Emerging technologies, architectural planning and hospitals of the future

the impact of Healthcare 4.0 on hospitals in Brazil

Authors

DOI:

https://doi.org/10.18830/1679-09442026v19e59451

Keywords:

Emerging technology, Healthcare 4.0, Hospital architecture, Hospital of the future

Abstract

This study aimed to identify the emerging technologies that most impact hospital architectural planning, the hospital sectors most impacted, and the outlook for the hospitals of the future, based on the perceptions of healthcare professionals, architects, and engineers working in the hospital sector in Brazil. An online survey was conducted with 66 participants from different regions; the data were processed using content analysis. The most frequently cited technologies were telehealth, robotics, artificial intelligence, environmental sensors, and augmented/virtual reality. The sectors identified as most impacted were the surgical and obstetric center, diagnostic support, and intensive care unit. For the hospital of the future, trends emerged toward greater patient-centricity, humanization, integrated technologies, dehospitalization, and space optimization, aiming for efficiency, safety, and personalized care. It is concluded that the adoption of these technologies demands physical and organizational reconfigurations and, despite conceptual and infrastructure challenges, the opportunities in terms of care quality and efficiency are promising.

Author Biographies

  • João Paulo Lucchetta Pompermaier, Federal University of Santa Catarina; Department of Architecture and Urbanism; Graduate Program in Architecture and Urbanism.

    PhD candidate in the Postgraduate Program in Architecture and Urbanism (PósARQ) at the Federal University of Santa Catarina (UFSC). Master's degree in Architecture and Urbanism from the Federal University of Santa Catarina (UFSC, 2024). Postgraduate student in Innovation, Emerging and Immersive Technologies for Digital Health at the Federal University of Goiás (UFG). Postgraduate student in Neuroarchitecture at the University of Southern Santa Catarina (UNISUL). Specialist in Higher Education Teaching from Cruzeiro do Sul University (UNICSUL, 2023). Specialist in Interior Design from Cruzeiro do Sul University (UNICSUL, 2021). Bachelor's degree in Architecture and Urbanism from the Chapecó Business College (FAEM/UCEFF, 2019). Scientific Production Fellow at the Bridge Laboratory (CTC/CCS/UFSC). Researcher at the Ergonomics Laboratory (LABERGO) of the Department of Production and Systems Engineering (DEPS/CTC/UFSC). Member of the GMETTA research group - Multidisciplinary Group on Ergonomics of Work and Applied Technologies (UFSC/CNPq) and the Study Group on Hospital Architecture and Engineering (GEA-hosp/UFBA). Research Coordinator of the Study and Research Group on Neuroscience and Architecture (GEP-NeuroArq). Associate member of the Brazilian Association for the Development of Hospital Buildings (ABDEH) and Scientific and Technical Coordinator of the Santa Catarina Regional.

  • Lizandra Garcia Lupi Vergara, Federal University of Santa Catarina; Department of Architecture and Urbanism; Graduate Program in Architecture and Urbanism.

    Architect and Urban Planner and Occupational Safety Engineer, with a Master's degree (2001) and a Doctorate (2005) in Ergonomics from the Production Engineering Department of the Federal University of Santa Catarina (UFSC) and a Post-Doctorate from the University of Illinois at Urbana-Champaign, USA (2022). Full Professor of Production Engineering at UFSC, teaching undergraduate (DEPS) and graduate courses in Production Engineering (PPGEP) and Architecture and Urban Planning (PosARQ). Supervisor of the Ergonomics Laboratory (LABERGO) and the Assistive Technology and Ergonomics Laboratory (LABTAE), and leader of the GMETTA research group - Multidisciplinary Group on Occupational Ergonomics and Applied Technologies (UFSC-CNPq). CNPq Scholarship holder in Technological Development and Innovative Extension Productivity - DT 2. Vice-President of the Brazilian Ergonomics Association (ABERGO), being a Senior Ergonomist Certified by ABERGO and Coordinator of the ABERGO Technical Committee - Working Group on Ergonomics of the Built Environment and Accessibility.

  • Patrícia Biasi Cavalcanti, Federal University of Santa Catarina; Center for Communication and Expression; Department of Graphic Design and Expression.

    PhD in Architecture from the Postgraduate Programme in Architecture - PROARQ/FAU at the Federal University of Rio de Janeiro (2011), with a doctoral internship (sandwich doctorate) at California Polytechnic State University/CA/USA. She holds a degree in Architecture and Urbanism from the Federal University of Santa Catarina (2000) and a master's degree in Architecture, more specifically in the subarea of Technology and Habitability, from the Federal University of Rio Grande do Sul (2003). She was a professor at the Faculty of Architecture and Urbanism at the University of Vale do Itajaí for 8 years, where she taught courses in Architectural Design and Drafting. She also taught Architectural Design and Drafting as an assistant professor at the Faculty of Architecture and Urbanism at the State University of Santa Catarina for 1 year. Since 2011, she has been an associate professor in the Department of Graphic Expression at the Federal University of Santa Catarina.

References

AHMAD, K. A. B.; KHUJAMATOV, H.; AKHMEDOV, N.; BAJURI, M. Y.; AHMAD, M. N.; AHMADIAN, A. Emerging trends and evolutions for smart city healthcare systems. Sustainable Cities and Society, v. 80, e103695, maio 2022. DOI: https://doi.org/10.1016/j.scs.2022.103695. Acesso em: 8 dez. 2025.

AL-JAROODI, J.; MOHAMED, N.; ABUKHOUSA, E. Health 4.0: on the way to realizing the healthcare of the future. IEEE Access, v. 8, p. 211189–211210, nov. 2020. DOI: https://doi.org/10.1109/ACCESS.2020.3038858. Acesso em: 8 dez. 2025.

BARDIN, L. Análise de conteúdo. Tradução: Luís Antero Reto, Augusto Pinheiro. São Paulo: Edições 70, 2016.

BRASIL. Ministério da Saúde. Agência Nacional de Vigilância Sanitária. RDC n.º 50, de 21 de fevereiro de 2002. Dispõe sobre o Regulamento Técnico para planejamento, programação, elaboração e avaliação de projetos físicos de estabelecimentos assistenciais de saúde. Diário Oficial da União: seção 1, Brasília, DF, ano 139, n. 54, p. 39-75, 20 mar. 2002. Of. El. 103/2002.

BRASIL. Ministério da Saúde. Sistema Único de Saúde. Brasília: Ministério da Saúde, 2023. Disponível em: https://www.gov.br/saude/pt-br/assuntos/saude-de-a-a-z/s/sus. Acesso em: 17 fev. 2023.

GIL, A. C. Como elaborar projetos de pesquisa. 4. ed. São Paulo: Atlas, 2002.

GÓES, R. Manual prático de arquitetura para clínicas e laboratórios. 2. ed. São Paulo: Blucher, 2010.

GUPTA, A.; SINGH, A. Healthcare 4.0: recent advancements and futuristic research directions. Wireless Personal Communications, v. 129, p. 933-952, 2022. DOI: https://doi.org/10.1007/s11277-022-10164-8. Acesso em: 8 dez. 2025.

KARMAN, J. Manutenção e segurança hospitalar preditivas. São Paulo: Estação Liberdade: IPH, 2011.

LOPES J. M.; MARRONE, P.; PEREIRA, S. L.; DIAS, E. M. Health 4.0: challenges for an orderly and inclusive innovation [Commentary]. IEEE Technology and Society Magazine, v. 38, n. 3, p. 17-19, set. 2019. DOI: https://doi.org/10.1109/MTS.2019.2930265. Acesso em: 8 dez. 2025.

MERHY, E. E.; MAGALHÃES JR., H. M.; RIMOLI, J.; FRANCO, T. B.; BUENO, W. S. Trabalho em saúde: olhando e experienciando o SUS no cotidiano. 3. ed. São Paulo: Hucitec, 2006.

OLIVEIRA, E. F. S. Inovação tecnológica em saúde uma visão nas últimas duas décadas. 2014. Tese (Doutorado em Ciências Sociais) – Pontifícia Universidade Católica de São Paulo, São Paulo, 2014. Disponível em: https://repositorio.pucsp.br/jspui/handle/handle/3576. Acesso em: 8 dez. 2025.

POMPERMAIER, J. P. L.; VERGARA, L. G. L.; CAVALCANTI, P. B. Processo de transformação da saúde e dos hospitais: um olhar para as revoluções industriais e os modelos de saúde. Revista Ibero-Americana de Humanidades, Ciências e Educação, v. 10, n. 10, p. 1099–1118, 2024a. DOI: https://doi.org/10.51891/rease.v10i10.15956. Acesso em: 8 dez. 2025.

POMPERMAIER, J. P. L.; VERGARA, L. G. L.; CAVALCANTI, P. B. Saúde 4.0, tecnologias emergentes e cenários disruptivos em ambientes hospitalares: uma revisão de escopo. Revista Sustinere, v. 12, n. 2, p. 1113–1136, 2024b. Disponível em: https://www.e-publicacoes.uerj.br/sustinere/article/view/84050. Acesso em: 23 jan. 2025.

POMPERMAIER, J. P. L. Arquitetura e Saúde 4.0: tecnologias emergentes nas edificações hospitalares do Brasil. 2024c. Dissertação (Mestrado em Arquitetura e Urbanismo) – Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Arquitetura e Urbanismo, Florianópolis, 2024c. Disponível em: https://repositorio.ufsc.br/handle/123456789/254480. Acesso em: 6 mar. 2026.

SCHWAB, K. A quarta revolução industrial. Tradução: Daniel Moreira Miranda. São Paulo: Edipro, 2016.

SONY, M.; ANTONY, J.; McDERMOTT, O. The impact of healthcare 4.0 on the healthcare service quality: a systematic literature review. Hospital Topics, p. 288-304, 2022. DOI: https://doi.org/10.1080/00185868.2022.2048220. Acesso em: 8 dez. 2025.

TOLEDO, L. C. M. Feitos para cuidar: a arquitetura como um gesto médico e a humanização do edifício hospitalar. 2008. Tese (Doutorado em Arquitetura) –Faculdade de Arquitetura e Urbanismo, Universidade Federal do Rio de Janeiro, Rio de Janeiro, 2008. Disponível em: http://objdig.ufrj.br/21/teses/707407.pdf. Acesso em: 8 dez. 2025.

TORTORELLA, G. L.; FOGLIATTO, F. S.; ESPÔSTO, K. F.; VERGARA, A. M.; VASSOLO, R.; MENDOZA, D. T.; NARAYANAMURTHY, G. Effects of contingencies on healthcare 4.0 technologies adoption and barriers in emerging economies. Technological Forecasting and Social Change, v. 156, jul. 2020. DOI: https://doi.org/10.1016/j.techfore.2020.120048. Acesso em: 8 dez. 2025.

WHO – WORLD HEALTH ORGANIZATION. Hospitals of the future: a technical brief on re-thinking the architecture of hospitals. Copenhagen: WHO Regional Office for Europe, 2023. Disponível em: https://www.who.int/europe/publications/i/item/WHO-EURO-2023-7525-47292-69380. Acesso em: 24 ago. 2023.

Published

2026-03-07

Issue

Section

Design, Planning and Landscape

How to Cite

Emerging technologies, architectural planning and hospitals of the future : the impact of Healthcare 4.0 on hospitals in Brazil. (2026). Paranoá, 19, e59451. https://doi.org/10.18830/1679-09442026v19e59451

Similar Articles

1-10 of 311

You may also start an advanced similarity search for this article.

Most read articles by the same author(s)