Across the world’s most advanced healthcare systems, a quiet revolution is underway. Patients are gently drifting away from the “see a doctor only when something hurts” routine and opting for something far more modern: a continuous, subscription-based relationship with a personal physician.

Internationally, this approach — often likened to direct primary care or concierge medicine — has been making the rounds in The New England Journal of Medicine, Health Affairs, Barron’s, and other heavy-hitters, praised as one of the most progressive ways to deliver primary and preventive care today.

Chaika.com, founded by Alexander Vinokurov, represents this new wave of healthcare services expanding internationally. Under the Chaika Health brand, clinics already operate in Moscow, Tbilisi and Yerevan, with Lisbon, Paris, London and Abu Dhabi next in line. At its core, Chaika promotes a simple but slightly radical idea: modern medicine should revolve around constant access to one’s doctor, a clear preventive strategy and everyday guidance — not hurried appointments twice a year.

We asked Alexander about how this system works — you will see, it is impressive.

Chaika.com is a digital platform that connects patients and physicians in a way traditional clinics would love to claim but seldom achieve. The service enables:

In short, Chaika.com merges clinical work, communication and preventive planning into one uninterrupted medical journey — something Western healthcare systems have been inching toward for years.

First, let’s clear up a common misconception: a subscription isn't a box of complimentary doctor visits tied with a bow. At Chaika, consultations — online or offline — are paid separately. A subscription is something different: a monthly, ongoing relationship with your doctor and their care team that includes:

It is primary care, rewritten for the real world: less paperwork, more continuity; fewer random appointments, more long-term strategy.

Research from the U.S. and U.K. — including studies in BMJ Open and The British Journal of General Practice — draws a neat conclusion: when a patient is observed by the same personal doctor over many years, mortality drops, hospitalizations decline and early signs of chronic disease are caught earlier.

Meanwhile, Western media regularly point out the structural reality: doctors are overloaded, appointments last 7–10 minutes, and much of medicine’s real work happens outside the four walls of the clinic.

The subscription model steps in exactly where the system struggles. By reducing the number of patients per doctor and creating space for daily communication, physicians gain time, continuity and context — a trio that strongly influences preventive outcomes.

1. You have your own personal doctor — always. At Chaika Health, each patient chooses a dedicated doctor — a family physician, gynecologist or pediatrician. There is no universal “family subscription,” but each family member gets their own doctor and their own long-term medical strategy. This setup works especially well for:

2. You can buy a subscription as a gift. One of Chaika’s coolest features is the ability to purchase a subscription for your parents or loved ones. Once you attach your credit card to your parent’s account, consultations and diagnostics are handled automatically. The only task of your folks will be to chat with their doctor through Telegram.

3. Permanent communication with the doctor and care team. This is the model’s beating heart. Patients can reach out anytime:

Meanwhile, the care team handles logistics, reminders, medical navigation and emotional reassurance — services the traditional appointment-based system simply doesn’t have the bandwidth for.

4. A fully coordinated medical journey. Subscriptions eliminate the classic chaos: multiple specialists, competing advice and diagnostics that look like a puzzle with half the pieces missing. Chaika’s doctors and care team:

5. A personal care plan — your health strategy. A care plan isn’t a PDF floating in your inbox — it is your long-term health roadmap, which includes:

The plan evolves just as life and health do. Its purpose: to give the patient a clear route and the doctor a continuous, contextual view of health over time.

Chaika Health focuses on three core areas: family medicine, women’s health, and pediatrics — the fastest-growing segment.

Children benefit from consistent developmental monitoring. Adults gain stability and preventive structure. Elderly parents receive safety, guidance and reliable navigation through the healthcare system.

This is healthcare organised around real life — not around clinic schedules.

The two aren’t rivals — they are teammates: while insurance covers rare, expensive events, the subscription tackles with everyday medicine, prevention and ongoing care.

Western experts increasingly recommend this combined model.

A doctor subscription isn’t a trend — it is the revival of a timeless idea:

Every person deserves a physician who knows them, their context and their health in motion, not in scattered fragments.

Chaika Health and Chaika.com translate this philosophy into a modern digital format: continuous communication, preventive strategy, coordinated care and a welcome sense of calm, structure and predictability.

For modern individuals and families, it is one of the most effective models available — personal, thoughtful, preventive and genuinely human-centered.