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MCDM AG.COM | M A RCH /A PR IL 2017 | Medical Construction & Design 29 DRIVER 4: Balanced medical specialties As the incidence and prevalence of life- style diseases increase in these geogra- phies, demand for services and facilities specializing in the prevention, detection, treatment and long-term care of what are termed "diseases of affl uence" in aging populations is growing. More patients are presenting with primary health issues and co-morbidities related to obesity, diabetes, smoking, aging and stress. This often requires comple- menting preventive and curative care with specialty clinical services including cardiovascular, pulmonology, endocrinol- ogy, geriatrics, bariatrics, rehabilitation and behavioral health. DRIVER 5: Optimized operational cost and effi ciency With clients' increasing competitiveness in the Middle East, Asia and India mar- ketplaces, healthcare systems are focus- ing on near and longer-term return on investment. Client sensitivity to fi rst cost continues throughout design and con- struction, but is now often coupled with an understanding of longer-term operational cost and effi ciency. Together these fi ve factors are uniquely infl uencing healthcare design practices in the Middle East, Asia and India. As a result, international trends require distinct strategies in the pursuit of new, elevated levels of healthcare in these geographies. A closer look at trends New large-scale mega healthcare projects, typically consisting of de novo multi-spe- cialty institutions with 1,000 or more inpa- tient beds, remain widespread in Middle East, Asia and India. These institutions are aimed at addressing access to care in these regions and are frequently coupled with clinical staffi ng and operational strategies. Concurrent with the development of mega projects is a growing international commitment to creating specialized cen- ters of excellence to consolidate resources, attract new patients and elevate clini- cal outcomes. There is also an increased demand for standalone specialty centers of excellence to capture market share of unmet clinical needs in these regions. In the GCC, multiple large medical cities are being planned in the Kingdom of Saudi Arabia, Oman, Kuwait, Qatar and the UAE. Such projects are predomi- nantly government-sponsored and focus on bringing quality care to their national citizens. It is common practice in several of these nations to send their citizen- patients, and often families, abroad to the U.S. and UK for specialty treatment when comparable care is unavailable in their home country. These medical cities include robust inpatient and outpatient healthcare programs, as well as a mix of commercial and residential typologies to address regional gaps in care and mitigate resource expenditure for sending patients abroad to receive care. In addition to de novo campuses in the Fire-Rated Aluminum Window And Door Systems For the most efficient, least labor-intensive fire-rated extruded aluminum vision door s, windows and glazed wall systems, look to Aluflam. Built with anchoring holes, gaskets and glazing tapes pre-installed, our selection comes pre-assembled and prepared for installation. With a virtually limitless portfolio that includes true extruded aluminum vision doors, windows and glazed walls fire-rated for up to 120 minutes, you'll see why we've become the favorite of architects and installers alike. Fire and Nice. Photo: Nick Merrick ©Hendrich Blessing Aluflam USA Phone 562-926-9520 | Fax 562-404-1394 Email info@aluflam-usa.com www.aluflam-usa.com Left: China's fi rst LEED Gold hospital and research center, Hainan Cancer Hospital in Haikou, dissipates heat on campus through interior gardens and interconnecting courtyard walkways. Below: Abu Dhabi Health Services' new outpatient screening centers are strategically located to provide convenient access to expatriate workers in Abu Dhabi. The process and fl ow of patients is optimized to decrease wait times and increase capacity.