Problems of defense of Russian citizens interests in partnership of insurance companies with health care institutions

Abstract

Objective: In the period of 1999-2001 to develop and to implement a target insurance program “Safe maternity, strong child” based on the study of social and economic factors, sickness rate statistics in obstetrics, gynecology and paediatrics, health care situation in Saint-Petersburg under new conditions of market economy.

To develop an efficient cooperation to protect interests of citizens and to provide the best service in obstetrics, gynecology and paediatrics with health care institutions network.

Full Text

Methods: Methods of target program development are based on macroenvironment monitoring. Macroenvironment is a combination of demographic, economical, natural, scientific, technical, medical, ecological, political, cultural and other factors, defining the key indices of sickness rate in obstetrics, gynecology and paediatrics. Information sources used include: state, branch, business statistics and materials; special littérature and mass media advertisments. Monitoring was carried out from 1994 to 1999.

Results: 1. Objective indices of sickness rate among the women of child-bearing age and newborns, maternal and infant mortability, negative trends of decreasing population reproductivity in Saint-Petersburg have been obtained.

2. The target program “Safe maternity, strong child” has been developed and implemented into practice. A portfolio of insurance medical programs, providing women, newborns and the children with qualified medical service during all the stages of preparation to and execution of child-bearing and of the child health protection has been created (now the Company has 147 different programs in obstetrics, gynecology and paediatrics). 3. Qualitative and quantitative characteristics - expected results of Program implementation have been defined. 4. New relationship with Russian and international subjects of insurance and medical service market have been established.

Conclusions: Despite unfovarable economic situation in Russia restricting possibilities of Program implementation in Saint Petersburg, the Insurance Company “Virilis” is planning to obtain concrete indices: 1. 20% decrease of complications of mother and child health during child-bearing among Insured persons (as compared with non-insured). 2. 30% involvement in health insurance (risk of complications) among women in child-bearing and abortion in Saint-Petersburg. 3. Providing with voluntary health insurance in paediatric services: 1% of Saint-Petersburg children, in clinical examination and prophilaxis: 5% of women in child-bearing age. 4. Creating an efficient system of information and popularization of healthy way of life and family planning, involving 20% of Saint-Petersburg population in childbearing age. Expantion and activization ofpartnership with Russian and foreign health care institutions and insurance companies are seen by IC “Virilis” as an important feature of further development of insurance medical services in obstetrics, gynecology and paediatrics.