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The community health center : an architecture of place, authenticity, and possibilities, Bowen Island,… Duffield, Craig Edmund James 1995

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THE COMMUNITY HEALTH CENTER: AN ARCHITECTURE OF PLACE, AUTHENTICITY, AND POSSIBILITIES, BOWEN ISLAND, B. C. by CRAIG EDMUND JAMES DUFFIELD B.Sc, McGill University, 1990 A THESIS SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF ARCHITECTURE in THE FACULTY OF GRADUATE STUDIES School of Architecture We accept this thesis as conforming to the required standard THE UNIVERSITY OF BRITISH COLUMBIA August 1995 © Craig Edmund James Duffield, 1995 In presenting this thesis in partial fulfillment of the requirements for an advanced degree at the University of British Columbia, I agree that the Library shall make it freely available for reference and study. I further agree that permission for extensive copying of this thesis for scholarly purposes may be granted by the head of my department or by his or her representatives. It is understood that copying or publication of this thesis for financial gain shall not be allowed without my written permission. Department of faCttflECTVpET The University of British Columbia Vancouver, Canada ABSTRACT A contemporary view of health and health care has arisen, out of the broadened social understandings of the later half of this century, which recognizes the individual as a whole person (rather than a clinical object), and which recognizes the local community as the preferable locus of care. The community health center model has emerged as a response to this contemporary view. It is a community-specific model of health care delivery, health promotion, and community action. Its services cover a full range of primary health care needs (from social work to urgent care), utilizing a multi-disciplinary team approach. While the response of facility planning and programming to the contemporary view of health and health care has been explored to great depth over the past twenty five years, the response of architecture has not. The intent of this thesis was, therefore, to create an architectural design that may serve as a model of the multi-service community health center, and as a source of architectural ideas which respond to the contemporary view of health and health care. A rural site was selected as the most appropriate setting for a new purpose-built facility. The design solution specifically sought to countermand the alienation, stress, loss of sense of personal control, unfamiliarity, sterility, and institutional qualities of the common medical environment -particularly, from the experiential viewpoint of the client. The design also sought to stand on its own as a legitimate work of architecture. Towards these ends, the building was bound to the community via prominence, accessibility and familiarity in the activities of daily life. A concept of democratic space sought to extend the public realm and a sense of public ownership into the facility. A marketplace vocabulary and community-controlled space contributed towards this end. The building was bound to place via architectural expression and explorations of processional qualities; responding to the nature of its island place, to the forest environment, and to local vernacular architecture. The design sought to establish a relationship with nature, or natural order, via an interstitial relationship with the forest, the use of natural materials, a truthful structural expression, a presence of natural light, and, at the conceptual level, an interplay between order and aggregation. As a representation of health care architecture, the design sought to express the notion of a community of services, rather than that of an untouchable institution. It also sought to achieve all of this in accord with efficient functioning and way-finding, and to achieve it at costs comparable to existing facilities (if not less expensive), via strategic choices regarding systems and construction. II TABLE OF CONTENTS Abstract Table of Contents Acknowledgment Site and Concepts Floor Plans Sections: A and B Sections: C and D Sections: E and F 5 Section G and West Forest Elevation 6 North Forest Elevation and South Village Elevation 7 Detail of Central Hall and Vignettes 8 Detail: Bowen Island Context 9 Detail: Site Context 10 Concept: Context Analysis 11 Detail: Site 12 Concept: Diagram 13 Concept: Circulation 14 Concept: Functions 15 Detail of Floor Plans: Central Waiting Hall, Consulting Rooms, and Alternative Care 16 Detail of.Floor Plans: Main Entry Court, Notice Shelter, Community Meeting and Exercise Hall, Cafe, Fitness Areas, and Physiotherapy Rooms 17 Detail of Floor Plans: Cafe Terrace, Cafe, Kitchen, Volunteer Rooms, Kitchen Table Gathering Area, Seminar Room, Studio and Workshop 18 Detail of Floor Plans: Diagnostic and Treatment Area, Sick Children's Daycare, and Pharmacy 19 Detail of Section A: Main Entry Court, Main Entry, Community Meeting and Exercise Hall, and Exercise Garden 20 iii Detail of Section B: Cafe. Main Lobby, Hallway to Fitness Areas, and Physiotherapy Waiting and Reception 21 Detail of Section C: Secondary Entry Arcade, Central Waiting Hall, and Consulting Reception 22 Detail of Section D: Pharmacy, Emergency Entry and Waiting Detail of Section D: Social Work, Central Waiting Hall, and Consulting Rooms 23 Detail of Section E: Lab and Major Treatment Room Detail of Section E: Central Waiting Hall and East Elevation of Alternative Care 24 Detail of Section F: Sick Children's Daycare Entry and Daycare Detail of Section F: Central Waiting Hall Porch and Alternative Care 25 Detail of Section G: Porch, Central Waiting Hall, and Main Lobby 26 Detail of West Forest Elevation: Central Waiting Hall, with Consulting Rooms and Porch 27 Detail of North Forest Elevation: Central Waiting Hall and Consulting Rooms 28 Detail of South Village Elevation: Secondary Entry Arcade, Volunteer Rooms, Cafe, Main Entry Court, Notice Shelter, and Existing Post Office 29 Detail: Structural Element of Central Waiting Hall 30 Detail: Vignettes 31 Project Model: South View Detail of Project Model: South View 32 Detail of Project Model: North West View Detail of Project Model: North East View 33 Techtonic Model: North View 34 Detail of Techtonic Model: West View 35 Techtonic Model: West View Techtonic Model: East View of Cut-Away 36 Detail Model: Structural Element of Central Waiting Hall 37 Detail Model: Structural Element of Central Waiting Hall 38 Process Model: One Process Model: Two 39 Process Model: Three Process Model: Four 40 Process Model: Five nal Model 41 iv ACKNOWLEDGMENT I am deeply indebted to my mentors. Assistant Professor Dino Rapanos. Professor Sanford Hirshen and Mr. Ian Carter, for their thoughtful discussions, for their sage counsel, and for their continual encouragement and inspiration. v 1 Floor Plans 2 3 4 Sections: E and F 5 Section G and West Forest Elevation 6 7 Detail of Central Hall and Vignettes 8 bowen island context site context Detail: Site Context 10 context analysis Concept: Context Analysis 11 Detail: Site 12 diagram Concept: Diagram 13 circulation democratic «poce Concept: Circulation 14 functions the Mttution as a . . .ai a v«oge of gattiertrxj ot people (or common purpose 2 conmjttahon and eduoation 1 UTKjiuttHjIndotycxrnfrKrttYlle Concept: Functions 15 Detail of Floor Plans: Central Waiting Hall, Consulting Rooms, and Alternative Care 16 17 Detail of Floor Plans: Cafe Terrace. Cafe. Kitchen, Volunteer Rooms. Kitchen Table Gathering Area. Seminar Room, Studio and Workshop 18 19 03 23 A. Detail of Section E: Lab and Major Treatment Room B. Detail of Section E: Central Waiting Hall and East Elevation of Alternative Care 24 A. Detail of Section F: Sick Children's Daycare Entry and Daycare B. Detail of Section F: Central Waiting Hall Porch and Alternative Care 25 Detail of West Forest Elevation: Central Waiting Hall, with Consulting Rooms and Porch 27 82 62 detail of central hall •CO* 120 1 main entry court and cafe terrace 4 consulting reception 2 main entry and arcade 5 central waiting hall porch 3 central waiting hall 6 consulting room Detail: Vignettes 31 A. Detail of Project Model: North West View B. Detail of Project Model: North East View 33 Techtonic Model: North View 34 Detail of Techtonic Model: West View 35 Detail Model: Structural Element of Central Waiting Hall 37 Detail Model: Structural Element of Central Waiting Hall 38 A. Process Model: One 39 40 B. Process Model: Final Model 41 

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