Sustainable healthcare architecture

482 Pages·2013·0.61 MB·English

by  Guenther

Sustainable
Healthcare Architecture
Second Edition

Sustainable
Healthcare Architecture
Second Edition
Robin Guenther, FAIA, LEED AP and
Gail Vittori, LEED Fellow
Cover image: Michael Rutkowski
Cover design: Courtesy of the author
This book is printed on acid-free paper.
Copyright © 2013 by John Wiley & Sons, Inc. All rights reserved
Published by John Wiley & Sons, Inc., Hoboken, New Jersey
Published simultaneously in Canada
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Library of Congress Cataloging-in-Publication Data:
Guenther, Robin.
Sustainable healthcare architecture / Robin Guenther, Gail Vittori.—Second edition.
pages cm
Includes bibliographical references and index.
ISBN 978-1-118-08682-7 (hardback : alk. paper); 978-1-118-41611-2 (ebk.); 978-1-118-41865-9 (ebk.); 1.
Hospital architecture—Environmental aspects. 2. Health facilities—Design and construction—
Environmental aspects. 3. Sustainable architecture. I. Vittori, Gail. II. Title.
RA967.G827 2013
725’.51—dc23
2013004583
Printed in the United States of America
10 9 8 7 6 5 4 3 2 1
“Our lives are touched by those who lived centuries ago, and we hope that our
lives will mean something to those who will live centuries from now. It’s a
great ‘chain of being,’ someone once told me, and I think our job is to hope, to
dream and to do the best we can to hold up our small segment of that chain.”
Dorothy Day
For Perry Gunther and Pliny Fisk III

CONTENTS
Foreword xiii
Acknowledgments xv
Key Sustainability Indicators and Infographic xvii
PART 1 CONTEXT 1
CHAPTER 1 DESIGN AND STEWARDSHIP 3
INTRODUCTION 3
THE CASE FOR STEWARDSHIP 4
SUSTAINABLE DEVELOPMENT 7
THE PROFESSION OF ARCHITECTURE 7
THE ETHICAL CHALLENGE FOR DESIGNERS 10
ECOLOGICAL DESIGN 10
CLEANER PRODUCTION 11
THE PATRICK H. DOLLARD DISCOVERY HEALTH CENTER 12
LIFE CYCLE THINKING 14
CRADLE-TO-CRADLE DESIGN 16
LIVING BUILDINGS 17
ESSAY
LIVING BUILDINGS AND A RESTORATIVE FUTURE by Jason F. McLennan 18
CONCLUSION—THE NEXT GENERATION 21
CHAPTER 2 THE BUILT ENVIRONMENT AND HUMAN HEALTH 23
INTRODUCTION 23
THE GLOBAL IMPACTS OF THE BUILT ENVIRONMENT 24
CLIMATE CHANGE AND PUBLIC HEALTH 25
ESSAY
WHERE WE HEAL: THE IMPORTANCE OF HEALTHCARE BUILDINGS TO
OUR HEALTH AND THE PLANET’S by Aaron Bernstein, MD 27
URBAN PLANNING AND PUBLIC HEALTH 28
SPRAWL AND AIR QUALITY 31
SMART GROWTH AND HEALTHY CITIES 32
vii
viii Contents
ACTIVE DESIGN 33
ESSAY
ACTIVE DESIGN: CONVERGING DESIGN EFFORTS TO PROMOTE ENVIRONMENTAL
SUSTAINABILITY AND ADDRESS TODAY’S LEADING CAUSES OF DEATH
by Karen K. Lee, MD and Joyce S. Lee 34
AIR POLLUTION 36
WATER POLLUTION AND SCARCITY 38
GAVIOTAS HOSPITAL 40
INDOOR AIR QUALITY 41
CONCLUSION—THE FUTURE 41
CHAPTER 3 ENVIRONMENT AND MEDICINE 45
INTRODUCTION 45
THE STATE OF HEALTH IN THE WORLD 46
ENVIRONMENTAL HEALTH 47
ECOLOGICAL MEDICINE 49
PROTEA HEALTH 52
HEALTHCARE AND THE ENVIRONMENT 54
ESSAY
TRANSFORMING HEALTHCARE by Gary Cohen 55
THE PRECAUTIONARY PRINCIPLE 59
MEDICINE’S ROLE IN ENVIRONMENTAL IMPROVEMENT 59
CONCLUSION 60
CHAPTER 4 NATURE AND HEALING 65
INTRODUCTION 65
THE TRADITION OF NATURE AND HEALING 66
THE THERAPEUTIC SPA MOVEMENT 66
NATURE RECONSIDERED 67
BIOPHILIA 68
BIOPHILIC DESIGN PRINCIPLES 69
URBANIZATION AND NATURE 70
LANDSCAPE PERCEPTION 70
HEALING LANDSCAPE 70
SIDNEY AND LOIS ESKENAZI HOSPITAL AND HEALTH CAMPUS 72
SUSTAINABLE LANDSCAPE 78
CONCLUSION 79