Rise of the Modern Hospital is a focused examination of hospital design in the United States from the 1870s through the 1940s. This understudied period witnessed profound changes in hospitals as they shifted from last charitable resorts for the sick poor to premier locations of cutting-edge medical treatment for all classes, and from low-rise decentralized facilities to high-rise centralized structures. Jeanne Kisacky reveals the changing role of the hospital within the city, the competing claims of doctors and architects for expertise in hospital design, and the influence of new medical theories and practices on established traditions. She traces the dilemma designers faced between creating an environment that could function as a therapy in and of itself and an environment that was essentially a tool for the facilitation of increasingly technologically assisted medical procedures. Heavily illustrated with floor plans, drawings, and photographs, this book considers the hospital building as both a cultural artifact, revelatory of external medical and social change, and a cultural determinant, actively shaping what could and did take place within hospitals.

More than any other building type in the twentieth century, the hospital was connected to transformations in the health of populations and expectations of lifespan. From the scale of public health to the level of the individual, the architecture of the modern hospital has reshaped knowledge about health and disease and perceptions of bodily integrity and security. However, the rich and genuinely global architectural history of these hospitals is poorly understood and largely forgotten. This book explores the rapid evolution of hospital design in the twentieth century, analysing the ways in which architects and other specialists reimagined the modern hospital. It examines how the vast expansion of medical institutions over the course of the century was enabled by new approaches to architectural design and it highlights the emerging political conviction that physical health would become the cornerstone of human welfare.

The revised and updated second edition of Managing a Modern Hospital contains a judiciously compiled collection of writings on modern hospital management. The book is a fitting response to the compelling need for incorporating professionalism and better resource management in hospital administration to ensure quality and cost-effectiveness in health care in India. Health care has become one of the fastest growing sectors in India over the past decade. This book contains two new chapters, Customer Relationship Management, and Computer-aided Diagnosis, which highlight recent developments in the field in the last seven years. It spans a wide range of issues in modern hospital management, including: - Waste management - Financial management - Maintaining medical records - Medical audits - Managing human resources - Quality certification A repository of valuable insight and information on setting up and running a modern-day hospital efficiently and as an economically viable business, the book can serve as basic text and supplementary reading for courses in hospital management. It will also be of interest to hospital administrators in government and private health care institutions, directors of nursing homes, medical practitioners involved with hospital administration as well as entrepreneurs in the health care business, consultants and researchers.

By chronicling the transformations of hospitals from houses of mercy to tools of confinement, from dwellings of rehabilitation to spaces for clinical teaching and research, from rooms for birthing and dying to institutions of science and technology, this book provides a historical approach to understanding of today's hospitals. The story is told in a dozen episodes which illustrate hospitals in particular times and places, covering important themes and developments in the history of medicine and therapeutics, from ancient Greece to the era of AIDS. This book furnishes a unique insight into the world of meanings and emotions associated with hospital life and patienthood by including narratives by both patients and care givers. By conceiving of hospitals as houses of order capable of taming the chaos associated with suffering, illness, and death, we can better understand the significance of their ritualized routines and rules. From their beginnings, hospitals were places of spiritual and physical recovery. They should continue to respond to all human needs. As traditional testimonials to human empathy and benevolence, hospitals must endure as spaces of healing.

In the history of medicine, hospitals are usually seen as passive reflections of advances in medical knowledge and technology. In Medicine by Design, Annmarie Adams challenges these assumptions, examining how hospital design influenced the development of twentieth-century medicine and demonstrating the importance of these specialized buildings in the history of architecture. At the center of this work is Montreal’s landmark Royal Victoria Hospital, built in 1893. Drawing on a wide range of visual and textual sources, Adams uses the “Royal Vic”—along with other hospitals built or modified over the next fifty years—to explore critical issues in architecture and medicine: the role of gender and class in both fields, the transformation of patients into consumers, the introduction of new medical concepts and technologies, and the use of domestic architecture and regionally inspired imagery to soften the jarring impact of high-tech medicine. Identifying the roles played by architects in medical history and those played by patients, doctors, nurses, and other medical professionals in the design of hospitals, Adams also links architectural spaces to everyday hospital activities, from meal preparation to the ways in which patients entered the hospital and awaited treatment. Methodologically and conceptually innovative, Medicine by Design makes a significant contribution to the histories of both architectural and medical practices in the twentieth century. Annmarie Adams is William C. Macdonald Professor of Architecture at McGill University and the author of Architecture in the Family Way: Doctors, Houses, and Women, 1870–1900 and coauthor of Designing Women: Gender and the Architectural Profession.

Architecture of Health is a story about the design and life of hospitals-about how they are born and evolve, about the forces that give them shape, and the shifts that conspire to render them inadequate. Reading architecture through the history of hospitals is a deciphering tool for unlocking the elemental principles of architecture and the intractable laws of human and social conditions that architecture serves in each of our lives.This book encounters brilliant and visionary designers who were hospital architects but also systems designers, driven by the aim of social change. They faced the contradictions of health care in their time and found innovative ways to solve for specific medical dilemmas. Less-known designers like Filarete, Lluís Domènech i Montaner, Albert Schweitzer, Max Fry and Jane Drew, John Dawe Tetlow, Gordon Friesen, Thomas Wheeler, and Eberhard Zeidler are studied here, while the medical spaces of more widely-known architects like Isambard Brunel, Aalvar Aalto, Le Corbusier, Louis Kahn, and Paul Rudolph also help inform this history. All these characters were polymaths and provocateurs, but none quite summarizes this history more succinctly than Florence Nightingale, who in laying out her guidelines for ward design in 1859, shows how the design of a medical facility can influence an entire political and social order.Architecture of Health, richly illustrated with images and never before published renderings and drawings from the MASS Design Group, charts historical epidemics alongside modern and contemporary architectural transformations in service of medicine, health, and habitation; it explores how infrastructure facilitates healing and architecture's greater role in constructing our societies.