전환형 병동의 전환 전후의 사용을 고려한 통합적 건축계획 가이드라인에 관한 연구 = Integrated Guidelines for the Architectural Design of Convertible Wards

국문 초록 (Abstract)

전환형 병동은 평상시 일반병동으로 운영하다가 감염병 위기 시 음압격리병동으로 전환되는 시설이다. 그러나 현행 시설기준은 음압격리 요건에 치중해 일반병동 운영 효율성과 의료기관 인증평가 기준을 충분히 반영하지 못한다. 본 연구는 국가지정 입원치료병상, 긴급치료병상, 공공병원 전환형 격리병동, 일반병동의 시설기준과 9개 병동 사례를 분석하여, 이중 기능 수행을 위한 시설기준 보완 요소를 도출하고 통합적 가이드라인의 방향을 제시하였다.

다국어 초록 (Multilingual Abstract)

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.