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V. A. Prylypko, M. M. Morozova, Yu. Yu. Ozerova, L. T. Libova, L. A. Yanovych, N. I. Iskra
State Institution «National Research Center for Radiation Medicine, Hematology and Oncology of the National Academy of Medical Sciences of Ukraine», 53 Yuriia Illienka St., Kyiv, 04050, Ukraine
PROBLEMATIC ISSUES OF THE PUBLIC HEALTH MAINTENANCE AT HEALTHCARE FACILITIES UNDER MARITAL LAW
Objective: determining the functioning features of health maintenance by the health care and health protection
facilities of the NPP surveillance zone during epidemics, epidemic situations and man-made accidents under martial law and possible terrorist acts.
Methods. Quantitative and qualitative methods of sociological research were applied namely the analysis of
resource potential indicators, population surveys and method of expert assessments. When obtaining primary empirical data, the simple data sorting, their pairwise or sequential comparison, as well as procedures ensuring the identification of the measured variable were used. An informal analysis of legislative and regulatory documents was
applied. The official sources of information, statistical data, scientific publications, legislative and regulatory acts
on health maintenance were the study subject.
Results. Analysis of the health maintenance parameters in the studied areas of the South Ukrainian NPP observation zone was conducted namely: values of the resource potential based on reporting of the Department of Health
of the Mykolaiv Regional State Administration for 2022–2023 and the first half of 2024 and study of public opinion
regarding the activities of healthcare facilities’ infrastructure, in particular the state of outpatient care, hospital
work, energy, water and heat supply, attitude to introduction of the out-of-pocket medical services during martial
law. An expert survey was conducted to assess the types of health care (emergency, primary, secondary, tertiary, medical rehabilitation), implementation of its basic principles, levels of preparedness of health care system for epidemics and epidemic situations, preparedness and response to emergencies (accidents, terrorist acts). Effectiveness
of the medical information and communication system regarding health care and medical assistance to population
in healthcare facilities and provision of specialists with analytical and operational information were assessed.
Conclusion. Analysis of the data obtained on the issues of public health care under martial law indicated the insufficiently effective functioning of its separate components due to both shortage of personnel (doctors and nursing
staff) and the insufficiently effective implementation of healthcare information systems and e-Health technologies
in the practical activities of health care facilities. It is necessary to develop and implement the management decisions directed at ensuring the readiness of healthcare facilities for epidemics and epidemic situations and manmade emergencies, as well as training personnel through the specialized education and general system of training
of working doctors.
Key words: health care; medical protection; NPP surveillance zone, martial law.
Problems of Radiation Medicine and Radiobiology.
2025;30:218-235. doi: 10.33145/2304-8336-2025-30-218-235
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