改造后的安達醫院

上海安達醫院創建于上世紀四十年代，前身是上海第二十八棉紡廠的衛生所，是一家綜合性的老牌民營社區醫院。經過多年數次的改建與加建，醫院由多座結構形式，樓層高度不同的建筑交錯組成，面積約6200㎡，實際開放床位500床。

Anda Hospital is an established private community hospital, founded in the late 1940s. Every building in Anda Hospital has undergone many transformations in different times. It is composed of many buildings with different structure forms and different floor heights.The hospital has an open bed of 500, though small in size, with a full range of departments.

改造前的安達醫院

通過對醫院的走訪，我們發現，項目立面與緊鄰的上海第一婦嬰過于相似，無法正確找到醫院的入口；原有院區基地面積過小，原本的公共廣場被救護車占用，出入口人車混流，交通組織混亂；長期的改建與加建導致醫療流程不得不屈就與舊的格局，空間利用不合理，自然采光與通風也不盡如人意。

We found that the facade of the project is too similar to that of the neighboring Shanghai First Maternity and Infant, and the entrance of the hospital cannot be found correctly.The entrance and exit are mixed with people and vehicles,the square is full of vehicles and lack of necessary outdoor public space.

各部分建筑年代、結構形式示意

重建、改造和保留部分的示意

在這樣的條件下，醫院每一次的改擴建既是對原本流線與空間的提升，又是對院區總體功能構成的平衡，就醫環境的改善。而在改造的過程中，維持醫院的日常運營，無疑是對設計師提出的更高的要求。

The object of this renovation is the outpatient and emergency building. The inpatient building and the laboratory are kept as they are. The key problem of the elevation renovation is how to not only reflect the new quality, but also integrate with the old building.In the process of transformation, maintaining the daily operation of the hospital is undoubtedly a higher requirement for the designer.

服務于社區的安達醫院與以往新建或遷址項目不同，它不能通過以重新構建完整的功能與空間設計框架為始，從而自上而下的實施一以貫之的設計理念，而是需要從細節出發，以關愛社區居民與醫護人員為目的，用精益化的思維針對每個具體的問題提供針灸式、針對性的解決方案。

The redevelopment of Anda Hospital cannot be designed by building a complete functional and spatial design framework，and then implement a consistent design concept from the top down; rather, it needs to be like acupuncture, provide solutions for each specific problem.

需要改造的門急診部分僅5000平?，設計重新梳理醫療流程，對醫院的總體格局進行調整；策劃從施工階段開始，醫院功能的調整和流線的布局，并通過情景模擬的方式，讓醫院的各個功能科室參與到設計的過程之中。

Although only 5,000㎡of the outpatient and emergency area needs to be renovated, the design aims to optimize the overall process and environment of the hospital, and ensure the normal operation during construction. From the overall situation, the layout of the hospital has been adjusted; the function and streamline of the hospital during the construction phase has been planned; and the various functional departments of the hospital are involved in the design process by means of scenario simulation.

模擬照片

設計將?診與醫技單元模塊化，每個模塊由護?站，候診廳和診室組成，通過一條寬4m的透明的醫療街將各個模塊串聯，提升醫院內部空間的可識別性，緩解了內部空間不足帶來的局促感。

The design modularizes the diagnosis and medical technology units. Each module is composed of a nursing station, a waiting room and a consulting room. The modules are connected in series through a transparent medical street with a width of 4m, which improves the recognizability of the internal space of the hospital and relieves The cramped feeling caused by the lack of internal space.

改造內容示意圖

門診單分析圖

通過梳理門急診區就醫流程，加強了醫院內部各相關功能的聯系：增加外部的環形?棚將原本分離的門急診樓、住院樓、高壓氧艙、中心供應室等聯系起來；通過連廊加強各門診部與住院部的聯系。

By sorting out the medical treatment process in the outpatient and emergency department, the relationship between the relevant functions in the hospital is strengthened: an external ring shed is added to connect the originally separated outpatient and emergency building, inpatient building, hyperbaric oxygen chamber, and central supply room; strengthened by the corridor Contacts between outpatient departments and inpatient departments.

為了保證改造期間醫院能夠維持正常營業，設計利用?北側空地建造臨時?診，將入口廣場?場南側設置為救護?與??通?廊道，北側為施?堆場。

In order to ensure that the hospital can maintain normal operations during the renovation period, We use the triangular open space on the northwest side of the hospital to build a temporary clinic, dividing the entrance into two areas. On the south side is a corridor for ambulance and pedestrian, and on the north side is a construction yard.

設計需要在不到2000平?的三角場地內安置一座500床的門急診樓，因此我們通過精細化的設計，從提?空間組織效率和空間視覺優化兩??入手，既滿足功能房間的增加，又讓空間尺度更加宜人。

The design requires a 500-bed outpatient and emergency building in a triangular site of less than 2,000㎡. Therefore, through refined design, we start with improving the efficiency of space organization and optimization of space vision, which can meet the increase of functional rooms，and make the spatial scale more pleasant.

在功能空間組織上，設計利用不同功能高峰時段的時間差，合理合并主入口分診、掛號/取藥、門診服務和出入院辦理等多項功能，面積擴大為原來的三倍；將輸液室與急診大廳連通，在功能上可以起到應急互補的作用，連續開闊的大空間也顯得通透開闊。

The main entrance hall integrates multiple functions such as triage, registration, medicine, outpatient services, hospital admission and other functions, making the area three times the original. The peak times of these functions are different, saving space and not being crowded at any time. Out-patient hall and emergency hall are horizontal connected. Looking indoors along the entrance square, the continuous large space appears transparent and open.

設計中對小尺度的空間也進行了極致、精細的安排。由于門診單元尺度不大，設計簡取消走廊上的二次候診，縮小走廊尺度，增加集中候診廳面積，避免因二次候診帶來的流程混亂與空間浪費；在保證診室功能需求的前提下，通過精細化的設計，在簡化就診動線的同時，縮小空間尺度。

The small-scale space is well arranged without any waste through fine design. For example, the consultation bed is adjusted from the back of the traditional consultation room to the back of the door. This adjustment not only clearly divides the area of the doctor and the patient into two parts, but also while simplifying the flow of medical visits,reduces the size of space.

在空間的視覺感受上，設計利用雨棚、玻璃、燈膜和自然光等元素區分各功能空間，引導空間秩序，避免因無序或擁擠帶來的空間局促感。大面積的落地玻璃模糊了室內外空間的界限，延展的視線在一定程度達到擴大空間的作用。

In terms of spatial visual experience, the design expands the visual experience through elements such as awnings, glass, lamp film, and natural light. For example, the long side of the outpatient and emergency hall unfolds along the entrance plaza. The large floor-to-ceiling glass and the horizontal extension of the outdoor canopy engrave the boundary, thus enhancing the connection and enlarging the visual sense of the hall space.

室內設計充分考慮醫患的就診體驗，在主要的公共空間，嵌入直飲水機與充電寶租借位；視線無阻的環繞式護士臺，造型獨特，便于給患者更好的識別，空間的轉角與臺面進行柔性處理，尺度舒適，光線明亮的細節設計，也給醫護人員更多的關心；廊道中各功能空間的標志也做了可更換式處理。

The majority of the patients served by the Anda Hospital are community residents. The improvement of the quality of hospital space needs to be embodied in humanized details. For the convenience of patients, each waiting room is designed with a built-in direct water dispenser; a place for renting and charging equipment is provided in public space; each corner is softened with an arc to avoid patients being knocked; a unique shape of nursing table not only make it easy for patients to locate, but also protect the safety of nurses in their work.

在空間氛圍的營造上，室內空間采用冷暖結合的方式，白色的燈光、頂面與地面突出醫院的潔凈感，點綴暖色調不銹鋼金屬型材，凸顯醫院溫馨、自然放松的氛圍。

In terms of space atmosphere, the design aims at warmth, comfort and simplicity. Unlike general hospital interiors which are mainly made of cold tone, Anda Hospital's interiors use a combination of cold and warm. The white lighting, top surface and ground highlight the cleanliness of the hospital. The warm-toned stainless steel metal profiles are embellished to highlight the warm, natural and relaxing atmosphere of the hospital.

在外立面的設計中，主體選擇與住院部顏色相近的米黃色材料統一醫院的形象，結合銅色金屬鋁板打造標志與特色，凸顯建筑張力；為了紀念原有的青磚式建筑，設計保留建筑坡屋頂形態與沿街三角庭院，采用青磚紋樣式穿孔鋁板作為建筑的立面。

The new building adopts Spanish cream-color limestone as its exterior material, which is similar to the exterior of inpatient department. The copper-colored aluminum panels decorated on the wall make it different from the First Women and Children's Hospital nearby, forming a unique image of Anda Hospital which is also easy for way finding.

整個改造過程中，安達醫院沒有歇業過一天，新?診樓竣?的第?天，就投?使?，真正做到了無縫銜接。項目交付后，我們又進行了多次的回訪，得到最多的反饋是：整體形象、品牌感和標志性強了；空間更加寬敞，出入口和內部流線清晰明了，效率與品質也得到了提升。

During the entire renovation process, Anda Hospital has not closed for a day. After the outpatient and emergency building was put into use, we conducted several return visits to ask the opinions of patients, doctors and hospital administrators. The most common feedback is that the overall image, brand sense and logo are strong; the entrances and internal flow are streamlined; The space is more spacious; the efficiency and the quality of the space are improved.

回訪中，經常看見住院部的家屬推著的老人在醫療街二樓散步，在窗口看夕陽。患者和家屬能夠在這里感到舒適和放松，是我們設計師最大的欣慰。

During the return visit, I often saw the elderly pushed by the family members of the inpatient department walking on the second floor of Medical Street, watching the sunset from the window. Patients and their families can feel comfortable and relaxed here, which is the greatest comfort of our designers.