Abstract
The Medical Department of Tokyo University and an affiliated hospital was founded in 1877. The hospitals affiliated with medical schools was formed at that time, but actually after the Medical School Act in 1882. The Act prescribed that medical schools had to own their affiliated hospitals. The hospitals in the early ages of the Meiji Era were under influences of the Dutch medical science and the clinic systems were for general medical practices. The hospitals affiliated with medical schools after the Medical School Act was under the obligation to employ more than three Bachelors of Medicine, who graduated from Tokyo University, so the clinic systems were for separate medical practices under influences of the Dutch medical science. The Imperial University Act prescribed the lecture systems in 1893. The Layout and Floor Planning of the hospitals affiliated with medical schools were under the lecture systems and each clinic were independent. Tokyo Imperial University Hospital in 1896 was a typical example-educational, researches, treatment and hospitalization functions were gathered under the lecture systems. Kyoto Imperial University Hospital in 1899 was another typical example-educational, researches, treatment and outpatient functions were gathered under the lecture systems. After that other hospitals affiliated with medical schools were built under the influences of these two types.
