• Journal of The Korea Institute of Healthcare Architecture
• /
• v.8 no.1
• /
• pp.21-28
• /
• 2002

As hospitals change continuously and rapidly, the way of growth and change becomes another important factor in the design of a hospital. The hospitals are adapted for the continuous growth and change during their life span. But the hospitals built in 1970's and 80's have been expanded and reconstructed without any plan of growth and change. So, there is required to the architectural planning on the remodeling and modernization strategy of general hospitals. The purpose of this study is to provide the fundamental data for the reasonable design planning and the basic principles of the construction plan in the hospital remodeling. Thus, this study is to investigate and analyze the characteristics of hospital remodeling, the remodeling planning, and the scheduling process in terms of construction. As a result, this study would apply to design guideline for the remodeling of general hospitals.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.10 no.1
• /
• pp.7-17
• /
• 2004

This study aims to propose planning guides and general suggestions in the remodeling of general hospitals. Among the many goals in the hospital remodeling, this study focuses on the enhancing the 'healing environment' to existing building. Accordingly this study analyzes design criteria for 'healing environment' through the case study of 'A' hospital which has been remodeled recently, and compares those criteria with actual execution.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.16 no.2
• /
• pp.7-15
• /
• 2010

An early stage of general hospital in Korea was the quantitative growth period. Remodeling has been required to meet the increasing medical demands. To accept the change of paradigm and management operation method, remodeling occurred from the 20th century. Remodeling plans are difficult to define the direction of the detailed plan due to various factors in the beginning of the construction, Therefore, it is necessary to analyze the possibility and limitation of a feasible remodeling plan of general hospitals through the comparison of existing hospital before remodeling and after the remodeling takes effect. A comparison of the researched hospital's blue prints before and after the remodeling and recently built hospital's blue print, analyzed characteristic of the space variation by the remodeling. The purpose of research is to confirm a possibility and limitation of remodeling of general hospitals comparing with merits and faults of extension, reconstruction, and construction. In conclusion, the area of remodeling hospitals increase mostly medical department(ward, outpatient department, inpatient department) and subsidiary facilities, but the area of ward and inpatient department are less than the new hospitals. Especially, public area is greatly increased by the diversification of corridor function. Also, remodeling hospitals represent a limitation to plan departments in need of equipment-intensive space. To address this problem, expansion space is used mainly with inpatient department and existing space is placed mainly with low-impact department by equipment ; outpatient department, administration department.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.15 no.2
• /
• pp.39-50
• /
• 2009

The purpose of this study is a presentation of long term strategies for hereafter hospital's remodeling and new constructions with grabbing in the characters of various spaces and ways of remodeling on wards which have been remodeled according to periods(the opening, before remodeling, after remodeling, new construction). The targets are three remodeled hospitals and four resent hospitals. And also the hospitals are divided as beds, additional hospital facilities, day room, doctor's and staff dining room, public space(corridor, core, duct) etc. The analEis of this study explains changes of wards through the characters expressed by remodeling on the specific functions (beds, additional hospital facilities, day room, doctor's and staff dining room, public space etc.) Following the research, the study has kept going to understanding of problems and limitations of improvement on remodeling wards. Finally, this researcher looked for suggestions on the planning of wards.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.30 no.3
• /
• pp.45-56
• /
• 2024

Purpose: It is important to note that the relative importance of risk factors should be identified to successfully complete the remodeling project of general hospital. Approached by analytic hierarchy process (AHP), the present study aimed to systematically evaluate the risk factors for remodeling of general hospital. Methods: The present work classified the risk factors of general hospital remodeling into four major categories including the requirements survey stage, planning and design stage, dismantling and construction stage, and maintenance stage. In addition, four sub-categories were derived from each major category factor. Furthermore, five major categories and four subcategories were selected to be considered from the perspectives of two stakeholders of contractor and constructor. The relative importance of the major and sub-categories factors was calculated using the AHP technique on the survey data collected from 49 respondents who participated in the survey study. Results: The results indicate that, the risk factor of requirements survey stage was found to be the most important risk factor to consider among the four major categories of factors. Also, insufficient preliminary investigation, design inconsistencies in architecture/mechanics/electricity, occurrence of safety accidents, and insufficient review of various equipment capacities and performances were found to have the highest priorities of each subcategory factor group included in the four major categories. From the perspective of contractor, the error in predicting the construction period was found to be the most important risk factor. The occurrence of safety accidents during construction was found to be the most important risk factor to be considered by constructor. Implications: The result of the current work should provide important insights and guidelines for the risk management activity that contributes to controlling the project time, cost, and scope required for general hospital remodeling.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.22 no.4
• /
• pp.105-115
• /
• 2016

Purpose: This study is a case study of a small-mid sized hospital to promote a full-scale remodeling to ensure the quality and competitiveness of the medical services and trying to arrange the remodeling characteristics of small-mid sized hospital which is suffering from aging facilities as well as chronic congestion and lack of spaces. Methods: Research was conducted by consultation with hospital executives and each department operators, and on-site investigation, Results: The result of this study can be summarized into two points. The first one is that existing statistical value like area per bed, in the remodeling of the small-mid hospitals may not mean much. planners have to verify the necessary room space areas in close consultation with the department operators. And after confirming layout possibilities, they have to create the program. The second one is that remodeling planning can be a realistic plan with structural and installation diagnosis at the same time. If so, it is advisable to proceed architectural design from the beginning for cost and time savings. Implications: This results can be applied to small-mid hospitals to apply to the medical law revision and others.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.14 no.1
• /
• pp.7-20
• /
• 2008

This study is an analysis of the characteristics between the remodeling of an existing hospital and the remodeling of an existing hospital with the addition of a new annex. The comparison of the two remodeling methods focused on the difference of gross area, circulation system, improvement of hospital function, profitability of remodeling construction, and so on. The result of this study can be summed up as follows. The remodeling of an existing hospital with a new annex has the merit of enlarging new areas, promoting the function of the hospital, changing the inner circulation system, and facilitating the construction. However, it has the demerit of requiring too much money and expanded space for the construction. Therefore, it is possible to use the existing hospital remodeling method for small scale hospitals that do not have many patients, but it would be necessary for big scale hospitals with many patients to adopt the method of remodeling the existing hospital with the addition of an annex.

• Journal of The Korea Institute of Healthcare Architecture
• /
• v.11 no.1
• /
• pp.33-41
• /
• 2005

The construction can proceed in different ways according to the acquired profitability of the hospital during the construction and to the features of departments or areas. This study is an analysis of remodeling construction processes to resolve major tasks of remodeling. The remodeling strategies gained from this study can be summed up as follows: 1) Remodeling work in hospitals involves the acquire relocation of space through extensive area renovations and then moving back to the space, and lastly working on the empty space. Thus, it is more advantageous in terms of construction work to demolish the existing buildings than to acquire the relocation space through extensions or renovations. That is, demolition after the maximum utilization of the existing buildings is the most desirable in terms of space availability. 2) The construction methods for remodeling are two: a method of carrying out construction by dividing the plane areas into several individual ones and of working on it floor by floor. In case of ward areas, and the outpatient area, the construction proceeds after securing the relocation space and partially setting construction areas in order to minimize the decrease in profitability due to the smaller number of beds and treatment rooms during construction. If the outpatient diagnosis/ treatment area and the supply area relocate together with the ward areas, there may be extra expenses. Thus, doing construction by area, while partially operating those areas or after relocating the whole areas.

• Journal of Cerebrovascular and Endovascular Neurosurgery
• /
• v.25 no.3
• /
• pp.311-315
• /
• 2023

Anterior communicating artery aneurysms are the most common intracranial aneurysm and have a high risk of rupture which can lead to morbidity and mortality. Traditionally, intracranial aneurysms were treated by clipping with neurosurgical access. However, certain patients may prefer less invasive approaches or not represent open surgical candidates. Flow diverters, including flow-redirection endoluminal devices (FRED), are new-generation stents that are placed endovascularly by transfemoral or transradial access. Recent studies have demonstrated that FRED is both safe and effective, with complete occlusion of aneurysms in over 90% of patients. This case highlights an interesting phenomenon of post-flow diversion circulatory remodeling, where flow diverter treatment can alter the circle of Willis anatomy and physiology.

• Korean Institute of Interior Design Journal
• /
• no.29
• /
• pp.173-180
• /
• 2001

The present time this country is faced with general hospital building remodeling time from the constructing age. In architecture, one of the reconstruction of consciousness, remodeling significance Is restoration of capacity a generally structure. Through this research we acquire concluding remarks. 1) In hospital extension and reconstruction works set a different counterplot proportionately with part that are the ward areas, the outpatient areas, the diagnosis/treatment areas, the supply areas, the administration areas, the education/research areas, the miscellaneous areas etc. According to department's character and use various purposes take proper measures. Then it estimation that remodeling study shall be need. 2) It is advisable the way of connection the existing facilities if it extended case. The case of K hospital has been extended outskirts the main building. As this an enlargement of a outhouse has an advantage that secure construction area at a stretch and no exert Influence on both nature lighting and construction matter. On the contrary caused [defect that is repeatedly occur a faculty relocation and the inner part alteration because of it\`s post transfer.