Sterlikov S.A.
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Summary. In article results cross-section research of condition buildings and communications in 124 tubercular cabinets are published. All tubercular cabinets were a part of out-patient departments and the hospitals serving the population attached to them. Scoping of actions for modernization of buildings, communications and personnel structure of tubercular cabinets was a research objective. The sufficient representativeness of researches was provided with including in sample of data of 8 regions of the Russia with a various geographical locating and social and economic characteristics. Studying was spent by means of questioning of out-patient departments and the hospitals having tubercular cabinets. Also during research short research of the market of educational services for the purpose of definition of an estimated cost of training of phthisiatricians and staff nurses has been conducted.

It is established that buildings of the majority of operating tubercular cabinets have been constructed in 70 – 80th years of 20 centuries. With 2000 for 2009 mainly repair actions thanks to what deterioration of fixed capital of the majority of buildings is insignificant were carried out. It has been established that demand a pulling down and building of new 7,8% of buildings, and 8,9% of buildings are demanded by reconstruction or major repairs carrying out. In 18,7% of tubercular cabinets there was no centralized cold water supply, in 11,5% - the water drain, and in 8,3% - phone. The area of an office was less than standard in 73,3%. Considering cost of building services, it is possible to assume that modernization of the buildings containing tubercular cabinets, will make some billions roubles. At estimation of reduction of personnel structure to standard value considered conformity of the list of staff and actual security to operating specifications, number of the working not certificated employees and requirement for passage of certified cycles by them. Also studied a share of working pensioners as they had high risk of the termination by them works. Proceeding from training cost in internship and courses of the general improvement it is established that for reduction of quantitative and qualitative structure of employees of tubercular cabinets in conformity with regular specifications it is required not less than 100 million roubles.

Thus, for carrying out of modernization of tubercular cabinets it is necessary not less than double augmentation of building of new buildings of out-patient departments and the hospitals to accept the sanitary code and the rules normalizing the area of all cabinets and to consider expenses on training of the personnel of offices.

Key words. Public health services modernization, condition buildings and communications, tubercular cabinets, the phthisiatricians, emergency buildings, major repairs, reconstruction.

References

1. Instruktsiya po opredeleniyu ekspluatatsionnykh zatrat pri otsenke proyektnykh resheniy zhilykh i obshchestvennykh zdaniy [Manual for assessing operating costs at evaluating designs of living and public buildings]. Moscow: Stroyizdat. 1983.24 p.
2. Arbakov A.I., Parfenyuk M.G., Trofimova E.A., Tsikhiseli Z.A., Pleshanova N.A., Kurskaya V.G. Posobiye po proyektirovaniyu uchrezhdeniy zdravookhraneniya [Manual for designing health care facilities]. Moscow: Giproniizdrav. 1990. 29 p.
3. Postanovleniye glavnogo sanitarnogo vracha ot 18.05.2010 g. ¹ 58 «Ob utverzhdenii SanPiN 2.1.3.2630-10 «Sanitarno-epidemiologicheskiye trebovaniya k organizatsiyam, osushchestvlyayushchim meditsinskuyu deyatelnost» [Regulation of the Chief Sanitary Physician ¹ 58 of 18.05.2010 «Sanitary and epidemiological demands to facilities providing medical care»].
4. Prikaz Departamenta zdravookhraneniya g. Moskvy ot 12.07.2010 g. ¹ 1076 «O stoimosti obucheniya v obrazovatelnykh uchrezhdeniyakh Departamenta zdravookhraneniya goroda Moskvy v 2010/2011 uchebnom godu» [The Department of Health of Moscow, Order ¹ 1076 of 12.07.2010 «On price for training in educational institutions of the Department of Health of Moscow in 2010/2011 academic year»]
5. Prikaz Minzdravsotsrazvitiya Rossii ot 29 dekabrya 2010 g. ¹ 1224n «Ob utverzhdenii Poryadka organizatsii meditsinskoy pomoshchi bolnym tuberkulezom v Rossiyskoy Federatsii» [Order of the MoH&SD of the RF ¹1224n of December 29, 2010 «On approving the Order of organization of medical care to TV patients in the Russian Federation»]
6. Resursy i deyatelnost uchrezhdeniy zdravookhraneniya [Resources and activity of health care facilities]. Moscow: TsNIIOIZ; 2010. P. 63.
7. Stroitelnyye normy i pravila 31-06-2009 «Obshchestvennyye zdaniya i sooruzheniya», utverzhdeny prikazom Minregiona Rossii ot 01 sentyabrya 2009 g. Construction acts and regulations 31-06-2009 «Public buildings and constructions».
8. Topelson Ya.V., Goldfayn Yu.V. Metodicheskiye rekomendatsii po obosnovaniyu primeneniya konstruktivnykh elementov i tekhnologiy, obespechivayushchikh povysheniye effektivnosti investitsiy za schet snizheniya ekspluatatsionnykh zatrat, povysheniya dolgovechnosti zdaniy i sooruzheniy, sokrashcheniya prodolzhitelnosti stroitelstva i drugikh effektivnykh resheniy pri povyshenii edinovremennykh zatrat pri proyektirovanii, stroitelstve i odnovremennom roste smetnoy stoimosti [Methodical recommendations on verification of using constructive elements and technologies providing an increase in investment efficiency due to reducing operating costs, increasing life of buildings and constructions, reducing construction time and other efficient solutions with an increase in lump-sum cost while designing and constructing together with a simultaneous increase in estimated cost]. Moscow. 1997. 14 p.
9. Derzhavni budivelni normi Ukra¿ni DBN Â.2.2-10-2001. Bud³vl³ ³ sporudi. Ustanovi okhoroni zdoroviya [The Ukraine State Construction Act Â.2.2-10-2001. Vuildings and constructions. Health Regulations].

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