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Towards a New Hospital: Architecture...

Theodore, David Michael.

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Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975./
Author:	Theodore, David Michael.
Description:	350 p.
Notes:	Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
Contained By:	Dissertation Abstracts International75-10A(E).
Subject:	Architecture. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3627224
ISBN:	9781321023619

Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975.
Theodore, David Michael.

Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975. - 350 p.

Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.

Thesis (Ph.D.)--Harvard University, 2014.

This item is not available from ProQuest Dissertations & Theses.

This dissertation provides an account of how computing left behind its origins in academic and military research to become part of the hospital's equipmental setting. I examine the efforts of reformers, including administrators, planners, architects, and computer consultants, to provide appropriate accommodation for modern biomedicine. I explore three stories in order to untangle the admixture of architecture, medicine, and computation as they intertwined through a mutual engagement with automation, operations research, cybernetics, and biomedical research in the postwar hospital. In Boston, pioneering research consultants Bolt Beranek and Newman collaborated with the Massachusetts General Hospital on an experimental total information system known as the Hospital Computer Project. In London, architects Llewelyn Davies Weeks used computer algorithms to help design Northwick Park Hospital. And in Canada, the Montreal Neurological Institute adopted computing to transform its expertise in clinical brain imaging research. When possible, I emphasize specific computers, arguing that attention to the presence of the machine itself contributes to our understanding of hospital life.

ISBN: 9781321023619Subjects--Topical Terms:

523581
Architecture.

Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975.
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020 $a 9781321023619
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100 1 $a Theodore, David Michael. $3 3194354
245 1 0 $a Towards a New Hospital: Architecture, Medicine, and Computation, 1960-1975.
300 $a 350 p.
500 $a Source: Dissertation Abstracts International, Volume: 75-10(E), Section: A.
500 $a Advisers: Antoine Picon; Peter L. Galison.
502 $a Thesis (Ph.D.)--Harvard University, 2014.
506 $a This item is not available from ProQuest Dissertations & Theses.
520 $a This dissertation provides an account of how computing left behind its origins in academic and military research to become part of the hospital's equipmental setting. I examine the efforts of reformers, including administrators, planners, architects, and computer consultants, to provide appropriate accommodation for modern biomedicine. I explore three stories in order to untangle the admixture of architecture, medicine, and computation as they intertwined through a mutual engagement with automation, operations research, cybernetics, and biomedical research in the postwar hospital. In Boston, pioneering research consultants Bolt Beranek and Newman collaborated with the Massachusetts General Hospital on an experimental total information system known as the Hospital Computer Project. In London, architects Llewelyn Davies Weeks used computer algorithms to help design Northwick Park Hospital. And in Canada, the Montreal Neurological Institute adopted computing to transform its expertise in clinical brain imaging research. When possible, I emphasize specific computers, arguing that attention to the presence of the machine itself contributes to our understanding of hospital life.
520 $a In examining hospital reform after the Second World War, I claim that the hospital building must be conceived as something other than a physical representation of medical knowledge, first, because the new computer-oriented hospital practices often took place in buildings not purpose-built to accommodate them; and second, because reformers who used computation to design and construct new hospitals sought an architecture that would accommodate a state of permanent progress. The resulting buildings were deliberately planned to provide only a "loose fit" to biomedical knowledge. Hospital computer information systems and hospital architecture developed homologous designs meant to forestall obsolescence and self-adjust to growth and change.
520 $a I conclude that the failures and reversals these optimistic reformers encountered indicate the emergence of a stable sociotechnical configuration, a set of places and practices intertwined with problems that could not be overcome through improved designs, more diligent scientific research, or through calling for more compliant users, especially nurses, or re-training them. Finally, I posit the lattice diagram as the best image of the forces that linked architecture, medicine, and computation together in the drive towards a new hospital.
590 $a School code: 0084.
650 4 $a Architecture. $3 523581
650 4 $a Science history. $3 2144850
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710 2 $a Harvard University. $b Architecture, Landscape Architecture, and Urban Planning. $3 2096490
773 0 $t Dissertation Abstracts International $g 75-10A(E).
790 $a 0084
791 $a Ph.D.
792 $a 2014
793 $a English
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3627224