HYGIENIC MEASURES TO OPTIMIZE THE FUNCTIONING OF HEALTH CARE FACILITIES AND DISEASE PREVENTION OF HEALTH WORKERS

Authors

  • V. V. Chorna M. Pyrohov National Medical University, Vinnytsia, Ukraine
  • L. B. Furman Vinnytsia Regional Center for Postgraduate Education of Medical Workers , Vinnytsia , Ukraine
  • V. M. Podolian M. Pyrohov National Medical University, Vinnytsia, Ukraine

DOI:

https://doi.org/10.11603/1681-2786.2021.2.12381

Abstract

Purpose: to carry out a hygienic substantiation of measures to optimize the functioning of health care facilities and prevention, early diagnosis of mental health disorders as the basis of occupational diseases of health care facilities.

Materials and Methods. The method of comparative theoretical analysis of data of Ukraine and international experience on the state of occupational diseases and mental health disorders as the basis of occupational diseases of health care institutions is using.

Results. The article provides a hygienic justification of measures to optimize the functioning of health care facilities and prevention, early diagnosis of mental health disorders as the basis of occupational diseases of health care facilities.

Occupational harmful factors are the risk of disease, exacerbation of somatic diseases, the formation of chronic pathology, morbidity with temporary disability of health workers (MP). In Ukraine, the main traumatic sectors of the economy and types of work include health care – 74 % (2582 injured, including 82 –fatalities during the pandemic COVID-19) and causes increased medical, social, economic losses to society and states.

The types of motivation that can be used in state or municipal CHCs of Ukraine, both tangible and intangible interest of MS to create an effective motivational mechanism.

Conclusions. The model of "Occupational Health Centers" of the CHP is proposing. The functions of these institutions include electronic monitoring of health and diseases of MP, medical examination, preventive counseling, assistance in training/retraining / advanced training of medical personnel. Based on the obtained data, measures are proposing to improve the health of MP: development of relevant legal documents on health and safety in the medical field, improvement of the in-hospital environment, nutrition, psychological relief by creating "Occupational Health Centers".

Author Biographies

V. V. Chorna, M. Pyrohov National Medical University, Vinnytsia, Ukraine

PhD (Medicine), Associate Professor of the Department of Disaster Medicine and Military, M. Pyrohov National Medical University, Vinnytsia

L. B. Furman, Vinnytsia Regional Center for Postgraduate Education of Medical Workers , Vinnytsia , Ukraine

the director of the Vinnytsia Regional Center for Postgraduate Education of Medical Workers, Vinnytsia

V. M. Podolian, M. Pyrohov National Medical University, Vinnytsia, Ukraine

PhD (Medicine), Associate Professor of the Department of Disaster Medicine and Military Medicine, M. Pyrohov National Medical University

References

Barannik, L. (2011). Sotsialnyy paket yak atrybut suchasnoho pidpryyemstva [Social package as an attribute of a modern enterprise]. Visnyk Kyivskoho natsionalnoho universytetu imeni T. Shevchenko – Bulletin of Taras Shevchenko Kyiv National University, 124-125, 62-65 [in Ukrainian].

Barkevuch, V.А. (2017). Hihiyena pratsi i stan zdorovya medychnykh pratsivnykiv riznykh spetsialnostey [Occupational health and health of medical professionals of various specialties]. Viyskova medytsyna Ukrayiny – Military Medicine of Ukraine, 17 (1), 54-58 [in Ukrainian].

(2019). VOOZ. [WHO]. Geneva. – www.umj.com.ua. –https://www.umj.com.ua/article/158015/shhonaspravdi-zatverdili-v-mkh-11

Kavetskaya, N.A, Andreychin, S.M, & Yarema, N.Z (2020). Profesiyne vyhorannya sered medychnykh pratsivnykiv: psykholohichni aspekty [Occupational burnout among health professionals: psychological aspects]. Medychna osvita – Medical Education, 4, 27-31. Doi 10/11603 / me.2414-5998.2020.4 / 11654 [in Ukrainian].

Maruta, N.O, Chaban, O.S, & Kalenskaya, G.Yu. (2019). Osoblyvosti emotsiynoho vyhorannya v pratsivnykiv sfery okhorony nevrolohichnoho y psykhichnoho zdorovya [Features of emotional burnout in neurological and mental health workers]. Mizhnarodnyy nevrolohichnyy zhurnal –International Journal of Neurology, 7 (109), 22-29. Doi: 10.22141 / 2224-0713.7.109.2019.183009 [in Ukrainian].

Nagornaya, A.M, Sokolova, M.P, & Kononova, I.G (2016). Profesiyna zakhvoryuvanist medychnykh pratsivnykiv v Ukrayini yak medyko-sotsialna problema [Occupational morbidity of medical workers in Ukraine as a medical and social problem]. Ukrayinskyy zhurnal z problemy medytsyny pratsi – Ukrainian Journal of Occupational Medicine, 2 (47), 3-16 [in Ukrainian].

Novak, I.M (2008). Sotsialnyy paket: osoblyvosti formuvannya ta upravlinnya [Social package: features of formation and management]. Rynok pratsi ta sotsialno-trudovi vidnosyny – Labor Market and Social and Labor Relations, 1, 115-120 [in Ukrainian].

Salmanov, A. (2017). Okhorona pratsi medychnykh pratsivnykiv u systemi infektsiynoho kontrolyu [Occupational safety of medical workers in the system of infection control]. Zhurnal zastupnyka holovnoho likarya – Journal of the Deputy Chief Physician, 3, 34-44 [in Ukrainian].

Chorna, V.V, Makhnyuk, V.M, Khlestova, S.S & Chaika, G.V (2021). Stavlennya medychnykh pratsivnykiv sfery okhorony psykhichnoho zdorovya do vlasnoho zdorovya [Attitudes of mental health professionals towards their own health]. Medychni perspektyvy – Medical Perspectives, XXVI (2), 188-196 [in Ukrainian].

Bondar, L.P, Bob, A.O, Bondar, R.Ya. & Bondar, T.V (2018). Faktory ryzyku profesiynykh zakhvoryuvanʹ medychnykh pratsivnykiv (ohlyad literatury) [Risk factors for occupational diseases of medical workers (literature review)]. Visnyk naukovykh doslidzhen – Bulletin of Scientific Research, 2, 6-10 [in Ukrainian].

Chorna, V.V. (2021). Porivnyalnyy analiz finansuvannya sfery okhorony zdorovya Ukrayiny ta krayin Yevropeyskoho soyuzu [Comparative analysis of health care financing in Ukraine and the European Union]. Visnyk sotsialnoyi hihiyeny ta orhanizatsiyi okhorony zdorovya Ukrayiny – Bulletin of Social Hygiene and Health Care Organization of Ukraine, (1), 45–49.https://doi.org/10.11603/1681-2786.2021.1.12142 [in Ukrainian].

Chorna, V.V. (2020). Motyvatsiya i pratsezdatnist medychnykh pratsivnykiv sfery okhorony psykhichnoho zdorovya yak predyktor yikh psykholohichnoho blahopoluchchya [Motivation and efficiency of mental health care workers as a predictor of their psychological well-being]. Dovkillya ta zdorovya – Environment and Health, 4 (97). 53-62. DOI: https://doi.org/10.32402/dovkil2020.04.053 [in Ukrainian].

Zhang, S., Wang, J., Xie, F., & Yin, D. (2020). A cross-sectional study of job burnout, psychological attachment, and the career calling of Chinese doctors. BMC Health Serv. Res. 20(1), 193. doi: 10.1186/s12913-020-4996-y

Chorna, V.V., Makhniuk, V.М., & Pshuk, N.G. (2021). Burnout in mental health professionals and the measures to prevent it. Georgian Medical al News, 1 (310), 113-118.

Hämmig, O. (2018). Explaining burnout and the intention to leave the profession among health professionals – a cross-sectional study in a hospital setting in Switzerland. BMC Health Services Research, 18(1), 785. doi:10.1186/s12913-018-3556-1.

Suleiman-Martos, N., Albendin-Garcia, L., & Gomez-Urguiza, J.L. (2020). Prevalence and Predictors of Burnout in Midwives: F Systematic Review and Meta-Fnaiysis. Int J Environ Res Public Health, 17 (2). pii:E641. doi:10.3390/ijerph17020641.

Chorna, V.V., Makhniuk, V.V, Khlestova, S.S. & Shevchuk, T. (2020). Prevflence of injuries among the population of the Vinnytsia city. Georgian Medical al News, 1, 17-21

Ulrich, R.S., Bogren, L., Gardiner, S. (2018). Psychiatric ward design can reduce aggressive behavior. Journal of Environmental Psychology, 57, 53-66. https://doi.org/10.1016/j.jenvp.2018.05.002

UNDP (2019). Human Development Report 2019: Overview. Beyond income, beyond averages, beyond today: Inequalities in human development in the 21st century. New York, NY 10017 USA: United Nations Development Programme One United Nations Plaza. Retrieved from: http://hdr.undp.org/sites/default/files/hdr2019.pdf.

Published

2021-09-22

How to Cite

Chorna, V. V., Furman, L. B., & Podolian, V. M. (2021). HYGIENIC MEASURES TO OPTIMIZE THE FUNCTIONING OF HEALTH CARE FACILITIES AND DISEASE PREVENTION OF HEALTH WORKERS . Bulletin of Social Hygiene and Health Protection Organization of Ukraine, (2), 45–52. https://doi.org/10.11603/1681-2786.2021.2.12381

Issue

Section

Organization of medical care