The Architecture of Public Buildings as a Transformative Model Toward Health and Sustainability

Mihajlo Zinoski (), Iva Petrunova and Jana Brsakoska
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Mihajlo Zinoski: Faculty of Architecture, “Ss. Cyril and Methodius” University in Skopje, 1000 Skopje, North Macedonia
Iva Petrunova: Association for City Research—GRADOT UBAV Skopje, 1000 Skopje, North Macedonia
Jana Brsakoska: Faculty of Architecture, “Ss. Cyril and Methodius” University in Skopje, 1000 Skopje, North Macedonia

IJERPH, 2025, vol. 22, issue 5, 1-23

Abstract: Public buildings are crucial to creating healthy and sustainable cities. These buildings promote social cohesion and enrich urban life by transforming existing facilities into hybrid models that integrate medical content. Historical developments highlight shifts in residential, economic, and healthcare infrastructure. The healthcare system aims to enhance public health while ensuring financial equity. Reforms in healthcare privatization, governed by public health and insurance policies, involve liberalizing service provision and are supported by the Ministry of Health and Finance. This study examines how public buildings can adapt to enhance health and social sustainability. Through case studies, it assesses architectural adaptability in analyzing spatial, economic, and social impacts. Diagrams illustrate spatial dynamics, while surveys compare efficiency, sustainability, and user experience. Statistical analysis highlights the role of spatial adaptability in fostering sustainable urban environments. The results, which express significant differences between means for different locations and citizens’ satisfaction, suggest that the hypothesis offers substantial results in every area. Besides commercial programs in commercial buildings, healthcare also gives satisfactory results. This study advocates for adaptive architecture as a key strategy, aligning with evolving societal and health demands. Hybridizing healthcare facilities and commercial spaces transforms shopping centers into sustainable models, enhancing social cohesion and economic viability.

Keywords: public buildings; sustainability; transformation; healthcare facilities; public–private partnership (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2025
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