The burden on the healthcare system of Ukraine under martial law, taking into account the contribution of musculoskeletal and connective tissue diseases

 The article is devoted to studying the nature and extent of the burden on the Ukrainian healthcare system under martial law, particularly in connection with the disability of both civilians of various age groups and military personnel. The aim of the study was to assess the burden on the healthcare system associated with all classes of diseases and disorders of the musculoskeletal system and connective tissue in the adult and child population of Ukraine as a whole and in the Vinnytsia region, as well as to analyze its changes in the period 2021-2024. Based on an analysis of secondary official statistical data from the Public Health Center of the Ministry of Health of Ukraine. It has been established that the level and structure of hospital morbidity in Ukraine during 2021-2024 reflects general global trends. It has been confirmed that diseases of the musculoskeletal system and connective tissue constitute a significant proportion of the burden on the inpatient healthcare system in Ukraine. The study also found that diseases of the musculoskeletal system and connective tissue occupy one of the leading places in the structure of disability among the adult population, indicating their significant contribution to the loss of working capacity and the need for long-term treatment and rehabilitation. At the same time, diseases of the musculoskeletal system and connective tissue are not among the leading causes, but are consistently present in the structure of child disability. The increase in hospitalizations and surgical interventions against the backdrop of a decrease in the number of doctors in 2024 indicates an increased burden on the human resources of the healthcare system, particularly in the field of surgical and orthopedic-traumatological care. The results obtained indicate the need to take into account diseases of the musculoskeletal system and connective tissue when planning the volume of inpatient care, rehabilitation services, and resource provision, especially in conditions of martial law.