Architecture is an "inside-out, outside-in" process of exploration and resolution. The inside-out design problem is concerned with understanding and defining the internal function and environmental performance requirements in a building. This is a human-centered process that addresses numerous human factors - thermal comfort, visual comfort and acoustics, as these factors relate to spatial relationships and attributes.
The outside-in design problem is concerned with understanding and defining external conditions and factors that establish the broad context in which a building resides. Site (ecological) context and characteristics - topography, vegetation, soil conditions, surrounding buildings / urban environment, and species habitat -- climatic conditions and socio-cultural issues suggest planning and architectural design responses. Where the inside design determinants meet the outside design determinants is where the dynamic nature of architecture is manifested -- where the action is, where the fun begins and where great solutions are developed.
Architecture is not art. It does not exist solely to be viewed; it exists to serve-to serve mankind-both functionally and spiritually. Architecture is about shelter and about delight; it is about meeting basic human needs, both physical and emotional. All the above applies whether the building is healthcare related or not. Michael Joseph Holtz, FAIA, NCARB Boulder, Colorado