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In the expansion project of the second phase of Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), the concepts of "comprehensive rehabilitation", "early rehabilitation", "active rehabilitation" and "environmental rehabilitation" and the construction of a comprehensive barrier-free environment are integrated into the project practice, and strive to build the hospital into a warm rehabilitation home where patients with physical dysfunction regain their confidence in life, restore their physiological functions, and return to society.

Bird view of the hospital area

Project background overview and target positioning

Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center) was completed and put into use in July 2007. It is one of the largest comprehensive rehabilitation institutions in Shanghai at present. The hospital is located at No. 828 Yinze Road, Songjiang District. The current total construction area is about 50,000 square meters, and the hospital has 360 beds. Adhering to the modern rehabilitation concept, the hospital has established a rehabilitation service and clinical guarantee system with rehabilitation medicine as the main body and supported by the internal, external, women, children, etc., and has set up 10 sub-specialties including neurorehabilitation, spinal and spinal cord injury rehabilitation, bone and joint rehabilitation, and cardiopulmonary rehabilitation, forming specialized specialties such as bone and joint rehabilitation, neurorehabilitation, and spinal cord injury rehabilitation.

Hospital, as a rehabilitation hospital affiliated to Tongji University, attaches great importance to scientific research and teaching. A large number of vertical scientific research projects, SCI papers and invention patents have been approved. At the same time, the hospital aims to cultivate "excellent rehabilitation and treatment talents" and strives to build the Department of Rehabilitation and Treatment of Tongji University School of Medicine. In 2013, the department began to recruit students and adopts the "2+2" (2 years of university, 2 years of hospital) teaching model. The second phase of

project started construction in August 2020. As a "Shanghai Medical and Health Construction Plan" and a "Shanghai Major Project", the project has a construction area of ​​98,000 square meters and is scheduled to be completed and put into use in October 2023. After completion, the total construction scale of the hospital will reach 150,000 square meters, and the number of rehabilitation beds will reach 1,000. The hospital will build a tertiary specialized rehabilitation hospital, a disabled health management center, and a research university affiliated rehabilitation hospital. With comprehensive rehabilitation as the center, it will create four major highlands for rehabilitation medical care, scientific research, talent, and medical engineering; benchmarking the urban positioning of Shanghai Asian Medical Center, adhering to the concept of comprehensive rehabilitation, integrating intelligent rehabilitation technology, and building seven major rehabilitation centers including nerves, bones and joints, heart and lungs, children, tumors, women's health, and audiovisual.

coordinated planning of the entire hospital functions to realize the sustainable development of the hospital

in line with the functional structure of the international frontier development of rehabilitation medicine

rehabilitation hospital expansion project follows the design concept of "patient-centered" and plans the functional structure to adapt to the multidisciplinary joint model for rehabilitation diagnosis and treatment. At the same time, integrate scientific research with clinical practice from an international perspective, establish rehabilitation centers such as orthopedics, nerves, spinal cord injuries, organs, traditional Chinese medicine, and children, and drive planning and design with the concept of rehabilitation discipline centers.

patient-centered diagnosis and treatment model

continues to develop the first phase of the building, forming an organic whole

0 The first phase of the hospital adopts a relatively scattered garden-style layout. The second phase of the planning continues the axis and spatial order of the first phase of the planning. The second phase of the building fully integrates and coordinates the first phase of the building to form an organic whole.

Except for the main inpatient building that adopts a centralized high-rise form that combines two nursing units on each floor to save land and improve medical efficiency, other monomers are conveniently used in multi-layer form. The lines of each building are smooth and unified, and the facade adopts the effect of warm-toned clay panel curtain walls, which echoes the red clay tiles of the first phase of the building, giving people a warm and comfortable visual experience. At the same time, a large area of ​​development land has been reserved on the northwest side to achieve sustainable development of the hospital.

Phase II bird's eye view

Phase II main entrance

Coordinate the functional layout of the entire hospital, which is conducive to the development of disciplines

Modern rehabilitation is to make full use of modern scientific and technological means to overcome the functional disorders or disabilities caused by humans due to diseases, accidents, birth defects and body aging, so that they can recover or replace the original functions as much as possible, achieve maximum self-care and even return to society, so as to improve the living standards of people with disabilities.To achieve this goal, many disciplines need to support and cooperate with each other, and are typical multidisciplinary interdisciplinary and highly comprehensive disciplines.

Rehabilitation scientific research and research transformation capabilities are the core driving force of hospital development. The leading international rehabilitation hospitals mostly adopt the model of creating specialist translational research laboratories, combining research and clinical development to shorten the feedback cycle time between clinicians, patients and researchers, effectively promote innovative solutions, and maximize patient recovery capabilities. At the same time, as the clinical teaching hospital of Tongji University, the Municipal Yangzhi Rehabilitation Hospital has a large number of students training every year. Therefore, by appropriate adjustments to the first phase functions, the functional divisions of the entire hospital were reasonably planned. The teaching and research training area on the south side of the hospital accounted for a large proportion, aiming to lead the hospital forward by expanding clinical skills and scientific research fields.

overall planning of the campus

campus functional partition

opens up the external streamline and internal processes, and achieves efficient operation

medical construction personnel and materials, with a variety of complex streamlines. Establishing a safe, efficient and convenient transportation system is the prerequisite for improving hospital operation efficiency and reducing infection. The hospital expansion (Phase II) project is planned overall based on the surrounding conditions of the base and the first phase, so as to realize the diversion of people and vehicles, internal and external zoning, and clean and pollutant diversion. At the same time, taking into account the characteristics of rehabilitation patients' inconvenience in mobility and tidal migration, and the needs of patients' active recovery, the driving lines between various functional areas should be simple, smooth, efficient and reasonable, and non-crossing. Pay attention to vertical and horizontal traffic organizations to create a convenient, safe, hygienic and comfortable medical environment for patients.

attaches importance to the overall flow line and creates a safe environment

project outdoor overall transportation organization adopts the method of complete diversion of people and vehicles. The main pedestrian entrances and exits of the campus corresponding to the Guangxing Road Outpatient Comprehensive Building are seamlessly connected with the bus stop. Except for the peripheral ring roads and emergency temporary parking spaces such as ambulances, all external vehicles enter the underground garage for distribution and diversion. The dirt in the hospital is collected and transferred to the garbage room in the northeast corner in a timely and fixed-point manner, and is sent out by the campus special dirt outlet to minimize the adverse impact on the campus.

Overall traffic flow line in the hospital

Phase II traffic flow line

Click to view: [Depin Medical Co., Ltd.] Create a smarter nursing system overall solution for Chinese hospitals

Optimize the internal process, smooth and efficient

In the internal process, rehabilitation treatment centers are set up on the same level of nursing units in each discipline ward, and rehabilitation treatment centers are implemented around patients, fully reflecting the people-oriented service concept, and effectively alleviating the pressure of hospitals' large traffic vertical traffic.

Through the second floor ring corridor and the first and second phase corridor, each single building can realize barrier-free passage of people and logistics, and realize the sharing of rehabilitation and medical resources. At the same time, the corridor integrates functions such as rest and exchange, coffee and catering, walking training (Figure 11), which is a concentrated presentation of the colorful rehabilitation community life scenes. On one side of the stroll around the corridor are rich and diverse activities, and on the other side is the green central landscape garden, which actively promotes the physical and mental recovery of patients through environmental design. This concept of barrier-free passage and shared communication is implemented in interior design. There is also a "circle-travel" flow line inside the five single buildings connected by the corridor: the pediatric building and the inpatient building form an interesting flow space around the inner courtyard, which is a rehabilitation treatment area, corridor, and outdoor corridor. This multiple flow space design helps guide users to actively explore behaviors.

expansion project second floor plan

expansion project first floor plan

ring corridor space effect

overall layout of indoor and outdoor, realize active rehabilitation

rehabilitation patients are a special group. During the rehabilitation and hospitalization process, special attention should be given, and independent passage and living environment should be given, which will help them build confidence in rehabilitation and achieve active rehabilitation.The encirclement of each individual has created a central rehabilitation training garden, which facilitates the safe arrival of each individual patient. Patients perform functional exercise independently under the care of their care or family members, which is conducive to enhancing the effect of patients' rehabilitation treatment and fully reflects the rehabilitation concept of "returning to the family and returning to society". The architectural design has uniformly optimized and adjusted the corridor and surrounding areas, distinguished between traffic space, rest space and medical functional space, avoid interference and crossing medical functional areas, and exerted the sharing platform effect of the corridor through reasonable planning and met the hospital's management needs of different individual areas.

reflects patient-centeredness, reflecting the comprehensive rehabilitation

Rehabilitation hospital has its own distinctive characteristics. The functional organization of the rehabilitation hospital strengthens the rehabilitation assessment and rehabilitation treatment functions on the basis of a comprehensive hospital. Through a series of means such as physical therapy, occupational therapy, exercise therapy, speech therapy, psychological therapy, traditional Chinese medicine therapy, etc., we can help patients achieve effective physiological and psychological recovery.

Rehabilitation Hospital Functional Mode

Rehabilitation Type

The design of each functional area is centered on the needs of patients. There is a one-stop service system for joint examination, diagnosis and treatment that facilitates patients in the outpatient department to shorten the patient's examination process; the wards of the inpatient department are all set up in the south, and there is a storage space and a wheelchair storage area in the ward. Each nursing unit on each floor has an open patient activity communication space.

Rest and exchange area of ​​nursing unit in the inpatient department

Rehabilitation treatment area is the core area of ​​the rehabilitation hospital. Inpatients in rehabilitation hospitals travel to and from the ward and rehabilitation treatment room every day. Reasonable arrangement of the locations of the two is very important for shortening the patient's flow line length, reducing traffic pressure, and reflecting the humanization and efficiency of the rehabilitation hospital services. The expansion project has set up large-scale rehabilitation treatment areas in each rehabilitation nursing unit ward, which has fully realized "same-level treatment". At the same time, in order to develop the hospital into a "translational research" type rehabilitation hospital in the future, the two-layer model is adopted to establish a large rehabilitation discipline, so that clinicians, therapists, and scientific and technological experts can collaborate across disciplines here to better apply research results and cure patients.

Rehabilitation treatment area of ​​the nursing unit of the inpatient department

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Create a green ecological environment and build a smart rehabilitation hospital

Hospital expansion project comprehensively benchmarks green ecological buildings, organically integrates green energy-saving design, construction and operation. The building structure adopts a prefabricated PC structure, and the roof greening is combined with outdoor greening. In combination with the requirements of sponge cities, permeable paving, concave green space, rainwater purification and reuse are provided outdoors to carry out annual runoff control and peak control of rainwater. In terms of equipment, energy-saving equipment is widely used, including energy-saving elevators, magnetic levitation chillers, exhaust heat recovery, solar water hot water, air source heat pump systems, etc. At the same time, the entire campus adopts an efficient logistics and transportation system, and the gas logistics + orbital logistics + AGV robot system can complete more than 90% of the material transportation tasks in the campus.

Informatization and intelligence are the key drivers for the hospital's innovation and improvement. In the early stages of construction, the hospital has comprehensively planned the informatization of the entire hospital. Through the smart service module for patients, the smart medical and rehabilitation module for medical personnel, and the smart management module covering materials, operations, scientific research, and hospital administrative managers, the hospital's operation is greener, more environmentally friendly, efficient and safe.

conclusion

Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center) expansion project construction is a people's livelihood project that fully implements the big health plan under the guidance of the "people-centered" development concept. Through analyzing and researching the cutting-edge development trends and domestic status of international rehabilitation, targeted planning and demonstration are carried out to build a modern rehabilitation hospital that conforms to the modern rehabilitation concept, meets the regional master plan, and reflects the hospital's development goals. The project will be built into a large rehabilitation institution with first-class domestic and international integration, advanced facilities, friendly environment and full of humanistic atmosphere.

text / Gong Yongjun Shanghai Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center)

Qin Yanbo, Zhou Lifeng East China Architectural Design Research Institute Co., Ltd.

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