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Study of Circulation Efficiency and Flow Patterns in Hospital Designs Using Space Syntax Theory

The process of building design, spatial layout and arrangement provides information about the organization ability of an Architect or Planner. Circulation has been defined as the relative easiness and modes of flow through and within a building mostly in the network of spaces or routes. Studies on environmental cognition theories identify a general problem in the structuring of communication and transaction between individuals brought about by co-presence in space. This situation is largely determined by local visual fields in common spaces and perception of users which aligns movement routes through that visual field. In the case of hospital buildings, developing workable layouts in design and activity configuration remains a challenging task for Architects and Planners of hospitals. This study therefore aims at developing an appraisal technique which could be applied as a tool for assessing the wayfinding performance and circulation efficiency of hospitals. Utilizing excerpts from Space syntax analysis, this paper establishes the variables associated with wayfinding as they apply to hospitals using selected hospitals in Nigeria, it also utilized the congestion criteria together with associated space syntax theories to evaluate the circulation efficiency (CE) of these selected hospitals. These space syntax parameters were employed in order to establish the permeability of the spaces through the geometry of the buildings. The real integration (RI) values were calculated for the selected hospital buildings using asymmetry equations and the values generated from the analysis. The visibility factor was also generated using the space syntax Isovist of sights analogy. The study revealed the major archetypes for the circulation design of these hospitals as Linear, Multilateral and the Looped circulation patterns. The Circulation efficiency (CE) values obtained for each of these archetypes underscores the significance of their application in ease of wayfinding, movement and circulation of patients/staff in hospital buildings.

Circulation, Spatial Configuration, Space Syntax, Hospital Design, Wayfinding Performance

APA Style

Akubue Jideofor Anselm. (2022). Study of Circulation Efficiency and Flow Patterns in Hospital Designs Using Space Syntax Theory. International Journal of Architecture, Arts and Applications, 8(4), 181-196.

ACS Style

Akubue Jideofor Anselm. Study of Circulation Efficiency and Flow Patterns in Hospital Designs Using Space Syntax Theory. Int. J. Archit. Arts Appl. 2022, 8(4), 181-196. doi: 10.11648/j.ijaaa.20220804.12

AMA Style

Akubue Jideofor Anselm. Study of Circulation Efficiency and Flow Patterns in Hospital Designs Using Space Syntax Theory. Int J Archit Arts Appl. 2022;8(4):181-196. doi: 10.11648/j.ijaaa.20220804.12

Copyright © 2022 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

1. Ullas B, & Aju R. (2014). Wayfinding in Theme Parks. International Journal of Scientific and Engineering Research, 5 (7), 139-145.
2. Hashim M. S, & Said I. (2013). Effectiveness of Wayfinding Towards Spatial Space and Human Behavior in Theme Park. Procedia, 282-295.
3. Hayward, G. & Brydon-Miller, M. (1984). Spatial and conceptual aspects of orientation: Visitor experiences at an outdoor history museum. Journal of Environmental Systems, 13 (4), 317-332.
4. Tolman, E. C. (1948). Cognitive maps in rats and men. Psychological Review. 55 (4), 189–208.
5. Russell, A. E, Eva Z. P, Joshua B. J & Hugo J S. (2017). Nature Neuroscience 20, 1504–1513.
6. Kuipers, B. (1982). The ‘map in the head’ metaphor. Environment and Behaviour, 14 (2), 202-220.
7. Kuipers, B. (1983). The cognitive map: could it have been any other way? In H. L. Pick & L. J. Acredolo, Eds., Spatial Orientation: Theory, Research and Application. New York, NY: Plenum Press, 345-359.
8. Dalton, R. C., Hölscher, C., & Montello, D. R. (2019). Way finding as a social activity. Frontier in Psychology, 10 (142), 1–14.
9. Hillier, B. (1996). Space is the Machine. Cambridge University Press: Cambridge.
10. Osefoh F. C. (2013). Evaluation of The Circulation Efficiency of Internal flow patterns in Tertiary Hospital Designs in Enugu, Nigeria. University of Nigeria press.
11. Parsia, Y. & Fadzline, P. (2018). Role of healthcare-facilities layout design, healing architecture, on quality of services. International Journal of Civil Engineering and Technology. 9, 598-601.
12. Gesler, W., Bell M., Curtis S., Hubbard P., & Francis S. (2004). “Therapy by design: Evaluating the UK hospital building program”, Health and Place, 10 (2), 117-128.
13. Nazarian, M., Price, A. D. F., Demian, P. (2011). A review of different approaches to access and people circulation within health-care facilities and the application of modelling, simulation and visualisation. CIB-W096 Architectural Management in the Digital Arena, Vienna, 219-231.
14. Arisaka, Y. (1996). On Heidegger's Theory of Space: A Critique of Dreyfus. Inquiry 38, 455-467.
15. Campbell, C. (2016). Space, Place and Scale: Human Geography and Spatial History in Past and Present. Past & Present. 239, 23-45.
16. Hillier B, Hanson J. (1984). The Social Logic of Space. Cambridge: Cambridge University Press.
17. Brunye, T. T., Gardony, A. L., Holmes, A., & Taylor, H. A. (2018). Spatial decision dynamics during wayfinding: Intersections prompt the decision-making process. Cognitive Research: Pinciples and Implications, 3, 13.
18. Golledge, R. G., & Stimson, R. (1997). Spatial behavior: A geographic perspective. New York: Guilford.
19. Lynch, K. (1960). The image of the city. Cambridge, MA: MIT Press.
20. Peponis J, & Zimring C, (1996). User friendly hospital layouts. The contributions of space syntax. Journal of Health Care, 8, 109-115.
21. Peponis, J. (2012). Building layout as cognitive data: purview and purview interface. Cognitive Critique, 6, 11–51.
22. Lynch K, & Hack G. (1984). Site Planning. The MIT Press, Cambridge, Massachusetts and London, England.
23. Hölscher, C., & Brösamle, M. (2007). Capturing indoor wayfinding strategies and differences in spatial knowledge with Space Syntax. Proceedings, 6th International Space Syntax Symposium, İstanbul: ITU Faculty of Architecture.
24. Passini, R. (1996). Wayfinding design: logic, application and some thoughts on universality. Design Studies, 17 (3), 319-331.
25. Ching, F. D. K. (2007). Architecture: Form, space, & order. Hoboken, N. J: John Wiley & Sons.
26. Osman, K M., & Suliman, M. (1994). The Space Syntax Methodology: Fits and Misfit. Architecture & Behaviour, 10 (2), 189-204.
27. Unlu, A., Ulken, G., & Edgu, E., (2005). A Space Syntax Based Model in Evacuation of Hospitals. 5th International Space Syntax Symposium, Akkelies Van Nes (Ed.), Delft University of Technology, 161-173.
28. Pachilova, R., & Sailer, K., (2020). Providing care quality by design: a new measure to assess hospital ward layouts. The Journal of Architecture. 25, 186-202.