REORGANIZATION OF THE RURAL HOSPITAL IN THE CONDITIONS OF WAR
Authors: Honchar M.G. , Churpiy I. K. , Fedoryka R. Ya. , Pylypuv L. A. 
Published: July 2023

With the onset of a large-scale invasion russian troops, the health care system has experienced unprecedented stress, as have many other areas. In Ukraine, the number of wounded defenders, as well as civilians, who need long-term treatment and further rehabilitation is constantly increasing.

Depending on how quickly we adapt to the conditions of war, the combat effectiveness of the defense forces, the preservation of the lives of our defenders, the reduction of disability, lethality, and fast and high-quality rehabilitation depends. All state doctors faced the question of immediate reorganization of health care in the hospital to provide the necessary assistance to the wounded.

The need to reorganize the hospital network has been relevant almost since the first year of independence. Ukraine, which spends twenty-six times less on health care than the average EU country, has the second largest hospital network.

All state doctors faced the question of immediate reorganization of health care in the hospital to provide the necessary assistance to the wounded.

Depending on how quickly we adapt to the conditions of war, the combat effectiveness of the defense forces, the preservation of the lives of our defenders, the reduction of disability and lethality, and the rapid and high-quality rehabilitation depend on it.

Adaptation of health care as a whole and in an individual region has many features. I would like to pay attention to this issue - we live in the same state, but different regions have their own military circumstances: some regions are under missile strikes and constant fire control of the enemy, and here we can talk about providing only emergency aid to save the lives of the wounded, and others they are "in the rear", where it is calmer, and can deal with the wounded until full recovery, physical and psychological rehabilitation.

In this article, we want to share a small experience of providing medical care to the wounded in "rear" rural hospitals, which due to modern circumstances were forced to re-equip themselves and provide adequate medical care to the wounded.

The goal of the work. Justification of effective management in the field of providing medical services at the level of a rural hospital in the conditions of martial law in the country.

For example, let's take the "Lysetsk hospital" of the Lysetsk settlement council, which has 185 beds.

Conclusions:

In less than a year, the village hospital was transformed into a medical facility for the treatment of not only the wounded, but also people with accompanying serious somatic diseases.

Close cooperation between "CNP" Lysetska hospital", medical university and the village village council created good conditions for the implementation of the ideas of reforming medicine and providing high-quality medical care.

Inviting migrant specialists to work, dynamic redistribution of the hospital's bed fund, targeted reloading of vacated premises, repurposing of some departments made it possible to save jobs.

All these transformations are possible only in those cases when the hospital staff led by the general director take an active position and do not state the facts that prevent work, but look for ways to overcome them.