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中国农村的医疗面临众多挑战，一般来讲，农村的卫生院技术不佳，也存在乱收费现象。香港慈善机构委托建筑事务所Rural Urban Framework在湖南省保靖县设计中国第一家慈善医院，同时旨在帮助培养农村医疗卫生的新态度。

Rural healthcare in China currently faces a multitude of challenges. Rural institutions are generally unfavourable compared to those in urban locales. Government subsidies and the raising of doctor and hospital incomes also lead to overcharging and needless treatments and exams.

Commissioned by a Hong Kong charity, Institute for Integrated Rural Development, this project involves designing China’s first charitable hospital whilst helping foster a new attitude toward rural healthcare.

此项目针对农村地区的医院设计与管理。建筑师与慈善机构和政府紧密合作，把一个医院的功能重新组织和分布。设计策略简单直接，利用坡道为所有楼层提供无障碍通道。这样，坡道与大楼中间形成了一个中央庭院，作为公共开放场域。材料使用包括再用砖和定制的混凝土镂空砌块。

Working closely with the charity and government in Angdong Village of Hunan Province, our task was to develop a model rural health care building capable of supporting the many progressive reforms on rural hospital management and care giving. This includes providing basic necessities absent in current establishments, some as simple as waiting rooms. Additionally, seeing that most institutions in China, such as schools and hospitals, are walled off and managed as contained programs, we were interested in re-introducing the hospital as a publicly-friendly facility.

混凝土砌块砖与再生砖远看并无二样，但当人们靠近时会发现与通常造型不一样的砌块圆洞造型（圆洞借由乳胶模具产生），独一无二的造型让建筑在阳光下产生出柔软多变的光影效果。

The program of a hospital is re-configured from its conventional form. The design begins with a simple strategy to provide a continuous ramp access to all floors. A wide ramp allows for seating and improves circulation. This also creates a large central courtyard space open for public use.

At the ground level, the courtyard provides additional steps for seating and serves as an outdoor waiting area. Materials consist of both recycled traditional bricks, which form the exterior façade, and custom designed concrete screen blocks, which flank the interior spiral passageway.

Though from a distance they appear like the common type, these custom blocks are cast in a flexible latex mold. The resulting courtyard exhibits a soft and smoothly changing quality, casting variable shadows throughout the day.

鸣谢

地点：中国湖南省保靖县
设计：林君翰与Joshua Bolchover，城村架构
委托捐助者：香港沃土發展社
额外捐助者：香港陆谦受慈善基金
项目团队:设计师：林君翰与Joshua Bolchover
城村架构是一个设在香港大学建筑学院的非牟利设计机构。
项目管理: 马洁怡
项目团队: Mark Kingsley, Jeffery Huang，关帼盈，黄稚沄，梁卓嘉
摄影：城村架构

项目资料：
委托日期：2011年5月
总面积：1，450平方米
总造价：1,697,250人民币
单位造价：1,170人民币/平方米

Credits

LOCATION:Baojing County, Hunan Province, China
DESIGN:Joshua Bolchover and John Lin, Rural Urban Framework (RUF)
COMMISSIONING DONOR:Institute of integrated Rural Development
ADDITIONAL DONORS:Luke Him Sau Charitable Trust
CREDITS:
Design: Joshua Bolchover and John Lin
Rural Urban Framework is a not-for-profit design agency based at the Faculty of Architecture, The University of Hong Kong.
Project manager: Maggie K Y Ma
Project team: Mark Kingsley, Jeffery Huang, Crystal Kwan, Huang Zhiyun, Tiffany Leung, Johnny Cullinan, Tanya Tsui, Joyce Ip

IMAGE CREDITS:
Rural Urban Framework (RUF)

PROJECT DETAILS:
Commission Date: May 2011
Size: 1,450 m2
Total Cost: 272,000 USD (1,697,250 RMB)
Unit Cost: 190 USD/sqm (1,170 RMB/sqm)

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