MOBILE MEDICAL CENTER PROJECT DESCRIPTION: This project is an alternative solution to the problem that has arisen since the adoption of medical reform in Ukraine. In the last 5 years, the number of hospitals has decreased almost three times, with hospitals in small towns and villages closed. The number of hospital beds also decreased by 23.5%. From the moment of Ukraine’s entry into the path of independence to the present day, the medical sector is characterized by insufficient funding and resources. As a result, most of the country’s population has ceased to trust domestic medicine. The health care system of Ukraine is ineffective in meeting the needs of the population - about 40% of the population in the event of
illness try not to seek medical advice because of the high cost of services and poor quality of care. Hence all the negative consequences: high death rate (16.3 per 1 thousand people), negative population growth (-5.7 per 1 thousand people), low life expectancy (one third of Ukrainians die prematurely before the age of 65 years) , and about half of those under 75 years of age could be avoided with proper prevention and treatment), and no evidence of overcoming TB and HIV / AIDS epidemics. With the help of the Mobile Medical Center it is possible to anticipate and suspend the growth of patients due to premature examination of people in any part of Ukraine.
ANALYSIS OF LOCATION OF MEDICAL INSTITUTIONS IN UKRAINE
Rivne
Lutsk
Chernihiv Sumy
Zhytomyr Житомир
Kyiv
Lviv Khmelnytskyi Uzhhorod
Kharkiv
Poltava
Ternopil IvanoFrankivck -
Cherkasy Vinnytsia Poltava
Chernivtsi
Dnipro Donetsk
Kryvyi Rih
Mariupol
Odesa
105
districts
60 min
Luhansk
60
Zaporizhzhia
km
Simferopol At the moment Ukraine has about 105 hospital districts. Hospital district - territorial association of health care institutions of Ukraine in several districts into one network on the principle of accessibility, density and population, availability of ready-made medical institutions, established ways of patient delivery and road connection.
LOCATION OF MEDICAL INSTITUTIONS IN ZHYTOMYR REGION
Perchotravneve
Ovruch Olevsk
Narodychi
One hospital district provides service to no less than 120-200 thousand people, access from the main roads from any point of the district for no more than 60 minutes, and is equivalent to a radius of the service area of 60 km, provided there are paved roads. The administrative center is a settlement with a population of more than 40 000.
Luhyny Korosten Yemilchyne Malyn
Novohrad-Volynskyi -
population
Khoroshiv
Pulyny
Radomyshl
Chernyakhiv
Example:
Kamyanyi Brid ' Baranivka
Zhytomyr
Korostyshiv
Chopovychi (Чоповичі) Brusyliv
Romaniv Chudniv
Andrushivka
Chopovychi is an urban-type settlement in Malyn District, Zhytomyr Region, Ukraine. The main residents are old-aged people. The hospital was closed in 2017, there is only doctor of general practition. The distance from the village to the nearest hospital is about 40 km by car along a normal road, it will take about an hour. City haven’t public transport.
Popilnya Lyubar
Berdychiv Krylivka Ruzhyn
1 people 889
main sity administrative center main roads radius of service areas 60 km
ANALYSIS OF CAUSES OF DEATH IN UKRAINE, 2018
63,94%
12,81%
10,15%
4,00%
cardiovascular disease
neoplasm, cancer
trauma, poisoning and the effects of external factors
diseases of the digestive
3,11%
2,13%
3,86%
not elsewhere classified
pneumonia, tuberculosis
other
DOCTORS WHO CAN PREVENT UNDERLYING DISEASES
general practition
cardiologist
laboratory assistant
dentist
gynecologist
x ray specialist
ANALYSIS OF DESIGN A TYPICAL HOSPITAL First, when designing healthcare facilities, functionality was the main criterion, but in recent years, architects in Europe and America have proven that thoughtful architecture and design, without reducing functionality, have a more significant impact on the effectiveness of the healing process and the patient’s condition than previously thought. . It becomes clear that the future is behind the clinics, whose appearance will be more like a living space than a hospital in our traditional view. The planning solution is “morally” outdated. Disadvantages: the lack of modern methods of construction of energy efficient buildings, since these are buildings with a continuous cycle of work, which means that they must be independent of urban systems of heat, electricity and water supply, or have a significant autonomous supply of these resources for continuity of operation; lack of possibility of self-orientation of the patient within the walls of the hospital; large number of people in the same ward, there is no possibility of seclusion; not enough of daylight, natural materials.
2
7
3
3
4
8
3
1
4 10 5
6 9
1. waiting hall 2. portal
3. toilet 4. wardrobe
5. sungeons office 6. procedural
7. registry 8. portal
9. disinfection 10. ramp
MOBILE UNIT
82 m3
18 t
Typical saddle tractor with trailer MAN TGX. Trailer volume is approximately 82 m3. Cab for 2 people and 1 berth.
VOLUME
volume of trailer 82m
3
TYPICAL FACADE ELEMENTS
volume of space 730м
3
type1 9 elemants
type2 3 elemants
type3 9 elemants
type4 3 elemants
type5 1 elemant
type6 9 elemants
metal columns
MOBILE UNITS
INDEPENDENCE SYSTEM OF ENGINEERING COMMUNICATIONS metal support folding wall of trailer fixed metal structure
CONSTRUCTIVE SCHEME
ventilation and air conditioning system drinking water solar panels
FUNCTIONAL SCHEME entry group zone of water supply and sewerage metal support fixed metal structure supporting metal columns
zone of medical offices zone of power supply, electric and lighting zone of heating, ventilation and air conditioning
3D SCHEME
back facade
left facade
cardiologist’s office
toilet for persons with disabilities
technical room
gynecologist’s office
20,66 m2 7,43 m2
dentist’s office toilet
technical room
1,60 m2 12,40 m2
24,80 m2
11,32 m2
hallway
laboratory
m2
waiting hall 6,96 m
x ray office
technical room
2
room for 3 people
36,69 m2 27,45 m2
27,96 m2 20,09 m2
2,99 m2
13,65 m2
plan
front facade
12,40 m
11,55
11,55 m2
room for 3 people
portal
11,32 m2
5,97 m2
2
section
general practition office
ALTERNATIVE SOLUTION. SEPARATION CENTER IN FRONT OF THE HOSPITAL DISTRIBUTION 3D PLAN
qu ara zo ntin ne e exit to quarantine
entrance
ge zonera ne l
exit for general type patients
back facade x ray office portal
left facade
general practition office
cardiologist’s office
laboratory
general practition office
waiting hall toilet technical room
toilet for persons with disabilities
portal
kitchen
x ray office
staff room portal
8,44 m2 32,21 m2 1,60 m2
8,44 m2 24,80 m2
24,16 m2
11,32 m2
6,20 m2
32,21 m2 1,60 m2 24,16 m2
24,80 m2
6,20 m2
11,32 m2 5,98 m2
5,98 m2
57,31 m2
57,31 m2
12,17 m2
12,17 m2
30,14 m2
5,63 m2
5,75 m2
5,63 m2
30,14 m2
30,14 m2
5,75 m2
30,14 m2
12,17 m2
12,17 m2
plan
front facade
section
THANK YOU