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Home, hotel or hospital?: On Swedish architecture used in twelve residential homes for frail older people between 1983 and 2003
KTH, School of Architecture and the Built Environment (ABE), Architecture, Architectural Design. (ArcPlan forskargrupp)
(English)Manuscript (preprint) (Other academic)
Abstract [fr]

En 2006 le gouvernement suédois a alloué des ressources aux nouveaux établissements d’hébergement de personnes âgées et dépendantes (EHPAD), étant donné que le nombre d’appartements avait baissé de quinze pour cent. L’architecture suédoise d’EHPAD est soumise à des lignes directrices de conception promouvant l’idée d’un habitat accueillant : l’appartement est à considérer comme un domicile dans le logement ordinaire mais une partie de la superficie pour cuisiner et agir socialement est transférée à un espace commun. A propos de l’EHPAD, la Direction nationale de la santé et des affaires sociales (DNSAS) a découvert un manque de statistiques. De plus, l’effet des lignes directrices sur l’architecture d’EHPAD n’est pas évalué. Basée sur un échantillon de douze modèles de logements EHPAD, cette étude analyse leur effet sur l’espace architectural. On peut identifier trois scénarios conceptuels, montrant que les lignes directrices engendrent des environnements caractérisés comme habitat privé, hôtel ou hôpital.

Abstract [en]

In 2006 the Swedish government allocated funding for the construction of new residential homes for frail elderly seniors. The number of flats available had dropped by fifteen per cent. Swedish architecture for residential homes is instructed by conceptual guidelines that foreground the ideal of home-likeness: The flats in residential homes are like flats in ordinary housing complexes but with the distinction that a partition of space for preparing meals and socializing is transferred to a communal space. The National Board of Health and Welfare (NBHW) have detected a lack of statistics concerning residential homes. Moreover, the influence of the guidelines on the realized architecture has never been evaluated. Based on a sample of twelve exemplary residential homes this study analyses the impact of the guidelines on architectural space. Three design scenarios have been identified that suggest that the guidelines create an environment that could be described as home-like, hotel-like or hospital-like.

Keyword [en]
Architecture, residential home, home-like space, hotel-like space, hospitallike space
Keyword [fr]
architecture, EHPAD, habitat privé, hôtel, hôpital
National Category
URN: urn:nbn:se:kth:diva-40804OAI: diva2:442198
QC 20110920 Även titel i franska "Habitat privé, hôtel ou hôpital ?: L’architecture relativeà l’hébergement de personnes âgées et dependantes,(EHPAD) en Suède"Available from: 2011-09-20 Created: 2011-09-20 Last updated: 2011-11-08Bibliographically approved
In thesis
1. Architecture and Ageing: On the Interaction between Frail Older People and the Built Environment
Open this publication in new window or tab >>Architecture and Ageing: On the Interaction between Frail Older People and the Built Environment
2011 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

This doctoral thesis deals with the type of architecture that materializes when age-related problems become a long-term condition (LTC) and gradually restrain the individual’s ability to perform activities in daily life (ADL). Their life situation necessitates a support from relatives or municipal eldercare staff in order for them to continue to participate in everyday living. In addition, the architectural space requires a close adjustment to the personal panorama of cognitive or functional impairments. The habitat can be a flat appropriated many years previously or in a residential care home for dependent and frail seniors. Architecture for ageing with dependency demonstrates how space can be used either to affirm or oppress the older person’s attempts to maintain an independent life style. By use of design theory, case study methodology and a heterogeneous research strategy, this study uses a threefold approach—a retrospective, a contemporaneous, and a future-oriented approach—to explore frail older people’s interaction with the architectural space of residential care homes. This has resulted in seven papers that focus on aspects of these human interactions with the built environment. Based on twelve exemplary models, the research paper I concludes that national guidelines result in a homelike, a hotel-like or a hospital-like environment. Research paper II is a retrospective study that examines the use of architecture competitions as a socio-political instrument to define architectural guidelines. Research paper III focuses on dependent seniors’ spatial appropriation of the communally shared space of a ward in a residential care home. Research paper IV employs two environmental assessment methods from the architecture profession and gerontological research (TESS-NH) in order to evaluate the use of interior colouring when refurbishing two residential care homes while the residents remained in place. Research paper V displays a municipal organizer’s considerations to opt for an architecture competition as a means of renewing architecture for the ageing population. Research paper VI examines competition documentation of three municipal architecture competitions organized during the period of 2006 to 2009. Research paper VII, the final study, explores notions concerning the appropriate space for ageing found among a group of municipal representatives, and people from organizations defending older people’s right. It supplies a model for understanding the appropriate space for ageing. This study illustrates the absence of older people with frailties in the public discussion about appropriate architecture for ageing. During the 20th century, the multi-dimensional idea of an architectural space with a homelike appearance has been used to contrast the negatively charged opposite—the complete and austere institution. The overarching conclusion of this study is that architecture for dependent and frail seniors constitutes a particular type of built space that requires an extended dialogue involving dependent seniors, architects, building contractors and care planners in order to conceive appropriate architecture for the ageing society.

Place, publisher, year, edition, pages
Stockholm: E-print AB, 2011. viii, 186 p.
Trita-ARK. Akademisk avhandling, ISSN 1402-7461 ; 2011:3
residential care home architecture, architecture competition, user values and planning considerations, appropriate space for ageing, homelikeness, societal building
National Category
urn:nbn:se:kth:diva-40483 (URN)
Public defence
2011-10-12, F3, Lindstedtsväg 26, Stockholm, 13:00 (English)
QC 20110921Available from: 2011-09-21 Created: 2011-09-16 Last updated: 2011-09-21Bibliographically approved

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