Negotiation in Design: The Participatory Process in Designing Healthcare Facilities of a Public Hospital
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Creator 1. Soranart Sinuraibhan
2. Tanasi Samphantharak Petyim
3. Saithiwa Ramasoot
4. Supreeya Wungpatcharapon
5. Kuanchai Kakaew
6. Prowpannarai Mallikamarl
Title Negotiation in Design: The Participatory Process in Designing Healthcare Facilities of a Public Hospital
Publisher Thammasat Printing House
Publication Year 2559
Journal Title Journal of Architectural/Planning Research and Studies
Journal Vol. 13
Journal No. 2
Page no. 85-98
Keyword Built Environment,Participatory Design,Healthcare Facilities,Public Hospital,Well-being
ISSN 1905-2022
Abstract Healthcare policy and organizational system engaging with public health facilities in Thailand are directlyand rigidly controlled by the Ministry of Public Health based on its centralized practice. As part of the inflexiblesystem, public hospitals across the country are forced to accept standardized building designs provided bythe Ministry. Consequently, several hospital buildings cannot respond properly to users' requirements, includingthe needs of hospital personnel. By regarding hospital staff as an important part of healthcare service, thisstudy examines perceptions, expectations and actions provided by a group of hospital users while they tookpart in the participatory design process. The study aims to gain a better understanding of how the participatoryapproach is implemented in design interventions for the improvement of public hospital environments builtfrom standardized designs and run by the centralized organization system. A ninety-bed community hospitalwas selected and used as the setting of this study. Participant observations were conducted while groups ofstaff from a variety of sections in the hospital collaborated with designers through meetings and a series ofactivities to redesign the spaces of the Outpatient Department (OPD). The study shows that the hospitalpersonnel expressed their needs to change their standard workplace to a more supportive environment inwhich work performances and their well-being are fostered. Also, the participatory approach allows two-waylearning dialogues between hospital personnel and designers. The approach provided opportunities to thepersonnel to share their experiences with their colleagues and learn more about their workplace. Furthermore,it reflects that the negotiation process is a key to the success of the improvement of the hospital's builtenvironment. The causes of negotiation in a wide range of forms and scales are possibly involved in the designprocess.
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