LUNG CENTER OF THE PHILIPPINES - CENTRAL LUZON: A PROPOSED HOSPITAL SPECIALIZING IN RESPIRATORY DISEASES THROUGH THE APPLICATION OF BIOPHILIA AS A SALUTOGENIC APPROACH IN HEALTHCARE FACILITIES

by: Anjo Obciana
Technological Institute of the Philippines

Summary 

In the Philippines, the surge in lung-related diseases is no different from what is happening worldwide. As stated in the Philippine Health Statistics (2019) by the Department of Health (DOH), Acute respiratory tract infection ranks first as the predominant cause of morbidity, accounting for 1,164,944 cases overall. This is followed by Pneumonia in the 6th spot and Bronchitis in the 9th spot. Even before the start of the COVID-19 virus, illnesses in the respiratory system are prevalent in the country. In fact, the Lung Center of the Philippines (LCP) was established in 1981 because these kinds of illnesses were becoming more common. Since the LCP is in Quezon City, National Capital Region (NCR), it might not be easy to get to from other regions that might need special care. Experts and specialists say that these diseases can be prevented and treated with early intervention, health education programs, vaccinations, and quick medical care. Thus, many Filipinos need access to facilities that offer treatment and services for respiratory difficulties. 

Central Luzon- Region III has garnered the most lung related disease cases among all the regions in the country based on the most recent data from Philippine Health Statistics 2019. Moreover, the top three provinces in Central Luzon that are affected by this disease are Bulacan, Tarlac, and Pampanga. 

The proposed project, “Lung Center of the Philippines – Central Luzon” is a subnational of the existing Lung Center of the Philippines in Quezon City. The project is positioned to be a pioneer of specialized care for the lungs in the regional aspect of Central Luzon due to its rising cases as provided by the data from the Department of Health. This is also aligned with the Health Facility Development Plan of DOH, as they are planning to provide more specialty centers among different regions in the Philippines that need it. 

Moreover, it focused on identifying the needed services, accommodations, spaces, and requirements in establishing a specialty hospital for respiratory diseases. It also goes beyond the application of the psychosocially supportive design approach through the application of Biophilia as a Salutogenic design in healthcare facilities. 

Through different design features, highlights, and innovations, the integration of nature and its connection to the users- became the main framework of the approach in designing the proposed project. It veers away from the usual design approach of public hospitals in the Philippines which is bleak, sterile, and intimidating. It took advantage of the Biophilia and Salutogenic approach in making the hospital welcoming and less frightening through different strategies in designing both the exterior and the indoor environment of the hospital. 

Conclusion 

The proposed “Lung Center of the Philippines – Central Luzon” is a regional specialty hospital that will help in addressing the rising cases of lung-related disease in Region III. This will aid in accommodating patients from its provinces as well as its surrounding regions in acquiring services for lung health interventions. Through state- of-the-art diagnostics and treatments, the facility will play an important role in promoting lung care among its primary and secondary users. 

The key component in making the hospital work and be effective is the allocation of specific facilities and spaces needed. Different provisions and services that range from outpatient clinics, emergency, radiology, laboratory, rehabilitation, specialized treatments, sleep medicine, thoracic oncology, thoracic surgery, and anesthesia including the administration facilities that help in the smooth operation of the hospital, and also the support amenities that assist on the needs of the equipment and different procedure are some of the key factors that are considered. 

Moreover, the application of Biophilia as a Salutogenic approach was vastly applied through different strategies and design solutions. The utilization of nature as the main theme for salutogenesis became a way to re-envision the typical hospitals in the Philippines. Time spent in nature is an effective stress reliever, according to studies. 

It might decrease blood pressure, lessen stress hormone levels, calm the nervous system, boost the immune system, boost self-esteem, lessen anxiety, and enhance mood. The integration of biophilia and salutogenesis serves as a framework for achieving a sense of coherence that leads to a more psychosocially supportive design that makes healing faster. The introduction of healing gardens, courtyards, interior garden, roof deck garden, and parks are a few of the main components that highlight the approach in the project. 

Overall, designing a specialty hospital while integrating a new approach is quite a challenging task. Aside from the provisions, standards and rules that are applied in the project, a lot of considerations should be made to make the hospital safe, effective, and sustainable. 

Recommendations 

The following recommendations are suggested for related studies in the field of planning healthcare facilities and specialty hospitals: 

• As the population increases, the number of people with lung diseases will likely increase over time. Developing specialty hospitals for the lungs in different regions in the Philippines will surely be beneficial in the future. Health facilities in the Philippines should also be proactive in the surge of the diseases such as the ongoing COVID-19 Virus, with this, the need for additional beds and health facilities will be a demand. 

• Integrating international standards in planning a healthcare facility as well as world-class services for lung care is also suggested to ensure that the hospital will cater to the needs of the users. Technologies and innovations should also be applied and considered. 

• The application of Biophilia and Salutogenesis should go beyond the physical features that can be incorporated into the design. The effects on the psychological and emotional aspects of the users should be well thought out to ensure that the design solutions will be applicable and effective to the given context. 

• Choosing materials that are sustainable and cost-effective will be a great way in reducing the cost of the development. Although public hospitals should be low in cost, the aesthetic of the design should still be a primary feature since the indoor and outdoor environment of the facility will dictate how will the users respond and take in their surroundings. 

• It is also advisable that student researchers also consult with health facility planners as well as doctors or any stakeholders who have first-hand experience with how a hospital works. 

• Other factors to consider that can further improve health facility planning are: building biology, thermal factor, field of comfort, comprehensive building systems and detailed building technologies.

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