전환형 병동의 전환 전후의 사용을 고려한 통합적 건축계획 가이드라인에 관한 연구 - 긴급치료병상과 공공병원 전환형 격리병동의 시설기준 보완연구를 중심으로 -

초록

Convertible wards operate as general wards under normal conditions and switch to negative pressure isolation wards during outbreaks ofhigh-risk respiratory infections. Examples include Emergency Treatment Beds and Public Hospital Isolation Wards, but current standards focusonly on minimum conversion requirements and often overlook ward efficiency and accreditation. This study compared facility standards forNational Designated Isolation Beds, Emergency Treatment Beds, Public Hospital Isolation Wards, and general wards, and examined floor plansfrom nine hospitals with 300 to 500 beds. Findings showed that patient rooms in convertible wards offer about 66 percent of the arearequired for National Designated Isolation Beds. Anterooms are not always provided, which weakens isolation performance. Differences amongstandards reflected reduced infection control requirements as well as distinct arrangements of support spaces. Floor plan analysis groupedsupport spaces into convertible facilities such as PPE doffing rooms, maintainable facilities such as nurse stations, and facilities that must beclosed during conversion such as shared toilets. These needs varied according to zoning, circulation patterns, staff access, and the movementof patients or caregivers. Based on these findings, the study recommends developing facility standards for convertible wards that unify generalward operation with the ability to convert to negative pressure isolation wards while supporting necessary program and layout changes.

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