light and space/田中整形外科

Orthopedic hospital

architecture   2022



The waiting area is the only place in a clinic where medical care is not available. In this story, light and space connect medicine and patients in the waiting area where patients of various mental states gather.








A plan for a new orthopedic surgery center to be opened in Kasuga City, a bedroom town of Fukuoka City. The site is located in a corner where two lots will be used as a hospital area due to a road widening project. The site was naturally fixed, as the adjacent internal medicine department and pharmacy were to be built in advance, and the parking lot layout and the entrance to the site from the widened road had already been decided. The client’s rule of thumb was that a rehabilitation room in particular needed to be at least 100 square meters in size, which was a condition that influenced the plan.

The design of a clinic has a strong architectural planning element, and in particular, flow line planning is a key element of medical architecture that connects patients and medical staff. In this orthopedic surgery clinic, the flow of patients is connected in the order of “reception, waiting area, treatment, waiting area, rehabilitation, and waiting area. In addition to the richness of the space, the space plays a strong role as a backdrop to facilitate communication between the doctor and the patient as the examination and treatment are carried out through communication between the doctor and the patient in “medical treatment” and “rehabilitation.

We will focus on the “waiting area” where patients come and go over and over again. Depending on the patient’s medical condition, he or she may feel a little nervous before being called to the reception desk for treatment. It is also the only place in the clinic where medical care is not available. The project’s proposition was to consider the “waiting area,” where patients of various mental states gather.

After organizing the foresight, two volumes, “medical treatment area” and “rehabilitation area,” were arranged along the contours of the irregularly shaped trapezoidal site. The rehabilitation area was placed on the street side to serve as both a staging/advertising space for the outside and a closed space for exposing the skin during treatment. The treatment area was placed on the north side of the building, with its back to the road, as a closed space for privacy protection. A rectangular volume with a given area was placed along the contour of the site, and the frontage was opened in the shape of the letter “C”. A waiting area was placed through the place as a buffer zone between the two areas. Cross-sectionally, the treatment and rehabilitation areas were limited to the required air volume, partly due to the reduction in the volume of the building frame caused by the 2021 wood shock. On the other hand, the waiting area is a narrow and tall space that stretches toward the sky. Above the waiting area, facing south, is a high sidelight. The light that enters the space illuminates the white wall that serves as the backdrop for the examination area and falls softly to the ground level. The light bounces off the floor and reaches the rehabilitation area, which is partitioned with glass to create a space that is flooded with light in all directions.

The interior design was also guided by light. Pure white walls and floors were used as the base, and stainless steel furniture was placed in secluded areas to diffuse the light with its luster. The color scheme is based on the color of Kasuga City, mauve, which is often used for medical equipment, and its complementary color, vermilion, which is used for eye-catchers. The sign designer took into account our intentions and hung a large numeral-shaped hinmeri above the entrance from the waiting area to the examination rooms as a sign. The hinmeli, which swayed softly in response to the airflow from the ceiling fan, would soothe the patient before and after the examination, just like a calm seaside.

The design was intended to have an extraordinary sense of scale and generosity, and to make the waiting area, which is bathed in bright, soft sunlight, a part of the medical treatment process. We aimed to create a clinic where medical care and patients can be connected and have a moment of peace and tranquility in a place where they are sure to come with some anxiety and tension.


light and space/田中整形外科
構造設計 (川﨑構造設計)
サイン/グラフィック (ブルームーンデザイン事務所)
植栽 (モモノキ)
カーテン (enhanz)
照明 (モデュレックス)
生熊 智
Orthopedic hospital
Iwamoto Kaihatsu Co./Tanaka orthopedic clinic
Kasuga City
new construction
Wooden 2F
site area
floor area
Iwamoto Kaihatsu Co.
structural design (kawasaki structural design)
sgns/graphics design (bluemoon design office)
garden design (momonoki)
curtains design (enhanz)
lignting design (Modulex)
ikuma satoshi


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