The role of the built environment in updating design requirements in the post-pandemic scenario: A case study of selected diagnostic facilities in Brazil

This paper aims to discuss the relations between the built environment and the patient’s health, considering the context of the pandemic experienced since 2020. We assessed the results of a systematic literature review to create a theoretical framework. Based on that, we evaluated the performance of five diagnostic facilities sited in São Paulo, Brazil, during the occupation phase. These buildings share a similar design programme in a way that enables a systematic qualitative assessment. We organised the design requisites in a Table of Diagnostics and Recommendations. Based on the gathered evidence, we proposed reviewing the existing guidelines to promote healthier indoor environments. Among the leading design guidelines updates are issues regarding the management of contamination risk, such as the strategic planning of circulation routes, increasing outdoor air rates, and the specification of disinfection systems. We also present measures to promote healthiness and well-being for both patients and the medical team, including improving solar access to indoor environments and physical and visual access to the outdoors.