"Construction of a medical and rehabilitation building for patients after organ transplantation on the territory of the Irpin branch of the State Non-profit Enterprise "Heart Institute of the Ministry of Health of Ukraine" at the address: Irpin, Stusa Vasylya St., 31" - the creation of the first medical and rehabilitation facility in Ukraine for patients who have undergone organ transplantation and recipients in critical condition who are awaiting transplantation by creating unique rehabilitation departments for patients after heart and lung transplantation, rehabilitation for patients after kidney transplantation, rehabilitation for patients after liver and pancreas transplantation; departments of cardio- and thoracic surgery, urology and nephrology with hemodialysis, radiation diagnostics, intensive care for adults, etc. to provide qualified medical care to the population of the entire country. The project provides for a new construction with a total building area of 20,000 sq. m. m. Number of beds - 150 and intensive care unit for 20 beds. The total number of staff in the new departments will be 400 people. The result of the project will be: • creation of the first medical and rehabilitation institution in Ukraine for patients who have undergone organ transplantation and recipients in critical condition who are awaiting transplantation. • Reduction of overall mortality, disability and improvement of the quality of life of patients after organ transplantation through rational use of industry resources, timely modernization of existing infrastructure, solidarity principle of financing, improvement of the quality and efficiency of medical care. • Creation of a high-tech medical complex of the European level to provide high-quality medical services to patients from all over Ukraine. • Improvement of the quality of life, reduction of mortality, increase in human life expectancy and reduction of social tension in society as a whole. The project is of a socio-economic nature. The main social effect during its implementation is an increase in the volume of medical services provided to the population (prevention, diagnostics, treatment, medical rehabilitation). If the project is not implemented, the population will be forced to receive these services in private institutions on a paid basis or abroad. Also, in the case of the project implementation, a decrease in the disability of the population is expected and, as a result, savings for the state budget on disability payments. Achieving the goal of the project to build a medical and rehabilitation building in Irpin is planned by creating a modern multidisciplinary medical infrastructure that will ensure a full cycle of recovery for patients after organ transplantation. The basic technical solution provides for a new building with an area of 20,000 m² with a capacity of 150 beds and 20 places in the intensive care unit. The project provides for the placement of specialized rehabilitation departments for patients after heart, lung, kidney, liver and pancreas transplantation, as well as departments of cardio- and thoracic surgery, urology, nephrology with hemodialysis, radiation diagnostics and intensive care for adults. The key approach is the introduction of the latest technologies of medical rehabilitation and treatment, including the use of modern high-tech equipment and digital medical platforms for monitoring the condition of patients in real time. This will ensure accurate adjustment of rehabilitation programs, control of the effectiveness of therapy and timely detection of complications. It is planned to introduce a multidisciplinary model of care, where doctors of different specialties will work as a team, ensuring the continuity and comprehensiveness of the treatment process. An important element of the goal is the creation of favorable conditions for the restoration of both the physical and psychological state of patients. The architectural and planning solutions of the project are focused on a patient-centric approach: comfortable wards, special areas for physical rehabilitation, psychological support rooms and educational spaces to prepare patients and their families for life after transplantation. At the same time, a modern engineering infrastructure will be created that will ensure energy efficiency, uninterrupted operation of equipment and compliance with European medical safety standards. Thus, thanks to a comprehensive combination of the latest medical technologies, a multidisciplinary approach and modern architecture, the project will significantly improve the quality and accessibility of rehabilitation services for patients after organ transplantation, reduce the level of disability and mortality, and create the first medical center of this profile in Ukraine, accessible to citizens from all regions of the country.

The biggest problem that this project solves is the lack of specialized medical institutions for patients after transplantation. Currently, there is no medical institution in Ukraine that would provide a full cycle of care for patients before and after organ transplantation (rehabilitation, monitoring, treatment of complications, control of organ rejection, etc.). In addition, Ukraine has a fragmented rehabilitation system and no multidisciplinary approach, which does not allow for continuity of care. The next problem that the project solves is the growing need for transplantation: • Every year, more than 5,000 Ukrainians need organ transplantation. • In 2023, 585 transplantations were already performed, and in 2024 about 900 operations. • Every day, 9 people die without waiting for transplantation. Today, Ukraine lacks a system of comprehensive care for patients after organ transplantation. Despite the fact that the number of such operations is rapidly increasing, the state still does not have a single institution that would provide rehabilitation, control of organ rejection, treatment of complications and adaptation of patients to a full-fledged life. The medical rehabilitation system is fragmented, and a multidisciplinary approach is almost not used. This leads to premature disability, deterioration of the quality of life of patients and, in many cases, to death, which could be prevented. The problem was especially acute against the background of a full-scale invasion: the buildings of the Irpin branch of the Heart Institute were significantly damaged, equipment, windows, doors, and technical base were destroyed. But even despite this, the branch was partially restored, and today 100% of the bed fund is already functioning. However, this is not enough to fully respond to the request of the country, which is on the verge of explosive development of transplantation medicine. The project involves not only the construction of a building, but the creation of a new approach - systemic, comprehensive, with the participation of teams of specialists. It is about forming a model that begins with the patient's preoperative preparation, continues with surgical intervention, and then - long, intensive rehabilitation. It is the absence of this last link that is the key problem today: people who have received a second chance at life thanks to transplantation are often left without support. Another aspect is educational. The medical system is in dire need of new personnel. The launch of a full-fledged rehabilitation building will allow creating a training and methodological center for doctors and nurses, conducting a series of trainings, master classes, and encouraging young doctors to stay in Ukraine. Thus, on the basis of the established medical and rehabilitation institution, together with the departments existing in the State Institution "Heart Institute of the Ministry of Health of Ukraine", the following will be organized on a permanent basis: • Methodological Center for Human Organ and Tissue Transplantation, • Practical classes to practice new methods and techniques, acquire new skills by young doctors, • Various courses for advanced training and professional development of doctors and nurses, • Motivational programs for young doctors have been introduced, which in the future will reduce the outflow of personnel abroad, • Implementation of a system for assessing vital functions and health according to the ICF by doctors at all levels of medical care, • Study of the problems of people after organ transplantation and development of assistive devices for people with disabilities, • A school to ensure the active participation of people with disabilities in public life and their adaptation, • Holding specialized symposiums and conferences with the involvement of international industry leaders in order to exchange of experience and raising the country's prestige. If the project is implemented, it will not only be possible to save hundreds of lives, but also significantly reduce the outflow of patients abroad, and therefore save funds within the state system. It is also a way to reduce the social burden: patients who undergo high-quality rehabilitation more often return to work, do not need long-term social benefits, and sometimes do not receive disability status at all. It should be noted that in the conditions of war and post-war reconstruction, the project also plays a psychological and social role - it demonstrates that the state is not only fighting for survival, but is also able to form a long-term vision of the restoration of society, where health, dignity and quality of life are key values. Thus, the key problem - the lack of a full cycle of medical care for patients after transplantation - can be solved by creating a unique medical institution in Irpin, which has no analogues in the country. This project is not just about medicine, it's about real care, a modern approach, and a new quality of public service.