Proposed memorial hospital for Culver City, California

49 Pages·01.381 MB·English

by  Hassouna, Fouad Amin Sami

PROPOSED MEMORIAL HOSPITAL
FOR CULVER CITY, CALIFORNIA
A Thesis
Presented to
the College of Architecture
University of Southern California
In Partial Fulfillment
of the Requirements for the Degree
Master of Architecture
by
Fouad Amin Sami Hassouna
January 19$0
UMI Number: EP54691
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This thesis, written by
FOUAD.. AMIN.. SAIH. -H ASSQUNA.............
under the guidance of /z..&SL_ Faculty Committee,
and approved by all its members, has been
presented to and accepted by the Council on
Graduate Study and Research in partial fulfill­
ment of the requirements for the degree of
MASTER OF ARCHITECTURE
Dean
Date JaMCT.1950
TABLE OF CONTENTS
CHAPTER PAGE
I. INTRODUCTION..................... 1
Statement of the problem....... 2
Importance of the s t u d y ....... 2
II. BACKGROUND....................... 3
Classification of hospitals ........ 3
Statistics for hospital facilities • • J4.
III. GENERAL HOSPITAL STANDARDS . .......... 7
The environment of the hospital . . . 7
The patients * relation to the hospital 8
The departments of the hospital • • • 13
IV. ELEMENTS OF CULVER CITY MEMORIAL
HOSPITAL....................... 26
Location of the hospital . . . . . . . 26
Departments of the proposed hospital • 26
V. SUMMARY....................... 38
The problem................... 38
The orientation................. .. 38
The plan......................... . . 38
The air conditioning system... 39
Construction................... lj.0
BIBLIOGRAPHY................................ J4.I
LIST OP TABLES
TABLE PAGE
I. Elements of the Administration Department 28
II. Elements of the Adjunct Diagnostic and
Treatment Facilities................. . . 29
III. Elements of the Nursing Department........ 31
IV. Elements of the Nursery.................. 32
V* Elements of the Obstetrics Department . . . 33
VI. Elements of the Surgical Department • • • • 3^4-
VII. Elements of the Emergency Department . . . . 35
VIII. Elements of the Service Department........ 36
LIST OP FIGURES
FIGURE PAGE
1* Hospital Approach ........................ 9
2. Patients1 Relation to Service Departments . 12
3* Key Flow Chart •• ll+
Ij.. Adjunct Diagnostic Facilities Flow Chart . 18
5* Nursing Department Flow Chart .......... 19
6. Obstetrics Department Flow C h a r t .......... 21
7* Surgery Flow Chart....................... 22
8. The Relation and Sizes of the Various
Departments in the Culver City
Memorial Hospital...................... 27
CHAPTER X
INTRODUCTION
The duty of the general hospital today is much more
than a place for the care of the sick or a doctor’s work­
shop. It has another duty to those who may never occupy
a hospital bed and that is through the provision of mod­
ern clinical facilities wherein all doctors of medicine
in the community may advance their knowledge of medical
science.
To provide care of equal quality to both poor and
rich citizens of the community is a further duty of the
hospital.
The design of the hospital grows more complex
with the increasing diversification of therapeutic and
diagnostic procedures and the broadening of its client­
ele and practices. Many general hospitals now have as
many as thirty-six different groups under medical, sur­
gical, obstetrical and pediatric services in the private,
semi-private, pay and free ward classifications.
Each hospital is a problem of its own. The type
of patient to be treated, distribution of services,
facilities furnished, number of beds and many other de­
tails of planning and operation are influenced by local
factors.
2
Statement of the problem. It is the purpose of
this thesis to design a one hundred bed General Hospital
to be located in Culver City* The hospital will include
the following facilities:
Administration Department
Service Department
Adjunct Diagnostic and Treatment Facilities
Surgical Department
Obstretics Department
Pediatrics Department
Isolation Department
The special features of this general hospital are:
Out-patient department
Emergency Department
Importance of the study* According to the min­
imum standards of hospitals, it is necessary to have at
least four hospital beds for one thousand population*
The district comprising Culver City, Beverly
Hills, Westwood, Santa Monica, and Venice has but 1*60
beds for a thousand population.
With this comparison in view, it is obvious that
Culver City is in great need of a hospital.
CHAPTER I I
BACKGROUND
Classification of hospitals* All hospitals may
b© divided into two categories, general or special* The
size varies greatly; some having as few as five or seven
beds, while others have thousands* Hospitals having less
than one hundred beds are considered small and these com­
prise about two-thirds of all American hospitals, yet
they contain only about 13*5 per cent of the total number
of beds* Hospitals may also be classified as teaching
and non-teaching, registered and non-registered, approved
and non-approved'. The latter classification refers to
the rating by the American College of Surgeons*
The Journal of the American Medical Association
has published a table listing the hospital facilities in
the United States in 1914-2* Prom that table, beds
were ;listed as approved by the American College of Sur­
geons, or a little more than half the entire number of
beds in hospitals in the United States* This is a re­
grettable fact, and it would seem that the main reason
for such a condition undoubtedly lies with the origin
of the institution itself. Amateur and unscientific
planning may also contribute to this factor*^
1+
Hospital planning must be done by intelligent
and skillful people who are capable of planning a prog­
ram analytically, and are not content with second-hand
solutions nor with habitual repetition of old forms
and techniques.
Statistics for hospital facilities. A statis-
.tical document published in 1940 by the United States
Public Health Service examined the existence and use of
hospital facilities among the states in relation to
wealth as expressed by per capitaincome. More than
400,000 beds distributed among 4»5>00 registered hos­
pitals represented the aggregate general and allied
special facilities owned by non-federal agencies.
California ranked fourth in per capita wealth at that
time. However, as to beds per thousand population,
California with per thousand ranked sixth, and her
percentage of beds occupied was 74*3* On the other
hand, the estimated annual payment per $1,000 of in­
come within the state for care in hospitals placed
California in ninth position. These statistics showed
further that California contributed more money to hos­
pitals from taxes than any other state, and showed that
^ Isadore Rosenfield, Hospitals, Integrated De­
sign. Progressive Architecture Library. New York:
Reinhold Publishing Corporation, p. 5.