Närsjukhuset - Fysisk struktur för patientfokuserad vård
Licentiatavhandling, 2012

Access to healthcare and medical treatment is essential in the society of today. Th e optimisation of resources has a great impact on architectural design, the location of facilities and access to health services. Lack of skilled staff in the healthcare sector will considerably aff ect the organisation and the design of facilities. Th e purpose of this thesis is to analyses the proper level of service that Integrated Care can be related to the aim and cost for the society with easy access for patients to the healthcare facilities. It is important to determining the location of new healthcare facilities and the opportunities for making use of existing care facilities. Th e objective of my research is to explore the concepts of primary healthcare, horizontally integrated care and local hospitals to determine what infl uence these concepts have on the development of healthcare facilities. Th ere are a variety of interpretations of the meaning and content of these terms, and that dissent impedes the communication among organizations, companies, and individuals. As a fi rst step, I have gathered various interpretations of the concepts, analyzed them, and presented the most widely accepted defi nitions, interpretations, and understandings based on the data collected. Among those who use the terms, I have selected three areas of healthcare and interviewed representatives of each about how their interpretation of the concepts infl uences their view of what kinds of healthcare facilities are needed. From this material I have compiled a number of demands on the location and design of facilities for primary healthcare. I have studied the consequences of placing these demands on existing facilities at smaller hospitals in Sweden. My work is based on the empirical data I have collected through a questionnaire, in-depth interviews, the basis-of-design documents and programming issues provided for commissions to design several Swedish local hospitals(community hospital), and a survey of literature in the fi eld. Presenting various interpretations of the concepts can help people who work in diff erent organizations within the healthcare industry to better understand one another. By showing examples of how various aspects are accounted for diff erently in locating and designing facilities, we can improve the understanding of existing facilities’ serviceability as local hospitals. Th e operational demands that horizontally integrated care services make on their facilities should be clarifi ed, and the pros and cons of existing facilities should be analyzed and compared with the opportunities aff orded by new construction.

Primary care

primary care center

horizontally integrated care

healthcare facility

facility development

community-based healthcare

intermediate care

community hospital

local hospital

primary healthcare

Norra Ateljén, Chalmers Arkitektur, Sven Hultins gata 6, Göteborg
Opponent: Professor Johan Calltorp, Nordiska högskolan för hälsovetenskap


Anders Melin

Chalmers, Arkitektur


Hållbar utveckling


Building Futures



Norra Ateljén, Chalmers Arkitektur, Sven Hultins gata 6, Göteborg

Opponent: Professor Johan Calltorp, Nordiska högskolan för hälsovetenskap