REVOLUTIONIZING HOSPITAL DESIGN AND MANAGEMENT

FAUKEN, JOHANN PETER FRANZ XAVER.

Entwurf zu einem allgemeinen Krankenhause.

Wien, Korrespondenz Expedition, 1784.

8vo. In contemporary marbled paper corvered boards with paper title-label to spine. Most of the marbled paper on spine worn off. Internally very nice and clean. 156, (2) pp. + 4 folded plates. 


Exceedingly rare seminal work in the history of public hospitals – here Fauken described pioneering methods of not only the design and construction of hospitals but also the daily mangement. He also convincingly argued for the economic benefits of providing good healthcare for the masses.

Fauken was commissioned to design the Allgemeines Krankenhaus in Vienna, which involved renovating the extensive building complex of the 17th-century almshouse for soldiers and the poor. Originally conceived and designed by Prince Karl-Eusebius von Lichtenstein, the Baroque masterpiece featured long galleries with many windows, making it well-suited for its new role as a medical facility where patients could be effectively treated.

“As part of his program of health reform, Joseph II envisioned the centralization into one institution of all hospital care then distributed among a dozen institutions in the city. All endowments still supporting these institutions were to be transferred to the state. The new institution was to be reserved exclusively for sick care and primarily focused on the recovery of physical rather than spiritual wellbeing and non-denominational in character” (Risse, Enlightenment: Medicalization of the Hospital, Vienna 1750-1800).

Joseph II initially envisioned the hospital as a teaching institution, demanding the application of the most advanced scientific principles in its organization and maintenance. The renovation included subdividing the old galleries, eliminating corridors, and reorganizing spaces to accommodate individual patients by wards. The hospital was structured as five independent hospitals, with only the asylum and maternity ward being newly constructed. This separation allowed for better care and purposeful planning of the facility, featuring generous cross ventilation, ample light, and rigorous standards of sanitation and patient care. To ensure ongoing funding, various charitable foundations were amalgamated or dissolved (see Baas, Ourlines of the History of Medine, p. 738)

Order-nr.: 61377


DKK 20.000,00