It is a focal point that the expanded internal and external environments of health clinics in towns and townships form a complete set

It is a focal point that the expanded internal and external environments of health clinics in towns and townships form a complete set
The country increases by 4,800 million yuan newly and supports service system construction of rural hygiene, 4 among them recently. 9,100 million yuan is used in reconstruction and extension project of house of business of rural health clinics in towns and townships, make the health clinics in towns and townships obtain the unprecedented opportunity for development. The author of this text has investigated the construction states of more than 200 health clinics in towns and townships, specially ask him to write articles to put forward the suggestion on the business expanded planning and design of house of health clinics in towns and townships today. Guangdong modern architecture ( Hospital) Design chief architect one nine with advisor limited company to study in recent years, Ministry of Public Health has carried on the model construction of pilot project of the building of health clinics in towns and townships in some provinces, municipalities and autonomous regions, have made the good result, has played positive drive and exemplary role. But look wholly, building construction quality criteria and institute's internal and external environments of health clinics in towns and townships have significant disparity to form a complete set etc. compared with urban hospital, still cause anxiety in scale and demand, function and using, equipping and technology,etc.. To the attention of construction of health clinics in towns and townships with the country, the construction input of the guarantee medical service facility of the basic unit is strengthened, relevant personnel such as the administrators of the health clinics in towns and townships and Ministry of Health, architectural design,etc., need to have a more comprehensive understanding on the buildings of the health clinics in towns and townships. Question page " go in for grandiose projects " Make a lot of trouble room multi-purpose little general wasting phenomenon disorderly overall arrangement to stress question the intersection of shop front and room hire out, destroy the intersection of integrated environment and one the intersection of level and relatively high designing institute in recent years The design joining in getting to the health clinics in towns and townships with the professional building designer explores and in innovation, have promoted the improvement of the building level of health clinics in towns and townships. But the newly-built commune hospital still has many problems. If the scale is not appropriate, the design is unreasonable, the quality criteria of the project is low, make the fund invested not make the best result, defect that can't be remedied that some even appear. Some commune hospital on one hand fund in short supply when being expanded, unrealistically compare each other with some at county level hospital on the other hand, compared with the situation that the large hospital of the city climbs Therefore expand construction scale, making the quality criteria low, " small and comprehensive " with bad overall arrangement blindly The commune hospital still can be seen everywhere. Trace it to its cause, since" go in for grandiose projects " that some administrators exist Idea do mischief, be geared to actual circumstances as some, had some relations at unreasonable design. It is very uneven that the economy of generally more regional villages and towns of multi-purpose few wasting phenomenon of the room is developed, the state disparity of building of the health clinics in towns and townships is very great too. Newly build, transform on a large scale through several times, though there is greater change generally in the building state of the commune hospital of our country, but for various reasons, every area is still quite keeping a batch of houses many and utilizing the few with confused overall arrangement commune hospitals. The construction characteristic of the commune hospital of this type is roughly as follows: Floor area large and house utilization ratio low and berth many and patient the common characteristic of commune hospital. The floor area that said herein is large, it is partial and little to refer to some villages and towns on the basis of factors such as the population, economy, position,etc. actual demand to the hygiene medical facilities, but the commune hospital has taken the land of very large area, has built many houses, but the actual utilization ratio of the house is very low, give somebody an empty and hollow sense. Some commune hospitals newly build, extend blindly, thus lead to the fact the whole commune hospital seems crowded and disorderly. Lead to the fact some floor area of health clinics in towns and townships leans towards largely, reasons why the utilization ratio of the house is low are in many aspects, the main one is that the commune hospital imitates the general hospital, pursue the small and comprehensive function to set up. Some confirm first a total berth is counted, then make the scale according to the berth, and leave the actual need alone, pursue and build more rooms, build the large room simply, few pieces of medical personnel in fact too. Even there is much medical personnel, there are no too many patients, therefore cause the idle house, the sick bed is put idly. The overall arrangement disorderly is to stress the question Newly build, make a change to middle period of the 1990s will it be middle period the eighties ' Expand) The commune hospital built, its overall arrangement is unreasonable, the building standard is low remains the comparatively general current situation. In quite some health clinics in towns and townships, we are easy to see a building here, a room there, big and small, scattered, the state of the overall arrangement disorderly, this has caused the function to be sectional and unreasonable directly, therefore interfere with each other and outstanding problem of this kind of commune hospital of cross infection. Even the commune hospital completed for use in the past 10 years, even there is commune hospital built, still adopting every one, several rows of military camp type building levels and open single verandahs of assigning, a shape, this all cause many drawbacks to using and overall arrangement. The shop front room has hired out and destroyed the integrated environment Some commune hospitals are in order to pursue the street benefit, " The economy of the road " ,Or one word lay along the street the intersection of main business lines and house, some hire out, act as the shop ground floor even, this not only causes because the building level that the space size is similiar to bringing is dull, lack the regret of aesthetic feeling, furthermore make the entrances and exits of the commune hospital crowded to capacity, the consulting room, ward suffer enough from the noise pollution, give and use the discomfort and extravagant causing a great deal of respects. Propose one transforms the shabby facilities of key house and does not form a complete set Plan to stress the characteristic country of natural environment in order to spur the domestic demand, is increasing the input into the health clinics in towns and townships in main point, accelerate the expanded efforts of commune hospital. Build the existing problem on the basis of the health clinics in towns and townships, advise all parts to pay attention to solving the following problems. Transform shabby facility related house shabby key house, facility simple and crude it forms a complete set to be commune hospitalling comparatively general current situation by the intersection of water and electricity and facility. Some of this kind of commune hospitals utilize the old house in the past to transform, project quality is poor, the building standard is low, house facilities and the medical apparatus have been already more outmoded and lagging behind on the whole, furniture tattered suitable, most auxiliary facilities do things simply and thriftily. Still some commune hospitals build in 70- 80 times of last century, the house has been used for many years, has lacked maintenance, the sanitary condition is bad, give somebody the decayed and ruined feeling. Some villages and towns still lack the complete water and electricity pipe network system, the commune hospital can only dig well and fetch water or utilize the shallow well to supply water in situ by oneself. There is not a sewer pipe network, the condition discharged after there is no sewage disposal and concentrate on dealing with in the locality, the commune hospital can only set up the outdoor toilet on land, the outdoor toilets and distances of main building are relatively far, it is cold, hot in summer in winter. As measure more bad smell have, can't deal with the excrement and urine and offal effectively either toilet. States of the facilities of this kind of commune hospital have already all brought the inconvenience to patient and medical personnel, bring the harmful effects to commune hospital and peripheral environmental sanitation again. Even there is not a complete heating system in the commune hospitals of some cold areas, the commune hospital builds boiler and centralized heating system by oneself, the cost is higher, the bad commune hospital as to income is difficult with The basic operation expenses keeping heating, so can only burn the coal stove and get warm indoors, this unsafe hygiene, the result of getting warm is bad too. There is no area of heating in the South, Central China, southwest area, it is dark and damp and cold in winter, it is able to bear that it is sultry and difficult again in summer. The commune hospital is as providing the place of health service for patient's directness, the environment that but can't offer service of adapting to for the patient. Some commune hospitals try to adopt the solar energy or electric membrane heating of the passive form in the design too in recent years, this is a method too. Some commune hospitals do not have special disinfection supply room, the X-ray computer lab has not set up the radiation protection measure according to the regulation either. The design and construction of operating room and delivery room is unstandard, the hidden danger that infects exists, the ones that stood Xia Dong are scorching and clammy too. Some special houses are not rational either to use the procedure, the patient's personal secrets can not be protected. In addition, what we should pay close attention to is, the villages and towns are not furnished with the life residential communities that comparatively concentrate as some urban hospitals; Generally there is not a business building district developed in the villages and towns site, a lot of health clinics in towns and townships can only solve the quarters for the single not so badly, the life having no ability to solve the worker lives in the house. The staff with relatives crowd one in the quarters for the single, or rise in one in the medical district of business room not so badly, cause mutual mixing, the result is not the hospital like the hospital, the family is not like the family. So, how the worker inhabits the house in life to solve a problem that is construction of commune hospital. Plan to stress the natural environment characteristic at present in main point, the berth scale of the health clinics in towns and townships does not mostly even have the sick bed under 100 beds. 20- The small-scale commune hospital takes the overwhelming majority again in 60 beds, in fact this part of construction of commune hospital has reflected the basic state of the national health clinics in towns and townships too. So, we should follow the actual demand of different area, different villages and towns, according to the principle suitable, applicable and warm in scale, suit measures to local conditions, rational planning overall arrangement, build out the comfortable and warm commune hospital with beautiful environment. Some commune hospital of place though small, relatively loosely area, with beautiful environment in geography,it is under construction can because make use of momentum, adopt by lower or multi-layer village, courtyard, villa-style to make by mode up; Incorporate the commune hospital in nature and village, in order to fully utilize and stress the natural environment characteristic. The area of some commune hospitals is tight slightly or receive a lot of restrictions, combine the topography in construction, compactness assign, create, make mistakes, fall multi-level space environment sent to to have, have made the satisfactory result too. These commune hospitals are while controlling the construction scale and quality criteria of the project rationally, also especially pay attention to facilities such as water, electricity, warm, fire control,etc. and form a complete set completely; And build building space and medical environment with pleasant environment from many aspects, offer the comfort environment of the urban hospital to patient even is superior to, it is relatively less to give play to patients of health clinics in towns and townships, the advantage not so crowded and noisy as the urban hospital, make it really content with the place to cure the disease, cultivate the moral character and nourish the nature as the suitable patient.

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