Hospital and health centers, associated with commercial areas?

The spa town in Bruges Terrefort located on the edge of the Bordeaux ring road, Pargade architect

Is the hospital a creator of economic value and the main city driver? Business zones face the planning of future health centers? Contribution by Jean-Philippe Pargade and Bruno Vayssière.

The Ministers of Trade and Territorial Cohesion (in that order) launched at the end of September 2023 a gigantic initiative for the future of our country. This program lists no less than more than 1,800 business and commercial zones, sometimes even larger than neighboring cities, capable of renewing our tomorrow’s society.

Let’s not be naive. Certainly, all the accumulated crises will not be solved as if by magic, the peripheries, the small old centers, the deep rural areas, all more or less poor, will not be fully accelerated by new relationships and rescue projects. Which projects anyway? For the moment, there is no precise indication resulting from this State initiative.

In any case, it seems to us necessary to add ” partner » decisive capable of really revitalizing these areas and representing a true avant-garde interface between private enterprises (businesses and especially innovative SMEs) and territorial public policies concerned with an increasingly widespread common good: we offer a particularly essential partnership with stakeholders in the health field.

Indeed, establishing future care centers in these areas could really boost them. They will be the small (and large) locomotives of active attractions.

Main employers and economic actors in the great majority of our territories, perfect interfaces between the public and private sectors, hospitals, and they alone, could transform these areas into something other than a simple accumulation “. ugly » of metal boxes supporting business logos. It is not the addition of apartments above, other boxes, and some ‘Green Washing’ formulas to transform the black bitumen of giant parking lots into an Edenic green, which will be enough to produce the new urban space that is dreamed of, to reimagine tomorrows. .

Currently, almost 80% of domestic business transactions come from visits to these business areas, even if they are increasingly followed by orders via the Internet. Their current attractiveness makes them, in truth, the pivots of a happy articulation between the historical centers and all the peripheries combined.

The hospital can respond if we want to add a powerful social object, emblematic in its unanimous humanity, bearing ramifications with the maximum number of public and private partners, more than capable of generating innovative start-ups. It alone can serve as a central reactor between the necessary scientific objectifications (analytical laboratories for example, between human bodies and various environments), the only interface between the hard sciences (from big data to tomorrow’s agronomy for example) and the human. sciences

The dynamics of the creation of new urban spaces comes from the intersection of multiple perspectives, interests, influences (mental and real), beyond the requirements to secure bodies, that is a synergy between entities. a priori different For example here, we propose to encourage dialogue with the care and health sectors, sports and cultural activities, or with SMEs.

Only care centers and related research do ” Copyright » in all the noble senses of the word. Only they can reverse the complex negative images of the 1,800 business and commercial areas affected. They alone can attract innovative private collaboration (Foundations and third association sectors combined) without divisive ulterior motives. They alone will produce this new essential culture between the love of progress and humanity, whatever it may be.

This new system between social, scientific and commercial forces, energized by multiple ramifications with a multiplier effect, carrying flexibility and adaptations according to the announced technical leaps, would become the great unifier of tomorrow capable of not letting Ikea become the only cathedral of the future. times A colossal little plus, all the health care and related personnel, ultimately more than appreciated, would become the spearhead of those urban renewals.

The interest is high, not only in quantity (1,800!) but also in quality: all mixed acculturation programs will be welcome, health centers crossed with various research and cultural partners, ” high-tech diamonds » forming a hard core with more or less incorporated ramifications (such as mixed housing between the elderly and young couples with children, etc.).

In these same spaces, around climate and health, it is also betting on the reindustrialization of the Franconia: virtuous textile factories, plastic recycling, low-carbon cement, biotechnologies, lasers or even hydrogen: 76 new factories or According to BPIFrance, there will be expansions. will appear in France in 2022.

For more than a century, the West has sought methods of urban production compatible with its own “overheating » industrial, demographic, circulation and financial with all kinds of services, more or less socially conflicted and unequal, between fantastic luxury, necessary according to some to draw the masses up, and various happy activities (killing the car with the bicycle only amuses the; central urban ulcers). This means forgetting the first urban weapon, in the face of large-scale productive capitalism: only health progress allowed the appearance of our once so-called happy cities.

We dare to assert here that the different forms of added value generated around maintenance will be the main driving forces for the medium and small cities of tomorrow, thanks to these increasingly innovative transaction zones. The intervention, as massive as it is subtly structured on a case-by-case basis, by the Ministry of Health in these areas could be the driving force behind this transformation.

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