Anteproyecto para la ampliación del área oncológica y de radioterapia del Instituto Ecuatoriano de Seguridad Social IESS

Abstract

This thesis presents the architectural preliminary design for the expansion of the Radiotherapy and Oncology Center of the Ecuadorian Institute of Social Security (IESS), located at the José Carrasco Arteaga Hospital in Cuenca. The project was developed in response to an institutional request from the IESS to the University of Cuenca, aiming to address the critical healthcare service deficit in oncology identified in zones 6 and 7 of Ecuador. Through comprehensive urban, physical, morphological, and functional analyses, the intervention proposes a vertical expansion of the existing building by adding two floors to a reinforced concrete structure with sufficient load-bearing capacity. The design emphasizes environmental comfort, universal accessibility, and operational efficiency by integrating passive lighting and ventilation strategies, as well as a functional redistribution that optimizes internal circulation and improves healthcare delivery. This expansion increases the center’s service capacity by 60%, enabling it to serve more patients and reinforcing Ecuador’s specialized hospital infrastructure for cancer treatment.