State Institution "O. M. Marzeev Institute of Public Health of the National Academy of Medical Sciences of Ukraine", Kiev
Introduction. The Cabinet of Ministers of Ukraine has adopted the Order of 20.01.2016 No. 94-p "On acts of the sanitary legislation for recognition them as such that have lost their force, and that are not used on the territory of Ukraine". To the list of normative documents, issued by the Ministry of Health of the USSR that have lost their force, the document on the sanitary legislation "Sanitary rules on building, equipment and operation of hospitals, maternity hospitals and other inpatient departments" as well as "Sanitary rules and norms № 5179-90", adopted by the Chief Doctor of the USSR on 29.06.1990 are included. In order to provide comfortable working conditions for medical personnel and patients in the process of reforming the healthcare sector, it is very important to develop a new national normative document, which establishes sanitary and hygienic requirements to designing, location, arrangement, equipment and operation of modern health facilities, providing medical care of the population.
The purpose of the study is to substantiate sanitary-hygienic requirements to conditions of work for medical personnel and for staying patients in modern health care institutions, taking into account the experience of European and other countries of the world. The article will be interested for designers of health facilities, chief doctors and owners of health care institutions, and specialists of the territorial administrations.
Materials and methods. Normative documents of national and European sanitary legislation, concerning location, arrangement, equipment and operation of health care institutions were used. The following methods were applied: bibliosemantic (for analyses of normative-legislative documents, scientific literature on legislation), theoretical ( retrospective use of the data of scientific studies concerning hygiene of planning settlements), analytical (methods on hygienic assessment of designs of building for health care facilities); sanitary-hygienic examination of designs for building and reconstruction of health institutions.
Results. There have been developed sanitary and hygienic requirements to work conditions of medical personnel and conditions for staying patients in modern health care facilities, based on the precious regulation document "Sanitary rules and norms 5179-909", which takes into account international and domestic experience.
Conclusions. The following new sanitary-hygienic requirements have been developed concerning: accessibility of buildings and premises of health facilities for patients of low mobility; design of underground car parks for more rational use of ground areas, convenient for patients, visitors and medical personnel; location of hospices; creating more comfortable conditions for patients’ stay in health care institutions and improvement of working conditions of medical personnel; using modern materials, being more environmentally friendly and easy for operatation and for for processing of premises in accordance with the requirements of EU sanitary legislation; setting up and operation of modern high-tech medical equipment and other innovations that will help to minimize the risks of violation of sanitary-and-epidemic requirements to the indoor environment in health care institutions, to create more comfortable conditions for staying and effective treatment of patients, in conformity with sanitary and hygienic requirements to conditions of work for medical personnel.
Key words: normative documents, health care institutions, working conditions of medical personnel, modern medical equipment, patients, sanitary-hygienic requirements, international experience
ORCID ID of co-authors and their contribution to the preparation and writing of the article:
Ocheretyan GV - analysis, data processing, preparation of conclusions;
Mahnyuk V.M. - Definition of purpose, task, object, object, methods of research, conclusions.