CHOR 2

Elevation and construction of a building to accommodate a consultation unit, a day hospital, a dialysis unit, medical control centers, and a 60-bed unit.

Located on steeply sloping land in the northwest of the city of Saint-Paul on Réunion Island, the Ouest Réunion Hospital Center (CHOR) meets the needs of a growing population of 215,000 inhabitants.

To expand its healthcare services and increase its capacity, CHOR is adding a new building and elevating one of its existing structures. Integrating into this existing fabric requires a response that anticipates needs in terms of mobility, transformation, and scalability. Through a sustainable and flexible project, the future infrastructure will ensure optimal and efficient patient care.

CHOR 2 notably includes the elevation of the South Wing to add 60 additional beds, the construction of a building housing a day hospital with 44 outpatient places (including 16 for chemotherapy), a dialysis center with 26 stations, 6 additional consultation rooms, a tertiary floor, a medical-technical area, and two levels of parking.

The project thus proposes contextual architecture that interacts with the site's built and natural environment. Like the existing CHOR, the extension project reflects the same commitment to developing bioclimatic architecture, guided by the movement of the wind.

Client : Centre Hospitalier Ouest Réunion (CHOR)

Location : Saint-Paul, France

Size : 7 600 m²

Status : In Progress

Key points

  • Attention Architecture.
  • Extension.
  • Vertical Extension.
  • Simple Construction Methods.

Environmental perfomances

  • Bioclimatic Design.
  • Bio-based Materials.
  • Greening of Surrounding Areas.
Download the project sheet

Site Integration and Bioclimatic Design

Découpe schématique du CHOR 2

The CHOR extension project is truly an urban project.

Beyond a fixed response to immediate needs, the project aims to create flexible frameworks and “cultivate” principles that will allow for future developments and extensions of the hospital site.

The CHOR2 building is thus located in close proximity to the existing structure at ground floor level. This level forms the true heart of the site, where the landscape plays a central role in welcoming patients and visitors. By being positioned at the same public level as the existing facility, it integrates into the site's urban fabric in continuity with existing interactions.

A contextual architecture that engages with the existing structures and surroundings, the project interacts with the site's built and natural environment, building in alignment with air currents to enable natural ventilation.

Découpe Bioclimatique du CHOR 2

Bioclimatic Design

Sens du vent sur le site du CHOR à la Réunion

The architectural climate design of the extension project was considered not only as a whole and within its built environmental context, but also integrates the evolution of the immediate existing structures without compromising, through its own presence, the natural ventilation functioning of the current building.

The project proposes a responsible thermal design and specifically develops efficient natural ventilation, despite relatively low wind intensity. The proposed architecture, dedicated to natural ventilation, avoids the effects of obstructions, turbulence, and interactions caused by the presence of existing buildings on the site (CHOR1). Furthermore, the project’s climatic architecture inherently includes the potential for adaptation and preservation of the implemented ventilation principles for future extensions or elevations.

Proposing a caring architecture that reconnects with all sensitive bonds, restoring our presence in the world, our capacity to feel and to act — for both patients and caregivers.

Places for Meeting and Exchange

The Landscape

The landscaping approach is based on respecting the spirit of the existing park, a true source of coolness. Inspired by the layout of English gardens, the project continues to draw winding paths, thus extending the softness of the existing lines. In this pursuit of harmony, large trees are preserved to support biodiversity and the existing plant heritage.

Organized around planted spaces, CHOR maintains a privileged connection with its natural environment. The hospital’s permeability to the city is accompanied by a stronger presence of landscape, helping to combat soil artificialization and urban heat islands.

The garden, visible from the building, invites an intimate dialogue with nature. The organic integration of vegetation into the architecture is expressed through patios and rooftop gardens. Vines create a direct link between humans and plants, uniting the interior and exterior.

This presence of greenery is also a source of calm and well-being within the hospital.

The Architecture of Attentiveness

The project restores attentiveness toward others and the world, with a focus on the therapeutic qualities of the landscape. It offers a familiar architecture in which everyone can find themselves. Each visual opening is designed as a moment of rest for both body and mind.

Through its spatial and sensory qualities, the architecture supports the patient throughout their care journey, helping them to face the challenge of illness and to take care of themselves.

Team

Autumn | Patriarche (General Contractor, Lead Consultant)
Patriarche (Architecture, Interior Architecture, External Works, BIM, Narrative Design)
OBA (Local Architecture)
Partners: EMCI (Structure), INSET (MEP/Fire Safety/Thermal), RESILIENS (Environmental Quality), REEC (Cost Management), AD HOC (Landscape), VIVIE (Acoustics), CIR&KOUR (Kitchen Design), GANDEMER (Airflow Engineering), 8’18 (Lighting Designers), Walter | Patriarche (Operations & Maintenance), Setec Organisation (Project Management Assistance)

Credits

3D Perspectives : ©Jeudi Wang, ©Remi Marsal

 

 

Programme

Health