Reaching the destination, users often encounter complex interfaces created between hospital spaces and the urban tissue. The literature highlights the influence of spatial configuration on the performance of external and internal spaces of healthcare settings. In this regard, studies related to Emergency Department (ED), mostly focus on internal spaces, without specific research on the accessibility of the structures themselves. By extending the research area to the entire system of territory-hospital-ED relations, the study conducted at the University Clinical Center of Kosovo (UCCK) in the city of Prishtina aims to investigate the effects of spatial configuration on the performance of spaces in the patient's journey to ED. The paper attempts to understand the causes that have shaped the spatial configuration of the city and the hospital over the years and their impact on ED accessibility. Through configurational theory of architecture, the paper quantitatively examines the interactions between the levels of this relational system at various spatial scales and time intervals. A methodological framework of spatial requirements and corresponding indicators was developed. It was observed that the declined syntactic values of the city affected the degree of the hospital accessibility, deteriorating the continuity of movement from the city to the hospital, followed by a subsequent disruption due to the change in the spatial configuration of the hospital and the relative position of ED. The outcome shows that configurational changes affect the continuity of movement sequentially in each segment of the patient’s journey towards ED, with interrelated consequences at all levels.

中文翻译：

---

空间配置对患者前往急诊科的旅程的影响

到达目的地后，用户经常会遇到医院空间和城市组织之间创建的复杂界面。文献强调了空间配置对医疗机构外部和内部空间性能的影响。在这方面，与急诊科（ED）相关的研究大多集中在内部空间，而没有对建筑物本身的可达性进行具体研究。通过将研究领域扩展到整个领土-医院-急诊科关系系统，这项研究在普里什蒂纳市的科索沃大学临床中心（UCCK）进行，旨在调查空间配置对区域内空间性能的影响。患者去急诊室的旅程。本文试图了解多年来塑造城市和医院空间配置的原因及其对急诊可达性的影响。本文通过建筑的配置理论，定量地考察了这个关系系统的各个层次在不同空间尺度和时间间隔下的相互作用。制定了空间要求和相应指标的方法框架。研究发现，城市句法价值的下降影响了医院的可达性程度，恶化了从城市到医院的运动连续性，随后由于医院空间配置和相对环境的变化而出现中断。 ED 的位置。