zdmeЗдоровье мегаполисаCity Healthcare2713-2617ГБУ «НИИОЗММ ДЗМ»10.47619/2713-2617.zm.2026.v.7i3;148-164zdme-351Research ArticleОБЗОРЫREVIEWSСалютогенный дизайн в медицинских организациях: факторы и возможности примененияSalutogenic Design in Healthcare Facilities: Factors and Potential Applicationshttps://orcid.org/0000-0001-8689-1243ТрунковаК. С.TrunkovaК. S.

Трункова Кристина Сергеевна – член Обще­российской общественной организации 

109004, г. Москва, ул. Большая Серпуховская, д. 14/13, стр. 1

Kristina S. Trunkova – Member 

14/13 bld. 1, Bolshaya Serpukhovskaya ul., Moscow, 109004

krikri1997@yandex.ruhttps://orcid.org/0000-0002-7146-1109ТвиллеП. С.TuilletР. S.

Твилле Полина Сергеевна – канд. мед. наук, научный сотрудник Лаборатории человекоцентричности и лидерских практик НИУ ВШЭ член Общероссийской общественной организации «Общество по организации здравоохранения и общественного здоровья» (ОПОЗиОЗ)

109004, г. Москва, ул. Большая Серпуховская, д. 14/13, стр. 1,

101000, г. Москва, ул. Мясницкая, д. 20

Polina S. Tuillet – Cand. Sci. in Medicine, Researcher of the Laboratory of Human Centricity and Leadership Practices, National Research University Higher School of Economics, Member of the Russian Society of Public Health (RSPH)

14/13 bld. 1, Bolshaya Serpukhovskaya ul., Moscow, 109004, 

20, Myasnitskaya ul., Moscow, 101000

polina.tuillet@gmail.comhttps://orcid.org/0009-0009-3201-6131СеванянЛ. Г.SevanyanL. G.

Севанян Лаура Геворговна – член Общерос­сийской общественной организации 

109004, г. Москва, ул. Большая Серпуховская, д. 14/13, стр. 1

Laura G. Sevanyan – Member 

14/13 bld. 1, Bolshaya Serpukhovskaya ul., Moscow, 109004

laura-sevanyan@mail.ruhttps://orcid.org/0000-0003-2328-2939МадьяноваВ. В.MadyanovaV. V.

Мадьянова Виктория Вячеславовна – д-р мед. наук, директор АНО ВО Академия «РЖД-Медицина», профессор кафедры организации здравоохранения и общественного здоровья Московского областного научно-исследователь­ского клинического института имени М.Ф. Вла­димирского, член правления Общероссийской общественной организации «Общество по ор­ганизации здравоохранения и общественного здоровья» (ОПОЗиОЗ) 

109004, г. Москва, ул. Большая Серпуховская, д. 14/13, стр. 1,

125315, г. Москва, ул. Часовая, д. 20, стр. 1,

129110, Москва, ул. Щепкина, д. 62/1

Victoria V. Madyanova – Dr. Sci. in Medicine, Director of Autonomous Non-Commercial Organization of Higher Education “Academy RZD-Medicine”, Professor of the Department of Healthcare Administration and Public Health, Moscow Regional Research and Clinical Institute (MONIKI), Board Member of the Russian Society of Public Health (RSPH)

14/13 bld. 1, Bolshaya Serpukhovskaya ul., Moscow, 109004, 

20/1 Chasovaya ul., Moscow, 125315, 

62/1 Shchepkina ul., Moscow, 129110

madvika@mail.ruОбщероссийская общественная организация «Общество по организации здравоохранения и общественного здоровья» (ОПОЗиОЗ)РоссияRussian Society of Public Health (RSPH)Russian FederationОбщероссийская общественная организация «Общество по организации здравоохранения и общественного здоровья» (ОПОЗиОЗ); Национальный исследовательский университет «Высшая школа экономики» (НИУ ВШЭ)РоссияRussian Society of Public Health (RSPH); National Research University Higher School of Economics (HSE University)Russian FederationОбщероссийская общественная организация «Общество по организации здравоохранения и общественного здоровья» (ОПОЗиОЗ)РоссияRussian Society of Public Health (RSPH),Russian FederationОбщероссийская общественная организация «Общество по организации здравоохранения и общественного здоровья» (ОПОЗиОЗ); Академия «РЖД-Медицина»; Московский областной научно-исследовательский клинический институт им. М.Ф. ВладимирскогоРоссияRussian Society of Public Health (RSPH); Academy RZD-Medicine, Moscow Regional Research and Clinical Institute (MONIKI)Russian Federation20261110202673148164Copyright © Трункова К.С., Твилле П.С., Севанян Л.Г., Мадьянова В.В., 20262026Трункова К.С., Твилле П.С., Севанян Л.Г., Мадьянова В.В.Trunkova К.S., Tuillet Р.S., Sevanyan L.G., Madyanova V.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.city-healthcare.com/jour/article/view/351Введение

Введение. Всемирная организация здравоохранения позиционирует факторы окружающей среды как важную детерминанту здоровья. В контексте медицинских организаций перспективным направ­лением повышения пациентоориентированности через изменение среды является салютогенный ди­зайн, ориентированный на создание условий, снижающих стресс и способствующих благополучию. Несмотря на многолетнее развитие концепции салютогенного дизайна, ее практическое применение часто ограничено фрагментарным использованием отдельных элементов.

Целью данного обзора яв­ляется систематический анализ и обобщение накопленного мирового опыта в области салютогенного дизайна медицинских организаций для структурирования фундаментальных аспектов концепции, формировавшейся на протяжении последних десятилетий.

Материалы и методы

Материалы и методы. В рамках исследова­ния проведен литературный обзор научных статей в базах данных PubMed, Cochrane Library и Google Scholar за период с 01.01.2000 по 31.12.2024.

Результаты

Результаты. Такие элементы салютогенного дизайна ме­дицинских организаций, как правильно подобранные цветовые решения, естественный свет, доста­точная освещенность, биофильный дизайн (элементы природы, природные текстуры), эффективная организация пространства, использование арт-объектов, а также снижение уровня шума, способ­ствуют улучшению эмоционального состояния и клинических показателей пациентов.

Выводы

Выводы. Ди­зайн медицинских организаций является важным фактором качества и безопасности медицинской помощи. Однако использование современных концепций организации пространств для пациентов, например салютогенного дизайна, ограничено ввиду отсутствия единых методологических подхо­дов. Результаты обзора литературы подтверждают, что факторы салютогенного дизайна используют­ся в медицинских организациях изолированно и/или ограниченно. Для достижения оптимального положительного эффекта от применения салютогенного дизайна необходимо разработать единые стандарты, основанные на исследованиях, что позволит улучшить условия оказания медицинской помощи и повысить удовлетворенность пациентов.

Introduction

Introduction. The World Health Organization (WHO) highlights the importance of environmental factors in shaping human health. In the context of healthcare organizations, salutogenic design presents a promis­ing approach to enhancing patient-centeredness through environmental modification, focusing on creating conditions that reduce stress and promote well-being. Despite the decades-long evolution of the salutogenic design concept, its practical application is frequently constrained by the fragmented implementation of isolat­ed elements.

Objective

Objective. To systematically analyze and synthesize global experience in the field of salutogenic design within healthcare facilities in order to structure the foundational aspects of the concept as it has evolved over recent decades.

Materials and methods

Materials and methods. A non-systematic literature review was conducted using following databases: PubMed, Google Scholar, and Cochrane Library for the period from January 1, 2000 to December 31, 2024.

Results

Results. Elements of salutogenic design in healthcare facilities, such as well-chosen color schemes, natural light and sufficient lighting, biophilic design (nature elements, natural textures), effective space organization, art, and noise reduction, contribute to improved patients’ emotional state and clinical indicators.

Conclusions

Conclusions. The design of healthcare facilities is an important factor in the quality and safety of care. However, the implementation of modern concepts of patient-centered spaces, such as salutogenic design, is limited due to the lack of unified methodological approaches. The literature review results confirm that healthcare facilities apply salutogenic design factors in an isolated and/or limited manner. To achieve the op­timal positive effect of salutogenic design, unified standards based on research need to be developed, which will improve the environment for health care delivery and enhance patient satisfaction.

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The authors declare that there are no conflicts of interest present.