Designing Community Houses – Application of the modular approach to an innovative model of facility
DOI:
https://doi.org/10.19229/2464-9309/14192023Keywords:
community house, Italian national recovery and resilience plan, flexibility, modular design, social and health careAbstract
The modular approach is widely used in architecture, and simplifying complex structures to enhance flexibility is one of the many reasons for choosing the module as a design tool, particularly in healthcare construction. This article presents an applied research project where modularity is employed in designing Community Houses, i.e. particular local socio-health structures introduced by the Italian National Recovery and Resilience Plan (PNRR). Functional schemes, developed in collaboration with healthcare professionals from a Piedmontese Local Health Authority (ASL), ensure different configurations of elementary spatial units. The paper aims to understand, through experimentation, the effectiveness and potential of the modular approach in implementing these new local socio-health services, analysing their background, application, and results.
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Received: 15/09/2023; Revised: 03/10/2023; Accepted: 04/11/2023
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AGENAS – Agenzia Nazionale per i Servizi sanitari regionali (2022), Documento di indirizzo per il metaprogetto della Casa della Comunità, suppl. alla rivista Monitor 2022. [Online] Available at: agenas.gov.it/ images/agenas/monitor/quaderno/pdf/Quaderno_Casa_della_comunita.pdf [Accessed 13 October 2023].
Bask, A., Lipponen, M., Rajahonka, M. and Tinnilä, M. (2011), “Modularity in Logistics Services – A Business Model and Process View”, in International Journal of Services and Operations Management, vol. 10, issue 4, pp. 379-399. [Online] Available at: doi.org/10.1504/IJSOM.2011.043463 [Accessed 13 October 2023].
Bordignon, M. (2007), “L’analisi delle forze che favoriscono la modularità – Il modello di Schilling e la proposta di un nuovo modello”, in Economia Aziendale 2000 Web, n. 4, pp. 9-36. [Online] Available at: riviste.paviauniversitypress.it/index.php/ea/article/view/1321/1443 [Accessed 13 October 2023].
Brambilla, A. and Maciocco, G. (2022), Dalle Case della Salute alle Case della Comunità, Carocci, Roma.
Brambilla, A. and Maciocco, G. (2016), Le case della Salute – Innovazione e buone pratiche, Carocci, Roma.
Budde, K. S., Friedman, D., Alli, K., Randell, J., Kang, B. and Feuerstein, S. D. (2017), “Integrating behavioral health and primary care in two New Jersey federally qualified Health Centers”, in Psychiatric Services, vol. 68, issue 11, pp. 1095-1097. [Online] Available at: doi.org/10.1176/appi.ps.201700240 [Accessed 30 October 2023].
Capolongo, S. (2012), Architecture for flexibility in healthcare, FrancoAngeli, Milano.
Capolongo, S., Cocina, G. G., Gola, M., Peretti, G. and Pollo, R. (2019), “Orizzontalità e verticalità nelle architetture per la salute | Horizontality and verticality in architectures for health”, in Techne | Journal of Technology for Architecture and Environment, vol. 17, pp. 152-160. [Online] Available at: oaj.fupress.net/index.php/techne/article/view/ 5052/5052 [Accessed 13 October 2023].
Carrara, G., Dubini, N. T., Ferrante, T., Ingaglio, M., Mauri, M., Meoli, F., Palumbo, R., Peretti, G., Pollo, R., Ravegnani Morosini, R., Scorziello, R. and Vitali, M. (2017a), Architettura dell’Ospedale – Parte I – Aspetti generali e metodologia, CNETO.
Carrara, G., Dubini, N. T., Ferrante, T., Ingaglio, M., Mauri, M., Meoli, F., Palumbo, R., Peretti, G., Pollo, R., Ravegnani Morosini, R., Scorziello, R. and Vitali, M. (2017b), Architettura dell’Ospedale – Parte II – Casi Studio, CNETO.
Chen, L.-K., Yuan, R.-P., Ji, X.-J., Lu, X.-Y., Xiao, J., Tao, J.-B., Kang, X., Li, X., He, Z.-H., Quan, S. and Jiang, L.-Z. (2021), “Modular composite building in urgent emergency engineering projects – A case study of accelerated design and construction of Wuhan Thunder God Mountain/Leishenshan hospital to Covid-19 pandemic”, in Automation in Construction, vol. 124, article 103555, pp. 1-11. [Online] Available at: doi.org/10.1016/j.autcon.2021.103555 [Accessed 30 October 2023].
Cocina, G. G., Peretti, G., Pollo, R. and Thiebat, F. (2019), “Nuove tecnologie e progetto – Strumenti innovativi per il co-design”, in Lauria, M., Mussinelli, E. and Tucci, F. (eds), La Produzione del Progetto, Maggioli Editore, Santarcangelo di Romagna, pp. 305-311.
Del Nord, R., Marino, D. and Peretti, G. (2015), “L’umanizzazione degli spazi di cura – Una ricerca svolta per il Ministero della Salute | Humanization of care spaces – A research developed for the Italian Ministry of Health”, in Techne | Journal of Technology for Architecture and Environment, vol. 9, pp. 224-229. [Online] Available at: doi.org/10.13128/Techne-16127 [Accessed 30 October 2023].
Department of Health (2013), Health Building Note 11-01 – Facilities for primary and community care services. [Online] Available at: england.nhs.uk/wp-content/uploads/2021/05/HBN_11-01_Final.pdf [Accessed 13 October 2023].
European Parliament (2020), Regulation (EU) 2020/852 of the European Parliament and of the Council of 18 June 2020 on the establishment of a framework to facilitate sustainable investment, and amending Regulation (EU) 2019/2088 (Text with EEA relevance), document 32020R0852. [Online] Available at: eur-lex.europa.eu/legal-content/EN/TXT/?uri=celex%3A32020R0852 [Accessed 13 October 2023].
Ferdous, W., Bai, Y., Ngo, T. D., Manalo, A. and Mendis, P. (2019), “New advancements, challenges and opportunities of multi-storey modular buildings – A state-of-the-art review”, in Engineering Structures, vol. 183, pp. 883-893. [Online] Available at: doi.org/10.1016/j.engstruct.2019.01.061 [Accessed 13 October 2023].
Fifield, L. J., Lomas, K. J., Giridharan, R. and Allinson, D. (2018), “Hospital wards and modular construction – Summertime overheating and energy efficiency”, in Building and Environment, vol. 141, pp. 28-44. [Online] Available at: doi.org/10.1016/j.buildenv.2018.05.041 [Accessed 30 October 2023].
Goh, M. and Goh, Y. M. (2019), “Lean production theory-based simulation of modular construction processes”, in Automation in Construction, vol. 101, pp. 227-244. [Online] Available at: doi.org/10.1016/j.autcon.2018.12.017 [Accessed 30 October 2023].
Herzog, L. and Herzog, T. (2020), “Su flessibilità e sostenibilità del progetto – Riflessioni personali e prostettive | On flexible and green design – Perspectives and personal reflections”, in Agathón | International Journal of Architecture, Art and Design, vol. 8, pp. 20-31. [Online] Available at: doi.org/10.19229/2464-9309/822020 [Accessed 30 October 2023].
Hoa, N. T., Tâm, N. M., Derese, A., Markuns, J. F. and Peersman, W. (2019), “Patient experiences of primary care quality amongst different types of health care facilities in central Vietnam”, in BMC Health Services Research, vol. 19, article 275, issue 1, pp. 1-11. [Online] Available at: doi.org/10.1186/s12913-019-4089-y [Accessed 30 October 2023].
Langlois, A. (2002), “Modularity in technology and organisation”, in Journal of Economic Behavior & Organization, vol. 49, issue 1, pp. 19-37. [Online] Available at: doi.org/10.1016/S0167-2681(02)00056-2 [Accessed 13 October 2023].
Lawson, M., Ogden, R. and Goodier, C. (2014), Design in modular construction, CRC Press. [Online] Available at: doi.org/10.1201/b16607 [Accessed 30 October 2023].
Longo, F. and Barsanti, S. (2021), Community building – Logiche e strumenti di management – Comunità, reti sociali e salute, EGEA, Milano.
Mason, T. (2006), Designed with care – Design and neighbourhood healthcare buildings, Commission for Architecture and the Built Environment (CABE), London.
Ministero della Salute (2022a), “Il nuovo modello di assistenza territoriale in un’ottica One Health”, in PNRR Salute, 28/04/2022. [Online] Available at: pnrr.salute.gov.it/portale/pnrrsalute/dettaglioContenutiPNRRSalute.jsp?lingua=italiano&id=5828&area=PNRR-Salute&menu=comecambiassn [Accessed 13 October 2023].
Ministero della Salute (2022b), “Decreto 23 maggio 2022, n. 77 – Regolamento recante la definizione di modelli e standard per lo sviluppo dell’assistenza territoriale nel Servizio sanitario nazionale”, in Gazzetta Ufficiale, Serie Generale, n. 144, 22/06/2022. [Online] Available at: gazzettaufficiale.it/eli/id/2022/06/22/22G00085/sg [Accessed 13 October 2023].
Oberosler, C. and Sacchetti, L. (2022), Architetture resilienti per la sanità territoriale – Linee guida per la progettazione – Un nuovo modello di Ospedale di Comunità, FrancoAngeli, Milano.
Palumbo, R. (ed.) (1993), Metaprogettazione per l’edilizia ospedaliera, Centro Nazionale delle Ricerche, BE‐MA Editrice, Milano.
Perino, G., Sileno, L., Pollo, R., Biolchini, E. and Pejovic, A. (2023), Nuove visioni per i luoghi della salute – Verso le Case della Comunità – Possibili metamorfosi delle strutture socio-sanitarie territoriali, IRES – Istituto di Ricerche Economico-Sociali del Piemonte, Torino.
Rasmussen, S. E. (1964), Experiencing Architecture, MIT Press, Boston.
Rossi Prodi, F. and Stocchetti, A. (1990), L’Architettura dell’Ospedale, Alinea, Firenze.
Sanders, E. B.-N. and Stappers, P. J. (2008), “Co-creation and the new landscapes of design”, in CoDesign | International Journal of CoCreation in Design and the Arts, vol. 4, issue 1, pp. 5-18. [Online] Available at: doi.org/10.1080/15710880701875068 [Accessed 13 October 2023].
Setola, N. (2022), “La forma della Casa della Comunità”, in Salute Internazionale, 31/10/2022. [Online] Available at: saluteinternazionale.info/2022/10/la-forma-della-casa-della-comunita/ [Accessed 13 October 2023].
Steadman, P. (2014), Building types and built forms, Matador, Kibworth Beauchamp, Leicestershire (UK). [Online] Available at: openlibrary.org/books/OL26087952M/Building_Types_And_Built_Forms [Accessed 30 October 2023].
Terranova, F. (ed.) (2005), Edilizia per la Sanità, UTET, Milano.
Ulrich, R. S., Zimring, C., Quan, X., Joseph, A. and Choudhary, R. (2004), The role of the physical environment in the hospital of the 21st century – A Once-in-a-lifetime Opportunity, The Center for Health Design. [Online] Available at: healthdesign.org/chd/research/role-physical-environment-hospital-21st-century [Accessed 13 October 2023].
Verde, P. (1985), Le strutture di distretto, distretto potenziato e poliambulatorio – Risultanze del progetto pilota regionale, Regione Piemonte.
Verde, P. (1984), Manuale di edilizia sanitaria – Progettazione di strutture di base, poliambulatori, ospedali, Carocci, Roma.
Wagenaar, C., Mens, N., Manja, G., Niemeijer, C. and Guthknecht, T. (2018), Hospitals – A Design Manual, Birkhauser, Basel.
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