| Summary: | 碩士 === 國立臺灣大學 === 土木工程學研究所 === 100 === The main purpose of hospitals is to save lives and for patients’ physical and psychological recovery, and operating rooms in a hospital are facilities for surgical treatment. According to the Department of Health’s statistics, domestic hospitals perform surgery about 1.6 million times annually, more than 30% of which occur in the top fifteen large hospitals. In addition, hospitalization for surgery accounts for more than 50% of the total hospitalization, which makes up a higher rate of hospital operations. Studies have also shown that patients have preference heterogeneity, and from patients’ viewpoints, different hospitals can not be entirely substituted for one another. If a patient is transferred to another hospital, the utility for the patient will be reduced. Therefore, if the service life of an operating room in a large hospital is due or the operating room needs demolition and renovation for other factors, the operation of the hospital and medical services for its patients will be significantly affected.
Operating rooms are the areas with most complex systems and functional requirements in a hospital building and are inter-related with other units in the hospital. Modern operating rooms integrate interdisciplinary techniques including clean-room technique, medical aseptic technique, hospital management science and building planning techniques. Therefore, the construction of hospital operating rooms is a building area requiring highly specialized knowledge. Renovation of hospital operating rooms faces not only issues of the applicability of regulations, the method of renovation, and the way of tendering but also considerations of how the renovation can be done at a reasonable cost in the shortest period of time.
This study adopts literature review, analysis of the regulations and interview with experts as the major research methodologies. Through these methodologies and experience of participating in the renovation of the National Taiwan University Hospital operating room, the key factors for the renovation of large hospital operating rooms during the construction phase are identified and summarized into 59 impact factors in 10 categories. The key factors are believed to be useful and worth being referred to for hospitals and construction teams for future renovation of hospital operating rooms. The finding in this research is also believed to be able to help reduce the risk in the implementation of the renovation work.
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