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[Insurance and preventive medicine]
Sozial- Und Praventivmedizin
|December 1, 1978
Summary
Insurance funds focus on preventing work-related accidents and diseases, unlike general preventive medicine which faces legislative hurdles. Scientifically proven preventive exams may soon be insurable with quality control.
Area of Science:
- Occupational Health
- Public Health Policy
- Preventive Medicine
Context:
- The Swiss National Accident Insurance Fund (CNA) is legally mandated to prevent work-related accidents and occupational diseases.
- Preventive medicine in general health insurance programs has seen limited success due to legislative barriers.
- A key difference lies in the controllability of causal factors: exogenous for accidents/diseases versus endogenous for general population pathologies.
Purpose:
- To explore the disparity in insurance coverage and focus between occupational accident/disease prevention and general preventive medicine.
- To identify reasons for the legislative denial of payment for preventive medical care in sickness insurance.
- To assess the potential for integrating scientifically validated preventive examinations into insurance programs.
Summary:
- Occupational accident and disease prevention is a legal requirement and shows promise, unlike general preventive medicine which is not legislatively covered.
- The difference in success is attributed to the more controllable, exogenous factors in occupational settings compared to the complex, endogenous factors in general health.
- Selected, evidence-based preventive screenings could be incorporated into insurance plans with stringent quality assurance.
Impact:
- Highlights the need for legislative reform to support preventive healthcare in the general population.
- Suggests a framework for incorporating validated preventive measures into insurance, potentially improving long-term health outcomes.
- Underscores the importance of quality control in laboratory diagnostics for effective preventive care programs.
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