+ BACKGROUND, CHALLENGES AND OBJECTIVES
Background
In terms of policy, the optimization and further allocation of China's medical and health resources are highly promoted by the government level, which aims to upgrade service accessibility and to improve resource utilization efficiency. The policy guides the local government to carry out the reallocation of regional health resources and the re-planning of medical institutions into a more cohesive system.
At the same time, due to the improvement of the local people's living standards, the existing medical conditions in Haiyan County, Tibetan Autonomous Prefecture of Haibei, Qinghai Province can no longer meet the regional use and development needs. For this reason, under the policy of National Medical and Health Reform and the implementation of the Belt and Road Initiative, the government of the Tibetan Autonomous Prefecture of Haibei put forward the initiative of establishing a rehabilitation center characterized by Chinese and Tibetan medicine in Haiyan County.
Key objectives/goals
Qinghai Province acts as a bridge running through the North and South parts along the Silk Road, and it is an important node area for China to connect with South Asian countries. By organizing various professional researches and webinars in the future, this Rehabilitation Center will also be conducive to strengthening the exchanges and cooperation in the field of rehabilitation with countries along the Belt and Road Initiative.
As a construction aid project, it is the result of close exchanges and discussions between the designers and the local government as well as the various units (including the Haiyan County Health and Planned Parenthood Bureau, the Development and Reform Bureau, the Housing and Urban-Rural Development Bureau, etc.).
In the end, the architectural concept design and the final implementation design plan of the Rehabilitation Center give priority to local practical needs and aspirations. Meanwhile, the design is carried out on the basis of fully respecting the local cultural, economic and natural backgrounds.
+ ACTIONS AND IMPLEMENTATION
The whole process of the design and construction of this Rehabilitation Center has been supported by Haiyan County Tibetan Hospital and Fujian University of Traditional Chinese Medicine. Haiyan County Tibetan Hospital is familiar with the local background, while Fujian University of Traditional Chinese Medicine provided professional consultation and was responsible for the training of the medical staff. This project is also a construction aid project assisted by Shandong Province, which is by far the largest single investment project on the list of Shandong Province’s aiding projects to Qinghai Province in the past ten years.
On the aspects of architectural design itself, the project drew on the prototype of traditional Tibetan architecture, and was in response to the local climate and native culture. The functional service buildings of the Rehabilitation Center (outpatient and medical skills department, inpatient department, rehabilitation department and administrative office) are arranged in a series of courtyards with closed roofs or are completely open. Different from the construction of centralized, large-scale single buildings, the scattered courtyard layout makes the unit scale smaller, and the depth of the building more compact, which can successfully express the traditional architectural features, while still introducing new structures and material.
Moreover, the project follows the low-tech as well as the sustainable design strategy. With the utilization of appropriate technical means, including passive cooling and ventilation, low emissivity coated (Low-E) glass, ecological permeable floor and rain water infiltration utilization system, the Rehabilitation Center turned out to be a low-carbon and environmental friendly project.
1st Floor Plan.
The Rehabilitation Center covers 75700 square meters and the construction area is 30000 square meters. Drawing closely on the local Tibetan Medicine characteristics and cultural traditions, the Rehabilitation Center created an innovative model, which is called Tibetan Medicine in Tibetan Temple. The establishment of the center not only addresses the local medical needs to a greater extent, but the combination of rehabilitation services with tourism also promotes the region’s social, economic and cultural development.
+ OUTCOMES AND IMPACTS
The construction of the Rehabilitation Center has been completed and it was put into use on July 1, 2020. The Haibei Prefecture Committee and the Prefectural Government transferred 15 staff from state-level medical institutions, and recruited 20 people to the Center. The center now is equipped with imported DR, imported full-body color doppler ultrasound, fully automatic biochemical analyzer, limb linkage rehabilitation treadmill, lower limb rehabilitation robot, rehabilitation evaluation detection system and other large-sized and medium-sized medical as well as rehabilitation equipment. More than 1400 pieces of rehabilitation equipment have completed installation and operation training.
The software and hardware conditions of the Center are both at the highest level in the region, which is believed to make up for the local medical gaps. Moreover, it is also expected that based on the local characteristics of Tibetan medicine and climatic conditions, the innovative mode of combining the tourism industry with health care services does not only address the local medical needs, but also triggers economic and cultural development of the region.
+ REPLICABILITY AND SCALABILITY
Master Floor Plan.
1. The innovative economic model of this project is worthy of reference. The designer part is good at exploring local characteristics, and with the success combination of tourism and health care industries, the project is conducive not only to addressing local medical needs, but also serves as a driving force for social, economic and cultural development of the region.
2. The implementation of this project reflected the mode of multi-section participation as well as internal and external collaboration. This initiative reached the outcome to support relatively weak areas and improve the local software and hardware conditions. Moreover, the implementation progress of the project effectively avoided the previous traditional mode, which is carried out from top to bottom, from the outside to the inside.
3. The group finally completed a localization project, which is worthy of reference.
+ BUDGET AMOUNT
The total investment of the project is 212 million yuan, of which Shandong donated 200 million yuan as the construction is an aid project from Shandong Province.
The project designer is the Architectural Design and Research Institute of Tsinghua University, while the construction side is Jiangxi Jiangling Engineering Company Limited, and the project supervisor is Zhongke Biaohe Engineering Project Management Co., Ltd.