@article{Voloshin_Titov_Shevchenko_2022, title={Primary disability of military services: dynamics of indicators, clusters of its prevention and reduction}, volume={3}, url={https://ujmm.org.ua/index.php/journal/article/view/249}, DOI={10.46847/ujmm.2022.1(3)-034}, abstractNote={<p><strong>Introduction</strong>. <em>During the study, there was a lack of information regarding systemic measures to prevent primary disability of servicemen, measures aimed at reducing it, taking into account a comprehensive unified approach to preserving the health status of servicemen of different departmental subordination. Isolated publications on this topic cover the issues of disability of military personnel only partially and of military formations of Ukraine. Solving the problem without monitoring the indicators of primary disability of military personnel and developing systemic measures in its prevention and lowering the position of unification of organizational approaches within the unified medical space of Ukraine.</em></p> <p><strong>The purpose</strong> <em>of the study is to conduct a systematic analysis of indicators of primary disability of military personnel in Ukraine in the period 2013-2020. and defining a goal aimed at preventing and reducing it.</em></p> <p><strong>Materials and methods.</strong> <em>The study was carried out using classical social and hygienic methods: monographic, statistical, analytical, documentary accounting and system analysis. The research materials were legal acts on disability issues, as well as materials of statistical reports of medical and social expert commissions of the Ministry of Health of Ukraine in the period from 2013 to 2020.</em></p> <p><strong>Results.</strong> <em>The article presents the results of a system analysis of indicators of primary disability of military personnel in the regions of Ukraine and suggests clusters of its prevention and reduction. Based on the analysis of available statistical information and taking into account our own practical experience, it is shown that the main factors that increased the level of primary disability among the Armed Forces were: participation of all military formations in Ukraine in conducting ATO/JFO and shortcomings in their health care. Also, in addition to these factors, the formation of disability of the Armed Forces in some administrative territories of Ukraine was influenced by disability indicators of participants in the liquidation of the Chernobyl accident and mostly uneven location of the Armed Forces recognized as disabled in some regions of Ukraine.</em></p> <p><strong>Conclusions. </strong><em>The results of the study of indicators of primary disability among military personnel in the period 2013-2020 allow us to state the existing tendency to their increase. It was determined that the participation of factors that determined the level of primary disability among military personnel: military personnel of all military formations of Ukraine in the conduct of ATO-OOS and the shortcomings of organizing their medical and sanitary provision mainly in the period from 2014 to 2016. It was found that the available statistical reporting does not reflect the structure of primary disability among military personnel by nosological forms of pathology, therefore, it requires improvement, which will be the planning and organization of measures to prevent primary disability among military personnel. The main measures are proposed to improve the organizational basis for the protection and reduction of primary disability among military personnel, especially those who take part in hostilities.</em></p&gt;}, number={1}, journal={Ukrainian Journal of Military Medicine}, author={Voloshin, V. O. and Titov, G. I. and Shevchenko, I. F.}, year={2022}, month={Mar.}, pages={34-40} }