In this article the authors continue to explore the difficulties of organizing and carrying out capital repairs in medical institutions in the conditions of their functioning. The article focuses on the problem of lack of informativity of the regulatory documents about organization and realization of capital repair of medical institutions in the conditions of their functioning, which was mentioned in the authors' previous article. The authors analyze the regulatory documents, explore the experience of capital repair of existing medical and preventive institutions and highlight the main reasons, why the regulatory documents aren't so informative. The first reason - there are no recomendations about, how medical institution should keep its functioning according the time of capital repair. The second reason - there are no recommendations how renovation should be orginized out while maintaining all hygienic requirements of hospitals functioning (noise level, cleanliness, etc.). The third reason - regulatory documents contradict each other in some issues. All these reasons lead to the following consequences: delayed deadlines, lower quality of work, higher repair costs, lower working conditions for staff and lower quality of health services. The authors propose a comprehensive approach to a solution not previously reported in their research: updating the regulatory documents by adding special sections on capital repairs, creating special guidelines that will be only about capital repair of medical institutions and improving the qualifications of specialists.

Keywords: capital repair, medical and preventive institution, health care, regulatory documentation, safety, construction organization, technology of capital repair organization, normative document, informativeness, recommendations, updating

In this article the authors consider the problems associated with the organization and realization of capital repair of buildings of medical and preventive institutions in the conditions of their functioning. The authors analyze the regulatory documents, explore the design and working documentation of real objects for capital repair works of some of medical institutions of the Moscow region, which continue their functioning, and highlight the main problems arising in the organizational and technological designing: insufficient informativeness of the normative documentation on spesual conditions of functioning of a medical institution, difficulties in the organization of storage areas for materials, difficulties in moving construction equipment, noise and maintaining cleanliness.If these aspects are not taken into account in the design process, it may have a negative impact on the work of the medical institution: the lives of patients and staff will be endangered, the quality of medical services will be unsatisfactory. In addition, attention should be paid to update regulatory documentation to improve the process of capital repair works, ensuring a high level of safety and comfort for patients and staff.

Keywords: capital repair, medical and preventive institution, moral deterioration, physical deterioration, safety, repair and construction works, modernization, medical institution, noise, cleanliness, construction organization