TERRITORIAL DEVELOPMENT OF KYIV HOSPITAL NETWORK

Abstract

The article examines the actual state of the hospital network in Kyiv, offers proposals for its further territorial development, which are based on the current and future needs and capabilities of residents and managers of the city, nearby settlements. The study is part of a comprehensive study of the problem of urban planning foundations of the territorial and spatial development of the system of healthcare institutions and is aimed at finding the optimization of the existing material fund of medical institutions. The city of Kyiv is the capital of our state and, at the same time, its largest city, which historically has the largest number of hospitals among Ukrainian cities. There are historical architectural monuments among Kyiv’s hospitals, but most of the facilities were built during the Soviet era in Ukraine according to typical industrial construction projects. The current state of the network of hospitals in Kyiv does not correspond to either the world indicators for the provision of beds per 100 thousand of the population (significantly exceeds), or the quality of medical care, or the comfortable conditions for the implementation of treatment. Unfortunately, Ukraine is not able (and it is not necessary) to maintain the functioning of all hospitals that were built before and during Soviet times - the number of the population has significantly decreased, medical standards have changed, and most importantly, it is necessary to develop a network of prehospital institutions. So, the article contains proposals for optimizing the hospital network of the city of Kyiv, which, on the one hand, are aimed at removing individual hospitals from mono-state funding, and on the other, expanding the possibilities of treating children in a larger number of city hospitals.