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INTRODUCTION
Health is wealth, but for our Local Government of Bulan, this
maxim seems not to be applicable at all. The continuing problem of
the locality seems troublesome to the patients needing healthcare
from the hospital. The Government has done a little in improving
the institution but to no avail.
The Department of Health (DOH), as stated in the Philippine
Hospital Association (PHA) website, is on its way of strengthening
the hospitals of the country. Amidst the mantra of the institution,
Pantaleon G. Gotladera Memorial Hospital, a member of PHA and
has been around for many years already, has not improved from its
establishment but deteriorated instead. It might be forever forgotten
and left behind but be part of that mission – to be strengthened, it is
now in a very desolate situation in all aspects and in dire need of a
fresh start.
With the fact that Bulan does not have an efficient functional
hospital though a first class municipality is somehow ironic.
With over 94,000 inhabitants, a number of those maternal,
sick, weak, infants and dying are in need of treatment and health
care.
One of the main views of the LGU’s must be on the health
and health care as mandate in the Devolution Code of the Local
Government of 1991 and must be aligned in PD 856 and PD 1096,
but cannot be met by the Pantaleon G. Gotladera Memorial
Hospital.
The intention of the Bulan Online Observers really made the
researchers wonder the birth of the new Pantaleon G. Gotladera
Memorial Hospital in this proposal. To materialize this, the need for
facilities, equipment and redevelopment on building site must be
done.
All these current and foreseen circumstances lead to the
realization of redeveloping the site and providing sufficient facilities
regarding the concern to the hospital.
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STATEMENT OF THE PROBLEM
Generally, the main problem is to redevelop a dilapidated
hospital in the province – the Pantaleon G. Gotladera Memorial
Hospital in Bulan.
Specifically, it concerns the following questions:
1. What design is appropriate for redeveloping the Pantaleon
G. Gotladera Memorial Hospital?
2. What are the requirements in redeveloping the site and what
facilities and laboratories that must be incorporated in the
hospital?
3. What concepts and strategies should be integrated to
achieve building sustainability and adaptation to climate
change?
SIGNIFICANCE OF THE STUDY
The proposed redevelopment of Pantaleon G. Gotladera
Memorial Hospital is a proof on the statement issued on the PHA
website: “…strengthening the hospitals…” The study hopefully
helps the problem of the locality to improve the institution in terms
of the architectural and building design, facilities and sites by
redevelopment.
The study will definitely provide a great impact to individuals,
group in all walks of life.
In addition, the study is to benefit the following:
Architecture students – students can gain insights
from this study concerning the same issue and topic
that this time has tackled.
Bulaneños – the study presents Bulaneños as the
main end-users of the proposed project; giving them
advantage from the improved hospital.
Medical personnel – through this, the institution of
medical equipment and facilities brought about by
redevelopment will be a breakthrough for feasible and
better work from them.
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Patients – the service of the Pantaleon G. Gotladera
Memorial Hospital will become more convenient;
increase in the satisfaction due to service is expected
LGU of Bulan – the result of the study will lessen
their work in improving a desolated institution.
Future researchers – the findings, solutions and
conclusions in this study may affirm, refute or inspire
the foresights to replicate and widen the horizon of
the people.
SCOPE AND LIMITATION
The researcher gave the study a definite and clearer view on
what it is all about by providing the scope and limitations.
The scope of the study only focused on the architectural
aspect of the hospital with the purpose of redeveloping it; its
facilities and the site.
The inadequate access of the architectural data limited the
run of this study.
DEFINITION OF TERMS
BULAN – a first class municipality in the south of
Luzon island, Sorsogon province with a population of 93,943
population in an area of 20,094 hectares of 63 barangays.
HOSPITAL – a health facility for diagnosis, treatment
and care of individuals from deformity, disease, illness or
injury or in need of surgical, obstetrical, medical or nursing
care. It is an institution where there are installed bassinets or
beds for 24 hours use in longer by patients in the
management of deformities, diseases, injuries, and
abnormal physical and mental conditions, maternity cases.
Classification of hospital:
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GOVERNMENT – operated or maintained either
partially or wholly by the national, provincial, municipal or city
government or other political subdivision, board or other
agency thereof.
PRIVATE – privately owned, established and
operated with funds raised or contributed through donations
or by private capital or other means by private individuals,
association, corporation, religious organizations, firm,
company or joint stock association.
GENERAL HOSPITAL – provides services for all
kinds of illnesses, diseases, injuries or deformities.
SPECIAL HOSPITAL – provides services for one
particular kind of illness/disease or condition or medical
health care need.
PRIMARY HOSPITAL – are those with less than 25
beds and equipped with services capabilities needed to
support licensed physicians rendering services in Medicine,
Pediatrics, Obstetrics and Minor Surgery.
SECONDARY HOSPITAL – are those with 25 to 99
beds and equipped with the services capabilities needed to
support licensed physicians rendering services in the fields
of Medicine, Pediatrics, Obstetrics and Gynecology, General
Surgery and other ancillary services.
TERTIARY HOSPITAL – are those with 100 or more
beds and fully departmentalized and equipped with the
services capabilities needed to support certified Medical
Specialist and other licensed physicians rendering services
in the field of Medicine , Pediatrics, Obstetrics and
Gynecology, Surgery, their specialties and ancillary services.
TEACHING AND TRAINING HOSPITAL –
departmentalized hospital with accredited Residency
Training Program is a specified specialty or discipline.
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DEPARTMENT / DEPARTMENTALIZED –
administrative units in a hospital with a clearly articulated
mission that includes education, research and clinical
service in the field of medicine. Each clinical department
shall meet the membership requirements of the concerned
specialty / subspecialty society recognized by the Philippine
Medical Association.
BED CAPACITY – the number of beds permanently
retained at the hospital for the treatment of in-patients.
Under the Revised Rules and Regulations Governing the
Registration, Licensure and Operation of Hospitals and other
health facilities in the Philippines.
INFANT MORTALITY RATE (IMR) – the probability of
dying between birth and age one, expressed as the number
of infants deaths or deaths occurring before reaching 12
months of life in a given period per 1,000 live births. Under
the NCSB Resolution No. 8 Series of 2006 – Approving and
Adopting the Official Concepts and Definitions for Statistical
Purposes for the Health and Nutrition Sector.
MORBIDITY – the frequency of disease and illness,
injuries, and disabilities in a population. Under the NCSB
Resolution No. 8 Series of 2006 – Approving and Adopting
the Official Concepts and Definitions for Statistical Purposes
for the Health and Nutrition Sector.
MORTALITY – the intensity of death in a population. It
is sometimes used to mean the frequency of deaths in a
population. Under the NCSB Resolution No. 8 Series of
2006 – Approving and Adopting the Official Concepts and
Definitions for Statistical Purposes for the Health and
Nutrition Sector.
MORTALITY RATE – generally expresses the chance
that death will occur during a particular period to a person in
particular population group alive at the beginning of the
period. As such those rated are true probabilities and
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describe precisely the risk of dying for any actual cohort.
Under the NCSB Resolution No. 8 Series of 2006 –
Approving and Adopting the Official Concepts and
Definitions for Statistical Purposes for the Health and
Nutrition Sector.
LEED – Leadership in Energy and Environmental
Deisgn
PANTALEON G. GOTLADERA MEMORIAL
HOSPITAL – formerly known as Bulan Municipal Hospital
owned by the Government; a member of PHA.
PHA – Philippine Hospital Association
REDEVELOPMENT – a second developing process
of developing and restoring the Pantaleon G. Gotladera
Memorial Hospital to a better condition.