Національний юридичний університет імені Ярослава Мудрого ⚖ Головна ⓘ Довiдка
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1.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Kaplina, Oksana V., Sharenko, Svitlana L., Shumylo, Nikolay Y.
Заглавие : Medical errors: patients' opinion, lawyers' standpoint, medical doctrine and practice of the european court of human rights
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2416-2420
УДК : 61
ББК : Х623.211.84
Ключевые слова (''Своб.индексиров.''): patient rights--права пациента--права пацієнта--practice of the european court of human rights (echr)--практика европейского суда по правам человека--практика європейського суду з прав людини--medical error--медицинская ошибка--медична помилка--medical negligence--медицинская халатность--медична недбалість--the positive obligations of the state in the field of health care--позитивные обязательства государства в сфере здравоохранения--позитивні зобов'язання держави в сфері охорони здоров'я
Аннотация: OBJECTIVE: Introduction: The problem of medical errors is always relevant in medical literature and law. Meanwhile, it is understood diametrically opposite by doctors, patients, and lawyers. This has a negative impact on patients' trust in medical professionals, and sometimes leads to criminal prosecution for a so-called "medical error", which in fact is conscientious deception, not a crime, and should exclude criminal liability. The aim: The aim of this work is the illustration of diametrically opposed approaches to understanding the essence of the concept of "medical error" from patients', doctors', and lawyers' views that are often generated by subjective approaches and results in distrust between doctors and patients, medical professionals and lawyers. The aim of the article is also to realize the ECHR's approach to understanding the essence of a medical error and distinguishing it from the negligence that should lead to liability of the medical professionals. PATIENTS AND METHODS: Materials and methods: In this research a legal doctrine, scientific works, provisions of international legal acts, in particular, the Convention for the Protection of Human Rights and Fundamental Freedoms were used, as well as the practice of the ECHR (12 relevant ECHR decisions), where the Court considered cases related to "medical errors" and formulated positive obligations of the state in the field of health care were analyzed. A complex set of general and special methods of cognition was used to achieve the aim, they are comparative legal method, systemic and structural method, methods of generalization, analysis and synthesis, sociological method, hermeneutical method, etc. RESULTS: Results: A survey of patients, medical professionals and lawyers conducted by the authors (300 persons), analysis of doctrinal approaches are illustrated the gap between the doctrinal approaches existing in the understanding of the essence of the "medical error" phenomenon and the perceptions of the medical services recipients, which indicates the need of understanding the essence of the phenomenon of medical error in order to increase the confidence in the medical profession, the inadmissibility of doctors liability for a medical error. CONCLUSION: Conclusions: The research gave the authors a reason to conclude that both medical and legal sciences are still far from the unity of views on the concept of "medical error". Medical errors significantly affect the authority of a medical institution, a particular doctor, or the state as a whole, and have severe consequences for patients. An analysis of the medical literature and ECHR practices has led to the conclusion that a medical error occurs when it is possible to completely exclude the guilt of medical professionals in the form of intent or negligence. In case of a medical error the criminal liability of the doctor is excluded.
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2.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Obolentsev, Valery F., Hutsa, Oleh M., Demchenko, Olga B
Заглавие : Information technology of verification of algorithmic of medical regulations
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2427-2433
УДК : 61
ББК : Х623.211.84 + Р
Ключевые слова (''Своб.индексиров.''): bpmn (business process model and notation)--bpmn (модель и обозначение бизнес-процессов)--bpmn (модель і позначення бізнес-процесів)--algorithmic--алгоритмический--алгоритмічний--errors in regulations--ошибки в правилах--помилки у правилах
Аннотация: OBJECTIVE: Introduction: In the medical field, using of information-analytical technologies and expert systems is becoming increasingly common. Therefore, the problem of quality of normative acts (documents), which unify the standards of the newest methods of medical activity, becomes urgent. But, unfortunately, legal experts state that there is a problem of errors in regulations of different branches of rulemaking. A rulemaking error can be recognized as inconsistency of a text or a rule of law's content regarding its purpose. There are two types of legal errors: purely textual and substantive (algorithmic). The aim: The aim of the article is to demonstrate the possibilities of using information technology based on BPMN to display algorithms and identify algorithmic errors in regulations that adjust activities of health care professionals. PATIENTS AND METHODS: Materials and methods: It is used BPMN (Business Process Model And Notation) technology in the research. With its help, a logical-analytical check of algorithm scheme for treatment of abnormal uterine bleeding, provided in the normative document of the Ministry of Health of Ukraine "Unified Clinical Protocol of Primary, Secondary (specialized) and Tertiary (highly specialized) Medical Care. Abnormal Uterine Bleeding", approved by the order of the Ministry of Health of Ukraine on 13.04.2016, No. 353. Algorithmic errors in the scheme were checked using Microsoft Visio software. According to the results of the logical-analytical examination of the mentioned normative act's text, a scheme of algorithm for treatment of abnormal uterine bleeding in BPMN was constructed. RESULTS: Results: The use of the proposed BPMN-based information technology and Microsoft Visio software allows you to control the algorithmic nature of regulated medical practice processes and to detect errors, to create visual models of schematically regulated medical practice algorithms. CONCLUSION: Conclusions: The proposed information technology, based on BPMN can be used to display algorithms and detect errors in regulatory acts that adjust activity of medical professionals.
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3.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Gutorova, Nataliya, Soloviov, Oleksii, Olejnik, Dimitri
Заглавие : Improper healthcare marketing: German and Ukrainian experience in prevention
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue: 12 cz 2. - P.2404-2409
УДК : 343.35:35.08
ББК : Х628.38
Ключевые слова (''Своб.индексиров.''): healthcare marketing--управление здравоохранением--управління охороною здоров'я--pharmacy crimes--аптечные преступления --аптечні злочини--corruption and medical sales representative--коррупция и медицинский торговый представитель--корупція і представництво медичних продаж
Аннотация: OBJECTIVE: Introduction: Improper healthcare marketing is a part of institutional corruption in the pharmaceutical markets, which causes significant harm to public health. Legal measures are an importent component of the mechanism for preventing this phenomenon. The aim: The purpose of the article is to raise awareness and stimulate serious discussion about the necessity to improve the preventative role of law in the field of healthcare marketing by adjusting liability for offenses in this area. PATIENTS AND METHODS: Materials and methods: This study is based on the analysis of international law, medical and criminal legislation, juridical practice, criminal and medical law legal doctrine, physicians survey results and expert interviews. Dialectical, comparative, analytic, synthetic and system analyses research methods were used, also for interpretation purposes. RESULTS: Results: The study showed the effectiveness of the US fight against improper healthcare marketing by applying millions and billions of fines to the largest pharmaceutical companies in the world, which led to a reduction in corruption in this sphere. Legal restrictions on the activities of medical sales representatives of pharmaceutical companies are justified by the Directive 2001/83/EC of the European Parliament and of the Council of 6 November 2001 on the Community code relating to medicinal products for human use, as well as in the German legislation (Medicinal Products Act). An analysis of Articles 299a and 299b of the German Criminal Code (StGB), as well as the practice of their application, showed their effectiveness. Still, there are problems in delimiting these offenses from the legal provision of drug information. The lack of anti-corruption regulation of drug promotion in Ukraine negatively affects the situation in this area. CONCLUSION: Conclusions: The legal mechanism for the prevention of improper healthcare marketing at the national level should include the following measures: a) strict legal regulation of the rules for the promotion of medicines; b) anti-corruption restrictions on the activities of medical sales representatives of pharmaceutical companies; b) the criminal liability of pharmaceutical companies for corruption in the implementation of healthcare marketing; c) the criminal liability of representatives of pharmaceutical companies and Healthcare professionals (HCPs) for active and passive briberies; d) legal support for professional self-regulation aimed at creating ethical standards of conduct in the pharmaceutical markets.
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4.

Вид документа : Статья из журнала
Шифр издания : 61/P30
Автор(ы) : Pashkov, Vitalii M., Harkusha, Andrii O.
Заглавие : Enforceability of non-compete agreements in medical practice: between law and ethics
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue: 12 cz 2. - P.2421-2426
УДК : 61
ББК : Х623.211.84
Ключевые слова (''Своб.индексиров.''): covenant not to compete--завет не конкурировать--заповіт не конкурувати--medical staff--медицинский персонал--non-compete agreement--неконкурентное соглашение--non-compete clause--неконкурентное предложение--physician employees--медицинские работники--медичні працівники
Аннотация: OBJECTIVE: Introduction: The core of physician's non-compete agreements problematics lies in complex system of controversial interests, rights and goals of subjects involved. On the one hand non-compete restrictions and their enforceability is an obvious part of employer's legitimate business interest based on the freedom of contract, on the other - free unrestricted market, preventing of monopolization, availability of medical assistance and healthcare, right to choose a doctor are social standards and thus - a part of public interest, in addition to this - non-compete restrictions impact physician's right to work. Balance between these components is pretty sensitive and hard to achieve. We can find enforceability of physician's non-compete provisions in different types of relations: employment contracts, partnership agreements, sale of medical practice. But complexity of mixing law, ethical, social issues along with different approaches of legal regulations rises the relevance of research. PATIENTS AND METHODS: Material and methods: This study is based on German, British, Spain, Swiss, USA regulation acts, scientific researches and opinions of progressive-minded people in this sphere. The article is based on dialectical, comparative, analytic, synthetic and comprehensive methods. RESULTS: Results: Non-compete agreements may have social benefits in some situations: serve as an instrument to protect trade secrets thus stimulate innovation; reducing of worker's exit probability could increase quality of medical services due to training of employees etc. But also, there are some serious risks to employee, to employer and to society as a whole. Analyzing the sense of non-compete clause in general we can assume that it includes seven main points: the subject; the form; the time; the territory; the scope and type of restrictions; "buy out" of the clause and the compensation. These characteristics are the core of non-compete clause, and, taking into account the principle of freedom in terms of agreement conclusion, it is up to law enforcement practice to determine minimal and maximal limits of such restrictions. US legal concept is clearly based on implementing of legally prescribed restrictions for non-compete with physicians (along with other categories). European practice being pretty similar in view on what non-compete agreement is and what principles it is based on however is obviously different in approach chosen because of absence of special legal provisions for physicians' non-compete regulation. CONCLUSION: Conclusion: Lack of legal regulation and law enforcement practice in this sphere worldwide is obvious, so the starting point in resolving of physician's non-compete enforceability issue will be choosing of suitable concept. Analyzing of proposed concepts, we came to the conclusion that the most perspective will be an approach of specification and clarification of "reasonability" meaning in terms of evaluation physicians' non-compete agreement validity and their impact on public interest.
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5.

Вид документа : Статья из журнала
Шифр издания : 346.548/K85
Автор(ы) : Krynytskyi, Igor Y, Noha, Petro P., Sarana, Serhii V.
Заглавие : Serialization as new quality control system of medicinal products
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2473-2477
УДК : 346.548
ББК : Р11
Ключевые слова (''Своб.индексиров.''): quality of medicinal products--якість лікарських продуктів--качество лекарственных продуктов--falsified medicinal products--фальсифіковані лікарські препарати--фальсифицированные лекарственные препараты--medicinal products--лікарська продукція--лекарственная продукция--serialization--сериализация--серіалізація
Аннотация: OBJECTIVE: Introduction: medicinal products are special goods which the quality of life and health of the population directly depends on. Therefore, ensuring the quality of medicinal products is central to state policy of developed countries in the conditions of free movement of goods and services. High quality of medicinal products should be supported in the context of pharmaceutical market globalization by using exclusively a modern quality control system such as serialization. The aim: the rationale for the need to use the serialization system of medicinal products by European countries which are not a part of the EU is the goal of our research. PATIENTS AND METHODS: Materials and methods: the research is based on EU law (Directive 2001/83/EC, Directive 2011/62/EU, Delegated Regulation (EU) 2016/161), Ukrainian legislation, statistics of WHO, General Prosecutor's Office, European Union Intellectual Property Office, Court judgment of the Ukrainian courts, legal doctrine in the field of medical law. The research is also based on general and special scientific research methods. CONCLUSION: Conclusions: existing quality control mechanisms do not cope with the task of providing the people with access to high quality and safe medicinal products. The serialization of medicinal products provides an opportunity to raise the quality control of medicinal products to a new level in the process of globalization. Serialization of medicinal products is important for Ukraine and other country's not in EU, it will fill the internal pharmaceutical market with a qualitative product and will allow the export of medicinal products.
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6.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Borysova, Valentyna I., Ivanova, Kseniia Yu., Krasytska, Larysa V.
Заглавие : Problems of assisted reproductive technology's application
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2524-2530
УДК : 343.627 + 351.778
ББК : Р + Х623.211.84
Ключевые слова (''Своб.индексиров.''): childs origin--происхождение детей--походження дітей--a visiting mother--навещающая мама--мати, яка відвідує--surrogate maternity--суррогатное материнство--сурогатне материнство--assisted reproductive technology--вспомогательные репродуктивные технологии--допоміжні репродуктивні технології--child trafficking--торговля детьми--торгівля дітьми
Аннотация: OBJECTIVE: Introduction: Application of assisted reproductive technology facilitates the solution of any nation's reproductive health problems. The aim: is to identify the issues of legal regulation of assisted reproductive technology applying, to analyze legal practice in this area and to determine the ways of overcoming these problems. PATIENTS AND METHODS: Materials and methods: The authors have studied and analyzed international legal acts, national legislation, decisions of the European Court of Human Rights, sentences and rulings of the courts of Ukraine in the field of assisted reproductive technology's application with the use of philosophical, general and specialized scientific methods. CONCLUSION: Conclusions: The imperfection of legal regulation of relations in applying of assisted reproductive technology leads to the criminal prosecution of persons trying to take away children born with the use of such technology from their native countries. The authors have offered to provide general provisions for determining the origin of the child from the mother and father, without requiring the existence of the document about the child's genetic relationship with one of the parents in those countries, where surrogate maternity is permitted.
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7.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Motoryhina, Maryna G., Bespalko, Inna L., Zuiev, Vladimir V.
Заглавие : Legal regulation of cooperation in the field of forensic medical examination in criminal proceedings between Ukraine and the Republic of Poland
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2615-2619
УДК : 343.13
ББК : Х629.341.311 + Х623.211.84
Ключевые слова (''Своб.индексиров.''): forensic examination--судебная экспертиза--судова експертиза--medical report--медицинское заключение--медичний висновок--forensic expert--судебный эксперт--судовий експерт
Аннотация: OBJECTIVE: Introduction: The first task of forensic medical examination is to identify the actual data that can be used by health authorities when developing preventive measures of various types of injuries, poisoning, sudden death, as well as hurdles to provision of medical care to patients. The second challenge is to assist law enforcement bodies in cases related to crimes against life, health, person dignity and public health in general. In this case, there is often an urgent need to conduct forensic medical examinations with the participation of foreign experts, including the composition of joint groups. The aim: is an investigation of the procedure and grounds for the cooperation in forensic medical examinations in case of objects' examination that relate to the crimes committed in Ukraine and the Republic of Poland. PATIENTS AND METHODS: Materials and methods: nearly 300 law enforcement acts for the period of last 6 years in Ukraine were analyzed concerning the subject of the study, as well as legislation of Ukraine and Poland. The framework of research methods is including dialectical, formal-logical, systematic-structural, hermeneutical, comparative-legal and generalization ones. CONCLUSION: Conclusions: The cooperation in the field of forensic medical expertise in criminal proceedings between Ukraine and the Republic of Poland is quite formal, which does not promote the effective use of the results of experts' professional activity in Criminal proceedings.
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8.

Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Babenko, Andriy, Mazurenko, Oleksandr, Mernyk, Anastasiia
Заглавие : Chronic alcoholism treatment in custodial facilities: Ukraine's experience during independence
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Issue:12 cz 2. - P.2451-2456
УДК : 351.761.1 + 343.82 + 343.811 + 343.819
ББК : Х88
Ключевые слова (''Своб.индексиров.''): alcoholism--алкоголизм--алкоголізм--alcohol addiction--алкогольная зависимость--алкогольна залежність--prison--тюрьма--в'язниця--rehabilitation--реабилитация--реабілітація--treatment--лечение--лікування
Аннотация: Introduction:Chronic alcoholism is a powerful catalyst for commission of many serious and particularly grave crimes - intentional homicide, bodily damage, robbery, plundering, traffic safety violations that led to fatalities. The vast majority of these offenders are sentenced to imprisonment. Although independent Ukraine refused their compulsory treatment, such experience, unfortunately, did not improve the situation. This will require finding new ways of solving the alcoholism problem that may be of interest to both post-Soviet countries and developed democracy countries. The aim of this research is to trace the evolution of chronic alcoholism treatment in Ukrainian penitentiary institutions, identify the causes of its poor effectiveness under the current approach, and suggest some ways to minimize the negative impact of this disease on a patient and society. Material and methods: The study is grounded in dialectical, historical, comparative, analytical, synthetic, statistical, monographic, sociological (interview) and criminological mapping research methods. The calculations and mapping were done using Microsoft Word 2016, Adobe Photoshop CS6 and Quick Map 2.2. According to the General Prosecutor’s Office of Ukraine, criminal intensity of perpetrators of alcohol intoxication was calculated, and due to the analysis of medical and technological documentation on standardization of medical assistance to alcoholics, the peculiarities of voluntary treatment principle of convicted persons were established. The study group consists of 50 medical professionals working in the medical units of penitentiary and civilian healthcare facilities. Results: According to 3/4 of the surveyed experts, about 50% of convicts need treatment for alcoholism. The factors that influence the increase in concentration of such persons in penitentiary institutions are: prevalence of alcoholism in the whole country; alcohol illegal use in penitentiary institutions; detaining of large mass of household alcoholics in penitentiary; exclusively voluntary treatment and medico-social rehabilitation; lack of alternative treatment methods for alcoholism and consolidation of the lasting effect of this treatment; etc. The consequences of the above are often further decay of alcohol; involvement in this pernicious habit of new unstable persons, especially young convicts; lack of qualified medical care, even in urgent cases that threaten person’s life; genetic addiction of subsequent generations; relapse and recurrence of criminal behavior; etc. Conclusions: There is a need for immediate monitoring of people with chronic alcoholism and alternative treatment modalities, such as substance abuse replacement therapy; allocation of material resources for implementation of specific measures aimed at reducing the alcoholism level of convicts; immediate receipt of licenses by medical units of penitentiary institutions that do not have them, etc.
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9.

Вид документа : Статья из журнала
Шифр издания : Х915.232.501.3/S56
Автор(ы) : Shylo, Olha H., Glynska, Nataliia V., Marochkin, Oleksii I.
Заглавие : Criteria for recognition of appropriate medical assistance to detainees in the european human rights court's practice
Место публикации : Wiadomosci lekarskie. - 2019. - Vol. 72, Iss. 12, cz. 2. - p.2585-2590
ББК : Х915.232.501.3
Ключевые слова (''Своб.индексиров.''): criminal proceedings--detention--medical assistance to detainees--human rights--proper medical care--уголовное судопроизводство--заключение под стражу--медицинская помощь заключенным--права человека--надлежащий медицинский уход--кримінальне провадження--взяття під варту--медична допомога ув'язненим--права людини--належний медичний догляд
Аннотация: OBJECTIVE: Introduction: Practical implementation of the provision of appropriate medical assistance to detainees raises a number of problems that needs scientific reflection in order to come up with proposals for improving regulation in this sphere. To date, the issues of particular concern are: proper documentation of a detained person's health status; promptness and accuracy of diagnosis of a person; providing a comprehensive therapeutic strategy for his/her treatment; delay in providing medical care and its quality; continuation of treatment of a sick person in custody. The aim: of this paper is to highlight and analyze the key positions of the European Court of Human Rights (hereinafter - ECHR) on the criteria for recognizing appropriate medical care for detainees. PATIENTS AND METHODS: Materials and methods: Scientific articles, international regulations governing the provision of medical assistance to detaines, ECHR practice regarding the provision of medical assistance to detainees and criteria for recognition as appropriate (22 relevant decisions where ECHR addressed these issues were analyzed). To achieve this goal, we've used a set of general scientific and special methods of cognition, in particular, comparative-legal method, system-structural method, method of generalization, method of analysis and synthesis, etc. CONCLUSION: Conclusions: Medical assistance to detainees is adequate, subject to the criteria set out in the ECHR's practice, which in turn will ensure respect for the human rights and freedoms guaranteed by the Convention for the Protection of Human Rights and Fundamental Freedoms (hereinafter - the Convention).
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Вид документа : Статья из журнала
Шифр издания :
Автор(ы) : Trykhlib, Kristina Oleksiivna
Заглавие : Law-making activity in the case law of the constitutional court of Ukraine
Место публикации : International and Comparative Law Review. - 2019. - Vol. 19, No. 2. - p.27-75
ББК : Х062
Ключевые слова (''Своб.индексиров.''): constitutional court--constitution--dynamic interpretation--law-making activity--development of law--creative interpretation--margin of appreciation--legal evolution--discretionary power--case law--конституционный суд--конституция--динамическая интерпретация--юридическая деятельность--развитие права--творческая интерпретация--значение ценности--юридическая эволюция--дискретионная власть--прецедентное право--конституційний суд--конституція--динамічна інтерпретація--юридична діяльність--розвиток права--творча інтерпретація--значення цінності--юридична еволюція--дискридиційна влада--прецедентне право
Аннотация: The aim of this paper is to reveal and examine law-making elements in the jurisprudence of the Constitutional Court of Ukraine. It should be noted that the Constitutional Court has no direct powers to establish new legal norms under national legislation. However, in the process of constitutional interpretation, the case law of the Court demonstrates de facto the presence of law-making activity, that leads to the extension of its discretionary power on the formation of law. The paper will focus on the analysis of the practice of the Constitutional Court of Ukraine with regard to the ‘creative interpretation’ of law. A review of selected case law leads to a conclusion that the Constitutional Court often uses the dynamic interpretation of the Constitution. Moreover, the Court may change its own legal position in order to protect constitutional rights. Thus, the Constitutional Court of Ukraine has the right to ‘develop’ the law through evolutive interpretation of the Constitution. It can also be concluded that the Constitutional Court enjoys a wide ‘margin of appreciation’ in its interpreting of the Constitution.
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Умовні позначення місця знаходження

3_пов.(ЗПІ) – зала правової інформації, НБК

4_пов.(НАб) – абонемент наукової літератури, НБК

4_пов.(ДБФ) – довідково-бібліографічний фонд, НБК

5_пов.(З/П) – зала періодичних видань, НБК

6_пов.(АХЛ) – абонемент художньої літератури, НБК

6_пов.(ЗІЛ) – зала літератури іноземними мовами, НБК

7_пов.(Хр) – книгосховище, НБК

8_пов.(РК) – книгосховище рідкісних видань та дисертацій, НБК

НБВ – інформаційно-бібліографічний відділ, НБК, 7 поверх

Ст.Аб. – студентський абонемент, НБК, 5 поверх

Філ №1 – філія № 1 (вул. Динамівська, 4)

Філ №2 – філія № 2 (вул. Пушкінська, 106)

Полт. фак. – Полтавський юридичний інститут, м. Полтава