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A Study on Hospital Redevelopment through Urban Development Instruments - A Comparison of St. Luke’s International Hospital in Japan and the Korean Institutional Mechanisms

  • JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE
  • Abbr : KIHA
  • 2026, 32(3), pp.15~23
  • Publisher : Korea Institute Of Healthcare Architecture
  • Research Area : Engineering > Architectural Engineering
  • Received : August 14, 2026
  • Accepted : August 24, 2026
  • Published : September 15, 2026

Lee, Seung Ji 1 Lee, Sang Kyu 2

1인천가톨릭대학교
2이상도시

Accredited

ABSTRACT

Purpose: This study examines how the Designated Block System and Fixed-term Land Lease Right combined to enable the redevelopment of St. Luke's International Hospital, and compares this mechanism with corresponding Korean institutions to examine the structural constraints underlying their limited implementation to date. Methods: The redevelopment process of St. Luke's International Hospital was analyzed through literature review and field observation, and compared with Korean institutions. Results: St. Luke's International Hospital combined cross-block floor area redistribution under a single designated block with Fixed-term Land Lease Right agreements that preserved land ownership, channeling development revenue into reconstruction financing. This institutional combination allowed density-independent building form, extensive non-revenue communal space, and a mixed-use urban environment. In contrast, corresponding Korean institutions are limited to single-site FAR relaxation, mandate public contributions entailing perpetual operational burdens while blocking revenue-generating uses, and lack pathways for external capital due to restrictions under the Medical Service Act. Implications: This study suggests introducing multi-site floor area redistribution instruments, reconsidering the balance between public contribution and financial sustainability, and revising the Medical Service Act to enable external capital utilization.

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