ó㳺íà íàñåëåíèõ ì³ñöüISSN: 2707-0441 eISSN: 2707-045X
Âèïóñê 69, 2019   -   Ñòîð³íêè: 24-32
òòªÍ²×Ͳ ÂÈÌÎÃÈ ÄΠ̲ÑÖÜ ÇÁÅвÃÀÍÍß ÀÂÒÎÒÐÀÍÑÏÎÐÒÓ ÍÀ ÒÅÐÈÒÎв¯ ÇÀÊËÀIJ ÎÕÎÐÎÍÈ ÇÄÎÐÎÂ‘ß ÏÐÈÂÀÒÍί ÔÎÐÌÈ ÂËÀÑÍÎÑÒ² Ç ÓÐÀÕÓÂÀÍÍßÌ ÇÀÊÎÐÄÎÍÍÎÃÎ ÄÎѲÄÓ
Î÷åðåòÿíà Ã.Â.1, Ìàõíþê Â.Ì.1, Ãîðâàëü À.Ê.1, ×îðíà Â.Â.2
1 ÄÓ "²ÍÑÒÈÒÓÒ ÃÐÎÌÀÄÑÜÊÎÃÎ ÇÄÎÐÎÂ'ß ²Ì. Î.Ì. ÌÀÐǪªÂÀ ÍÀÌÍÓ"
2 ²ÍÍÈÖÜÊÈÉ ÍÀÖ²ÎÍÀËÜÍÈÉ ÌÅÄÈ×ÍÈÉ ÓͲÂÅÐÑÈÒÅÒ ²Ì. Ì.². ÏÈÐÎÃÎÂÀ

ÓÄÊ: 351.754.2 : 351.777.81 : 711.553.2
https://doi.org/10.32402/hygiene2019.69.024

ÀÍÎÒÀÖ²ß:
Ìåòà. Ïðîâåäåííÿ ïîð³âíÿëüíîãî àíàë³çó â³ò÷èçíÿíèõ ñàí³òàðíî-ã³ã³ºí³÷íèõ âèìîã òà ºâðîïåéñüêîãî äîñâ³äó ùîäî ðîçì³ùåííÿ ì³ñöü äëÿ çáåð³ãàííÿ àâòîòðàíñïîðòó íà òåðèòî𳿠çàêëàä³â îõîðîíè çäîðîâ‘ÿ â óìîâàõ ù³ëüíî¿ ì³ñüêî¿ çàáóäîâè.
Îᑺêò ³ ìåòîäè äîñë³äæåííÿ. Îᑺêòîì äîñë³äæåííÿ áóëè íîðìàòèâí³ äîêóìåíòè íàö³îíàëüíîãî ñàí³òàðíîãî òà ì³ñòîáóä³âíîãî çàêîíîäàâñòâà òà íîðìàòèâí³ äîêóìåíòè ³í-øèõ êðà¿í ùîäî ðîçì³ùåííÿ çàêëàä³â îõîðîíè çäîðîâ‘ÿ â óìîâàõ ì³ñüêî¿ ñåëüáèùíî¿ òåðèòîð³¿.
Ó ðîáîò³ âèêîðèñòîâóâàëèñÿ ìåòîäè: á³áë³îñåìàíòè÷íèé (äëÿ àíàë³çó âèêîðèñòàííÿ íîðìàòèâíî-ïðàâîâîãî ðåãóëþâàííÿ), òåîðåòè÷í³ (ðåòðîñïåêòèâíå âèêîðèñòàííÿ äàíèõ íà-óêîâèõ äîñë³äæåíü), àíàë³òè÷í³ (ðîçðîáêè ìåòîäèêè ã³ã³ºí³÷íî¿ îö³íêè ïðîåêò³â áóä³âíèöò-âà); ñàí³òàðíî-åï³äåì³îëîã³÷íî¿ åêñïåðòèçè ïðîåêò³â áóä³âíèöòâà çàêëàä³â îõîðîíè çäîðîâ‘ÿ.
Ðåçóëüòàòè äîñë³äæåííÿ òà ¿õ îáãîâîðåííÿ.  ðåçóëüòàò³ âèâ÷åííÿ çàêîðäîííîãî äîñâ³äó ïðîåêòóâàííÿ ³ ðîçì³ùåííÿ ìåäè÷íèõ óñòàíîâ âñòàíîâëåíî íàñòóïíå: ðîçâèòîê öèô-ðîâèõ ìåäè÷íèõ òåõíîëîã³é, íîâèõ òåõíîëîã³é ë³êóâàííÿ, ÿê³ íå âèìàãàþòü òðèâàëîãî ïåð³îäó ïåðåáóâàííÿ ïàö³ºíò³â â óìîâàõ çàêëàä³â îõîðîíè çäîðîâ'ÿ, ùî õàðàêòåðíî äëÿ äåííèõ ñòàö³î-íàð³â, ³ âèìàãຠïåðåãëÿäó íîðì ïëîù³ çåìåëüíî¿ ä³ëÿíêè, à ñàìå íîðìàòèâó 25 ì² îçåëåíåíî¿ òåðèòî𳿠ç ðîçðàõóíêó íà îäíå ë³æêî; äëÿ çàáåçïå÷åííÿ óìîâ çáåð³ãàííÿ àâòîìîá³ë³â ïàö³ºí-ò³â, â³äâ³äóâà÷³â ³ ìåäè÷íîãî ïåðñîíàëó ââàæàºìî çà äîö³ëüíå âïðîâàäæåííÿ â íîðìàòèâíî-ïðàâîâó áàçó ñàí³òàðíîãî çàêîíîäàâñòâà äîçâ³ë ðîçì³ùåííÿ ï³äçåìíèõ ïàðê³íã³â íà òåðèòî𳿠ë³êóâàëüíèõ óñòàíîâ, ùî áóäå â³äïîâ³äàòè âèìîãó ÷èííîãî ì³ñòîáóä³âíîãî çàêîíîäàâñòâà (ÄÁÍ Â.2.2-10-2001); áóä³âíèöòâî áàãàòîïðîô³ëüíî¿ ë³êàðí³ íà 155 ë³æîê ³ç çàñòîñóâàííÿì êîìïåíñóþ÷èõ çàõîä³â: âèêîðèñòàííÿ ïðèëåãëîãî ïàðêó â ÿêîñò³ çåëåíî¿ çîíè äëÿ ïîêðèòòÿ äåô³öèòó çåìåëüíî¿ ä³ëÿíêè, ïðèñòð³é ï³äçåìíîãî àâòîìîá³ëüíîãî ïàðê³íãó íà 141 ìàøèíîì³-ñöå, ðîçì³ùåííÿ â³äêðèòî¿ íàçåìíî¿ àâòîñòîÿíêè íà 38 ìàøèíîì³ñöü ç äîòðèìàííÿì íîðìà-òèâíèõ ñàí³òàðíèõ ðîçðèâ³â ïî àíàëî㳿 ç çàêîðäîííèìè, ùî ñïðèÿòèìå ï³äâèùåííþ äîñòóï-íîñò³ ìåäè÷íèõ óñòàíîâ äëÿ ïàö³ºíò³â, â³äâ³äóâà÷³â ³ ìåäïåðñîíàëó ³ ðàö³îíàëüíîãî âèêîðèñ-òàííÿ çåìåëüíîãî ä³ëÿíêè.
Âèñíîâêè. Ðåçóëüòàòè äîñë³äæåíü òà çàïðîïîíîâàí³ çàõîäè ñïðèÿòèìóòü ðåàë³çàö³¿ óãîäè ïðî ñï³âðîá³òíèöòâî ì³æ Óêðà¿íîþ òà ªâðîïåéñüêèì Ñîþçîì (Óãîäè ïðî àñîö³àö³þ Ãëàâà 22 «Ïðî ñóñï³ëüíå çäîðîâ'ÿ», ñòàòò³ ¹426, ¹427) ³ ðîçâèâàòèìóòü ñï³âðîá³òíèöòâî â ãàëóç³ îõîðîíè çäîðîâ'ÿ ç ìåòîþ ï³äâèùåííÿ ð³âíÿ áåçïåêè òà çàõèñòó çäîðîâ'ÿ ëþäåé ÿê ïåðå-äóìîâè ñòàëîãî ðîçâèòêó òà åêîíîì³÷íîãî çðîñòàííÿ, à òàêîæ çàáåçïå÷óâàòèìóòü âïðîâà-äæåííÿ ï³äõîäó «îõîðîíó çäîðîâ'ÿ ó âñ³õ ïîë³òèêàõ» ³ ñïðèÿòèìóòü ïîñòóïîâ³é ³íòåãðàö³¿ Óêðà¿íà â ºâðîïåéñüêó áàçó îõîðîíè çäîðîâ'ÿ.

ÊËÞ×β ÑËÎÂÀ:
çàêëàäè îõîðîíè çäîðîâ‘ÿ, â³ò÷èçíÿí³ ñàí³òàðíî-ã³ã³ºí³÷í³ âèìîãè, ºâðîïåéñüê³ íîðìè òà ñòà-íäàðòè, çîíóâàííÿ òåðèòîð³¿, óìîâè ðîçì³ùåííÿ ì³ñöü äëÿ çáåð³ãàííÿ àâòîòðàíñïîðòó.

˲ÒÅÐÀÒÓÐÀ:
1. Ñåðäþê À.Ì., Ïîëüêà Í.Ñ., Ìàõíþê Â.Ì., Ñàâ³íà Ð.Â., Ìîãèëüíèé Ñ.Ì. ó㳺íà ïëàíóâàííÿ òà çàáóäîâè íàñåëåíèõ ì³ñöü íà âàðò³ ãðîìàäñüêîãî çäîðîâ‘ÿ (äî 85-ð³÷íîãî þâ³ëåþ ÄÓ «²íñòèòóò ãðîìàäñüêîãî çäîðîâ‘ÿ ³ì. Î.Ì. Ìàð纺âà ÍÀÌÍÓ»). Ê. : Ìåä³íôîðì, 2017. Ñ. 116.
2. ˳òâ³íîâ Î. Âèçíà÷åííÿ ôàêòîð³â êîíêóðåíòîñïðîìîæíîñò³ çàêëàä³â îõîðîíè çäîðîâ‘ÿ â óìîâàõ ³ííîâàö³éíîãî ðîçâèòêó. Íàóêîâèé â³ñíèê Îäåñüêîãî íàö³îíàëüíîãî åêîíîì³÷íîãî óí³âåðñèòåòó. 2017. ¹4. Ñ. 58-69.
3. Ïîãîð³ëÿê Ð.Þ., Ãóëü÷³é Î.Ï. Çàëåæí³ñòü çì³íè ïîêàçíèê³â ãðîìàäñüêîãî çäîðîâ‘ÿ òà ïîêàçíèê³â îö³íêè ÿêîñò³ òà äîñòóïíîñò³ ìåäè÷íî¿ äîïîìîãè â³ä çì³íè ðåñóðñíîãî çàáåçïå÷åííÿ. Óêðà¿íà. Çäîðîâ‘ÿ íàö³¿. 2018. ¹3 (50). Ñ. 62-65.
4. Êðàâ÷åíêî Â.Â. Âåêòîðè ðîçâèòêó êîìóíàëüíî¿ àìáóëàòîðíî¿ êîíñóëüòàòèâíî-ä³àãíîñòè÷íî¿ äîïîìîãè íà îñíîâ³ äåðæàâíî-ïðèâàòíîãî ïàðòíåðñòâà. Óêðà¿íà. Çäîðîâ‘ÿ íàö³¿. 2018. ¹3 (50). Ñ. 53-57.
5. Êðîõìàëþê Ë.Â., Ëèñåíêî Ï.Ì. Õàðàêòåðèñòèêà ìåðåæ³ çàêëàä³â îõîðîíè çäîðîâ‘ÿ â ñèñòåì³ ÌÎÇ Óêðà¿íè. Óêðà¿íà. Çäîðîâ‘ÿ íàö³¿. 2016. ¹4 (40). Ñ. 132-141.
6. Ìàõíþê Â.Ì., Î÷åðåòÿíà Ã.Â., ×îðíà Â.Â. Äî ïèòàííÿ ñàí³òàðíî-ã³ã³ºí³÷íèõ óìîâ ðîçì³ùåííÿ ï³äçåìíèõ ãàðàæ³â òà â³äêðèòèõ ì³í³-àâòîñòîÿíîê äëÿ ìåäè÷íèõ ïðàö³âíèê³â íà òåðèòî𳿠ë³êàðåíü. Àêòóàëüí³ ïèòàííÿ ãðîìàäñüêîãî çäîðîâ‘ÿ òà åêîëîã³÷íî¿ áåçïåêè Óêðà¿íè: çá. òåç äîï. íàóêîâî-ïðàêò. êîíô. Ê., 2019. Âèï. 19. Ñ. 142-143.
7. A Hospital that doesn’t Feel like a Hospital. URL: https://wikoffdesignstudio.com/hospital-doesnt-feel-like-hospital/
8. Reimagining Sheffield Children’s Hospital. URL : https://www.wyg.com/projects/reimagining-sheffield-childrens-hospital
9. Patient and Visitor Parking Changes at Wellington Regional Hospital. URL: https://www.ccdhb.org.nz/our-services/wellington-regional-hospital/patient-and-visitor-parking-changes-feb-2018/
10. No Fines this Week after Hospital Parking Troubles. URL: https://thelincolnite.co.uk/2018/11/no-fines-this-week-after-hospital-parking-troubles/
11. Advanced Hospital Parking Solutions. URL: https://skyline-parking.com/aps-applications/hospital-parking/
12. Sabeth M. How Car Parking Problems in the Hospitals can be Easily Solved. URL : https://medium.com/@peterjones_55191/howcar-parking-problems-in-the-hospitals-can-be-easily-solved-b7a4cf37c823
13. “Patients are Being Put at Risk” – Hospital Staff Say Parking Problems are Making them Late for Work. URL : https://www.grimsbytelegraph.co.uk/news/grimsby-news/hospital-nurse-charges-work-parking-2967696

ÄËß ÖÈÒÓÂÀÍÍß:
Î÷åðåòÿíà Ã.Â., Ìàõíþê Â.Ì., Ãîðâàëü À.Ê., ×îðíà Â.Â. ó㳺í³÷í³ âèìîãè äî ì³ñöü çáåð³ãàííÿ àâòîòðàíñïîðòó íà òåðèòî𳿠çàêëàä³â îõîðîíè çäîðîâ‘ÿ ïðèâàòíî¿ ôîðìè âëàñíîñò³ ç óðàõóâàííÿì çàêîðäîííîãî äîñâ³äó. ó㳺íà íàñåëåíèõ ì³ñöü : çá. íàóê. ïð. Ê., 2019. Âèï. 69. Ñ. 24-32.