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Yonsei Journal of Medical History

  • : 연세대학교 의과대학 의사학과 의학사연구소
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수록정보
수록범위 : 1권1호(1997)~25권1호(2022) |수록논문 수 : 221
연세의사학
25권1호(2022년 06월) 수록논문
최근 권호 논문
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KCI등재

저자 : 이연경 ( Lee Yeon-kyung )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 7-41 (35 pages)

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This study aims to trace the construction process and analyze the spatial and architectural characteristics of the master plan of the Yonsei University Medical Center and determine its meaning and value.
Yonsei University Medical Center in Shinchon was opened in June 5th, 1962 after a 10-year construction process. The construction of Yonsei University Medical Center was begun with the construction of the Chest Hospital for tuberculosis treatment with support from the 8th US Army, and in 1957 the master plan of Yonsei University Medical Center was designed by the Detroit-based architectural firm Smith, Hinchman and Grylls. In 1962, Yonsei University Medical Center was officially opened; however the construction was ongoing until 1969, and it was not until 1969 that the three steps of development suggested in the master plan were almost achieved.
The master plan of 1957 suggested discarding the former plan in which the Chest Hospital and the Severance Hospital were separately designed, outlining instead a medical complex consisting of a general hospital of the pavilion type and a medical school and nursing school as well as dormitories. Using the geographical condition with the hillside, each traffic flow was functionally disposed, and all the parts of medical facilities were connected by covered passages. All the buildings were designed with reinforced concrete modernism; however local materials, including granite and natural slate from neighboring mountains were also used, for example in the building of Yonsei University.
The outpatient clinic building was dismantled in the 1990s; however the service and nursing wing (Jejunggwan) and the medical science building still exist and are used for their original function. Yonsei University Medical Center in Sinchon is the most representative general hospital of Korea of the 1950-60s; thus it is necessary to prepare for the preservation and renovation of the remnants of the original master plan.

KCI등재

저자 : 이국헌 ( Lee Kuk-heon )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 43-62 (20 pages)

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The purpose of this study is to historically summarize the social welfare activities of the Seoul Adventist Hospital in the 1960s. During this period, the hospital had only a 125-bed capacity, despite the growing number of patients, and accordingly, a new hospital was urgently requested. For various reasons, however, the hospital was forced to handle the growing medical conditions in a cramped medical facility built in 1947. The Seoul Adventist Hospital promoted the construction of a new building in the 1960s, but the new building was not completed until 1976. Despite this poor situation, the hospital actively participated in social welfare activities in response to the needs of Korean society. In particular, the 1960s was the time when the Seoul Adventist Hospital expanded the affiliated orphanage project, promoted free medical treatment projects by the medical mission team, and dispatched health nurses. The orphanage, which began in 1951, grew in the 1960s and developed into a welfare institution that cared for 885 children in 1967. In the free medical treatment project, medical service teams were active nationwide for a total of eight times from 1957 to 1962. In addition, the health nurses project was developed in Cheongju, Gwangju, Wonju, Daejeon, Incheon, Gwangcheon, and Ulleungdo from 1960 to 1967. The Seoul Adventist Hospital pursued these social welfare projects because the unsanitary reality of Korean society in the 1960s was well-suited to be addressed by its vision as a missionary hospital.

KCI등재

저자 : 이경록 ( Lee Kyung-rok )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 63-99 (37 pages)

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This article chronologically traces the documents on the construction process of Yonsei University Medical Center in Shinchon. In this article, I trace the process from right after the Korean War in 1953 to the establishment of Shinchon Yonsei University Medical Center in 1962 based on data and research papers inside and outside the Yonsei University Medical Center.
In 1955, the primary reason for locating the new medical center in Shinchon was the construction of a 60-bed Chest Hospital for tuberculosis treatment As the construction progressed, the outpatient clinic was built as a separate building and the Severance Medical School and Nursing School buildings were moved to Shinchon. This was achieved by selling the Severance building in front of Seoul Station as well as raising donations from other external organizations and domestically.
The launch of Shinchon Yonsei University Medical Center in 1962 goes beyond the history of a medical institution; the larger historical implications of the center become clearer when we consider a number of factors inside and outside the Yonsei University Medical Center.
Therefore, four factors must be considered to understand the meaning of the construction of the Yonsei University Medical Center in Shinchon: the personal and historical internal factors and the social and structural external factors.

KCI등재

저자 : 여인석 ( Yeo In-sok )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 161-185 (25 pages)

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The Severance Union Medical College had produced a total of 898 graduates before liberation (1945). They played an important role in caring for the health of Koreans during the Japanese colonial period (1910-1945), when there was a shortage of medical personnel. A considerable proportion of the graduates went abroad for various reasons. Their motives for overseas migration vary depending on the time period. In the early 1910s and 20s, during the Japanese colonial period, many of the early graduates went abroad for the independence movement. They were mainly active in Manchuria, Russia, and China, especially in Shanghai, where the Korean Provisional Government was located. After the establishment of the State of Manchuria in 1932, Manchuria was no longer a base for the independence movement. In 1934, the Severance Union Medical College became a designated school by the Japanese Ministry of Education, and as a result, the Severance graduates were given the license to practice within the Japanese Empire, including Manchuria. From the late 1930s to early 1940s, many of Severance graduates went to Manchuria for better opportunities in their profession, working in both the private and public sectors. Several of them worked as medical officers in the army of the State of Manchuria. Some other graduates went to Japan to practice medicine. Another important motive for overseas migration was to study abroad. Not many graduates went to North America, and the majority went to Japanese universities to obtain their medical doctorate (Igaku Hakase) degrees, the main reason being that only a medical doctorate from a Japanese university made them eligible to work as professors of medical colleges under Japanese rule. The overseas activities of Severance graduates during the colonial period shows the socio-historical context of the medical professions under Japanese rule.

KCI등재

저자 : 박승만 ( Park Seung-mann )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 187-220 (34 pages)

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This article reexamines the institutionalization of industrial health in South Korea from 1945 to 1965 and argues that the government and private activities during the U.S. military government and the 1st and 2nd Republics became the basis for the subsequent institutionalization. Existing descriptions of the early days of industrial health usually regard the pre-1960s as a blank. This is because, firstly, the memoirs of the doyens of industrial medicine begin with the description of the 1960s, and secondly, it is assumed that industrial health management began only after industrialization began in earnest. The reality, however, was closer to the process of accumulation and continuation.
In short, the foundation of industrial health was established during the period from 1945 to 1960. During the U.S. Military Government, the private-led public-private cooperation system was established, and the 1st Republic laid the foundation of the industrial health management based on the Labor Standards Act. In addition, the 2nd Republic, inaugurated after the April Revolution, created a reformative atmosphere that led to supplementary legislation to the Labor Standards Act and the implementation of Industrial Accident Compensation Insurance. Finally, through the 1950s, occupational health management and research capabilities of the private sector also grew, such as Jangseong Hospital, the Catholic Institute of Industrial Medicine, and the Korean Industrial Health Association. The institutionalization of the public and private sectors in the early 1960s was based on this legacy.

KCI등재

저자 : 박지영 ( Park Ji-young )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 221-253 (33 pages)

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This paper examines the concept and practice of publicness in healthcare in 1960s and 1970s Korea. Although the COVID-19 pandemic has made the publicness of healthcare an important social issue in Korea, the history of the publicness in healthcare has not attracted much attention from Korean medical historians. A few researchers investigating the healthcare system in late 1940s Korea showed that publicness had been a core value in the formation of the healthcare system, but they did not deal with its changes in later periods. However, studying the changes in the publicness of healthcare in the context of the rapid growth of the healthcare market and medical commercialization in 1960s and 1970s Korea is important in order to understand the origin of current concepts and practices of publicness in healthcare. Taking the 1973 Medical Service Act Amendment as a case, this paper examines the discourse of the Korean government, Korean doctors, and the public in relation to the publicness in Korean healthcare. In particular, by tracing the process from the introduction to the abolition of the Medical Corporation Law in 1973 Korea, this paper presents the following: 1) The development of the medical market from 1960s and 1970s in Korea promoted medical commercialization, which caused the complaints of the Korean public against the inequal distribution of medical resources. 2) The Korean government revised the Medical Service Act to stabilize its political and social position. The two goals of the Medical Service Act were to effectively mobilize private medical resources and to suppress the commercialization of medical services represented by the introduction of medical corporations. 3) Korean doctors opposed the mandatory establishment of medical corporations, arguing that private healthcare has sufficient publicness. By revealing the differences in perceptions among actors surrounding the publicness in Korean healthcare, this paper shows how the structure of the conflict between the Korean public and Korean doctors or between the Korean government and Korean doctors was formed over the development of private healthcare and the deterioration of the publicness of healthcare.

KCI등재

저자 : 이규원 ( Lee Kyu Won )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 255-282 (28 pages)

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This paper examines the formation and development of Japanese anesthesia in the Edo period, focusing on the prescription of oral anesthetics shown in major medical books, especially the use of Datura and Aconitum. First, the flow of traditional Chinese anesthesia is discussed, and the changes in Japanese anesthesia inheriting the tradition are tracked until the end of the Edo period. From the Tang Dynasty to the Ming Dynasty, Chinese anesthesia continued to change concerning the use of Aconitum and Datura. During the Edo period, Japanese anesthesia began with the introduction of Chinese anesthesia, but developed independently by absorbing surgical knowledge originating from the West. On this foundation, Hanaoka Seishū succeeded in performing the world's first surgical operation under general anesthesia, and from that point on, anesthesia in osteotomy and surgical anesthesia diverged. The traditionality and innovativeness of Japanese anesthesia presented in this paper were to project the universal characteristics of Japanese medicine in the late Edo period, which were formed by absorbing Western medicine into the tradition of oriental medicine.

KCI등재

저자 : 배민 ( Min Bae )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 283-320 (38 pages)

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This article presents a microscopic picture centred around hospital reforms in the early 1850s through the eyes of a medical student named Edward W. Lane (1823-1889). In his MD thesis (1853), Lane presented both his public-minded spirit, shared by other liberal Benthamite medical reformers of the time, and his own medical beliefs, which he further developed later in his medical career. For him, the ultimate goal of hospital reforms was to make the hospital the central therapeutic institution based on the holistic vision of hygiene. Lane was not one of the well-known figures in nineteenth century medical history who contributed to the development of modern biomedicine; rather, he developed and promoted his own theory of 'hygienic medicine,' which was one of the most explicit attempts in the second half of the century to revive the declining medical philosophy of the holistic approach to the body and disease enshrined in the classical concept of hygiene. The MD thesis he submitted at the Medical School of Edinburgh was one of his earliest published medical works that presents such a holistic vision of medical philosophy.
Lane's thesis deals with three aspects of hospital reforms (fiscal, educational and hygienic) through three specific issues (governmental roles in voluntary hospitals, the medical school's thesis exaction policy, and the establishment of the hygienic hospital). He argued for governmental support for local public medical institutions but opposed the idea of state control. Likewise, he criticised the compulsory exaction of a thesis for graduation but agreed with the school policy of medical elitism. Lane's approach to hospital hygiene was distant both from that employed in the urban local hospitals and from that concretised by many hospital reformers, including Nightingale. I attempt to contextualize his medical view within the medical discourses of the time principally through the three aspects of hygiene (public, medical and personal). Lane's view was closely related to his own inclination towards the personal aspect of hygiene in contrast to the ever-enlarging domain of public hygiene at the time.
Hospital hygiene for Lane was neither merely the provision of cleanliness nor the elimination of poverty. His Romantic naturalist view of hygiene and disease led him to focus on restoring a hygienic way of living for individual patients and reformulating the hospital as a place for such a restoration. Lane's view of hospital reforms in the thesis not only presents the earliest stage of the 'holistic' vision of his medical philosophy but also reveals the gap between the holistic and reductionist approaches to hygiene, indicating that each of these approaches, based respectively on the classical and modern conceptions of hygiene, was developing throughout the century.

KCI등재

저자 : 정현석 ( Chung Hyun-sok )

발행기관 : 연세대학교 의과대학 의사학과 의학사연구소 간행물 : 연세의사학 25권 1호 발행 연도 : 2022 페이지 : pp. 321-357 (37 pages)

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Giles of Rome's De formatione humani corporis in utero, written probably around the last 15 years of the thirteenth century, is the first medieval treatise focusing explicitly on embryology. In this treatise, especially in chapter 6, Giles provides seven polemic arguments(viae) against some medieval variants of the Galenist thesis on the active role and the nature ascribed to the vaginal secretion(called in his days “female sperm”). in this process, Giles wrestled with the most influential medieval authorities of both Aristotle and Galen: Avicenna and Albert the Great. Against those two great medieval authorities who envisaged assimilating the Galenist thesis on the basis of Aristotle's theory, Giles launched his counter-arguments which consisted in isolating and rejecting the Galenist idea on female sperm in question by appealing to another peripatetic authority: Averroes, the Commentator. And he arrived at his conclusion that the so-called “female sperm” had no essential role in the generation process and showed the Galenist thesis incorporated in the thoughts and works of the two medieval authorities entails some futile duplications of active principles in the 'orthodox' Aristotelean point of view. In these Egidian arguments in Chapter 6 of De formatione humani corporis in utero, one can find some interesting medieval contexts that reflect how the intellectuals of the thirteenth century, in conformity with their theoretical interests mainly based on Aristotle's natural philosophy, dealt with some medical problems handed down to them, and in consequence, articulated them as much more for speculative philosophers or metaphysicians than for practicing medical doctors. In this respect, in Giles's work, one can find a case of the medieval theories on medicine before the rise of in centuries yet to come.

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