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Considering the ‘seven flows’ of healthcare

Amy Krause, Architectural Design manager at private healthcare company, Mediclinic Southern Africa, takes a look at what she describes as ‘the seven flows’ of healthcare, what each contributes to a hospital or other healthcare facility, and the challenges in aligning them with stringent regulations and end-user expectations.

As an Architectural Design manager specialising in healthcare facilities, I prioritise the critical importance of the seven flows of healthcare — patient, staff, equipment, medication, waste, information, and supply chain, in every project, from small theatre upgrades to remote 22-bed clinics in Africa, and large-scale 350-bed masterplans in city centres. These flows form the backbone of efficient, compliant, and patient-centred healthcare environments.

In this article, I delve into each of these flows, highlighting their complexities, and the challenges in aligning them with stringent regulations (building and Department of Health) and end-user expectations. Often, these elements face pushback due to a lack of understanding or regulatory constraints, making clear communication vital. I emphasise the importance of presenting a comprehensive visual outline early in the process to ensure that all stakeholders share a common vision. This approach not only streamlines project execution, but also optimises the design, to enhance safety, workflow efficiency, and overall functionality.

Over my years of experience, I've learned that the key 
to successful healthcare design is objectivity — approaching each project without personal opinions that may not reflect end-user needs or future realities. By adhering to these principles, I aim to create healthcare environments that are not only compliant and functional, but also truly supportive of healthcare professionals and patients alike.

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