Identification of physical environment problems to create participatory design guideline the case of Maewang hospital, Chiang Mai province
Keywords:
community hospital, participatory design, healing environment, content analysis, COVID-19Abstract
Meawang hospital is one of Chiang Mai community hospitals providing secondary care and services. The hospital performs under supervision of Thailand Ministry of Public Health. Maewang outpatient department (OPD) building was built using Ministry of Public Health building standard called OPD building standard No. 3130. The OPD building was built in the 90s and it is in use for services for more than 30 years, which lead to building dilapidation. Moreover, the building has been through several expansion and renovation processes without any concern of environmental impact including the prevention of transmitting and spreading of COVID-19. This study was conducted using observation technique to identify problems in relation to physical setting of Maewang OPD building. Later, architectural plan analysis was conducted followed by interviews with 10 medical staff. The interviews were conducted to obtain insights regarding users behavior in relation to hospital design standards. Obtained data was analyzed using content analysis. Findings showed 5 main factors regarding physical environment problems that can be concluded as ; (1) factors leading to the accumulation of pathogens (2) protocol and measurement to prevent spreading of pathogens (3) OPD service processes (4) renovation plan for the OPD building (5) prevention of accumulation of pathogens in the OPD clinic. Obtain insights can be used as part of participatory design guideline, where hospital policy maker, hospital planners, architects and engineers can use the information for future design development of the hospital. The design guideline is catagorized by each zone of the hospital building.
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