Social safety and medical maintenance of the labour pool in surveillance areas of the nuclear power plants

Probl Radiac Med Radiobiol. 2017 Dec:22:147-161.
[Article in English, Ukrainian]

Abstract

Objective: To study the contentment of population of NPP surveillance areas i.e. monitoring zones with specific components of quality of life, namely the social security, medical care, and socio economic compensation of risk.

Materials and methods: A sociological study of public opinion about the specific components of quality of life has been conducted in population of the NPP monitoring zone. A questionnaire with independent question blocks was developed. A non repeatable probabilistic selection was applied in population opinion poll. The sampled population was calculated on the basis of the total population living in the NPP monitoring zone. Sample error not exceeded 7.0%. A comparative assessment of the responses of various groups of the able bodied population on issues of social security, medical care, socio economic compensation of risk and analysis of statistical data for 2011-2015 on the resource potential of medical facility of the nuclear power plant overspill town has been conducted.

Results: The safety and security status is rated at below the average. Documents regulating the life safety of pop ulation of NPP monitoring zone provide them no confidence in their security. Probability estimates of man made accidents are higher in urban population and depend on education level. The socialized health care is assessed on low and average levels according to the studied parameters. Among the types of medical care the providing of nec essary medical goods, preventive examinations, scheduled medical examination service, ambulance activity, and medical psychological aid need to be improved. There was no significant change in resource potential of special ized healthcare infirmary of NPP overspill town for the last 5 years.

Conclusion: Low rating by the monitoring zone population of work efficiency of health facilities is determined by a set of factors, some of which lies in the plane of state socio economic problems. Choice priority of the direct sub ventions in population of monitoring zone depends on the place of residence and occupation. Provisions on social security, protection and medical care of population of the NPP monitoring zones in Ukraine do not correspond to European standards and require a revision.

Meta: vyvchennia stanu zadovolenosti naselennia zony sposterezhennia AES okremymy skladovymy iakosti zhyttia: sotsial'na zakhyshchenist', medychne zabezpechennia, sotsial'no ekonomichna kompensatsiia ryzyku.Materialy i metody. Provedeno sotsiologichne doslidzhennia z vyvchennia gromads'koï dumky shchodo skladovykh iakosti zhyttia naselennia zony sposterezhennia (ZS) AES. Rozroblena anketa, shcho mala samostiy̆ni bloky pytan'. Pry opytuvanni naselennia buv zastosovanyy̆ bezpovtornyy̆ imovirnisnyy̆ vidbir. Vybirkovu sukupnist' rozrakho vano, vykhodiachy iz zagal'noï chysel'nosti naselennia, iake meshkaie v ZS AES. Pokhybka vybirky ne perevyshchuie 7,0 %. Provedena porivnial'na otsinka vidpovidey̆ riznykh grup pratsezdatnogo naselennia z pytan' sotsial'noï bezpeky, medychnogo zabezpechennia, sotsial'no ekonomichnoï kompensatsiï ryzyku ta analiz statystychnykh danykh shchodo resu rsnogo potentsialu medychnogo zakladu mista suputnyka AES za 2011–2015 roky.Rezul'taty. Stan bezpeky ta zakhyshchenosti otsiniuiet'sia na rivni nyzhche za seredniy̆. Dokumenty, shcho reglamentuiut' bezpeku zhyttia naselennia v ZS AES, ne nadaiut' ïm vpevnenosti u svoïy̆ zakhyshchenosti. Otsinka y̆movirnosti tekhno gennykh avariy̆ vyshcha u mis'kogo naselennia ta zalezhyt' vid rivnia osvity. Stan derzhavnoï okhorony zdorov`ia za doslidzhuvanymy parametramy otsinenyy̆ na nyz'komu ta seredn'omu rivni. Sered vydiv medychnoï dopomogy vy magaiut' polipshennia: zabezpechennia neobkhidnymy medychnymy preparatamy; profilaktychni ogliady, dyspansery zatsiia; robota shvydkoï medychnoï dopomogy; medyko psykhologichna dopomoga. Resursnyy̆ potentsial spetsializova noï medyko sanitarnoï chastyny mista suputnyka AES za ostanni 5 rokiv suttievo ne zminyvsia.Vysnovky. Nyz'ka otsinka naselenniam ZS efektyvnosti roboty zakladiv okhorony zdorov`ia vyznachaiet'sia komp leksom chynnykiv, chastyna iakykh lezhyt' u ploshchyni sotsial'no ekonomichnykh problem derzhavy. Priorytet vyboru priamykh subventsiy̆ u naselennia ZS zalezhyt' vid mistsia prozhyvannia ta profesiï. V Ukraïni polozhennia shchodo sotsial'noï bezpeky, zakhyshchenosti ta medychnogo zabezpechennia naselennia zon sposterezhennia AES, ne spivvidno siat'sia z Ievropey̆s'kymy standartamy i vymagaiut' doopratsiuvannia.

Keywords: NPP monitoring zone; medical maintenance; social security; socio economic compensation of risk.

MeSH terms

  • Adult
  • Aged
  • Delivery of Health Care / organization & administration
  • Delivery of Health Care / statistics & numerical data*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nuclear Power Plants*
  • Public Health / statistics & numerical data
  • Public Opinion
  • Quality of Life / psychology*
  • Radiation Monitoring / legislation & jurisprudence
  • Radiation Monitoring / methods*
  • Radiometry / methods*
  • Rural Population
  • Safety*
  • Socioeconomic Factors
  • Surveys and Questionnaires
  • Ukraine
  • Urban Population