Practice and Exploration of PC Design-Construction General Contracting Projects
With the sustained high-quality development of healthcare services, modern hospital construction has departed from the conventional single civil engineering model. It has entered a new phase featuring multidisciplinary integration, coordinated specialized works, stringent compliance and intelligent empowerment. Specialized projects covering core medical treatment, medical technical support and logistics guarantee serve as vital carriers for medical quality, treatment safety and operational efficiency, directly determining a hospital’s medical capacity, service standard and long-term development potential.
Centering on a full range of medical specialties including operating room systems, intensive care, interventional therapy, laboratory and pathology, disinfection supply, intravenous pharmacy and medical gas systems, this paper adopts the integrated PC design-construction general contracting model. It systematically elaborates the construction logic, key implementation points and values of specialized hospital projects, offering practical references for building intelligent and standardized hospitals in the new era.

I. Core Project Construction Logic: Integrated General Contracting Meets Demands of Medical Special Projects
Medical buildings rank among civil structures with the strictest requirements on functionality, professionalism and compliance. They consist of dozens of subdivided specialties involving diagnosis, testing, intensive care, disinfection and logistics support. These specialties differ greatly in technical standards, involve frequent cross construction, rigid compliance clauses and rigorous operation and maintenance criteria.
Traditional construction modes suffer from disjointed design and construction, chaotic coordination among subcontractors, delayed working procedures, inconsistent standards and high rectification costs, failing to satisfy high-standard modern hospital construction requirements.
This project adopts the integrated PC design-construction general contracting mode, covering schematic design, detailed design, equipment procurement, professional construction, system commissioning, acceptance, delivery and operation handover. It conducts unified planning and centralized management over all subdivided works such as operating room clusters, DSA intervention rooms, ICUs, medical technical departments and logistics facilities.
Through advance design optimization, interleaved construction procedures, unified specialized standards and full-process quality control, conflicts arising from cross construction are thoroughly resolved. Deep integration of medical techniques, architectural decoration, electromechanical systems and intelligent facilities is realized. The construction period is effectively shortened, project investment strictly controlled, medical compliance guaranteed, and the overall professionalism, standardization and intelligence of hospital construction comprehensively enhanced.

II. Core Contents and Key Implementation Points of All-round Medical Special Projects
The hospital construction encompasses over ten core specialties categorized into six major sectors: clinical treatment, critical care, medical testing, disinfection supply, pharmaceutical service and medical support. All specialties function independently yet cooperate closely to form a complete hardware system for modern medical services. Key construction highlights are as follows:
1. Full-range Operating Room Specialties: Building Hierarchical Intelligent Surgical Platform
As core clinical treatment zones, the hospital establishes a multi-level operating room system comprising outpatient, conventional, digital and hybrid operating rooms, catering to diverse surgical scenarios and achieving comprehensive, precise and intelligent surgical services.
Conventional operating rooms are built in line with clean operation standards, reasonably divided into clean, semi-clean and contaminated areas. Separate routes for personnel, materials and waste are optimized. Equipped with constant temperature and humidity control, air purification, sterilization and negative pressure protection systems, the rooms effectively prevent surgical cross infection and meet demands of general surgical, orthopedic and gynecological operations.
Outpatient operating rooms focus on minimally invasive outpatient surgeries, day surgeries and debridement suture. Featuring compact layout and smooth circulation, they streamline medical procedures and improve outpatient service efficiency.
Digital operating rooms apply smart medical technologies, integrating surgical image transmission, real-time data collection, intraoperative remote consultation, intelligent equipment linkage and surgical traceability. Digitalized whole-process management breaks information barriers and supports precise and complex surgeries.
As high-end treatment hubs, hybrid operating rooms integrate surgical, interventional and diagnostic functions. Fitted with advanced imaging devices, smart surgical instruments and high-precision positioning systems, they enable one-stop complex cardiovascular, oncological and orthopedic procedures without patient transfer, greatly boosting surgical success rate and safety and upgrading high-end surgical capabilities.

2. Critical and Interventional Treatment Specialties: Safeguarding Emergency and Severe Patient Care
ICUs and DSA intervention rooms constitute the core of emergency care systems, reflecting a hospital’s emergency response and life support capacity. Built complying with intensive care specifications, ICUs contain enclosed independent care units furnished with central monitoring systems, ventilators, blood purification devices and real-time vital sign monitors.
Modular ward layout balances single and double-bed units, with isolated negative pressure wards available for severely infected patients, multiple organ failure cases and postoperative critical patients. Optimized staff and patient passages together with dedicated waste disposal and ventilation systems ensure safe treatment and efficient medical work.
DSA intervention rooms strictly implement radiation protection, purification, load-bearing and power distribution standards. Radiation-proof materials are applied on walls, doors, windows and floors to eliminate radiation leakage risks. Well-designed space accommodates equipment operation, medical work and patient transfer. Supported by purification, constant environment and intelligent control systems, the rooms routinely perform coronary, neurological and oncological interventional surgeries, forming an efficient and accurate emergency intervention treatment network.

3. Medical Testing Specialties: Establishing Precise and Reliable Diagnostic Support System
Pathology, clinical laboratory and blood transfusion departments act as the technical backbone of hospital diagnosis, delivering accurate data for clinical diagnosis, treatment, surgery and emergency rescue. All three departments are constructed in standardized, regulated and safe modes in accordance with medical quality control norms.
Clinical laboratories are divided into functional zones for routine, biochemical, microbiological and immunological tests. Strict measures are taken for cleanliness, ventilation, waste disposal and biosafety protection. Standard workbenches, intelligent ventilation cabinets, biosafety cabinets and constant temperature storage devices prevent contamination and sample cross-infection, securing accurate test results. Intelligent sample delivery channels streamline testing workflows.
Regarded as the gold standard for disease diagnosis, pathology departments cover complete procedures including specimen reception, sampling, dehydration, embedding, sectioning, staining, microscopic examination and file storage. Meeting strict biosafety, temperature control and dustproof standards and equipped with professional facilities, they provide authoritative basis for tumor and intractable disease diagnosis.
Blood transfusion departments ensure safe and sufficient clinical blood supply with standardized blood storage, matching and audit rooms. Constant temperature storage devices, cold chain monitoring systems and blood grouping equipment support full-track blood traceability. Zoned into clean and contaminated areas, the departments follow strict management rules for blood storage, allocation and delivery, fully satisfying blood demand in surgeries, emergency and critical care.
4. Logistics Support Specialties: Consolidating Foundation for Standardized Hospital Operation
Disinfection supply center, intravenous pharmacy and medical gas system serve as fundamental logistics guarantees for medical quality and safety throughout all treatment processes.
Disinfection supply centers undertake cleaning, disinfection, sterilization, storage and distribution of medical devices and dressings. Divided into decontamination, packaging & sterilization and sterile storage areas with isolated one-way flow lines, secondary contamination is avoided. Fully automatic washing, disinfection and sterilization equipment together with intelligent traceability systems ensure standardized and traceable processing of reusable medical supplies.
Intravenous pharmacies provide centralized intravenous drug preparation under Class 10,000 clean standards. Functional zones for prescription review, drug preparation, finished product verification and material storage are equipped with laminar flow benches, constant temperature purification and negative pressure dust removal systems to avoid contamination and incompatible drug mixing. Centralized review, preparation and verification reduce medication errors, protect patient infusion safety and elevate pharmaceutical service professionalism.
Medical gas systems are essential concealed life-support projects, covering oxygen, negative pressure suction, compressed air, nitrous oxide and nitrogen. Adopting integrated design and construction, gas stations, pipe networks, terminal outlets, pressure monitoring and alarm systems are uniformly planned. Strict construction specifications, anti-corrosion, sealing and pressure resistance tests achieve full gas terminal coverage across operating rooms, ICUs, wards and medical departments. Intelligent monitoring platforms real-time track gas pressure, flow and concentration with overload protection, fault alarm and emergency switching functions, ensuring round-the-clock stable and safe gas supply for clinical treatment and surgeries.

III. Core Advantages of Integrated PC General Contracting Mode
Compared with traditional separate contracting and scattered construction, the integrated PC mode perfectly adapts to medical projects featuring high professionalism, complex systems and intensive coordination with prominent merits.
First, in-depth coordination between design and construction eliminates professional conflicts. Integrated overall planning enables detailed design optimization based on technical requirements, equipment parameters and construction difficulties, resolving pipeline crossing, spatial contradiction and non-compliance issues in advance. Design changes and rework are minimized to meet practical medical demands.
Second, interleaved working procedures shorten construction duration. Barriers between different specialties are broken down, enabling synchronous and orderly progress of civil engineering, decoration, electromechanical, purification, protection and intelligent system works. The schedule is greatly shortened while ensuring simultaneous completion, acceptance and commissioning of all projects.
Third, unified compliant standards guarantee medical safety. All projects abide by national codes for medical buildings, cleanliness, radiation protection, biosafety and medical gas systems. Standardized construction and refined management eliminate inconsistent criteria and compliance loopholes, satisfying hospital assessment, quality inspection and daily operational requirements.
Fourth, clear rights and responsibilities enable effective investment and quality control. The general contractor manages the whole process from design, procurement and construction to commissioning. Unified accountability avoids disputes, cost overruns and hidden quality risks caused by multiple subcontractors, achieving quality improvement, efficiency growth and cost control.

IV. Project Value and Future Prospect
This integrated PC project covering operating rooms, DSA, ICU, disinfection supply, pathology, laboratory, blood transfusion, intravenous pharmacy and medical gas systems is far more than simple engineering combination. It comprehensively upgrades the hospital’s treatment system, emergency capacity and support facilities. Systematic, professional and intelligent construction builds a modern medical service system with robust critical care, precise surgery, reliable diagnosis and complete logistics support.
Clinically, multi-level surgical systems, intensive care and interventional treatment significantly enhance emergency rescue, complex surgery and minimally invasive treatment capabilities, expanding service scope and regional competitive strength. In terms of quality, standardized testing, disinfection, pharmaceutical and gas support fully safeguard medical safety and promote refined medical services. Operationally, integrated construction boosts inter-system collaboration, cuts later maintenance costs and lays solid hardware foundation for intelligent transformation and sustainable development.
Leveraging the achievements of integrated specialized construction, the hospital will further optimize medical workflows, improve service quality and deepen specialized medical development. The functional value of modern medical buildings will be fully exerted to meet people’s diversified high-quality healthcare needs and drive sound progress of regional medical services.