Analysis of organizational and technological solutions in carrying out capital repair of medical facilities without stopping the work of the institution

Capital repairs are designed to improve the operational characteristics of buildings and the level of compliance with modern standards that have been lost because of physical and moral deterioration. In practice, there is a need to carry out repair and construction work without closing the institution, which imposes certain specifics. The purpose of this article is to analyze organizational and technological solutions, thanks to which it is possible to carry out major repairs of medical facilities in the conditions of their functioning. The authors study the regulatory documentation and the works of scientists about capital repairs of medical facilities, as well as study the implemented and under construction healthcare facilities mainly in Moscow and the Moscow region. The authors identify 6 basic principles that should be used when choosing organizational and technological solutions for capital repair of medical facilities in their operating conditions: patient and staff safety; Compliance with requirements for cleanliness and air quality; Exclusion of noise and vibration; Limitation of traffic and work sites; Minimizing disconnection of engineering systems and Consulting with the administration of the institution. The authors also give examples of organizational and technological solutions, thanks to which it is possible to carry out certain repair and construction work during the functioning of the institution. However, such decisions can lead to an increase in the cost of the project, which, as the authors note, may be the subject of criticism. The results of this article serve as a basis for future development of a systematic approach and the creation of recommendations for organizational and technological modeling of capital repair of medical facilities that continue to function during repair and construction work.