PT AND HEALTH CARE DESIGN BASED UPON EVIDENCE BASE

Jatuporn Wongsathikun

Bangkok Hospital Phuket

SCOPE

• Design for life: it is a process

• Evidence-based: art + science

• Quality control

DESIGN FOR LIFE: IT IS A PROCESS

From: Clin Geriatr Med. 2011 February ; 27(1): 1–15. doi:10.1016/j.cger.2010.08.009.

From: Clin Geriatr Med. 2011 February ; 27(1): 1–15. doi:10.1016/j.cger.2010.08.009.

http://www.medicine.cmu.ac.th/dept/obgyn/2011/images/stories/Lectures/ResidentTopic/Rattapon/pallative1.jpg

Partner Stage of Life

Active Aging Frail Disease Bed Ridden

(ติดเตียง) End of Life

Health care Health promotion - Health prevention: health screening

related frail

condition

- Advice to improve

or maintain health

-Active and aggressive

treatment

- Monitoring functional

capacity (basic activities

of daily living (ADL) and

instrumental ADL), cognitive impairment,

and quality of life

- Health related fitness

assessment

- Rehabilitation

-Smart hospital and

telemedicine

- Intermediate care

-Palliative care

-Maintain bed mobility

and basic ADL

-Prevent secondary

complication

-Respite care

--Smart hospital and

telemedicine

-Good dead

Architect/design

professions

Education for (pre) aging

group

Education & counseling

for DIY

(space/things/process)

Education & counseling

for minor or major

(space/things/process)

Education &

counseling for minor or

major

(space/things/process)

Education &

counseling for

minor or major

(space/things/pro

cess)

Public /private segment Education

Service

Service design

Pricing

Utility/data management

Evaluation

EVIDENCE-BASED:

ART + SCIENCE

http://www.independentliving.org/images/nscdimages/gap_e.jpg

Design

Design

Patients

Available

Accessible Affordable

Apprehension

Mass production…..industry

Users (patients & elderly)

Business Academic

PPP: new program

Ophthalmic Physiol Opt 2015; 35: 352–376. 10.1111/opo.12220

Disorders: AD, Alzheimer’s disease; FTD, frontotemporal dementia; VD, vascular dementia; PDD, Parkinson’s disease dementia; DLB,

dementia with Lewy bodies; Visual features: CFFF, critical flicker fusion frequency; EEG, electroencephalogram; ERG, electroretinogram; VEP, visual evoked potential; visual event EP, Visual event-related potentials.

Visual feature Dysfunction

Visual acuity Normal in early stages of AD, may deteriorate in

advanced disease. Limited data on other dementias

Colour vision Controversial but likely to be affected in AD, DLB

and PDD

Stereoacuity Impaired in AD and VD

Contrast sensitivity Impaired in AD and VD

Motion detection Higher thresholds necessary for detecting a moving stimulus in AD

https://www.healthdesign.org/

http://europeanhealthcaredesign2018.salus.global/conference-show/european-healthcare-design-2018

https://www.healthdesign.org/sites/default/files/Malkin_CH1.pdf

QUALITY CONTROL https://www.jointcommissioninternational.org/planning-design-and-construction-of-

health-care-facilities-third-edition/

https://www.jointcommissioninternational.org/assets/3/7/JCI_Standards_Only_6th_Ed_Hospital.pdf

https://www.jointcommissioninternational.org/6th-edition-in-depth-fms-standards-for-demolition-construction-and-renovation/

THANK YOU