Maggie's Centres – an innovative approach to support cancer patients

Rafał Strojny

r.strojny@pollub.pl
Department of Architecture, Urban Planning and Spatial Planning, Civil Engineering and Architecture Faculty, Lublin University of Technology (Poland)
https://orcid.org/0000-0002-2451-9152

Abstract

This article presents an innovative approach to providing different types of support for cancer patients originating from the UK. These are provided by Maggie's centres, which date back to the 1990s. The subject of this study is a selection of centres located in London. The aim of this article is to provide an overview of the history of the centres, their ideas and strategies, and to illustrate how the emotional, psychological and practical support offered to cancer patients and their loved ones has been 'clothed' in a new avant-garde architectural form, a completely non-institutional derivative of healthcare buildings. This article is based on in situ research, observation of the operation of one of the centres and interviews with its users. A detailed study of Maggie's centres, an understanding of their ideas and effects improving the quality of life of cancer patients, can serve as an inspiration for the Polish healthcare system. Particularly in the context of the current situation, which clearly shows the prevalence of cancer among Poles and in the context of significant shortages of state-of-the-art treatment methods in Poland, as well as necessary changes to lead to an improvement in the quality of medical services in the field of oncology.


Keywords:

therapeutic role of architecture, cancer care centres, architecture of healthcare facilities, Maggie's Centres

Alfonsi E., Capolongo S., Buffoli M., Evidence Based Design and healthcare: an unconventional approach to hospital design, Ann Ig., Vol. 26(2), s. 137−143, 2014, doi: 10.7416/ai.2014.1968.
  Google Scholar

Babar A., Montero A.J., Building Quality from the Ground Up in a Cancer Center, The Comprehensive Cancer Center, s. 135−143, 2021.
DOI: https://doi.org/10.1007/978-3-030-82052-7_14   Google Scholar

Battisto D. (Ed.), Wilhelm J.J. (Ed.), Architecture and Health. Guiding Principles for Practice, Routledge, New York and London 2020.
DOI: https://doi.org/10.4324/9780429021169   Google Scholar

Bellamy A., Clark S., Anstey S., The dying patient: taboo, controversy and missing terms of reference for designers—an architectural perspective, Medical Humanities, Vol. 48, Issue 1, s. e2-e9, 2020, http://dx.doi.org/10.1136/medhum-2020-011969
DOI: https://doi.org/10.1136/medhum-2020-011969   Google Scholar

Chan S., Chan A., What Do Cancer Patients Value? A Unique Experience at Maggie’s Cancer Caring Centre in Hong Kong, Journal of Global Oncology, Vol. 4, 2018.
DOI: https://doi.org/10.1200/jgo.18.38100   Google Scholar

Didkowska J., Wojciechowska U., Olasek P., Caetano dos Santos F., Michałek I., Nowotwory złośliwe w Polsce w 2019 roku. Cancer in Poland in 2019., Narodowy Instytut Onkologii, Ministerstwo Zdrowia, Warszawa 2021.
  Google Scholar

Gopal D.P., de Rooij B.H., Ezendam N.P.M., Taylor S.J.C., Delivering long-term cancer care in primary care, British Journal of General Practice, Vol. 70 (694), s. 226−227, 2020, https://doi.org/10.3399/bjgp20X709481.
DOI: https://doi.org/10.3399/bjgp20X709481   Google Scholar

Heathcote E., Maggie’s Centres, BMJ, 333(7582): 1304−1305, 2006, doi: 10.1136/bmj.39062.614132.55.
DOI: https://doi.org/10.1136/bmj.39062.614132.55   Google Scholar

Herring B., Lewis-Smith H., Paraskeva N., Harcourt D., Exploring the experiences and psychosocial support needs of informal carers of men with breast cancer: a qualitative study, Supportive Care in Cancer, Vol. 30, 6669−6676, 2022.
DOI: https://doi.org/10.1007/s00520-022-07095-2   Google Scholar

Hess L.M., Pohl G., Perspectives of Quality Care in Cancer Treatment: A Review of the Literature, Am Health Drug Benefits, Vol. 6(6), s. 321−329, 2013.
  Google Scholar

Holden Ch. E., Wheelwright S., Harle A., Wagland R., The role of health literacy in cancer care: A mixed studies systematic review, PLoS ONE, Vol. 16(11): e0259815, 2021, https://doi.org/10.1371/journal.pone.0259815.
DOI: https://doi.org/10.1371/journal.pone.0259815   Google Scholar

Humeniuk E., Dąbska O., Krupa A., Nasilenie zaburzeń depresyjnych wśród pacjentów onkologicznych, Rozprawy Społeczne/Social Dissertations, Vol. 12(3), s. 55−63, 2018, https://doi.org/10.29316/rs.2018.21.
DOI: https://doi.org/10.29316/rs.2018.21   Google Scholar

Jellema P., Annemans M., Heylighen A., The roles of cancer care facilities in users’ well-being, Building Research & Information, Vol. 48, Issue 3, s. 254−268, 2019, https://doi.org/10.1080/09613218.2019.1620094.
DOI: https://doi.org/10.1080/09613218.2019.1620094   Google Scholar

Jencks Ch., Maggie’s Architecture: The Deep Affinities Between Architecture and Health, Architectural Design, 2017, https://doi.org/10.1002/ad.2154.
DOI: https://doi.org/10.1002/ad.2154   Google Scholar

Jencks Ch., The Architecture of Hope. Maggie’s Centres., Wyd. Maggie’s, Wales 2021.
  Google Scholar

Knops R.R.G., Hulscher M.E.J.L., Hermens R.P.M.G., i inni, High-quality care for all children with cancer, Annals of Oncology, Vol. 23, s. 1906−1911, 2012, https://doi.org/10.1093/annonc/mdr601.
DOI: https://doi.org/10.1093/annonc/mdr601   Google Scholar

Maciejczyk A., Góźdź S., Walewski J., Krajowa Sieć Onkologiczna w zakresie nowotworów litych, Biuletyn Polskiego Towarzystwa Onkologicznego NOWOTWORY, Tom 5, nr 6, s. 305−315, 2020.
  Google Scholar

Martin D., Nettleton S., Buse Ch., Affecting care: Maggie’s Centres and the orchestration of architectural atmospheres, Social Science & Medicine, Vol. 240, 2019, https://doi.org/10.1016/j.socscimed.2019.112563.
DOI: https://doi.org/10.1016/j.socscimed.2019.112563   Google Scholar

Ministerstwo Zdrowia, Program wieloletni pn. Narodowa Strategia Onkologiczna na lata 2020−2030.
  Google Scholar

Najwyższa Izba Kontroli, Dostępność i efekty leczenia nowotworów, Warszawa 30 stycznia 2018.
  Google Scholar

Nickl-Weller Ch., Nickl H., Healing Architecture, Braun Publishing AG, 2013.
  Google Scholar

Putievsky Pilosof N., Grobman Y.J., Evidence-Based Design in Architectural Education: Designing the First Maggie’s Centre in Israel, HERD: Health Environments Research & Design Journal, Vol. 14, Issue 4, s. 114−129, 2021, https://doi.org/10.1177/19375867211007945.
DOI: https://doi.org/10.1177/19375867211007945   Google Scholar

Rao S.R., Salins N., Ruth Goh C., Bhatnagar S., Building palliative care capacity in cancer treatment centres: a participatory action research, BMC Palliative Care, Vol. 21, No. 101, 2022.
DOI: https://doi.org/10.1186/s12904-022-00989-2   Google Scholar

Roberts R. (Ed.), Specialized Hospitals. Design & Planning, Design Media Publishing Limited, 2014.
  Google Scholar

Tekin B.H., Corcoran R., Urbano Gutiérrez R., The impact of biophilic design in Maggie’sCentres: A meta-synthesis analysis, Frontiers of Architectural Research, 2022, ISSN 2095−2635.
  Google Scholar

https://en.wikipedia.org/wiki/Charles_Jencks (dostęp 04.08.2022).
  Google Scholar


Published
2022-12-19

Cited by

Strojny, R. (2022). Maggie’s Centres – an innovative approach to support cancer patients. Teka Komisji Architektury, Urbanistyki I Studiów Krajobrazowych, 18(2), 18–31. https://doi.org/10.35784/teka.3045

Authors

Rafał Strojny 
r.strojny@pollub.pl
Department of Architecture, Urban Planning and Spatial Planning, Civil Engineering and Architecture Faculty, Lublin University of Technology Poland
https://orcid.org/0000-0002-2451-9152

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