@article{ART003380862},
author={Lee, Seung Ji and Lee, Sang Kyu},
title={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={JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE},
issn={2733-8649},
year={2026},
volume={32},
number={3},
pages={15-23}
TY - JOUR
AU - Lee, Seung Ji
AU - Lee, Sang Kyu
TI - A Study on Hospital Redevelopment through Urban Development Instruments - A Comparison of St. Luke’s International Hospital in Japan and the Korean Institutional Mechanisms
JO - JOURNAL OF THE KOREA INSTITUTE OF HEALTHCARE ARCHITECTURE
PY - 2026
VL - 32
IS - 3
PB - Korea Institute Of Healthcare Architecture
SP - 15
EP - 23
SN - 2733-8649
AB - 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.
KW - Hospital Redevelopment;Designated Block System;Fixed-term Land Lease;Floor Area Ratio Reallocation;Urban Planning Instruments
DO -
UR -
ER -
Lee, Seung Ji and Lee, Sang Kyu. (2026). 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, 32(3), 15-23.
Lee, Seung Ji and Lee, Sang Kyu. 2026, "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, vol.32, no.3 pp.15-23.
Lee, Seung Ji, Lee, Sang Kyu "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 32.3 pp.15-23 (2026) : 15.
Lee, Seung Ji, Lee, Sang Kyu. A Study on Hospital Redevelopment through Urban Development Instruments - A Comparison of St. Luke’s International Hospital in Japan and the Korean Institutional Mechanisms. 2026; 32(3), 15-23.
Lee, Seung Ji and Lee, Sang Kyu. "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 32, no.3 (2026) : 15-23.
Lee, Seung Ji; Lee, Sang Kyu. 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, 32(3), 15-23.
Lee, Seung Ji; Lee, Sang Kyu. 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. 2026; 32(3) 15-23.
Lee, Seung Ji, Lee, Sang Kyu. A Study on Hospital Redevelopment through Urban Development Instruments - A Comparison of St. Luke’s International Hospital in Japan and the Korean Institutional Mechanisms. 2026; 32(3), 15-23.
Lee, Seung Ji and Lee, Sang Kyu. "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 32, no.3 (2026) : 15-23.