Putting the Patient at the Center of the Health-And-Wellness Equation

Editor’s Note: The following excerpt is from Design for a Radically Changing World, by Gensler Global Co-Chairs Diane Hoskins and Andy Cohen.

People today are acutely concerned about the health and well-being of their loved ones, their communities, and themselves. Consumer culture, personalized medicine, and technology are putting the patient back at the center of the health-and-wellness equation — and extending conversations about well-being far beyond doctors’ offices and hospitals. A focus on wellness must permeate every design decision and every project, from healthcare settings to workplaces and city plans.

As recently as 2015, our firm was organized into three practice sectors: work, lifestyle, and cities. We vowed that within a decade, we would create a fourth practice sector: health and wellness. When COVID hit, we saw a massive opportunity in the health sector, including in both healthcare settings and the sciences. We began to collaborate with major real estate developers who were experts in life sciences and medical buildings, and whose tenants included some of the world’s leading pharmaceutical companies. Creating a health and wellness practice at a time when so many clients in the health sector were looking for bold new ideas and innovative designs, we turned the whole industry on its head, reinventing life sciences design for the better. Thanks to our up-to-the-minute understanding of the COVID crisis, we shifted the dominant paradigm and have seen the health sector become a huge growth business.

A focus on wellness must permeate every design decision and every project, from healthcare settings to workplaces and city plans.

Diving into the health sector yielded some surprising discoveries — including that the proper facilities for some types of scientific research do not exist. Science workplace tenants are also increasingly looking for spaces that promote the health and well-being of their employees and of the communities in which they are located. Recognizing these needs, our teams came up with a flexible laboratory concept called NEXT: a net zero carbon structure with cutting-edge technologies, designed to be implemented in any variety of contexts. The NEXT concept has three objectives: 1) to liberate the space and make it more than just a container for people; 2) to increase product differentiation in the market, allowing our developer clients to leapfrog past their competition; and 3) to offer solutions that prioritize decarbonization as a method of resiliency. Ultimately, NEXT is a platform that allows tenants and developers to reimagine what a science building can be. In addition to delivering top-of-the-line functionality within the lab and workspace, NEXT offers opportunities for a variety of connections — to the outdoors, the community, and the surrounding cultural context — without sacrificing tenant flexibility.

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Andy Cohen
Andy is global co-chair of Gensler, the world’s most influential architecture and design firm. He served as co-CEO from 2005 to 2024 and has spent his entire 43-year career at Gensler. Cohen is a frequent speaker for premier industry groups, including the United Nations Climate Change Conference, the Urban Land Institute, the Young Presidents Organization, the Milken Institute Global Conference, the Pension Real Estate Association, and more. His insights have appeared in Bloomberg, Fortune, Forbes, Fast Company, Quartz, Curbed, and many other general interest and trade publications. Cohen is a Fellow of the American Institute of Architects and a graduate of the Pratt Institute.
Diane Hoskins
Diane is global co-chair of Gensler, the world’s most influential architecture and design firm. She served as co-CEO from 2005 to 2024. Hoskins is the 2023-2025 Global Chair of the Urban Land Institute and was a featured speaker at the United Nation’s Habitat Assembly in Nairobi (2023) and Climate Action Summit in New York (2019). She has also spoken at the UN Climate Change Conference for three consecutive years. Her insights have appeared in the Wall Street Journal, the Harvard Business Review, CNN, Forbes, Fast Company, NPR, and elsewhere. A Fellow of the American Institute of Architects, Hoskins graduated from the Massachusetts Institute of Technology and holds an MBA from the UCLA Anderson School of Management.