This article is devoted to identifying and analyzing the main factors that influence the effective overhaul of medical institutions, which have a great impact on the quality of life of the population, but do not meet modern standards and new trends of the Industry 4.0 concept. During the study, a comparative analysis of regulations governing the overhaul of medical institutions was carried out, design and working documentation was studied, and practical examples of the implementation of such projects were analyzed. As a result of the study, the most significant factors influencing the effectiveness of capital repairs of healthcare facilities were identified. Identified factors include: the lack of a modern legislative framework on capital repairs, insufficient quality of project documentation, ineffective planning and execution of capital repair projects, and lack of consideration of innovative approaches and technologies. These factors entail a number of additional risks, leading to increased costs and timing of work, as well as a decrease in the quality of work performed. In conclusion, recommendations are presented for optimizing the process of carrying out major repairs of medical institutions, including a detailed study of regulatory documents in order to update them in accordance with modern needs, and the involvement of a technical customer for the purpose of control from the initial stage to the commissioning of the institution.

Keywords: major repairs, healthcare facilities, medical institutions, modern standards, project documentation