ANALYSIS OF THE CAUSES AND STRUCTURE OF DISABILITY GROUPS AMONG THE POPULATION OF UKRAINE BETWEEN 2014 AND 2023
DOI:
https://doi.org/10.32782/pub.health.2025.1.20Keywords:
disability, primary disability, disability group, medical rehabilitation, military actionsAbstract
Topicality. One third of patients worldwide require rehabilitation care at some stage of their treatment.Rehabilitation for patients who need it is often inaccessible and does not meet modern requirements due to a shortage of rehabilitation specialists and insufficient volume and quality of rehabilitation care.Objective. Epidemiological analysis and assessment of the dynamics of disability by groups and causes of disability to determine the necessary volume of rehabilitation care in planning and improving the quality and accessibility of medicalrehabilitation in Ukraine.Materials and methods. A retrospective analysis and assessment of the dynamic indicators of disability among thepopulation of Ukraine from 2014 to 2023 were conducted. Statistical data from the State Statistics Service and the Ministry of Health of Ukraine were used. The methods of a systematic approach, structural and logical, and medical and statistical analyses were used in the study.Research results. The analysis of the dynamics of absolute indicators on general and primary disability (between 2014 and 2022) indicates that in 2022-2023, there was an increase in the total number of persons with disabilities and newly recognized ones. Moreover, the increase occurred across all disability groups, with the growth rates for 2021-2023averaging: group I – 31.26 %, group II – 35.14 %, and group III – 20.81 % per year. It was found that the most significantincrease in the number of persons with disabilities in Ukraine in 2023 was due to: diseases of the musculoskeletal systemand connective tissue, which increased by 170.73 %; diseases of the nervous system – by 76.20 %; injuries, poisoning, and consequences of external forces – by 72.84 %; mental and behavioral disorders – by 31.42 %.Conclusions. The full-scale war has led to an increase in the number of persons with disabilities and a growingdemand for rehabilitation care. This, in turn, necessitates finding ways to ensure the required volume, accessibility, and quality of rehabilitation services for the population of Ukraine.
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