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“人性化”医疗环境:现代医院中的建筑、艺术与设计

'Humanizing' healthcare environments: architecture, art and design in modern hospitals.

作者信息

Bates Victoria

机构信息

Department of History, University of Bristol, Bristol, United Kingdom.

出版信息

Design Health (Abingdon). 2018 Feb 15;2(1):5-19. doi: 10.1080/24735132.2018.1436304. eCollection 2018.

Abstract

In recent decades, hospital design literature has paid increasing attention to an apparent need to 'humanize' hospital environments. Despite the prevalence of this design goal, the concept of 'humanizing' a space has rarely been defined or interrogated in depth. This article focuses on the meaning of humanization, as a necessary step towards understanding its implementation in practice. It explores the recent history of humanistic design as a goal in healthcare contexts, focusing on the UK in the late twentieth century. It shows that many features of humanistic design were not revolutionary, but that they were thought to serve a new purpose in counterbalancing high-technology, scientific and institutional medical practice. The humanistic hospital, as an ideal, operated as a symbol for wider social concerns about the loss - or decentring - of patients in modern medical practice. Overall, this article indicates a need to interrogate further the language of 'humanization' and its history. The term is not value free; it carries with it assumptions about the dehumanization of modern medicine, and has often been built on implicit binaries between the human and the technological.

摘要

近几十年来,医院设计文献越来越关注“人性化”医院环境这一明显需求。尽管这一设计目标普遍存在,但“空间人性化”的概念很少得到深入定义或探讨。本文聚焦于人性化的含义,这是理解其在实践中实施的必要步骤。它探讨了人文设计作为医疗保健领域目标的近期历史,重点关注20世纪后期的英国。研究表明,人文设计的许多特征并非具有革命性,但它们被认为在平衡高科技、科学和制度化医疗实践方面发挥了新的作用。作为一种理想,人文医院成为了更广泛社会对现代医疗实践中患者缺失或中心地位丧失的关注的象征。总体而言,本文表明有必要进一步审视“人性化”的语言及其历史。这个术语并非没有价值;它带有对现代医学非人性化的假设,并且常常建立在人与技术之间隐含的二元对立之上。

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