Wednesday 1 October 2014

Site visit and analysis to Klinik Desa Kampung Melayu Subang

Klinik Desa Kampung Melayu Subang

Klinik Desa Kampung Melayu Subang (view 2)

Klinik Desa Kampung Melayu Subang (view 3)

Surrounding neighborhood

Surrounding neighborhood

Sketched Building layout plan

 New waiting area
 New waiting area

The waiting area at the core zone is too crowded and out of standard ergonomic dimension.

Children is seating on the floor of walkway to play

 Waiting area & Nurse checking area
Waiting area & Document storage area

4 steps up to the old existing building

 The outdoor toilet to the building entrance.
The floor is wet when raining it may too slippery for the user.
Water leaking problem at the cover of the path way from toilet to the entrance.
The louvers window and the container is leave dry at here.
\Site review

Wednesday 17 September 2014

Amended Learning Agreement



LEARNING AGREEMENT

1. THE CHOSEN SITE & RESEARCH TOPIC/ISSUES 
    Main chosen site       :  Public health care building in Malaysia – Rural clinic.
                                            1. Klinik Desa Teluk Kumbar
                                                2. Klinik Desa Gelugor
                                                3. Klinik Desa Permatang Tinggi
                                                4. Klinik Desa Jalan Ketoyong (Tanjong Malim)
                                                5. Klinik Desa Ulu Bernam
                                                6. Klinik Desa Damansara
                                                7. Klinik Desa Kampung Melayu Subang
                                                8. Klinik Desa Kesihatan Kajang
                                                9. Klinik Desa Broga

    Issues                       :  Current public rural clinic in Malaysia do not inspire the people. It is
                                         a space to fill in the user for example patient, doctors, nurses,
                                         visitors and etc.  
                                     :  The unwelcoming façade, square boxes space of current health 
                                        care building and old and broken amenities do not motivate the 
                                        user.
                                     :  Private health care in Malaysia is having more patient percentage
                                        than public health care however the public health care in Malaysia
                                        is much more cheaper than private health care.

    Aim & objective         :  To identify, study and understand the problems that facing by 
                                         current public rural clinic in Malaysia and analyses the human 
                                         experience in the public health care building by using human 
                                         senses.
                                      :  To study the basic criteria of a good health care building and
                                         propose new ideas that able to add value in public health care 
                                         building by considering local context and costing.

  Title                             :  Revitalization Malaysia’s public rural clinic with considering 
                                         the users experience and propose an economically design.


2. OUTLINE OF REPORT 


Introduction:
i) The history and purpose of rural clinic.
ii) Type of user of health care premise.
iii) image of rural clinic to the citizen.
iv) Problems that public health care in Malaysia facing.


First chapter: The existing rural clinics and the people voice
i)  Site visit to Malaysia rural clinics to observe the current conditions and have a 
    quick interview with the user to understand the needs and current user experience. 
    Site synthesis will be produce to understand the current problem.
ii) Survey form given to the public
iii) Summarize the interview and survey on the feedbacks on the impact or human 
    experience of current public health care on the user.
iv) Analysis of current public health care buildings and design. Explanation with 
    using 5 senses of the dwellers experience.
   The 5 senses as below:
  - Haptic (touch)
  - Views (sight)
  - Thermal comfort
  - Hearing
  - Smell
  Dweller will experience the space with all their sensory. In the same time this 
  is one of the things that will draw the dweller interest on the space or make
  the dwellers remember the place. For example when we smell the taste 
  of medicine we will understand it is a health care place.


Second chapter: Case study on the global health care center and local 
                             building guidelines for rural clinics
i) The good example of health care center globally and locally.
   - give examples and also analyze with 5 senses as mention about.
   - Explain how their design benefits the user by considering the local context?

ii) Current norms and guidelines from ministry of health Malaysia. This guidelines
    will affect the planning, design, equipment and the operation of hospital directly.


Third chapter: The basis criteria of the buildings and the ways to improve
Space, Light and ventilation is a basis criteria for a building same as the rural clinics. Most of the rural clinic was built 40-50 years ago; some even was built before Malaysia independent day. Some basis requirement of a space might change throughout the years. Therefore base on the site observation and analysis some revitalize ideas on the basis requirement of rural clinic will be proposed and explain as below:

i) Space (spatial planning)
     ~ Type of space needed
     ~ Suitable size for the space
     ~ Space relation, configuration and orientation

ii)  Lights
     ~ Openings to allow sun shades
     ~ Shadow that cast in may bring the place more lively and exciting.
     ~ Thermal insulation design (To ensure artificial lights and natural light 
        do not affect the indoor thermal control)
iii) Ventilation
     ~ Openings to allow cross ventilation (cross air ventilation will help to
        reduce the active air ventilation, and also allow fresh air in order to 
        keep thermal comfort.
     ~ Active and passive ventilation
     ~ Thermal insulation

Explanation method
* Why and how of the ideas with beneficiary the users and the building itself.
* How it is implement.
* The implementation will explain and analysis based on the human 5 sensory.


Fourth chapter: The additional design element to improve the space and
                            give identity
Additional design elements that needed to upgrade the basic rural clinics.

i) Acoustic design (excellent acoustics plays key role in ensuring the patient 
   can be completely at ease and ensure of proper rest.)
   - To increase impact resistance design.

ii) Material used from floor to ceilings
    - Why the material is chosen and the beneficial to the space, user and 
      maintenance of applying this material.
   
Explanation method
* Why and how of the ideas with beneficiary the users and the building itself.
* How it is implement.
* The implementation will explain and analysis based on the human 5 sensory.


Conclusion:
Summaries the paragraph and provide a conclusion.


2. RESEARCH PLAN AND METHODOLOGY


Item
Books
Proposal start date
1
Roger,Y. 2002. Health Care Spaces. New York, 1st ed, Visual Reference Publications, Inc.
20th  April 2014
2
Christine,N,W. Hans,N. 2006. The New Hospital. Page One Publishing Private Limited.
25th April 2014
3
Philipp,M. 2014. Construction and Design Manual Medical Practices; Public health care. Dom Publishers
2nd May 2014

Websites

4
Health Care Systems and Solutions
http://www.gyprocmalaysia.com/systems/segment/healthcare
23rd April 2014
5

Blueprint Development Of The Health Sector Reform And Transformation

http://www.undp.org.my/
15th May 2014
6
Why is government helping private hospitals?
http://www.freemalaysiatoday.com/category/nation/2011/07/24/why-is-govt-helping-private-hospitals/
15th May 2014
7
Hospital Kuala Lumpur
http://hospitalmalaysia.com.my/
22nd April 2014
8
Mayo Clinics
http://www.mayoclinic.org/
22nd April 2014
9
Good Health Care by Design
http://www.thehastingscenter.org/FableEssays/
27th May 2014
10
Health care Design Regulations: The Good, The bad, and the ugly
http://www.healthcaredesignmagazine.com/blogs/bsa-lifestructures/healthcare-design-regulations-good-bad-and-ugly
27th May 2014
11
Re-imagining Patient Care
http://www.hok.com/design/type/healthcare/
27th May 2014
12
Way to good Healthcare design
http://www.buildings.com/article-details/articleid/8804/title/lighting-the-way-to-good-healthcare-design.aspx
29th May 2014
13
Cost Model: Primary Healthcare
http://www.building.co.uk/cost-model-primary-healthcare/3067767.article
5th June 2014

Videos

14
Singapore Healthcare: Building a healthy nation
https://www.youtube.com/watch?v=K_t8k3kO6Hg
27th May 2014
15
Top 25 Countries with The World’s best healthcare systems
https://www.youtube.com/watch?v=pbMOp1qzBMc
27th May 2014
16
Comparing British and US Healthcare systems
https://www.youtube.com/watch?v=BUSU6OsNxQk
5th June 2014
17
Why should care about building design and aesthetics in health care? Mr. Bill Curran
https://www.youtube.com/results?search_query=health+care+building+design
8th June 2014

Guidelines

18
Queensland health; Guidelines for the planning, Design and Building of Primary Health Care Facilities in Indigenous Communities.
15th June 2014
19
UK Health Building Note 00-01 General Design Guidance for healthcare buildings.
1st July 2014

Surveys

20
Question will be set and given to random individual for survey to investigate how the public experience in local public health care buildings.
25th Sept 2014

Interviews

21
Conduct an interview with Dr Tan Wooi Peng (Doctor of a clinic)
14th Oct 2014
22
Conduct an interview with doctors and nurses from public health care.
25th July 2014
23
Conduct an interview with doctors and nurses from private health care
2nd August 2014

Site Visits

24
Site visit to Klinik Desa Damansara
15th Sept 2014
25
Site visit to Klinik Desa Kampung Melayu Subang
22nd Sept 2014
26
Site visit to Klinik Desa Kesihatan Kajang
24nd Sept 2014
27
Site visit to Klinik Desa Broga
24nd Sept 2014
28
Site visit to Klinik Desa Teluk Kumbar
13nd Oct 2014
29
Site visit to Klinik Desa Gelugor
13nd Oct 2014
30
Site visit to Klinik Permatang Tinggi
13nd Oct 2014
31
Site visit to Klinik Jalan Ketoyong (Tanjong Malim)
26nd Sept 2014
32
Site visit to Klinik Desa Ulu Bernam
26nd Sept 2014