulpolprasert, S. (Ed.). (2008). Thailand health profile 2008-2010, [Online]. Retrieved March 26, 2018, Retrieved from http://wops.moph.go.th/ops/thp/thp/en/index.php
Wilkinson, R. G. (1997). Comment: income, inequality, and social cohesion in American. Journal of Public Health, 87, 1504-1506
World Health Organization. (1948). Preamble to the constitution. Geneva, Switzerland.