Annonanion. The purpose of the work is to determine and analyze the incidence and prevalence of diseases in the population of Ukraine in comparison with the EU countries, to analyze the determinants of health and to develop prevention measures for this problem. The materials of the study were statistical data of the State Statistics Service of Ukraine and the Center for Medical Statistics of the Ministry of Health of Ukraine for 1995–2018, Forms №18 of the Ministry of Health of Ukraine “Report on the control of environmental factors affecting public health” for 2008–2016. The work used content analysis of domestic and foreign scientific sources, bibliosemantic, analytical and statistical research methods. It is established that for the period from 1995 to 2017, the incidence rates of the population of Ukraine decreased by 18.2% and prevalence by 12.0%. The first place is occupied by diseases of the circulatory system — 52.1% and 50.2%; second place — respiratory diseases, this figure is constant and is 8.1%; third place belongs to diseases of the digestive system — 9.4% and 10.1%, respectively, in 2010 and 2017. The epidemic of tuberculosis in Ukraine was recognized by the WHO from 1995 to 2005 (21.5/39.5 thousand 1995/2005 diagnosis established for the first time). The growth rate was +32.9% (1995/2005), then it gradually decreased and in 2018 the growth rate was 28.5% (1995/2018). According to statistics, annually 170 thousand people are diagnosed with cancer, up to 90 thousand patients die from this disease, 35-37% of whom are people of working age. Thus, in Ukraine, diseases of the circulatory system, malignant neoplasms, injuries and poisonings are in the lead in the structure of causes of death; in the structure of morbidity — respiratory diseases, circulatory diseases; cause concern about HIV and tuberculosis, as well as the prevalence of mental disorders of organic origin and bad habits. We consider it necessary to take measures to improve the state of health care in the framework of the issues raised by modernization and staffing of health care facilities in Ukraine with modern equipment with improved material and technical base and increased funding; introduction of a single electronic system for the exchange of medical information; timely and regular preventive examinations of the population; the use of various forms of educating the population on the formation of a healthy lifestyle in the absence of television advertising that carries harmful information.

The mental state of the mentally ill is one of the most important factors in the treatment of the patient by a medical professional. But aggression, high-pitched communication, indifference of a doctor or health care worker can negatively affect the outcome of treatment and recovery of a patient with mental and behavioral disorders. The problem of modern medical deontology in Ukraine is the stigmatization of health workers to patients with mental disorders, which lead to self-stigmatization of both patients and their families. The purpose of the study is to enable the relatives of mentally ill people undergoing long-term inpatient treatment, to determine the quality of medical services in a psychoneurological hospital, to identify ethical and deontological shortcomings in the doctor’s relationship with relatives of mentally ill person, to determine the level of self-stigmatization in relatives of the patient by medical staff. The analysis of domestic and foreign scientific sources, bibliosemantic, analytical and statistical research methods were used in the work. A questionnaire was conducted (using a specially designed questionnaire) with elements of interviews of 92 respondents (relatives of mentally ill patients who were treated at a psychoneurological hospital in Vinnytsia). The results were processed using the licensed standardized package "Statistica 6.1". The need to comply with state building codes for health care facilities in accordance with European requirements has been proven. This will eliminate the feeling of hopelessness during hospitalization in public psychoneurological hospitals, which are a great trauma for relatives of patients. It has been shown that in order to prevent stigmatization of relatives of patients in psychoneurological hospitals, it is necessary to conduct trainings and interviews after training, which will determine the degree of stigmatization and subsequent preventive measures. It is shown that for relatives of mentally ill on the basis of psychoneurological hospitals it is necessary to equip rooms for psychodiagnostics and further psychocorrection. Development of affordable correctional programs for relatives of patients will reduce maladaptation and improve life satisfaction.

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Annotation. The aim of the work was to evaluate the design decisions of new psychiatric health care facilities in Ukraine and their comparative characteristics with EU institutions. An analysis of the requirements for the design of domestic new psychiatric wards, day hospitals in outpatient psychiatric wards in general hospitals according to paragraph 8.2.15 SBN B.2.2-10: 2019. State building codes of Ukraine “Buildings and structures. Healthcare facilities” (draft, final version) and European facilities of the same type based on the study of literature data. The method of theoretical analysis is used. It was found that conditions of the location of inpatient departments, their zoning, composition, and area of premises, requirements to ensure a safe stay of patients in wards, toilets, and bathrooms are regulating in the new SBN B.2.2-10: 2019. This essentially repeats the sanitary and hygienic requirements of the previous document SBN B .2.2-10: 2001 “Healthcare facilities”, ie no changes are aiming at creating an ecological environment and comfortable conditions for patients and medical staff of psychiatric healthcare facilities. In this normative document, there is no clear understanding of the location of medical facilities and the next post of a nurse in inpatient departments of psychiatric hospitals; there is no area for a private stay of patients with mental disorders in the middle of the department and outside it; the regulations of life support systems for nurses and patients in the inpatient department (lighting, noise, air exchange, etc.) of psychiatric hospitals are not standardized. In European psychiatric clinics, the “therapeutic environment” provides for the presence of single and double wards (coincides with domestic building codes); area of 37.7 m2 per patient under foreign law, while the project DBN B.2.2-10: 2019 – the zone per patient is 12 m2, which is three times less; separate bathrooms and toilets, common areas, individual access to the garden, where the conditions of privacy of patients are creating (not provided by Ukrainian regulations); location of most patient rooms around the central work area for medical staff (according to national legislation – a corridor-type system); creation of visual supervision over the doors of bedrooms, showers, toilets, kitchens, garden gazebos, as well as the selection of colours for painting the walls of wards and corridors of offices (not provided by Ukrainian regulations). To create a proper “therapeutic/healing environment” in new domestic mental health facilities (psychiatric wards, day hospitals in outpatient psychiatric wards in general hospitals, mental health centres), it is necessary to implement European requirements in the design of these facilities with the involvement of multidisciplinary groups: from architects to nurses, from construction contractors to patients and supplement SBN B.2.2-10: 2019 “Buildings and structures. Health Facilities” is a guide to designing psychiatric health facilities.