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Special issue on: Health industries in the 20th century

Architects and knowledge transfer in hospital systems: The introduction of Western hospital designs in Japan (1918–1970)

Pages 538-557 | Published online: 10 Jan 2018
 

Abstract

This article addresses hospitals as medical technology in itself and discusses the evolution of hospital design. As a case study, it focuses on Japan from 1918 to 1970. Hospital systems in this country experienced a major shift between the prewar and postwar periods. While the prewar period was characterised by the domination of numerous private small hospitals in urban areas, the postwar reconstruction was based on the extension of large public hospitals. This article demonstrates the major roles that architects played in introducing hospital designs in Japan and adapting the Western functional model for use in the country.

Notes

1. Biggs, The Rational Factory, Johnson, ‘Early cost accounting for internal management control’, Nelson, ‘Scientific management, systematic management, and labor, 1880–1915’, Lazonick, Competitive advantage on the shop floor, Geels, ‘Major system change through stepwise reconfiguration’.

2. Udagawa, ‘The development of production management at the Toyota Motor Corporation’, Williams, Haslam, Williams, Adcroft & Johal, ‘The myth of the line’, Lewis, ‘Redesigning the workplace’, Hounshell, From the American system to mass production.

3. Foucault, Naissance de la Clinique, Foucault, “L’incorporation de l’hôpital”, Jones and Porter, Reassessing Foucault.

4. Hughes, Networks of Power.

5. Donzé, L’ombre de César, 9.

6. Rosenberg, The care of strangers, Stevens, In Sickness and in Wealth.

7. Domin, Une histoire économique de l’hôpital, Faure, Les cliniques privées.

8. Labisch and Spree, Krankenhaus-Report.

9. Mohan, Planning.

10. Bridgman Perkins, ‘Shaping Institution-Based Specialism’, Goebel, ‘American Medicine and the “Organisational Synthesis’”.

11. Howell, Technology in the Hospital.

12. Vogel, ‘Managing medicine’.

13. Donzé, L’ombre de César.

14. Adams and Schlich, ‘Design for Control’, Adams, Medicine by Design, Lüthi, Le compas et le bistouri.

15. Rosenberg, Perspectives on Technology, Davidson and McFetridge. “Key characteristics”, Kipping and Bjarnar, The Americanisation of European Business, Donzé and Nishimura, Organizing Global Technology Flows.

16. Sugaya, Nihon no byoin, Fukunaga, Nihon byoin shi.

17. Ikai, Byoin no seiki.

18. See, for example, Katsuki. ‘Meiji 30 nen zengo’.

19. Nihon tokei kyokai. Historical Statistics of Japan.

20. Sugaya, Nihon no byoin. 9–10.

21. Sugaya, Nihon no byoin.

22. Shinmura, Kindai nihon no iryo.

23. Sugaya, Nihon no byoin, 104–105.

24. Kawakami, Gendai Nihon Iryo Shi, 329.

25. Ikai, Byoin no seiki.

26. Ibidem.

27. League of Nations. International Health Year-book 1930.

28. Howell, Technology in the Hospital, Adams and Schlich, ‘Design for Control’, Donzé, L’ombre de César.

29. Pawlik, Von Bergedorf nach Germania.

30. Distel, Rationeller Krankenhaus-Bau.

31. International Hospital Federation (IHF), Geneva, archives of the International Association of Hospitals.

32. Gakushikai, Kaiin shimei roku, 283.

33. Takamatsu, Takamatsu Masao-kun, 3.

34. Takamatsu, ‘Nosokomeion wo toshite’.

35. Takamatsu, Koto kenchikugaku.

36. Bartholomew, The Formation of Science in Japan, 243–244 and Keio gijuku.

37. Keio gijuku, 44–45.

38. Takamatsu, Koto kenchikugaku, 33–60.

39. Mukai, Kenchikuka Yamada Mamoru.

40. Ibidem, 178.

41. Ibidem, 174–175 and 180.

42. Katsuki, ‘Meiji taisho showa shoki’.

43. Ikai, Byoin no seiki.

44. Historical Statistics of Japan, 24–30 Medical Care Personnel (1874–2004), http://www.stat.go.jp/english/data/chouki/24.htm (accessed 26 October 2016).

45. Yamazaki, Saishin i-byoin kenchiku to sekkei.

46. Ogawa, Ishi to keizai, 44.

47. Ibidem, 52.

48. Sugiyama, Senryoki no iryo kaikaku.

49. Aldous and Suzuki, Reforming Public Health.

50. Christaller, Die zentralen Orte, Lösch, Die räumliche Ordnung. On the influence of these models on hospital planning in Europe, see Donzé, L’ombre de César, 260–263.

51. Sugaya, Nihon no byoin, 127–131, Sugiyama, Senryoki no iryo kaikaku, 191–192.

52. Sugaya, Nihon no byoin, 149–150.

53. Koseisho, Soritsu 30 shunen.

54. Mentioned by Sugiyama, Senryoki no iryo kaikaku, 198–200 and Fukunaga, Nihon byoin shi, 360, MacEachern, Hospital Organization.

55. Nihon byoin kai.

56. Ibidem.

57. Ibidem, 639.

58. Ibidem, 453–454.

59. Ibidem, 126.

60. Byoin kenchiku.

61. Shimazaki, Nihon no iryo, 76–77.

62. Yoshitake Yasumi sensei.

63. Ito saburo kenchiku.

64. Ibidem, 152–153.

65. Starr, The Social Transformation, 349–351.

66. Design and Construction, Yoshimura e.a., Sogo byoin.

67. Taguchi, ‘Byoin kensetsu’, 38.

68. Yoshitake, ‘Byoin kenchiku’, 36.

69. Adams and Schlich, ‘Design for Control’, Donzé, L’ombre de César.

70. Weisz, Divide and Conquer.

71. Nihon no byoin kenchiku.

72. Ibidem, 1.

73. Ibidem, 3.

74. 50 nen shi, 327.

75. Shimazaki, Nihon no iryo, 78.

76. Health statistics of OECD, https://data.oecd.org/healtheqt/computed-tomography-ct-scanners.htm (accessed 7 March 2016).

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