I came across this pattern in my N3 book: ~を・・・として / ~を・・・に => ~を・・・と考えて(認めて)
Used to mean "regard (accept)~as..."

eg.

  1. 入院をきっかけとして私は健康に注意するようになった。
  2. 日本の世界地図は日本を中心に書かれている。
  3. この小説家は家族をテーマとして小説をたくさん書いている。

I read somewhere that AをBに mean A in B, but it does not make sense in these
examples

  1. Admitted in a hospital -> IN/Regard/Accept -> a chance....
  2. Japan -> IN/Regard/Accept -> concentration....
  3. Family -> IN/Regard/Accept -> the theme.....

Can someone explain what the real meaning is in English
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grammar meaning
~を・・・と考えて(認めて) Used to mean "regard (accept)~as..."
Here are some clues that might help you understand the sentences. I'll write
these as questions. Can you figure out how to answer these questions?

> **どうして** 私は健康に注意するようになったか。

> 日本の世界地図は **どのように** かかれているか

> この小説家は **どんな** 小説をたくさん書いている。

Are you able to translate these questions into good English? If you are and
are comfortable with that. Then you're on the way to making sense of the
original sentences.

* * *

What makes the first sentence more of a challenge to translate is the phrase
をきっかけとして.

きっかけ means an _opportunity_ , the _occasion for something to begin_ , an
_excuse_. It's a very flexible word in Japanese and to translate it into
English requires a bit of reflection.

In this context, I would render 入院をきっかけとして as " _having been admitted to the
hospital became the opportunity for ..._ "

It's not a particularly good _translation_ because I'm inverting the word
order and which part of the sentence is the main clause and which the
subordinate clause. But some things are just said differently in Japanese.

For example, in English it is quite natural to say

> Lots of Japanese like _okonomiyaki_.

And as a beginning Japanese student who speaks and thinks in English, you are
likely to translate this into Japanese as follows:

> たくさんの日本人はお好み焼きが好きです。

You'll be understood. But it isn't very natural sounding. This sort of
expression sounds more natural as

> お好み焼きが好きな日本人は多いいです。

I think it is useful to think of きっかけ this way too. In other words, you might
want to flip the order of what's what from Japanese to English.

* * *

A couple other things to point out. 中心 here definitely does not mean
_concentration_. 中心 just means _center_.

The other thing I think I see you doing is rushing in too quickly to decide
what the object of the sentence is etc.

I would recommend you start from the main verb. Since that's always at the end
of the sentence it is easy to identify. Pay attention to the verb. Is it
_active_ or _passive_? For example かかれている is a passive-form derived from the
verb かく. And, in the case of _maps_ , you _draw_ a map. So, かかれている means "
_something_ is drawn".

Also, in noticing the verb, check to see whether the _real_ verb is somehow
more deeply embedded. In the first sentence it is not very useful to just
notice なった as the main verb. The _verbing_ is being done with 注意するようになった. And
it'll be important to recognize that this is a kind of set phrase to express
the idea that a _habit_ (in this case) that hadn't previously been established
began to be developed.

Next, what is the subject and object for the verb (if there is even an
object). Don't latch onto the first が or を you see. Those might be embedded in
a relative or subordinate clause. And keep in mind that は only marks the
topic, but grammatically the topic can be the subject or object or just be the
perspective from which the sentence is expressed.
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