Legal and economic problems of improvement of the control system of the medical waste

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Abstract

Introduction. The article is devoted to the current problem of regional development - to the address with the waste of medical origin and the creation of a control system of medical waste as an element of internal quality control and safety of the medical activity. Functioning of a control system of medical waste and ensuring introduction in the medical organizations of progressive, cost-effective methods of hardware disinfecting of dangerous medical waste in the epidemiological relation are the priority factors forming the level of population health of the population of Russia. Safe utilization - the key direction of functioning of a system of the address of medical waste - at the same time the potential epidemiological and ecological danger determines the need of legal and financial and economic support of a control system of medical waste, both on federal, and at the regional level. Creation of environmentally friendly ways of the address with medical waste, effective management of these processes, their legal support belongs to the system of ensuring national security.

Material and methods. Authors carried out the analysis of current state of the address with medical waste in a number of regions of the Russian Federation, application of an integrated approach to utilization and neutralizations of waste of this type within regional environmental policy is reasoned. Gaps of legal regulation of a control system of medical waste on the basis of the analysis of law-enforcement practice are revealed. A methodical approach is proposed, the peculiarity of which is the legal and financial justification of the territorial schemes used in the regions for the treatment of medical waste. The methodological tools of the study include statistical methods of processing data on the disposal and disposal of medical waste. Approbation of methodical tools is carried out on the example of the Moscow region.

Results. The Moscow region pays close attention to the methods of medical waste management, the desire to ensure environmental safety, preventing the violation of the law in matters of disposal of medical waste. On the other hand, low satisfaction of the authorities with the pace of solving the problem of recycling, not included in the process of medical activity of health care institutions, the consequences of which may be medical waste requiring disinfection and treatment. The result of the study are recommendations of the need for interregional interaction in the field of placement and construction of complexes on processing, utilization, and neutralization of medical waste of different hazard classes.

Conclusion. Authors consider the perspective direction of scientific and technological development creation of the hi-tech equipment for utilization of different types of medical waste with receiving secondary raw materials and also neutralization of extremely hazardous and highly hazardous medical waste.

About the authors

Nina G. Shamshurina

Institute of social sciences of the I.M. Sechenov First Moscow State Medical University

Author for correspondence.
Email: noemail@neicon.ru
ORCID iD: 0000-0002-6015-4787
Russian Federation

Nadezhda V. Prisyazhnaya

Institute of social sciences of the I.M. Sechenov First Moscow State Medical University

Email: nprusova@yandex.ru
ORCID iD: 0000-0002-5251-130X
Russian Federation

Julia V. Pavlova

Institute of social sciences of the I.M. Sechenov First Moscow State Medical University

Email: noemail@neicon.ru
ORCID iD: 0000-0002-8102-7314
Russian Federation

Sergey V. Shulyat'ev

Moscow branch of LLC “Company “Germed”

Email: noemail@neicon.ru
ORCID iD: 0000-0003-1075-3965
Russian Federation

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