Fundamental, applied and scientific studies on the formation of healthcare institutions are analyzed; formulated the main stages of the origin and historical development of medical institutions in Ukraine; the features of the formation of a network of Ukrainian children's medical institutions are revealed; the experience of urban planning organization of the healthcare system in the leading countries of the world (USA, Germany, France, Great Britain) is examined, global trends in the architectural and urban planning of medical institutions are identified using the example of leading countries in the efficiency and quality of healthcare system organization (Hong Kong, Singapore, United Arab Emirates).
The urban planning system of healthcare institutions is considered at three urban levels (the network of primary, secondary and tertiary medical care institutions), the mechanisms for the formation of hospital districts have been improved, and the introduction of hospital regions has been proposed. Scientifically substantiated a new urban development facility a system of children's medical complexes complex and dynamic, hierarchically subordinate integrated subsystem of the urban system of healthcare institutions, which represents the integrity of children's medical institutions and integrated children's wards within the networks of primary, secondary and tertiary levels of healthcare within a defined area (country, country settlement), which provides for interconnected territorial and spatial functioning with ancillary medical, scientific-medical, educational-medical and industrial, administrative institutions as a part of hospital districts. Primary care for children is offered at primary care settings within family medicine; at the secondary level in the integrated paediatric wards of secondary care hospitals; at tertiary level in specialized children's hospitals and in integrated children's wards of other tertiary care hospitals. A new typology of healthcare institutions is introduced, which takes into account the strategic provisions of medical reform.
The concept of town-planning development of the system of healthcare facilities has been developed, which takes into account the new basic medical provisions: focus on people, results and implementation; strengthening primary care; availability of healthcare; freedom of choice of medical institution and doctor; development of public-private and private medical sphere. The principles of territorial and spatial development of the urban system of healthcare institutions are formulated. systems of medical institutions. Methods and techniques of town-planning organization of a system of children's medical complexes are proposed taking into account the peculiarities of differences of different types and sizes of settlements. The regulatory support for the design of healthcare facilities has been improved. Recommendations were given on the integration of children's wards into new types of secondary care hospitals, the reorganization of multidisciplinary children's hospitals in the largest cities of Ukraine (Kyiv, Kharkiv, Odessa) and their inclusion in the urban network of tertiary care facilities within hospital regions. In order to adapt the urban planning system of healthcare facilities to an excellent heterogeneous urban environment, it is proposed to introduce treatment clusters designed to combine different levels of care in one medical facility or complex. A typology of 4 treatment clusters that combine the functions of primary and secondary, secondary and tertiary, primary and tertiary as well as complex synthetic medical care is presented. Provisions on utilizing the potential of medicinal properties and aesthetizing the architectural environment of healthcare institutions have been disclosed. The simulation results are presented, which demonstrate the forecast scenarios for the development of the system of pediatric medical complexes at the national level of the urban development network of primary care establishments and the integrated hospital network. Model scenarios include time projections for 2030, 2040, 2050, 2060, and 2100.
