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The Architecture of Public Buildings as a Transformative Model Toward Health and Sustainability

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  • Mihajlo Zinoski

    (Faculty of Architecture, “Ss. Cyril and Methodius” University in Skopje, 1000 Skopje, North Macedonia)

  • Iva Petrunova

    (Association for City Research—GRADOT UBAV Skopje, 1000 Skopje, North Macedonia)

  • Jana Brsakoska

    (Faculty of Architecture, “Ss. Cyril and Methodius” University in Skopje, 1000 Skopje, North Macedonia)

Abstract

Public buildings are crucial to creating healthy and sustainable cities. These buildings promote social cohesion and enrich urban life by transforming existing facilities into hybrid models that integrate medical content. Historical developments highlight shifts in residential, economic, and healthcare infrastructure. The healthcare system aims to enhance public health while ensuring financial equity. Reforms in healthcare privatization, governed by public health and insurance policies, involve liberalizing service provision and are supported by the Ministry of Health and Finance. This study examines how public buildings can adapt to enhance health and social sustainability. Through case studies, it assesses architectural adaptability in analyzing spatial, economic, and social impacts. Diagrams illustrate spatial dynamics, while surveys compare efficiency, sustainability, and user experience. Statistical analysis highlights the role of spatial adaptability in fostering sustainable urban environments. The results, which express significant differences between means for different locations and citizens’ satisfaction, suggest that the hypothesis offers substantial results in every area. Besides commercial programs in commercial buildings, healthcare also gives satisfactory results. This study advocates for adaptive architecture as a key strategy, aligning with evolving societal and health demands. Hybridizing healthcare facilities and commercial spaces transforms shopping centers into sustainable models, enhancing social cohesion and economic viability.

Suggested Citation

  • Mihajlo Zinoski & Iva Petrunova & Jana Brsakoska, 2025. "The Architecture of Public Buildings as a Transformative Model Toward Health and Sustainability," IJERPH, MDPI, vol. 22(5), pages 1-23, May.
  • Handle: RePEc:gam:jijerp:v:22:y:2025:i:5:p:736-:d:1650519
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    References listed on IDEAS

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    1. Ludivine Launay & Fabien Guillot & Mohand Medjkane & Guy Launoy & Olivier Dejardin, 2024. "Spatial Accessibility to Primary Care in Metropolitan France: Results Using the SCALE Spatial Accessibility Index for All Regions," IJERPH, MDPI, vol. 21(3), pages 1-11, February.
    2. Ying Liu & Han Gu & Yuyu Shi, 2022. "Spatial Accessibility Analysis of Medical Facilities Based on Public Transportation Networks," IJERPH, MDPI, vol. 19(23), pages 1-15, December.
    3. Neal R. Haddaway & Matthew J. Page & Chris C. Pritchard & Luke A. McGuinness, 2022. "PRISMA2020: An R package and Shiny app for producing PRISMA 2020‐compliant flow diagrams, with interactivity for optimised digital transparency and Open Synthesis," Campbell Systematic Reviews, John Wiley & Sons, vol. 18(2), June.
    4. Sagarika Kamath & Mahalakshmi Poojary & Harshith Shetty & Kshithija Umesh & Soham Kar & Vani Lakshmi Ramesh & Gaurav Hajare & Albi Thomas & Helmut Brand & Selim Jahangir & Rajesh Kamath, 2024. "“ Private Hospitals Generally Offer Better Treatment and Facilities ”: Out-of-Pocket Expenditure on Healthcare and the Preference for Private Healthcare Providers in South India," IJERPH, MDPI, vol. 21(10), pages 1-15, September.
    5. Hong Xu & Jin Zhao & Xincan Yu, 2023. "A Community-Oriented Accessibility Index of Public Health Service Facilities: A Case Study of Wuchang District, Wuhan, China," Sustainability, MDPI, vol. 15(14), pages 1-21, July.
    6. Silvia Baltieri & Rubens Wajnsztejn, 2024. "Impact of Health Access on Hospitalization of Children and Youth with Cerebral Palsy and Paralytic Syndromes in Brazilian Regions," IJERPH, MDPI, vol. 21(10), pages 1-13, September.
    7. Erwin J. Delgado & Xavier Cabezas & Carlos Martin-Barreiro & Víctor Leiva & Fernando Rojas, 2022. "An Equity-Based Optimization Model to Solve the Location Problem for Healthcare Centers Applied to Hospital Beds and COVID-19 Vaccination," Mathematics, MDPI, vol. 10(11), pages 1-24, May.
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