Image
Icon

Directory

IconAssociations and Institutes
IconBBBEE Consulting and Verification Agencies
IconCompare Medical Scheme Benefits
IconConsumer Protection
IconCorporate Governance
IconCredit Bureaus
IconEmergency Medical Rescue
IconExpatriate Cover
IconHealthcare Consultants
IconMedical Aid Brokers
IconMedical Aid Schemes
IconMedical Schemes Trustees Liability Insurance
IconMedical Service Providers
IconOmbud
IconOnline Quotes
IconPublications
IconRegulatory Authorities
IconWellness Programs
Image
  Subscribe To »

Maternity care crisis in private sector

Published

2017

Tue

14

Feb

Healthcare management company PPO Serve has raised awareness around an escalating crisis in obstetrics during Pregnancy Awareness Week, which takes place from 8 to 14 February. Many practitioners are leaving active practice due to extremely high indemnity insurance costs, which are expected to reach up to R850 000 for the year in 2017.

Insurance providers attribute high fees to the inconsistent way maternity care is practiced in South Africa. “There is a lot of deviation from standard care protocols and treatment decisions aren’t well documented. Insurers won’t risk court when doctors are sued, they choose rather to settle in the face of too little evidence over how treatment decisions were made,” says industry veteran and CEO of PPO Serve, Dr Brian Ruff.

In South Africa, clinicians currently work as lone entities, obstetricians in particular work extremely long hours in order to be on call for emergencies and deliveries; “Ultimately this results in gaps in care, especially when it comes to antenatal testing. Complicating medical conditions such as diabetes or HIV are sometimes inadequately managed due to a lack of human resources and poor care coordination,” says Ruff.

Maintaining a balanced life and successful practice currently in obstetrics is challenging, especially for young graduates with families. “Very few want to do the job and those that do look for ways to introduce better scheduling,” says Ruff. “We need structural change if we hope to attract specialists back to active obstetrics and encourage more students to specialise in the field.”

According to Ruff, structural change requires the reorganisation of maternity care into a team sport; “Obstetricians should head up multidisciplinary teams of healthcare professionals who share patient information, treatment plans and the fee for their collective services. Indemnity insurers offer lower rates to teams because they have the capacity for holistic and proactive care, better record-keeping and better communication with patients and their families.”

The set-up would also reduce the high rate of avoidable caesarean sections. “While caesareans allow for predictable scheduling and are often requested, they are not first prize care and carry risks for the mother, the baby and their bonding. Babies who go through full labour are shown to do better. That aside, all surgeries carry risks, due to the use of anaesthetics and exposure to infection,” says Ruff. He also notes a worrying trend of performing caesarean sections too early, at 37 weeks rather than the 40-week full term; this is resulting in small and immature babies.

“A maternity team model improves the delivery of good antenatal care, which reduces the chances of unforeseen emergencies, poor outcomes and litigation. The result is lower costs, which means more South Africans will be able to access quality maternity services,” says Ruff.

 
Source: Be-cause Integrated Communications
 
« Back to previous page Print this page » |
 

Breaking News »

Loss of the right to rear a child does not give rise to constitutional damages

By Justin Malherbe and Rukshana Parker Norton Rose Fulbright South Africa Inc. Our law does not recognise a claim for constitutional damages for loss of a parent’s right to rear a child who was stillborn ...
Read More »

  

Consumer experience and efficiencies: the core focus for the FSB’s transition to FSCA

            Advocate Dube Tshidi, Executive Officer at FSB                     It ...
Read More »

  

Medical aid vs medical insurance – the demarcation regulations

After four years of consultation, the Treasury finally gazetted the demarcation regulations in December, ending years of uncertainty on the future of gap cover, hospital cash plans and primary healthcare policies ...
Read More »

  

SA sees new treatment option for cancer patients

A new cancer centre in Cape Town has introduced an innovative treatment option for cancer patients called Photodynamic Therapy (PDT). Researched and developed by a global team of professionals, research scientists ...
Read More »

 

More News »

Image

Investment »

Image

Life »

Image

Retirement »

Image

Short-term »

Advertise Here

Quick Survey »

  Sponsored by
Image
Does your company plan on hiring additional employees in 2017?


|Results »
Image
Advertise Here

From The Glossary »

Icon

Capital Gains Tax (CGT) and Policies:

All investments held by insurance companies are divided into four funds according to the status of the beneficial owner of the investments. The four funds are the Individual Policyholders Fund for natural persons, the Company Policyholders Fund for companies and close corporations, The Corporate Fund for the funds of the insurance company itself and the Untaxed Policyholders Fund for untaxed funds such as retirement annuities. In the case of life ...
More Definitions »

 
 
By using this website you agree to the Terms of Use.
Copyright © Stoker Risk & ICT (Pty) Ltd 2004 - 2017.
All Rights Reserved.
Icon

Advertise

  Icon

eZine

  Icon

Contact IG

Icon

Media Pack

  Icon

RSS Feeds