By Charles Michelson, AIA, ACHA, LEED AP
Over the past half-century, medical architectural design has transformed dramatically, and Saltz Michelson Architects, celebrating its 50-year anniversary, has grown alongside these changes. In the 1970s, medical facilities were largely utilitarian, prioritizing function over form. Designs were clinical, with long, impersonal corridors and open wards—spaces that emphasized efficiency over the patient experience. I remember early projects in local hospitals where I redesigned 4 and 8 patient wards into semi private rooms.
By the 1980s and 1990s, the design philosophy shifted toward patient-centered care. Natural light, single-patient rooms, and spaces for families became integral, aiming to reduce stress and promote healing. Hospitals were no longer just places of treatment but spaces that fostered comfort and recovery.
With the turn of the millennium, flexibility became paramount. Medical technology was rapidly evolving, and hospitals needed modular designs that could adapt to new equipment and evolving care models. This led to adaptable floor plans and future-proof infrastructure. The original IT closets were janitor closets with a router sitting on a five gallon bucket!
In the last two decades, healing environments have been at the forefront. Biophilic design, integrating nature, calming color palettes, art, and outdoor spaces, has been shown to improve patient outcomes. More recently, post-pandemic design has emphasized infection control, touchless technology, telehealth integration, and resilient, sustainable buildings.
From sterile corridors to vibrant, patient-focused, and adaptable environments, Saltz Michelson’s journey mirrors these remarkable changes, ensuring that each medical project responds to the evolving needs of healthcare and the people it serves.
Charles Michelson, President, Saltz Michelson Architects, can be reached at (954) 266-2700 or cmichelson@saltzmichelson.com or visit www.saltzmichelson.com.
