Perspectives June 10, 2025

Innovation and technology as essential tools for dense cities

Lara Kaiser reflects about optimizing the operations of verticalized hospitals.

“By 2050, around 70% of the world’s population will live in urban areas”, according to the UN-Habitat biannual report, which discusses alternatives to accelerate global progress towards sustainable development.

The trend of rapid urbanization, combined with intense climate change, characterizes the early 21st century and poses challenges to maintaining life in cities. This is especially true for megacities like São Paulo—which are among the most populous in the world, with more than 22 million inhabitants—which can face an additional increase in temperature of at least 0.5°C by 2040.

In theory, densification is a sustainable alternative for São Paulo and other cities with the same characteristics around the world to overcome these problems. According to urban economist Harvard professor Edward Glaeser, a compact city is beneficial for the environment as well as culture and education since it limits urban sprawl while reducing motorized mobility and pollutant gas emissions, allowing for a greater mix of ideas, values, and cultures.

The most recent review of São Paulo’s Strategic Master Plan (2023) outlined the goal of transforming the capital into a compact city and reducing the distance between housing, work, leisure, and essential facilities such as hospitals. A city of this type maintains its urban quality through a balance in land use, with typological diversity that ensures greater population density—especially on public transport routes—optimizing infrastructure and encouraging urban life.

Part of that sustainable development strategy for cities includes adapting existing buildings and new developments in neighbourhoods with robust infrastructure. The Brazilian team at Perkins&Will presents a new hospital designed in one of São Paulo’s most traditional neighbourhoods to make the most of the limited space available. The hospital structure is in a partially commercial region with strong residential characteristics, close to a park listed as municipal heritage.

SP Aero View

The combination of strategic planning and integration into the urban fabric allowed the team to develop an efficient vertical structure with a total floorspace of 65,000 square meters on a plot of land measuring just 6,300 square meters. The complex hospital has 302 beds organized into 15 floors above ground (plus 6 underground floors), with optimized vertical circulation that allows for the best use of the 1,800 square meter slabs. The tower is integrated into the city through a central square, which follows the curves of the building and facilitates the organization of accesses—social, service or outpatient—on the same face, in synergy with the surroundings through the landscaping specially designed for the site.

Lara Kaiser SP
"Designing hospitals for cities of the future is more than just solving functional issues. It is actively participating in the construction of a more efficient, healthy and integrated cities," says Lara Kaiser, healthcare design leader and principal at our São Paulo studio.