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미국의료시설 병동부의 시대적 변천과 공간적 특성에 관한 연구

A Chronological Study on the Transformation and the Spatial Characteristics of Inpatient Care Facilities in the United States

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주제분류건축공학

초록

Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

Abstract

Purpose: This study aims to emphasize interrelation between healthcare policies, design standards and hospital architecture of the United States since 1950s; to examine spatial characteristics of inpatient care facilities through case studies; and to consider the social implication of these spatial changes. Methods: In this study, reviewing the overall healthcare system, design standards and inpatient care facilities of the United States since 1950s, a total of five inpatient care facilities, one for each period, were selected in order to analyze the spatial characteristics. The spatial maps of Space Syntax were employed for analyzing five case studies. Results: The distance between the nursing station, the support service, and inpatient room were getting closer. The spatial structure of inpatient care facilities is transformed from tree structures to annular tree structures. This result shows that the efficiency between patient, staff and support service is higher and the depth of the spaces is getting deeper, which indicates that efficiency for improving healthcare quality affect the spatial structure of inpatient care facilities. Implications: In the future, if Korea's health policy is changed to a demand-oriented health care policy, this conclusion predicts medical planning of hospital will be focused on the efficiency.

참고문헌 (26)

  1. 최찬호, "1960년대 이후, 미국 의료사의 변천과 개혁", 역사문화연구, (42), pp.213~248 (2012), 역사문화연구소
  2. Choi, YK, "Social and architectural space(read with 7 keywords)" (2003), Spacetime
  3. Facility Guidelines Institute, "Guidelines for design and construction of health care facilities(2014th edition)", the American Hospital Association, ~ (2014)
  4. Ginzberg, E, "Tomorrow's hospital: a look to the twenty-first century" (1998), Yale University Press
  5. Hamilton, K., "Unit 2000: Patient beds for the future" (2000), Watkins Carter Hamilton Architects
  6. Hiatt, H, "Medical lifeboat : will there be room for you in the health care system" (1994), Nanam
  7. Jung, YH, "미국의 의료개혁과 시사점", 국제노동브리프 6.5, 20~35 (2008)
  8. 상업주의 의료의 천국- 미국 보건의료시스템의 구조와병폐, "Kim, CY", ~ (2003)
  9. King, Anthony D., "Buildings and society: Essays on the social development of the built environment" (2003), Routledge
  10. Kobus, R. L., "Building type basics for healthcare facilities" (2014), Kimoondang
  11. 이규식, "의료에 대한 이념과 정책", 보건행정학회지, 17(3), pp.106~128 (2007), 한국보건행정학회
  12. Markus, T, "Buildings & power: Freedom and control in the origin of modern building types" (2006), Spacetime
  13. Starr, P, "The Social Transformation of American Medicine" (1994), MungKyung
  14. The American Institute of Architects, "Guidelines for design and construction of health care facilities" (2001), American Institute of Architects Press
  15. Thompson, J., "The hospital: A social and architectural history" (1975), Yale University press
  16. Planning the Patient Care Unit in the General Hospital, "United States, Public Health Service", US Public Health Service, ~ (1962)
  17. General standards of construction and equipment: general hospitals, "United States", U.S. Dept. of Health, Education, and Welfare, ~ (1960)
  18. United States, "General standards of construction and equipment", ~ (1962)
  19. United States, "General standards of construction and equipment for hospital and medical facilities", Silver Spring, ~ (1969)
  20. United States, "Minimum requirements of construction & equipment: for hospital & medical facilities", The Division, ~ (1974)
  21. United States, "Guidelines for construction and equipment of hospital and medical facilities", Government Printing Office, ~ (1984)
  22. United States & AIA Academy of Architecture for Health, "Guidelines for design and construction of hospital and health care facilities", American Institute of Architects Press, ~ (1996)
  23. United States & American Institute of Architects, "Guidelines for construction and equipment of hospitals and medical facilities" (1993), American Institute of Architects Press
  24. US Public Health Service, "Elements of the general hospital", HOSPITAL FACILITIES SECTION, ~ (1946)
  25. Verderber, S., "Innovations in hospital architecture" (2010), Routledge
  26. Verderber, S., "Healthcare architecture in an era of radical transformation" (2000), Yale University Press

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