HPH2013 - 21st HPH Conference Gothenburg 2013 - Welcome to HPH 2013

Plenary 3

Thursday, May 23, 2013 16:00-17:30

Effects Of Hospital Culture & Design

Culture And Health: Practice Implications From Theory

Prof. Gunnar BJURSELL

Senior professor in molecular biology, Karolinska Institute, Gothenburg (SWE)

Gunnar Bjursell has worked in the field of medical genetics and belongs to the first generation to clone human genes. His interest has been to understand the interactions between hereditary and environmental factors for understanding risk factors for the development of coronary heart disease and cancer.

Abstract summary:

During the last decade a multitude of reports, based mainly on advanced brain imaging technologies, have provided new insights into the everlasting plasticity of the brain. This phenomenon has opened up new ways for the rehabilitation of brain related disorders as well as health promotion. Publications in high impact science and medical journals show how cultural   stimulation of the brain can be used for enhancing learning and relearning processes. The importance of music for the enhancement of cognitive functions will be described as well as the use of music in stroke rehabilitation. Moreover examples will be given demonstrating how dance or different types of arts can successfully be used in health promotion of elderly people. Health promotion has had a certain focus on physical exercise and food intake. The knowledge level of today indicates the importance of brain exercise for experiencing a high level of wellbeing; the challenge is to find the motivation to constantly use your brain during the whole life span.

The Salutogenic Design Approach - The Search For Healthy Society

Prof. Alan DILANI

Ph.D., International Academy for Design and Health (IADH), Stockholm (SWE)

Professor Alan Dilani is a founder and General Director of the International Academy for Design and Health (IADH). www.designandhealth.com  He is co-founder of the Journal "World Health Design"www.worldhealthdesign.com . He is founder and director of international master program on Design and Health with University of Portsmouth in UK. Dr Dilani has been engaged worldwide in several universities in the field of Design and Health developing "Psychosocially Supportive Design Program", both in Medical and Design institutions. He holds a Masters of Architecture in Environmental Design from the Polytechnic of Turin, Italy and a Ph.D. in Health Facility Design from the Royal Institute of Technology, Stockholm. His research at Karolinska Institute, Medical University, developed a multidisciplinary research approach, leads to the new definition called “Saltugenic Design” that not only fosters functional efficiency, but also improves health processes. He has designed all kind of healthcare facilities and has been used as advisor for several ministry of health around the world.  He lectures worldwide and is the author of numerous articles and books in the field of Design and Health. Dr. Dilani received the Award 2010 from US Academy of Architecture for Health for his promotion of high quality design research.

Professor Alan Dilani, Ph.D.
Architect / Public Health
International Academy for Design and Health
Stockholm- Sweden tel + 46 70 453 90 70
www.designandhealth.com www.worldhealthdesign.com

Abstract summary:

While clinical practice focuses on treating illness, there’s also a raft of research to suggest that the quality of build environment has a highly important role to our health and wellbeing. The World Health Organization defines health as ”a state of complete physical, psychological and social well being, (Bio-Psycho-Social) and not only the absence of illness.” Health can be divided into two different perspectives: the biomedical and the holistic. From a biomedical viewpoint, health is considered to be a condition without diseases. In the western world, the biomedical perspective has been the leading perspective and thereby created the medical care as business industry. The holistic viewpoint emphasises multiple dimensions of health, including the physical, psychological, emotional, spiritual and social well-being by creating psychosocially supportive design. 

We are living in a post-industrial age in the knowledge (Google) society and healthcare should focus on providing “wellness” as well as treating illness. Therefore require a new way to look the role of built environment within the context of health and well-being that called Salutogenic approach to design!

Research on Salutogenic direction highlights the impact of design factors that inspire the designer and planner toward healthy society to develop the condition that stimulate health and wellbeing and thereby promotion of health and prevention of diseases in all level of society. An increase in the consideration of Salutogenic design approach leads to social innovation and economical growths that requires interdisciplinary application of sciences such as Architecture, medicine, public health, psychology, design, engineering with culture, art and music!

This presentation discusses Antonovsky’s salutogenic theory to apply wellness factors that promotes health and well-being in the built environment that may promote health and wellbeing. According to the theory, a sense of coherence is fostered by people’s ability to comprehend the environment (comprehensibility), to be effective in his behaviour (manageability) and to find meaning by the stimuli and exposure (meaningfullness).

Key words: Salutogenic design, stress reducing, health promotion, psychosocial factors


Dr. Matthew MASIELLO

Windber Research Institute, Windber (USA)

Dr. Masiello is Director of the Center for Health Promotion and Disease Prevention, Windber Research Institute, Windber, PA. His team of public health professionals develop and implement large population based public health initiatives. They presently serve as key partners to the largest U.S. implementation and evaluation of an internationally recognized bullying prevention program. By 2012, this project will reach approximately 230,000 school children in Pennsylvania 442 school buildings, more than 17,000 teachers, and over 340,000 parents.

Over the past two decades Dr. Masiello has had the opportunity to comment on his health promotion and disease prevention school and community programs at the Annual Meetings of the American Academy of Pediatrics and American Public Health Association, as well as many other national and international forums. He is on the faculty of St. Vincent College, Latrobe, PA as an Adjunct Professor for Graduate Health Studies and consultant in the development of undergraduate public health curriculums.

Dr. Masiello is also a practicing pediatrician in Somerset, Pennsylvania and serves, also, as the medical director of the University of Pittsburgh, Johnstown campus, student health clinic.

His pediatric residency was at Bridgeport Hospital/Yale, New Haven in Connecticut followed by a fellowship in pediatric critical medicine at Boston Children’s Hospital, Harvard. He served as medical director of pediatric intensive care units at Allegheny General Hospital in Pittsburgh, and the University of Massachusetts Medical Center in Worcester, MA. In 2004 he received a master’s degree in public health from the George Washington University School of Public Health and Health Services.