| 摘要: |
| 在信息化背景下，针对医院数字与物质
空间并存互构的特点，采用流空间理论视角，以
信息流、人流和物流为要素，建立医院流空间
的构成与转型分析框架，并阐释了其信息化转
型机制：在社会经济效益的支配下，医院流要
素发生数字迁移，产生数字投影空间，并引发功
能网络转型，从而在流空间逻辑下改变空间节
点分布状态，使医院空间呈现出“多义化节点空
间”和“分布式形态结构”等典型形态，具有去
中心、碎片化和不稳定特点。在此基础上，进一
步从优化功能空间组织、调整空间面积配置和
保留适当的灵活性3个方面探讨了建筑设计应对
思路，指出“划分并组织局部中心”将成为新的
重要问题，其关键在于合理决策空间节点的分
解、分散与重组、重聚，可借助中心性等网络分
析来应对。 |
| 关键词: 医院建筑空间 信息化 流空间 设计应对思路 |
| DOI：10.13791/j.cnki.hsfwest.20240403 |
| 分类号: |
| 基金项目:浙江省自然科学基金项目（LQ23E080019）；浙江
省哲学社会科学规划课题（23NDJC104YB）；国家
自然科学基金青年项目（52208090）；浙江省社科
联研究课题（2024N003）；浙江省教育厅人文社科
项目（Y202248892） |
|
| Transformation and design coping of hospital building space in the context ofinformatization: From the perspective of space of flows |
|
ZHANG Malu,YANG Ning
|
| Abstract: |
| In the context of informatization, hospital space is evolving towards coexistence and
interaction of digital and physical form, with organizational logic distinct from traditional physical
spaces, as well as spatial state instability. It poses challenges for adequately interpreting the space
through existing frameworks for hospital building analyzing. Consequently, current research tends
to focus narrowly on the installation and operational spaces for digital equipment, failing to address
core issues such as overall function and flow in hospital building design.
To address this, it introduces a well-established theory, “space of flows,” from urban spatial
informatization research. Based on it, as well as tailored to the scale and research priorities of
hospital buildings, it establishes an analytical framework for the composition and transformation of
hospital space of flows, taking information, human, and material flows as the “flow elements.” The
hospital space of flows comprises three layers: the flow elements and flow carriers, functional and
spatial node, and the resulting socio-economic benefits. Within them, the morphological hierarchy
represented by the centrality and asymmetry of nodes constitutes the structural characteristics of
hospital space of flows. Its formation follows a “function-space” matching logic, incorporating both
the “space of places” and “space of flows” logic. The former emphasizes geographical contiguity in
function organization, and the latter emphasizes functional linkage, which can disrupt the control
of material processes over the overall space. Through the transmission of this “function-space”
matching logic, the socio-economic benefits generated by hospital spaces become the dominant force
shaping their morphology.
Based on this framework, it further elaborates on the mechanism of informatization
transformation in hospital spaces. Driven by socio-economic benefits, at the micro level, hospital
flow elements undergo a “digital migration”, meaning hospital information flows transform from
material to digital forms. This migration transforms physical spaces into digital spaces and projects
“digital projection spaces” onto the physical realm, physical spaces necessary for the placement and
operation of related equipment. Digital projection spaces have distinct morphological requirements
from traditional physical spaces, triggering spatial transformation at the micro level and supporting
changes in macro-level layouts. After digital migration, the macro-level functional network structure
and its spatial matching logic in hospitals also undergo transformations, with nodes, connections,
connection strengths, and hierarchical structures in the material functional network becoming
increasingly decentralized and fragmented, as well as an overall instability. Subsequently, the “space
of flows” logic emerges, causing different nodes in hospitals to “disperse”, and also allowing for
the “decomposition” of one node into sub-nodes. Then, they ”reaggregate“ with other nodes into
new clusters, some even “recombine” to form new spatial nodes. This process results in a generally
decentralized, fragmented, and unstable distribution of hospital spatial nodes. Consequently,
hospital spaces exhibit typical morphologies such as “polysemous node spaces” and “distributed
morphological structures”. The former belongs to the micro level, including synchronic polysemousnodes composed of functions close to each other in the process, and synchronic or diachronic polysemous nodes formed by the compound of functions with
similar spatial needs. The latter belongs to the macro level, with multiple independent and parallel local centers which integrate various stages of similar
patients’ treatments, accommodating diverse medical processes involving multidisciplinary cooperation and consultation. Besides, medical functions that
remain undecomposed or unrecombined become spatial units juxtaposed with these local centers.
Finally, it discusses architectural design coping approaches. Firstly, in functional space organization, a core aspect of hospital building design,
“delineating and organizing local centers” will emerge as a parallel priority alongside traditional functional zoning. The key lies in making rational decisions
about the decomposition, dispersion, recombination, and reaggregation of nodes to balance local centers with the overall hospital space. Simultaneously,
suitable layout patterns and spatial morphologies of nodes should also be considered. Secondly, in area allocation, beyond the traditional approach of
“department allocation→section allocation→ room allocation”, local center area allocation at various scales must be considered. Additionally, factors such as
digital projection spaces, node space decomposition/recombination, and changes in material flow intensity necessitate the reassessment of area requirements
for specific functions. Thirdly, to accommodate the unstable nature of hospital space of flows, designing with appropriate flexibility is imperative. This
can be achieved by combining traditional methods of analyzing material connections node by node with network analyses that focus on centrality and
asymmetry. Moreover, modular layouts, moveable partitions, and environmental transformation equipment can facilitate flexible space utilization. |
| Key words: hospital building space informatization space of flows design coping approaches |
