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Battling for Bed Space in Kingston General Hospital, Ontario: 1927 to 1958

Daniel Paluzzi

Abstract


Urban hospitals can be gargantuan, heterogeneous complexes that result over decades of acquisition, assimilation, and reconstruction. Their layout effectively represents sociocultural and economic shifts in how healthcare is delivered to the community-at-large. This includes technological innovations that revolutionised the standard of care and spawned new medical subspecialties; however, certain services were prioritised over others when new space was created. To examine a hospital’s investment in specific departments, the novel method of counting beds was used. Bed tallies were compared to social and political events affected hospital structuration. Kingston General Hospital between 1927 and 1958 was chosen for its complete records and multiple expansions. The study period concludes before the introduction of provincial public healthcare to allow analysis from a uniform economic perspective. Hospital renovations were shown to either redistribute or expand services, with preference for the former.    


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DOI: http://dx.doi.org/10.18550/ijhpm.080115.0506

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