THE DISCUSSION ABOUT QUALITY OF OBSTETRIC-GYNECOLOGIC CARE SUPPORT AND PROTECTION OF INTERESTS OF MEDICAL WORKERS

The consideration of obstetric-gynecological care as a medical service generates discussion about its improper provision and is accompanied by attempts of certain patients and their representatives to enrich themselves at the expense of medical organizations and particular physicians. The latter, due to altruism widespread among physicians and professional overloads, cannot effectively protect their own interests. At that, in Russia professional responsibility insurance is still to become available to most health professionals because of unavailability of policies. The number of civil claims related to provision of obstetric and gynecological care is one of the highest one in medicine. Annually, within the framework of one subject of the Russian Federation, in average 4 cases are considered apropos obstetric and gynecological care. Mainly, state health care institutions, providing basic volume of hospital care of women answer these claims. The overwhelming majority of requirements to medical organizations and medical workers is directed to compensation of moral harm and its average amount consists 150-200 thousand rubles. At that, a regressive demand from the prosecutor's office about bringing to material accountability for sum of employer's costs can be sent directly to physician-executor. With an incorrect expert conclusion, responsibility of medical organization and physician can occur even in case of accident when no fault of the medical worker is discovered. The medical organizations themselves, defending their own interests and interests of their employees, allow inconsistency since they do not admit any guilt in the committed defect and simultaneously agree to compensation of moral harm, but in a smaller amount than the patient requires.

obstetric-gynecological care, consumer extremism, medical errors, responsibility of medical organization, protection of interests of physician