Golodets: doctors' salaries will not decrease after a sharp increase at the beginning of the year. Salary increase for doctors: myth or reality

The requirements of the May decrees that the salary of doctors in 2018 should be at least twice as high as the average regional salary remained on paper for the objective reasons of the unexpected crisis.

As they say in professional slang, the bottom line from the salaries of doctors, which shows Rosstat at the federal and regional levels, remains:

• According to the results of the first half of this year, the average salaries of physicians are 52.9 thousand rubles. Which is almost 4 thousand more than last year;
• the income of medical specialists of the middle level is 29.4 thousand, and the junior one is 19.4 thousand rubles. And at the end of last year, their salaries were at the level of 28.0 thousand and 17.5 thousand rubles, respectively;
• at the same time, doctors practicing in the Northwestern Federal District now have the highest salary of 66.4 thousand rubles. Here the leadership belongs to the Nenets Autonomous Okrug - 130.1 thousand rubles. In second place is the Far Eastern Federal District, although Chukotka is the leader in terms of income, where the Aesculapius receive 144.1 thousand rubles;
• as for the most low wages, then with salaries of 28.4 thousand rubles, North Ossetia-Alania distinguished itself. And also Kalmykia - 29.9 thousand rubles;
• for comparison, doctors in Moscow earn 90.1 thousand rubles.

Physician salary in 2018

Apparently, one should not hope that the salary of doctors in 2018 latest news, by the way, confirm these fears will not increase significantly, as it is written in the May decrees. Although, according to the head of the Ministry of Health M. Skvortsova, the government intends to fulfill the promise given to doctors, in October of this year, the salary of doctors should be at the level of 180 percent of the national average, and by the end of the year in kind it can reach 66 thousand rubles.

Meanwhile, the expert environment, as always in such cases, is divided into almost equal parts. When some analysts claim that the accumulated reserve funds governments will soon allow fulfilling the requirements of presidential decrees, and the salary of a doctor in 2018 should be twice the national average, especially on the eve of elections, this is quite appropriate. While others, on the contrary, say that the accumulation of funds is not so large as to implement the decrees.

But some and others agree on such a scenario for resolving the problem, that the increase in the salaries of doctors in 2018 will be implemented in the form of indexation of their salaries in proportion to the damage done to the income of doctors from inflation.

Nurse salary in 2018

Earlier in the review, it was indicated that by October this year - the beginning of 2018, doctors will receive within 180 percent of the average federal revenue, while the nurse's salary in 2018 will barely reach 80 percent. Although, at the request of the decrees, it should be equal to 100 percent, that is, it should be the same as average pay around the country. If the income of doctors is only one-tenth behind the schedule for increasing salaries, then for the average medical staff this lag is equal to one-fifth of their income, which is clearly unfair to the latter.

Even if we make a cursory analysis of the income of nurses by regions, the differentiation of their salaries is more striking than that of doctors. Which is also an element of an unequal attitude to the work of doctors due to the different level of their income depending on a particular region, with the same professional duties.

nurses salary 2018

Salary medical workers in 2018, both from a moral and ethical point of view, it should be increased at least for junior staff - orderlies and nurses of medical institutions that have the lowest incomes. And here regional support is indispensable, if only for the reason that not all regions have the financial resources to increase the salaries of junior medical staff, even those working in rural areas, where their incomes are minimal.

It remains only to envy, for example, German nurses, where they pay 800 rubles per hour to care for a sick or infirm person in terms of rubles.

Salary increase for doctors in 2018

As a result of the review of the probability of increasing the salaries of doctors in 2018, it should be said that most likely it will not be so much an increase, but an indexation of income due to the damage associated with inflation. As for the size of the indexation itself, it will be within 4 percent of the salary.

Perhaps you will be interested.

The salary of physicians 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.

Relevance of the problem

Of course, the problem of low wages is relevant for many areas dependent on public funding. But, the salary of doctors requires special attention from the leadership of the Russian Federation in 2019, because the path from an applicant to a medical university to a highly qualified specialist in the field of medicine is very long and today there is an acute shortage of personnel in state medical institutions in the country. Experienced doctors are looking for more profitable jobs in private clinics and abroad, while young people are in no hurry to apply to medical universities, clearly understanding that after a difficult and lengthy education, they will be responsible and hard work with low wages.

There is a way out, and it lies in the reform, part of which is a new decent salary for doctors, designed to bring a tangible improvement in the well-being of doctors already in 2019, as well as other measures aimed at increasing the prestige of the profession.

Physician payroll

The salary of a health worker, as in many other areas, consists of the following components:

• salary;
• additional payment for the intensity of work;
• allowances for seniority and category;
• regional allowances and compensatory surcharges calculated taking into account the corrective coefficients adopted for a number of regions of the Russian Federation;
• bonus payments, overnight, overtime, etc.

At the same time, only the first parameter is subject to indexation - the rate (base salary), while the size of the variable component of a doctor's real income in many state institutions is falling sharply, which is noted by the doctors themselves.

Of course, if we take the statistics of large medical centers in Moscow, St. recent years More than 90,000 specialists have left medicine, which is a confirmation that the problem exists and requires an immediate solution.

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 were 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, of course, 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 Khanty-Mansiysk Okrug. The highest incomes, reaching 117,000 rubles per month, are recorded in Chukotka.

What to expect in 2019?

Talk about the fact 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 the price of oil and the imposition of economic sanctions undermine the country's economy, and 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 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?

Olga Golodets, Deputy Prime Minister of the Government of Russia Photo: LiveJournal

Employee salaries public sector, including physicians, which increased sharply at the beginning of 2018, will remain at this level and will not decrease, Deputy Prime Minister Olga Golodets promised.

“Salaries will definitely not decrease. Indeed, in accordance with the May decrees of the President of 2012, 12 groups of state employees were controlled in 85 constituent entities of the Russian Federation ... January was the last date when everything. Those who had not fulfilled some indicators before had to fulfill them,” she said, answering the question whether the salaries of state employees would decrease after a sharp increase at the beginning of the year.

Russian President Vladimir Putin spoke about the fate of doctors' salaries, though not as confidently as Golodets. “Of course, as the level of wages in the regional economies rises, the government will strive to ensure that the level achieved (the salaries of doctors) does not decrease, but, on the contrary, only goes up,” he said during a visit to the National Medical Research Center. V.A. Almazov.

In addition, on March 15, the government decided to allocate 20 billion rubles to the regions to raise salaries for public sector employees. This is due to the fact that from May 1 minimum size pay should be equal to living wage, which is 11.1 thousand rubles.

As previously reported by the media, salaries have increased significantly in a number of scientific institutions and hospitals in the past three months. For example, one of the doctors of the Moscow City Clinical Hospital. S.P. Botkina said that salaries in the medical institution have doubled. Information about a sharp increase in salaries was also received from employees of the Federal Research Institute of Eye Diseases. Helmholtz, as well as from employees of regional medical institutions.

Presidential spokesman Dmitry Peskov attributed the sharp rise in wages to the upcoming elections.

According to the May decrees of the President of Russia Vladimir Putin signed in 2012, by the beginning of 2018 the salary of doctors is 200% of the average for the region in which they work, and junior and middle medical staff - 100%.

On the sharp increase in the salaries of health workers Rosstat at the end of February: average earnings doctors, for example, added 16 thousand rubles. But they still failed to achieve the targets: at the end of November 2017 (Rosstat has not yet provided more recent data), the average salary in the country was 38.8 thousand rubles. Thus, according to the May decrees, at the beginning of 2018, the average salary of doctors was supposed to be at least 77.6 thousand rubles, but at the end of January this figure reached only 72.4 thousand rubles.

Contrary to what Olga Golodets made at the beginning of March 2018 that the May decrees were implemented in almost all regions, some subjects did not reach the targets. For example, the average salary in the Nizhny Novgorod region in 2017 was 43 thousand rubles. It turns out that the average salary of doctors in the region should now be 86 thousand rubles, however, according to Rosstat, this figure is only 57.9 thousand rubles. The Republic of Karelia also lags behind, where the average salary in the region was 43.4 thousand rubles, and the average salary of doctors - 67.3 thousand rubles, as well as the Belgorod region - 35.2 thousand rubles on average in the region against 55.4 thousand rubles for doctors .

Doctors perform an incredibly difficult and responsible job. Protecting the health of people is a difficult task that requires adequate remuneration. After all, every person wants to receive a salary equal to the efforts made at work. This is especially true for medical workers, who, before starting to treat people, go through a long period of training and all kinds of low-paid or completely free internships.

Unlike private clinics, public health workers complain not only about inappropriate working conditions, but also about low wages. Domestic doctors are not inferior to foreign ones in knowledge, but wages, as well as the level of respect in society, are many times higher for the latter.

How is the salary of doctors formed?

The government drew attention to the current situation with the salaries of medical workers. Promised in 2019 carrying out large-scale work to popularize the profession, and the salary level should be indexed by 6%.

There are several stages, after which banknotes fall into the hands of a medical worker:

1. The standard salary established by the state medical institution. Each physician receives it, the size varies depending on the position held.
2. Increases for the complexity of the work performed and the load to be carried. This type is most common in surgeons who spend hours on the operating table. The body is at the limit of its capabilities all this time, so after the operation, doctors need to have a good rest.
3. Influence of the category of doctor: second, first and highest. Behind last size allowances is the most significant.
4. Work experience. If a doctor has spent more than ten years in medicine, he is entitled to promotions for long service.
5. Inflation compensation. Usually this is a one-time increase in the salary of all categories of employees in the country. It is no more than 5%, depending on the degree of inflation.
6. Dependence on the region. Each subject of the Russian Federation has its own economic situation. Somewhere the standard of living will be much higher than in other regions. In such cases and government agencies establish minimum salaries with the expectation that employees can pay for transportation, food and other essential needs.

As a rule, when it comes to indexations and raises, this applies only to the first item listed: salary.

Doctors receive the bulk of their income not from salaries, but from bonuses and compensations.

Just these additional payments very easy not to see at the end of the month. After all, their presence does not depend on the state, but on the desire and capabilities of the immediate head of the institution.

Growth prospects

The salary of employees of the state medical sector in 2019 is calculated as follows:

• for doctors, salaries should be three times higher than the average salary of other workers in the region;
• for junior and middle medical personnel, salaries will be increased by 100% of the average salary in their region, that is, twice.

The Russian government also states that progress has already been made in certain areas on this issue: in 2019 part of state doctors will receive an increase of 200% of their previous salary. This gradually brings the indicators closer to the desired mark.

IN state budget for 2019 there is a column responsible for raising salaries for medical workers. Thus, the government is working not only to increase the prestige of the profession, but also to improve the quality of medical services provided. After all, the better compensation they receive for the time and effort spent, the more comfortable they are to do their job.

Moreover, in many public hospitals and clinics now not enough staff, which leads to significant processing. The increase in appropriations should attract new professionals without having to lay off those already employed.

There was also a comment about uniformity of payments received. It's no secret that salaries in Moscow and St. Petersburg are much higher than salaries in other regions. However, there are sometimes gaps between them. According to the current policy of the authorities, salaries will be equalized to such a level that they correspond to Moscow and St. Petersburg.

The current situation with the remuneration of medical workers

The veracity of government statements is regulated by the real situation in the workplaces of doctors.

Many doctors point out that their real income actually fell, although salaries are, indeed, gradually increasing.

This is due to the above reasons: the main income of physicians is received not from salaries, but from bonuses. Also, many work part-time in an additional position.

Doctors receive compensation for working conditions, overtime, and bonuses. Together with the state requirement to raise salaries, medical institutions did not receive money for this. There was only one way out: the basic salary was increased, and allowances and bonuses were reduced.

Using the position of a therapist as an example, you can see how the salaries of doctors differ from region to region:

• in Moscow, a therapist receives 90,100 rubles a month;
• already in the region, this amount has decreased to 45,000 rubles;
• in Kalmykia, therapists are paid 29,900 rubles;
• The Leningrad region is paid lower than the Moscow region: 40,000 rubles.

The statistics are not really a reliable source. Indeed, when summarizing data for one profession, not only state clinics and hospitals are taken, but also expensive private institutions in which the same therapist receives many times more money. Thus, the real average salary of state employees is even lower.

For comparison, in USA average salary of a therapist in terms of rubles will be 415,000, in Europe - more than 200,000 rubles per month.

As for the younger medical personnel, then their average income is 20,000 rubles. Physicians in certain regions receive slightly more: total 30 000.

A number of regions have also distinguished themselves by the fact that the wages of medical workers with a complete higher education, despite official statements, have actually decreased. The least amount of money is received as payment for the performance of their duties in Kalmykia: The average salary of a doctor is 27,000 rubles. Samara, Penza and North Ossetia are not far behind: from 28,400 to 29,900 respectively.

Changes and indexing

Many experts conclude that on the eve of the presidential elections, workers the medical field can really expect a salary increase. The average salary in 2019 is 52,900 rubles.

As a rule, a significant increase in salaries accompanied by a wave of mass layoffs. At the same time, doctors often do not have enough free hands. Although part-time doctors (and this is almost all Russian state doctors) will receive half the money than before.

So far the government cannot give specific dates for the increase wages , as well as their new sizes.

In 2019 it happened salary indexation by 6%. This increase only compensates current level inflation.

It is important that depending on the region, the level of wages can vary markedly. Both capitals have the opportunity to maintain the level of income of doctors and other workers in the field at a decent level, but in other regions of the country things are far from always so prosperous. If the country's leadership sets the task of leveling these levels, then the authorities of the capital are trying to preserve the privileges of Moscow Aesculapius. Recently, Moscow Mayor Sergei Sobyanin announced that in 2017-2018 the salaries of employees of medical institutions in Moscow will be raised by 40% compared to 2016. In absolute terms, it will be 120 thousand rubles a month in 2018, the mayor promised. The mayor also called on health officials to monitor the workload of doctors. What do we have in reality today? With Muscovites, everything is clear.

Raising the salaries of doctors in 2018: plans and realities

How to live? Dmitry Nikolaenko→Sat, 01/20/2018 — 22:54 #7 Having received my first salary as a resuscitator in 1994, everything became clear to me, with my prospects and the prospects of my family, but since it was a pity to leave the profession, and I love mine work, I had to master a parallel non-medical business and create my own office, while also remaining on the stands in a state-owned enterprise! Income of 500 tr per month seems to me already quite familiar, go for it colleagues and don’t wait for handouts!) Elena → Wed, 01/24/2018 — 04:15 PM #8 No salary increase! The rate remains the minimum! But there is a system of additional payments ... and they throw you a bone before the elections so that you can be taken away at any moment. Everything is at the discretion of local authorities. And they believe that the people should be treated by hungry doctors and nurses.

Salary increase for doctors in 2018

Cool, isn't it?? alina7777777777…→Sat, 13/01/2018 — 22:03 #3 and at my work the doctor received 12 thousand and the nurse 18600. Olga → Fri, 09/03/2018 — 00:31 #4 Envy is a great power! inquisition.
Elena_ 2018→Tue, 16/01/2018 — 18:35 #5 Lies as always!! I also received 20 thousand for 1.5 rates in December. Since 1990 I have been working in my specialty, the highest category.
Mira→Fri, 19/01/2018 — 17:17 #6 Today is 01/19/2018. Forced to write an application for transfer from nurses to cleaners.
Remove all benefits, harmfulness and vacation 14 days. And there is no need to raise wages, as the government promised! Deception! We unlearned to become nurses six months ago. Now with the same volume of work for a lower salary.

The ugly truth about the 2018 pay rise for doctors

Earlier it was noted that the basic salary of doctors has grown by 3 thousand rubles, while the salaries of junior medical staff have increased by 2 thousand rubles, and the average - by 600 rubles. However, people are outraged that, in practice, the increase that has taken place has been concealed by the ever-increasing inflation, when prices for basic goods and services in our country are rising very quickly.

Attention

The assurances of the federal authorities about the priority tasks in terms of fulfilling the obligations assumed earlier are also striking. In this context, doctors are not knocked out of the list. They are promised a permanent improvement in living conditions by raising wages.

The average salary in the hospital: doctors and nurses will share the money of nurses

As a result, the authorities plan to achieve the following ratio:

1. The salary of doctors should be twice the average level in the region.
2. The remuneration of junior and middle medical staff should correspond to the average salary in the region.

The budget for the next year provides for the income of the MHIF at the level of 1.89 trillion rubles. At the same time, the fund's expenses will exceed the milestone of 1.99 trillion. In such conditions, the targeted increase in the salaries of doctors in 2018 is under threat, the Accounts Chamber warns.

In addition to the planned deficit, the fund's real expenses will be higher by 43.1 billion rubles, which will call into question the future indexation of income.

Salary of doctors 2018, increase for medical doctors, employees

IN current year The government has implemented two stages of indexation of doctors' salaries:

• by 7.5% at the beginning of the year;
• up to 180% of the average for the region from October 1 (for middle and junior medical staff, this figure should be 90% and 80%, respectively).

Earlier, representatives of the Ministry of Health noted the structural problems of the current insurance system, which may interfere with the targeted increase in the salaries of doctors from January 1, 2018. Looking for necessary resources The government planned to attract resources for the planned increase in wages for health workers from three sources:

1. MHIF funds (including support from federal budget).
2. Regional finance.
3. Internal optimization (reduction of staff, sale of property, etc.).

The income part of the MHIF is formed at the expense of insurance premiums, emphasize the Ministry of Health.

When will the salaries and salaries of doctors be increased in 2017 and by how much

Important

Internal optimization did not bring the expected savings financial resources(officials planned to finance up to 30% of future wage increases from this source). The number of personnel decreased only by 5-7%, and the plan for the sale of property is not systematically implemented.

Analysts believe that the planned increase in the salaries of state employees (including doctors) in 2018 will lead to a significant increase in the budget deficit. As a result, much will depend on the dynamics of the oil market, which forms the lion's share of the state treasury. Oil factor Growth of oil quotations to 60-65 dollars per barrel.

Physicians salary in 2018

The profession of a doctor cannot be compared with others, given the important role that doctors play in the life of a modern person. It would seem that representatives of this profession should be maximally provided.

But in reality, the picture looks much less optimistic. Doctors are constantly trying to figure out when and by how much their salaries will be increased. Based on the latest news, we can state that in the foreseeable future, namely in 2018, doctors should not count on any serious changes in terms of real wage growth. Appropriate disappointing conclusions can be drawn by analyzing the draft budget Federal Fund OMS for the next year. The Ministry of Health did not hide the fact that there is simply no money to increase the salaries of doctors.

In 2018, there will be another increase in the salaries of doctors, which will ensure the implementation of the May decrees of the President. Officials note that next year's budget provides resources for indexing the remuneration of medical staff.

However, experts believe that imbalances operating system compulsory insurance may jeopardize the ambitious plans of the authorities. Content

• 1 Supplement for paramedics
• 2 Looking for the necessary resources
• 3 Oil factor

An increase for health workers In 2018, the goals set in the May decrees will be achieved. Including the target level, the remuneration of medical staff will be reached, representatives of the MHIF emphasize.
Imagine what these sources might be:

1. Direct funds from the Compulsory Fund health insurance. Most likely, it will be he who will take the main cut, since he serves as the main target medical fund.
2. Additional subsidies from the federal budget.

   Raising the salaries of doctors is a very fashionable measure for the country's leadership before the elections, so infusions of assistance from other budgetary sources are guaranteed.

3. Funds of subjects of the federation. Under the conditions of sanctions and the crisis, there has been a steady trend towards delegating part of the costs from the federal to the regional level.

   It is unlikely that the share of financing salaries will bypass the budgets of the regions.

4. Optimization.

Is it true that salaries for health workers will be raised from July 1?

MHIF was able to form a reserve financial resources, which will be aimed at future enhancement. However, in the future, the authorities will have to choose one of the alternatives:

• adjust contributions to the MHIF, which will provide the fund with the necessary resources;
• increase transfers from the state treasury.

Some regions cannot cope with the planned rate of increase in salaries, which forces local authorities to seek help from the federal center.

Experts from the Health Foundation also emphasize that in many subjects of the federation the targets for 2016-2017 have not been achieved, which calls into question the future increase in salaries. Local budgets should provide a 30% future increase in the salaries of medical personnel, experts say.

And on average across the country, if the task set by President Putin is fulfilled, by the end of 2018, doctors should have a salary of 90 thousand rubles. But there is one big trick here: Starting from 2017, not only state healthcare institutions, but also private sector companies are adding to the common “piggy bank”.

Add to this regional "scissors" - and the picture becomes even more confusing. Now they are officially called average salary doctors 47 thousand rubles.

In private clinics today, the "average" cosmetologist or specialist of a different profile has 90 thousand. A municipal therapist in Ingushetia can only count on 23 thousand a month, while in Yamal-Nenets and Chukotka autonomous regions it reaches 110 thousand (including northern allowances).

Nurses are content with a salary of 20 thousand, and also on average.