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송석기 대한건축학회지회연합회 2018 대한건축학회연합논문집 Vol.20 No.1
The purpose of this study is to apprehend the establishment and expansion of Dodong Severance Hospital under the historical view of Korean modern architecture by analysing the former studies, photographs and other historical documents. This study traces the changes of Dodong Severance Hospital by discussing the characteristics of architecture and the layout of main buildings in 3 terms of the duration of Dodong Severance Hospital. The first building of Dodong Severance Hospital is Severance Memorial Hospital, built 1904, by Canadian architect Henry Bauld Gordon. After Memorial Hospital, many buildings are built continuously such as Nurses Home, Severance Union Medical College and etc. The characteristics of architecture and layout of Dodong Severance Hospital is changed in 1920’s. New Wing of Hospital and Isolation Hospital, built late 1920’s, are distinguished from the former buildings in the aspects of architectural styles, structures and etc. And rapid increase of spacial density, functional differentiation of buildings and efficient flow of human traffic are founded at the layout of hospital. Functionality and efficiency are the most important issues in the layout of Dodong Severance Hospital in 1920’s. 20세기 전반기를 포함하여 약 60년의 기간 동안 유지되었던 도동 세브란스 병원은 세브란스 기념 병원을 시작으로 병원을 구성했던 여러 건축물과 시설들이 차례로 지어지면서 근대 종합병원의 모습을 갖추게 되었다. 이 연구는 도동 세브란스 병원에 대한 기존 연구 및 사진 자료 등을 통하여 도동 세브란스 병원 건축의 형성 및 확장 과정을 살펴보는 것을 목적으로 하였다. 도동 세브란스 병원의 존속 기간을 3시기로 구분하여 시기별로 지어진 주요 건축물의 건축적 특징과 배치에서 확인할 수 있는 병원 영역의 변화를 살펴보았다. 도동 세브란스 병원의 형성 및 확장 과정에서 중요한 분기점은 1920년대라고 할 수 있다. 1920년대 후반에 완공된 신병실 및 전염병실은 그 이전의 건축물과 건축 양식 및 구조 등의 특성에서 구분될 뿐만 아니라 규모의 확장에 따른 밀도의 급격한 증가와 기능 분화, 연결 통로를 통한 효율적인 동선 연결, 자동차 동선의 고려 등 병원 영역의 기능성과 효율성에 대한 고려가 병원 건축의 가장 주된 가치로 등장하고 있다.
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교외의 경사지형을 이용한 대학병원의 건축기본계획에 대한 연구 : K대학병원 설계경기를 중심으로
문창호 한국병원건축학회 1996 의료·복지 건축 Vol.1 No.2
This study is intended to summarize the contents and process of an architectural basic planning for the design competition of K University Hospital. Especially a design of low-rise and compact type hospital in sloped suburb is suggested. The major contents consists of proposed premise of planning, goal of planning. Site analysis, site plan, and architectural basic plan. To realize the concept of low-rise and compact type hospital which reconciles to the natural environment of the site, 4 nursing units per typical floor and hospital street system are introduced. And to design a "hospital unlike hospital", streamline form of hospital building is proposed.
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양내원,김종국 한국병원건축학회 1995 의료·복지 건축 Vol.1 No.1
This study aims to find out architectural possibilities for preventing hospital infection by reviewing the existing studies. In addition, it analyses the actual existing examples in order to evaluate the effect of infection on the hospital building planning. Finally, it tries to suggest the necessity of continuing studies in this field and show the future direction.
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최광석 대한건축학회 2022 대한건축학회논문집 Vol.38 No.7
This study examined the operation methods and spatial compositions of architectural planning data regarding safety and efficiency of outpatient departments in infectious disease hospitals. The business plans of four infectious disease hospitals were reviewed and on-site and interview surveys with hospital officials and medical staff were conducted on the making process of their design guidelines; for three hospitals, their architectural drawings were also analyzed. Upon analysis, it was determined that several infectious disease hospitals in Korea are currently under construction. Considering there were no cases of open and operating hospitals, the adequacy of operation and facility guidelines could not be verified. The framework of operational policies, health clinic services, outpatient functions, and the transition methods of outpatient operations during normal versus crisis times were assessed. Regarding spatial compositions, the results of functional arrangements, room compositions, space compositions and circulations were also presented. This study should be followed up by post occupancy evaluation studies once infectious disease hospitals are completed and opened in the future. 본 연구는 안전성과 효율성 측면에서 감염병전문병원 외래진료부의 운영방식 및 공간구성에 대한 건축계획 자료를 정리하였다. 연구방법은 4개 감염병전문병원의 사업계획을 검토하고, 설계지침을 만드는 과정에서 병원 관계자 및 의료진을 대상으로 현장 및 면접조사 결과를 분석하며, 건축도면을 분석하는 방식으로 진행되었다. 현재 한국의 여러 감염병전문병원은 공사 중으로 아직 개원하거나 운영해본 병원이 없어 운영의 적정성과 시설기준이 검증되지 않았다. 본 연구에서는 감염병병원의 운영방법과 공간계획 특성에 대한 결과를 제시하였다. 운영정책으로는 진료과의 구성, 외래의 기능구성, 평시 및 위기시 외래운영의 전환 방법을 제시하였고, 공간구성으로는 기능적 배치, 실 구성, 공간구성과 동선의 결과를 제시하였다. 본 연구는 향후 감염병전문병원이 완공되어 개원되면, 후속연구로서 거주후 평가가 이어져야 할 것이다.
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김지환(Kim Ji-Hwan),임영환(Lim Yeong-Hwan) 대한건축학회 2007 대한건축학회 학술발표대회 논문집 - 계획계/구조계 Vol.27 No.1
The purpose of this study is to research how Louis I. Kahn's architectural concepts are reflected on his hospital architectures and examine the characteristics of them. The methods of this study are, first, examination of Louis I. Kahn's architectural concept through documentary records. Second is an overall research of the hospital architectures of Louis I. Kahn and analysis of his application of his architectural concepts to the three of his architectures which are, Philadelphia Psychiatric Hospital, AFL-CIO Medical Service Center, and the Ayub Central Hospital of Bangladesh. Third is examination of the connections his hospital architectures and his other works. From this study it can be seen that Louis I. Kahn's hospital architectures are some of the beginning works of architecture, and they are deeply related to his architectures of other kinds. Also, his architectural concepts can be clearly seen. On account of this matter, this study can be used as a very helpful document, which can be of a great reference when establishing plans of new hospital architectures, by analyzing Louis I. Kahn's hospital architectures which are very different from the function-based hospitals of the past.
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문창호(Moon Chang-Ho) 대한건축학회 2008 대한건축학회논문집 Vol.24 No.11
The purpose of this study is to review recent Korean hospital design and to suggest reference materials for future hospital planning and design. Major contents consisted of the reviewing of healthcare system & the present status of hospital architecture, the understanding of architectural characteristics in hospital design for recent 10 years, and the suggestion of tasks for better hospital design in Korea. The results of this study could be summarized as follows; Comparing with OECD countries, acute care beds in Korea are somewhat sufficient, but long-term care beds are totally insufficient and so need to be largely expanded within a short time. Korean hospital design has been generally advanced. Though overall forms of most hospital buildings have still vertical concept with supplementary factors, some horizontal concept hospitals also have been attempted. Hospital buildings have been growing in size and scale to meet the high level of patients' medical/healing demands. In ward plan, various shapes of floor plan have appeared, numbers & types of bedrooms in nursing unit are still far from satisfaction. Some tasks for better hospital in Korea are suggested as increase of private & semi-private bedroom, decreasing the number of bed per nursing unit, and more attempts of horizontal concept hospital.
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종합병원 병동에서 국지적 감염 통제의 전역적 감염 예방 효과에 관한 연구
김서영,권지훈 대한건축학회지회연합회 2018 대한건축학회연합논문집 Vol.20 No.3
본 연구의 목적은 종합병원의 병동 내 이용자 간 감염에 주목하여 국지적 공간에 감염 통제를 했을 때 전역적 공간의 감염 예방 효과를 알아보는 것이다. 이를 위해, 기능별 면적, 간호사와 방문객의 이동 동선 체계를 도출하였다. 감염 노출 빈도가 집중되는 지점을 도출하기 위해 병원 내 보균자에게 노출될 가능성을 고려한 공간 분석을 실시한 후 도출한 지점을 중심으로 국지적인 감염 통제 공간으로 설정하였다. 설정한 감염 통제 공간 내에서는 감염 노출의 가능성이 감소되도록 설정하였다. 국지적 감염의 통제 공간을 설정하기 전과 후의 감염 노출 빈도를 비교 분석하였다. 또한 평균의 차이를 검정하기 위해 대응 표본 t-test를 수행하였다. 그 결과, 간호사와 방문객의 이동 동선이 혼잡한 부분에 감염의 노출 가능성이 높게 나타났다. 분석 대상 병원에서 중복도 형태가 이중 복도 형태보다 감염에 노출되기 쉬운 형태이며 이중 복도 형태는 간호 접수대 중심으로 감염 예방이 이루어지고 중복도 형태일 경우에는 감염 노출 빈도가 집중되는 공간에 이루어져야 할 것으로 판단되었다. 비교적 감염에 노출되기 쉬운 공간 구조의 형태라도 국지적 감염 통제 공간을 적용함으로써 감염 노출 빈도가 감소했다. 대응 표본 t-test의 결과, 국지적 감염 통제의 적용 전과 이후에 평균이 통계적 유의 수준 하에서 차이가 있는 것으로 나타났다. 이는 국지적인 감염 통제 공간을 적용함으로써 전체 공간에서 보균자의 이동으로 인한 감염에 노출될 가능성이 낮아질 수 있다는 것으로 판단할 수 있었다. The purpose of this study is to identify the effects of infection prevention in the global space when infection control is placed in local spaces, paying attention to the inter-user infection in the ward of the general hospital. For this purpose, the space by function, the moving system of nurses and visitors was derived to know the space composition of the hospital. To derive the point where the frequency of infection was concentrated, a spatial analysis was performed considering the possibility of exposure to carriers in the hospital, and a local infection control space was established based on the point derived. Within the established infection control space, the likelihood of infection exposure is reduced. The frequency of infection exposure before and after establishing a controlled space for local infections was compared. As a result, the movements of nurses and visitors were highly likely to be exposed to infections in congested areas. In the hospital to be analyzed, the Middle corridor type was more likely to be exposed to infection than the double corridor type. and It may be judged that the Double corridor type should be in a space where infection prevention is centered on the nurse station and, in the case of Middle corridor type, infection exposure frequency is concentrated. Even in the form of a spatial structure that is relatively susceptible to infection, the frequency of infection exposure was reduced by applying local infection control spaces. The Paired T-test t-test showed that the mean differs under the statistical significance level before and after the application of local infection control. This could be judged that the application of a local infection control space would reduce the likelihood of exposure to infections caused by the movement of carriers in the entire space.
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