Formation of organizational and technological solutions for major repairs of healthcare facilities

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Abstract

Major repairs of healthcare facilities can repurpose a building, increase its capacity, improve in-frastructure needed to accommodate advanced medical equipment and to ensure compliance with updated regulations and modern standards. The capital renovation of healthcare facilities constitutes a complex engineering and organiza-tional system characterized by: the multifactorial nature of technological processes, the necessity for adaptive management under regulatory constraints, stringent coordination requirements among project stakeholders. Such projects are characterized by the involvement of a large number of stakeholders pursuing versatile goals and having dif-ferent levels of knowledge in the field of construction. These factors disrupt coordination and project management. The purpose of the study is to analyze process control and engineering so-lutions made in the course of major repairs of healthcare facilities, to assess factors affecting their effectiveness, and to develop recommendations to improve these solutions. This study has developed an innovative systematic planning methodology for capital renovation of healthcare facilities, grounded in principles of preventive risk management. Implementation of this approach demonstrated statistically significant improvements across key performance indicators: a 10-15% reduction in project timelines, enhanced compliance with quality standards, and an 15-18% increase in labor productivity.

About the authors

A. A Lapidus

Moscow State University of Civil Engineering (National Research University)

ORCID iD: 0000-0001-7846-5770

T. K Kuzmina

Moscow State University of Civil Engineering (National Research University)

ORCID iD: 0000-0002-8454-1765

P. V Bolshakova

Moscow State University of Civil Engineering (National Research University)

ORCID iD: 0000-0002-5386-5388

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