Problems of Radiation Medicine and Radiobiology

V.A. Prylipko¹, Yu.Yu. Ozerova¹, O.V. Kotsubinskij², M.M. Morozova¹,
O.O. Petrychenko¹,I.V. Bondarenko1

1State Institution «National Research Center for Radiation Medicine of the National Academy of Medical Sciences of Ukraine», Melnykova str., 53, Kyiv, 04050, Ukraine
2State Institution «Specialized healthcare infirmary #3 of the Ministry of Health of Ukraine», Varash city, Rivno province, 34400, Ukraine

Social safety and medical maintenance of the labour pool in surveillance
areas of the nuclear power plants

Objective. To study the contentment of population of NPP surveillance areas i.e. monitoring zones with specific components of quality of life, namely the social security, medical care, and socio-economic compensation of risk.
Materials and methods. A sociological study of public opinion about the specific components of quality of life has been conducted in population of the NPP monitoring zone. A questionnaire with independent question blocks was developed. A non-repeatable probabilistic selection was applied in population opinion poll. The sampled population was calculated on the basis of the total population living in the NPP monitoring zone. Sample error not exceeded 7.0%. A comparative assessment of the responses of various groups of the able-bodied population on issues of social security, medical care, socio-economic compensation of risk and analysis of statistical data for 2011–2015 on the resource potential of medical facility of the nuclear power plant overspill town has been conducted.
Results. The safety and security status is rated at below the average. Documents regulating the life safety of population of NPP monitoring zone provide them no confidence in their security. Probability estimates of man-made accidents are higher in urban population and depend on education level. The socialized health care is assessed on low and average levels according to the studied parameters. Among the types of medical care the providing of necessary medical goods, preventive examinations, scheduled medical examination service, ambulance activity, and medical-psychological aid need to be improved. There was no significant change in resource potential of specialized healthcare infirmary of NPP overspill town for the last 5 years.
Conclusion. Low rating by the monitoring zone population of work efficiency of health facilities is determined by a set of factors, some of which lies in the plane of state socio-economic problems. Choice priority of the direct subventions in population of monitoring zone depends on the place of residence and occupation. Provisions on social security, protection and medical care of population of the NPP monitoring zones in Ukraine do not correspond to European standards and require a revision.
Key words: NPP monitoring zone, social security, medical maintenance, socio-economic compensation of risk.

Problems of radiation medicine and radiobiology. 2017;22:147–161.