The profession of a medical worker is one of the most responsible, therefore, it is these workers who should receive an adequate income for their work. If the doctor is forced to constantly take extra hours, look for part-time jobs or work part-time in a private clinic, then he is not able to provide high-quality medical care for a long time. The doctor simply gets tired of the overwhelming amount of work, so doctors need to be paid a decent salary. So what will be the salary of doctors in 2019, will it really be increased or will this time have to be content with indexation.

Games with the salary part of the salary and hours of work

Some healthcare professionals joke about the pay cuts since the last raise. According to the documents, wages have increased, but in reality, at best, they have remained the same. This effect was due to the simultaneous increase in salary while reducing the variable part of the salary, as well as the redistribution of bonuses and rewards. As a result, salaries actually increased, but in fact some of the medical workers turned out to be the losers.

Do not forget that the reported increase in the salaries of physicians was partly “due to” the increase in the workload. With an increase in the number of working hours and night/weekend/holiday shifts, wages also increased. At the same time, there was a slight reduction in staff, so that everyone had enough work. Within one institution, the number of employees who left is small, but nationwide, about 90,000 employees of state medical organizations have moved to commercial clinics or other jobs.

Declared 180% and actual salaries

The idea was correct, it was assumed that by 2017 the salary of doctors would reach 180% of the average for the region. By 2018, the figure was supposed to reach 200%, while for middle and junior medical personnel the salary is planned at 100% of the average for the region.

The same 180-200% can be really real numbers in all reports and statistics. Just do not forget that in fact, a salary 2 times more than the average for the region of residence in rubles can be quite modest. In addition, the crisis situation in the country affected the incomes of workers in all areas, which in some cases led to a drop in their salaries. As a result, the average salary also fell, so most of the 180% indicator appeared without a real increase in the income of doctors. That is, their payments were not so much increased, but the average indicators for the region “sank”. At the same time, one should not forget about manipulations with the growth of the salary without an actual increase in wages.

The salaries themselves are not as high as many people think. Official statistics are far from being as accurate, especially in terms of reflecting the income of citizens. In fact, most medical workers receive a salary of about 20-35 thousand rubles. Moreover, the smaller figure is the income of junior and middle staff, and the doctors themselves receive a little more. This does not mean that almost all doctors have a salary of 35,000 rubles, such payments still need to be “earned”. However, there are those who receive more than 50 thousand rubles.

According to statistics for 2017, a rather low salary of doctors with all sorts of additional payments was recorded in a number of regions. For example, we can consider 5 regions and republics in ascending order of income:

Kalmykia - 27.3 thousand rubles
North Ossetia - 28 thousand rubles
Ulyanovsk - 30 thousand rubles
Penza - 33.4 thousand rubles
Samara - 35 thousand rubles

At the same time, in the capital, a simple therapist may well receive more than 60 thousand, and if we take the average income of doctors in some regions, including the Moscow region, then the amounts are quite large. For example, consider the average salary of doctors in both capitals, Chukotka and Khanty-Mansi Autonomous Okrug - the amount turned out to be about 117 thousand rubles. At the same time, many will immediately say that such amounts are indecently large, while other doctors are paid 30 thousand rubles each. The inequality of salaries is really present, but still does not reach such values - the size of average incomes is affected by the accruals of chief physicians, neurosurgeons and other highly paid specialists.

Planned salary increases and real budget opportunities

A few years ago, the so-called "May decrees" appeared. With regard to these orders, the salaries of medical workers must be increased over a long period of time by an indecently large amount of interest. Initially, it was planned to systematically increase the income of doctors to a solid size, so convincing that doctors would not have to recruit many part-time jobs while maintaining a high standard of living.

It is clear even to people who are far from the sphere of economics that the money for the salaries of medical workers in state institutions comes from the budget. After an endless stream of crisis phenomena and such a rapid fall in the cost of oil, much less money began to flow into the budget. If the situation had been short-lived, then problems could have been avoided, but oil prices have remained low for too long, so many forecasts are not destined to come true.

In order to implement the planned increase in the salaries of doctors in 2019, it is necessary to find 95.5 billion rubles in the budget of "free" ones. A similar measure in 2020 will require another 170 billion rubles. There is a law, but there is no money for its implementation, and for quite objective reasons. The issue of raising the salaries of doctors is suspended, according to the law, an increase is required, but it is highly likely that additional regulations will appear that will postpone the implementation of the plan to a later date. At the same time, no one forbids hoping that the situation will urgently improve, large revenues will begin to flow into the budget, and wages will increase in the previously promised periods.

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ORDER of the Ministry of Health of the Russian Federation dated 24-02-98 48 ON THE PAYMENT OF HEALTH WORKERS IN THE RUSSIAN FEDERATION (2020) Relevant in 2018

4. Increase in salaries (rates)

4.1. In connection with hazardous to health and especially difficult working conditions:

4.1.1. The salaries (rates) of employees of institutions (structural divisions) for the treatment of patients with AIDS, HIV-infected, leprosy, mentally ill, tuberculosis patients and other institutions (structural divisions) with hazardous to health and especially difficult working conditions are increased by 60, 40, 30 , 25 and 15 percent according to the List approved by the Ministry of Health Russian Federation in agreement with the Central Committee of the trade union of health workers of the Russian Federation (Appendix 3 to this Order).

A specific list of positions of employees whose salaries (rates) are increased due to the presence in their work of hazardous to health and especially difficult working conditions provided for by the specified List is approved by the head of the institution in agreement with the elected trade union body;

4.1.2. Employees of other institutions (divisions) not provided for by the List, involved in consultations, examinations, medical care and other work, in the institutions (divisions) specified in clause 4.1.1, are paid for the hours actually worked, taking into account the increase for work under special conditions.

4.2. Other upgrades:

4.2.1. The salaries (rates) of employees of hospitals for war veterans and special departments of hospitals (provided that these departments are used by at least 80 percent for the treatment of war veterans and persons equated to them in terms of benefits), as well as Rehabilitation Therapy Centers for soldiers - internationalists are increased:

4.2.1.1. medical and pharmaceutical workers - by 15 percent;

4.2.1.2. other workers - by 10 percent.

4.2.2. Salaries (rates) of employees of orphanages, as well as medical workers of orphanages and boarding schools for orphans and children left without parental care, including medical workers who are on the staff of medical and preventive institutions, exclusively engaged in servicing children in these institutions education, increased by 20 percent.

4.2.3. Salaries of medical and pharmaceutical workers of medical and preventive and pharmaceutical institutions serving workers and employees of timber industry enterprises, forestry enterprises, chemical forestry enterprises and floating enterprises, including lumber stations and the lower salaries of timber processing plants and timber processing plants, are increased by 15 percent.

The list of these institutions and positions is established by the ministries of health of the republics within the Russian Federation, main departments, departments, departments, health committees and medical and sanitary services railways together with the relevant elected trade union bodies.

4.2.4. The salaries of medical and pharmaceutical workers serving the builders of new railways, main pipelines, workers involved in the transportation of oil and gas, as well as the development and operation of offshore facilities on the continental shelf, are increased by 15 percent.

4.2.5. The salaries of gold receivers are increased by 15 percent.

4.2.6. In all cases where, in accordance with the specified section of the Regulations and the current legislation, an increase in salaries (rates) of employees is provided for in percentage terms, the absolute amount of each increase is calculated from the salary (rate) without taking into account other increases, allowances and additional payments.

The salary of doctors is one of the hot topics discussed today in society, because, despite the importance and demand for this profession, the remuneration of medical workers remains quite low, and even the government’s promise to raise the salary of doctors from January 1, 2019, as evidenced by the latest news, cannot stop the outflow of frames.

Is it worth waiting for the situation to improve, and what will be the salaries of doctors next year? We offer to understand the problems of financing and the peculiarities of calculating the wages of a health worker.

Games with the salary part of the salary and hours of work

Salaries of doctors in 2019 will take place in a new way

Veronika Skvortsova, who heads the Ministry of Health, said that the government will fulfill its promise to medical workers: their salaries will be significantly increased, and they will average 66,000 rubles. The latest November news indicates that doctors should hardly hope for an increase of up to 180% of the average salary.

Some experts are really sure that accrual will take place in a new way, because reserve funds allow this. Others believe that there are not enough funds in the budget for a significant increase in salaries. In any case, indexation from January 1, 2019 will be at least to compensate for the damage caused by inflation.

Physicians are waiting for a salary increase from January 1, 2019

The salary of a physician consists of:

salary;
additional accruals (load, complexity, intensity);
allowances (length of service, category);
compensation.

Only salaries are indexed, and after their increase in 2019, the salary of a physician should be 80% of the average in Russia. In the budget for 2019 - 2021 laid the growth of salaries of medical workers in:

6% - 2019;
5.4% - 2020;
6.6% - 2021.

Not all employees of medical institutions will receive a 6% increase in wages. For example, technical staff are not doctors, and their earnings are formed by the head physician or director. From January 1, you can count on a raise:

doctors;
junior, middle medical staff;
obstetricians;
nurses;
paramedics;
instructors;
laboratory assistants;
orderlies with sisters-mistresses.

Previous attempts at reform

It is not the first time that the question of increasing the income of health workers has come up. According to the "May Decrees" signed by the President 5 years ago, by 2017 the income of doctors should have reached a record 180% of the average income in the region, and by 2018 - all 200%. And, although most doctors did not experience a real increase in income, beautiful figures appeared in the reporting documents of the industry, confirming the implementation of the reform.

In real life, doctors are faced with the so-called "optimization", in which there was:

job cuts;
consolidation of sites and entire departments;
increase in processing hours and the number of night shifts.

Thus, the workload on the doctor has increased significantly, which naturally does not contribute to improving the quality of the work of a specialist, and incomes, at best, have slightly increased or remained at the same level. At the same time, for doctors who remained to work in the same working regime, the income remained approximately within:

27,000 - 35,000 rubles for doctors;
about 20,000 rubles for junior and middle medical staff.

Of course, there are also regions in which the salary of doctors can really be called decent. These include Moscow, St. Petersburg, Sakhalin and the Khanty-Mansiysk Okrug. The highest incomes, reaching 117,000 rubles per month, are recorded in Chukotka.

What to expect in 2019?

Talk that the salary of doctors should increase significantly in 2019 according to the same “May decrees” is encouraging, but the latest news in the economic sphere suggests that the chosen path will not be simple and easy. Such negative events as the fall in oil prices and the imposition of economic sanctions undermine the country's economy, and in fact the financing of the medical sector is fully assigned to the budget. At the same time, it must be remembered that the planned increase in payments to employees of state medical institutions by 2019 will require an additional 95.5 billion rubles from the budget, and by 2020 - another 170 billion.

Naturally, no one canceled indexation, and from January 1, 2019, the salary of doctors is increased by 5.5%, which will not even cover the projected increase in prices for various groups of goods.

It is difficult to say whether the promise of a significant increase in wages will be realized. Most likely, this law will add to the list of projects that are destined to remain only on paper, and by the beginning of the new calendar year there will be a list of amendments that will postpone the fulfillment of the promise to more distant dates. How would you like this assumption to be wrong?

Published on 24.08.18 17:12

Salary increase for state employees in 2018, latest news: teachers and doctors in 2018 are expected to receive an increase in salary in September.

Last year, the head of the Ministry of Labor last year said that in 2018, budgetary organizations would increase wages. Some time after this statement, the head of the Ministry of Finance stressed that the increase would take place in stages.

Starting from the new academic year, all budgetary organizations will begin to receive more money. It is also reported that wage increases intkbbee pay will affect not only teachers, but also medical workers. In turn, everyone who works in a cultural institution and other municipal organizations will receive 15% of their basic salary, and young teachers and class teachers will receive five thousand rubles in addition to their salary.

Last spring in Russia there was an increase in the minimum wage to 9,489 rubles. Also, the authorities promised to increase social benefits, including: pensions, benefits, maternity capital. Teachers will also receive a salary increase, which they will be able to experience from 1 September. As a result, the minimum wage will be 11,163 rubles.

The average earnings of all budgetary organizations will increase by 15%, and this exceeds the expected inflation by almost 3.5 times. Depending on the size of the increase in the minimum wage, the salary of state employees will depend, and this applies not only to teachers, but also to technical and administrative staff.

Primary school teachers will receive a salary increase of 10%, for senior school teachers the increase will be 24%. In addition, they will be paid bonuses ranging from 3 to 20%, depending on the size of the minimum wage.

Teachers will also be given the opportunity to undergo an annual medical examination free of charge. They will also be given vouchers to various boarding houses and sanatoriums. The trade union will be responsible for this.

High-quality medicine is not the last stone in the foundation of the country's welfare. Therefore, doctors themselves are forced to study a lot, constantly undergo advanced training and work hard to ensure the good health of citizens. That is why the government provides and develops all kinds of measures to support this category of specialists, both in the form of wage increases and in various non-material forms.

Normative base

The May decrees of the head of the country, which were presented in 2012, contained items on the salaries of doctors in the coming years. Rosstat testifies that the President has more than fulfilled all his obligations to doctors and other medical staff in Russia:

the average salary of an average medical worker is 72,000 rubles. (as of January 2018);
for the annual period as a whole, the salary indicator is 36,000 rubles;
representatives of junior medical staff earn an average of 33,500 rubles.

Of course, the above salaries for physicians are not valid in every region. However, in many subjects of the Russian Federation, the salary of a medical specialist allows you to lead a decent life. The main regulation on this issue is Decree No. 597 of May 7, 2012 “On the implementation of social policy”. The standard refers to the measures that will be taken in order to increase the salaries of medical professionals.

Salary and salary - what will they still increase?

Even at the end of 2017, Rosstat said that the order given in the last paragraph was practically never and never executed anywhere. According to the data obtained during the study, it can be concluded that only in 16 regions of the country, doctors were provided with a decent standard of living according to 2017 data. However, already at the beginning of 2018, there were statements from many subjects about increasing the remuneration of medical workers by almost 200%.

As in any other area of labor relations, wages are formed from the salary and incentive amounts. The salary is usually represented by a small amount, which is barely comparable to the living wage or. The increase happened just by increasing the amount of incentive payments.
Traditionally, their size is influenced by several fundamental factors:

worked experience;
class work;
the nature of the employment;
region of residence;
the number of hours worked;
type of medical facility.

The distribution of payments is carried out mainly by the heads of individual institutions. Part of the increase in overall income is due to the fact that many doctors began to earn more through overtime and part-time jobs in the face of a shortage of staff.

The dependence of the amount of earnings on the region

An important role is played by the territorial subject of the Russian Federation in which the physician lives. In order to comply with Decree No. 597 and developed on its basis, many managers use tricks and indicate false data in official documents (for example, they note part-time work, while a specialist works “full-time”, or equalize the income of nurses with paramedics and even nurses).

As a result, we can conclude that the requirement to comply with a certain level of wages is met exclusively in the Russian capital, Moscow, where the minimum wage is 68,000 rubles, and the average is 136,000 rubles.

current salaries for doctors

External pressure on the country and its economy could not remain without consequences in the form of a crisis, so the 200% increase in income in medicine was largely offset by the crisis. real data look like this:

according to the results of the first half of 2018, the average salary of doctors is 52,900 rubles;
income of doctors of the average level - 29,400 rubles;
junior specialists receive 19,400 rubles;
leaders in terms of salaries received by medical specialists are the following regions: Nenets Autonomous Okrug, Far Eastern Federal District, Chukotka;
the "weakest" levels of income are doctors performing official duties in North Ossetia, Kalmykia.

Despite the absence of a practical increase in wages up to 200% of the average for the region, they still continue to grow. Further increase planned for 2019. Especially, "lagging" regions expect such good news.

Doctor's salary at the end of 2018

At present, the conditions for increasing incomes to 180% of the current average level have not been created. There is an assumption that at the end of 2018, the average monthly salary of a physician will be 66,000 rubles. Nevertheless, the authorities promise to do everything possible to increase the salaries of medical staff in the coming months and to fulfill the norms of the "May" decrees of 2012 at the beginning of 2019.

Nurse salary

Income growth for nurses is unlikely to reach 80%. Although, as the requirements of the decrees testify, this indicator should equal the mark of 100%, i.e., become identical in all regions of Russia.

Junior medical staff salary

The salaries of junior staff members are also expected to increase. However, as the practical side of the issue shows, not all regions have the opportunity and appropriate resources to achieve these goals and objectives.

How are healthcare workers' salaries determined?

There are several constituent elements directly related to the average:

salary(this is the main part, although in practice it may be small and amount to only 20% of the total income);
support payments(they are charged for processing, excessive loads, process intensity and difficult conditions);
allowances(they mainly rely on the length of service and the working qualification category);
compensation and regional amounts(paid for the subjects of the Russian Federation separately).

Indexation affects mainly salaries, but in practice it is auxiliary payments that play a significant role.

Prospects for salary growth

Indexation by predictive standards will be 4% of the salary. The head of state also said that by the end of 2018, the average salary of doctors should be 200%, and junior staff - 100%.

The President himself is convinced that the foundation for these changes has already been laid, and the first steps have definitely been taken. By the end of 2018, there is a gradual achievement of targets. As for the practical picture, the salaries of specialists are uneven and variable across regions.

Putin's promises

In March 2018, it was reported in the news that the goal of the government at all levels is to raise the salary level of doctors to 200%, and representatives of junior staff to 100% of the average values for the subject. The president also interviewed the heads of several medical institutions in different regions about their satisfaction with the standard of living, and they gave positive answers, saying that salaries had indeed increased. Along with this, plans and prospects for further work aimed at changing the size up were discussed.

Increasing the level of income of physicians from the FFOMS

From the side of the chairman of the fund associated with compulsory health insurance, an unambiguous promise was made regarding the further increase in the salaries received by medical specialists. It was guaranteed that within the framework of 2018 all these conditions would be met, because the budget of the MHIF is formed and will provide many opportunities for improving the level of salaries of doctors in the near future.

During the first reading, the deputies working in the State Duma adopted a bill, according to which for the planned period (in the next 2 years) the fund's income will equal the mark of 1.888 trillion. r., and in 2018 it should amount to 1.993 trillion.

This is not the first time such promises have been made in the MHIF. Along with this, an alternative opinion reigns in the Accounts Chamber. Auditors believe that the insurance service is simply overestimating its own capabilities.

The Government of the Russian Federation initially planned to increase the salaries of senior medical personnel by 7.5%, and after that - up to 180% (until October 1, 2018). Putin himself said that by the start of the 2019 annual period, doctors' salaries should be equal to twice the average for the region, while junior employees will receive 100%. But some regions received appeals related to an acute budget deficit, as well as requests for help.

According to the statements of experts working in the independent monitoring fund called “Health”, based on the analysis of information from Rosstat, it can be concluded that the targets were not achieved either in 2016 or 2017. Accordingly, the same dynamics should be expected in the 2018 annual period. Despite the loud assurances of the authorities about the achievement of the desired indicators, in practice there are other, opposite conditions.

The Russian government promises that by the end of 2018 there will be a significant jump in the salaries of medical specialists.

However, real data show the opposite picture. Despite this, the state is taking all sorts of measures aimed at raising the level of wages and improving the quality of life of medical and healthcare workers. This figure depends on several factors. First of all, we are talking about the region of residence, the qualification level, the number of hours of work of a professional.

The next story is devoted to the issue of raising salaries for health workers and the timing when this should happen.