Height 102 on increasing salaries for doctors. Latest current news about medical salaries. Will there be a reduction?
The latest news confirms the authorities' intentions to increase doctors' salaries in 2018. President Vladimir Putin emphasized the need to fulfill the obligations set out in the May decrees.
Starting from the new year 2018, Russian doctors (doctors) will have their salaries increased, this is the latest and encouraging news for medical workers. Recently, information has been increasingly heard about the future increase in doctors' salaries, how reliable it is, whether it is true, or is it just another rumor.
Will there actually be an increase (increase) in the salaries of medical workers in 2018, to what level of wages they are promised to be increased, by what percentage will they be raised and to whom exactly - we intend to answer these questions of many interest by summarizing all the official statements of Russian officials, as well as a number of documents.
But at the beginning, we want to remind you of what our government promised for 2017, what salary and its increase, so...
Mrs. Olga Yuryevna Golodets, who is the Deputy Prime Minister in the Russian government, stated that in 2017 there will be two stages of wage increases, namely:
By October 1, it will be raised to 180 percent (of the national average), it is not known immediately or by this day in stages;
Russian President Putin expressed confidence that the Russian authorities will be able to achieve the plan to raise the level of doctors’ salaries to 200% of the regional average by 2018.
“You know that in 2018, the salary level for doctors should be 200% of the regional average, and for junior and mid-level personnel - 100%. I proceed from the fact that we will be able to achieve these indicators,” Putin said during the conversation with employees of the perinatal center in Bryansk. He noted that this figure for doctors is 180%.
The head of state inquired about the level of salaries in the perinatal center, to which the health workers noted that they “don’t complain,” adding: “I wish I could get more.” The governor, in turn, assured the president that, according to the plans of the regional authorities, the average salaries of the medical staff of the perinatal center will be higher than in other medical institutions due to the fact that the third, that is, high-tech, level of medical care is provided here.
In general, speaking about the use of technology and equipment, Putin expressed satisfaction that, for example, in medical institutions, “we have 60% of the equipment, world class, made in Russia, including some devices - this is the result of conversion, some of the equipment is produced at defense enterprises."
According to government reports and forecasts, the implementation of the plan is in full swing, so in 2018, doctors should receive approximately 90 thousand rubles, but there is one caveat - this is the average salary. Since 2017, when calculating the average salary, the salaries of not only government institutions, but also private clinics are taken into account. In addition, data from all regions of the country are taken into account. So it turns out that with an average amount of 45 thousand rubles, the average gynecologist and cosmetologist in private clinics already receive their 90 thousand, but a full-time municipal therapist receives no more than 40,000.
There is a huge difference in the amounts by region, for example, according to the Russian statistical office, doctors in Ingushetia receive 23 thousand, in the capital - 81,000, and doctors of the Yamalo-Nenets and Chukotka Autonomous Okrug live the most comfortably on just 110 thousand rubles. Please note that the latter regions are unlikely to be affected by the long-awaited increase in medical salaries in 2018; a 3% decrease in growth dynamics is already observed.
According to the latest news, the promised 200% increase is postponed to an unspecified date, but the government promises that the year will not change. Increases are planned, but throughout 2018, but what officials guarantee is maintaining the achieved level throughout 2019.
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The level of salaries paid to doctors worries many Russians. Every medical worker hopes for payment that corresponds to the level of intensity and intensity of his work, but hopes are not always justified. The money received is barely enough to pay for travel to work and home, make utility bills, and buy necessary clothing, food, and household chemicals. Not to mention the fact that during the holidays I would like to get my health in order after a busy year of work...
Of course, medical workers deserve decent salaries, because their main mission is to protect the health of Russian citizens, and the professional path of a physician is far from the easiest. At the same time, the level of salaries of health workers does not correspond at all to the realities of the Russian economy. The salaries paid by state medical institutions are far from the level of private clinics, not to mention the salaries of foreign doctors.
The authorities promise that soon the medical profession in Russia will become prestigious and salaries will be high. Will they keep their promise this time?
In 2019, the authorities promised to do everything to ensure that this problem ceases to be relevant, and Russian medicine returns to the number of financially prestigious professions. However, alarm bells regarding the financing of the medical sector have not stopped ringing. Let's talk about what real changes those who have dedicated their lives to protecting the health of Russians can count on.
How are doctors' salaries determined?
The total amount paid to doctors is summed up from the following components:
- direct salary amount;
- additional payments taking into account the complexity of work and intensity of workload;
- additional payment taking into account length of service and assigned category;
- compensatory surcharges and adjustment factors that are adopted in each individual region.
When revising wages for certain categories of employees, only their first component – salary – increases. It is he who is subject to mandatory indexing. However, doctors' base salaries are typically low, and much of their monthly funding comes from bonuses, part-time jobs, and overtime. This is becoming a serious problem, because the indexation of salaries in 2019 will affect their size very little, and the calculation of additional payments today is completely entrusted not to the state, but to the management of medical institutions.
Analysis of the current situation
They promised to raise the salaries of doctors to 200% of the regional average! Let us recall that five years ago the President of the Russian Federation issued the so-called May decrees. According to the orders set out in this document, already in 2018, the level of remuneration for doctors should increase to 200% in comparison with the average regional salary payments.
Regional authorities claim that this order is already being implemented - back in 2017, in most territorial subjects of the Russian Federation, doctors’ wages became equal to 180% of the average regional salary. Olga Golodets, who holds the post of head of the social sphere of the Russian Federation, assured Russians that the country’s budget has allocated funding to further increase the salaries of medical workers, and October 2017 has already been marked by a salary indexation of 5.5%.
However, the increase in wages recorded by statistical agencies is explained by the so-called “optimization”. Many medical institutions today are simply laying off staff, which is causing the consolidation and consolidation of entire departments. According to some reports, in the last five years alone, about 90,000 people who previously worked in public medical institutions have been fired or transferred to other jobs. Those who still hold on to their jobs are forced to work under conditions of ever-increasing workload - working at one and a half times the rate and regularly taking night shifts.
Let's say even more - despite such labor feats, doctors complain about a drop in real income levels. This is because the total amounts are formed by adding the variable and salary parts. Many heads of medical institutions carried out the May decree very simply - they raised salaries and reduced additional payments. Now in most territorial subjects of the Russian Federation, doctors receive about 30 thousand rubles, and junior and mid-level medical staff - about 20 thousand rubles.
So far, as salaries increase, doctors’ real incomes only fall Health workers representing the Jewish Autonomy, the Nenets District, Ingushetia and the Arkhangelsk Region say that they are receiving less than before the “increase” in salaries. Doctors from 25 regions reported that about a thousand rubles were added to their salaries, and Voronezh and Altai doctors amazed the public by declaring that their increase amounted to 32-53 rubles! If you look at the situation from a regional perspective, you can come to the following conclusions:
- The minimum average salary received by doctors in Kalmykia is 27.3 thousand monthly. Ulyanovsk medical workers receive an average of 30 thousand rubles, Samara - 35 thousand rubles, Penza - 33.4 thousand, Ossetian - 28 thousand;
- The situation is slightly better for those who work in Sakhalin and Chukotka, in Moscow, St. Petersburg and the Khanty-Mansiysk Okrug - regional authorities increased the salaries of local doctors by about 6 thousand rubles, and now the average doctor’s income is 117 thousand monthly;
- If we take individual categories of health workers (for example, analyze payments to general practitioners), then significant regional disproportions are visible to the naked eye. In the capital, such a doctor receives about 60 thousand rubles, but as soon as he starts working in the region, his salary immediately drops to 45 thousand.
Alas, these statistical calculations do not quite realistically reflect the current financial situation in Russia. Since 2017, employees of this department have jointly calculated the average salary of doctors who work in clinics of all forms of ownership. At the same time, salaries in a city hospital are significantly lower than in private medical institutions. Well, if we compare with payments accrued to foreign doctors, the situation looks completely deplorable - for example, American therapists earn on average 416 thousand rubles, French ones - 200 thousand, and German ones - 225 thousand rubles.
The government comments on the situation with regional imbalances, explaining it by high premiums in the northern regions. Well, the rest of the doctors need to deal with local authorities, since the federal budget is formed every year taking into account the increase in salaries. The maximum that can be done is to split the increase into two parts: first, salaries will be increased at the federal level, and then at the regional level, taking into account local coefficients.
We also note that the head of the Ministry of Labor, Maxim Topilin, assured the public: in 2018, the federal budget will allocate 80 billion rubles to finance the salaries of health workers. He mentioned the “capita standard” (the amount allocated per year for each person assigned to a medical institution under a health insurance policy), which is planned to increase by 21.7%. As a result, this will cost the treasury about 333.2 billion in national currency.
Given the problems with financing the Mandatory Medical Insurance Fund, it is possible that the government will refuse to implement the May decrees In the latest speech by Anton Siluanov, who heads the Ministry of Finance, it was said that on average the salaries of public sector employees will increase by 23%, and the planned growth by industry will reach 4.1%, that is, salaries will be adjusted to take into account inflation. Thus, by the beginning of 2019, all financial obligations set out in the May presidential decrees will be fully fulfilled. As a result, average medical staff are guaranteed payments identical to the national average, while highly qualified public sector employees (doctors) receive salaries twice as high as the average.
Let us remind you that the salaries of employees financed from the Russian budget will be increased in two stages - the first (by 4.1%) will take place in October 2018, and the second (by another 4%) in October 2019. The minister said that as a result, state employees will receive an increase that will be significantly higher than inflationary manifestations.
The capital's mayor reported that in 2017-2018, salaries of health workers increased by 40%. Already in 2018, the average salary will be 140 thousand rubles, which is 2 times higher than the average monthly Moscow salary! However, the health workers themselves deny such information - they say that the average salary for their work in the capital is 64.73 thousand rubles. However, the government allocated 500 billion rubles for a three-year wage indexation, of which:
- 196.6 billion – in 2018;
- 219.5 billion – in 2019.
It should be noted that there are some rather alarming news that appeared in the media not so long ago. We are talking about problems with financing the Compulsory Medical Insurance Fund, which is replenished from contributions from wages of employees. According to plans, the Fund should be replenished by 1.89 trillion rubles in 2018, by 1.93 trillion in 2019 and by 2.1 trillion in 2020.
However, now the government believes that this is not enough. Already at the beginning of 2019, the Fund will reach a state of deficit. To cover it, it will be necessary to allocate 95.5 billion rubles from the budget in national currency, and in another year - to finance 170.4 billion rubles. Auditors of the Accounts Chamber came to the conclusion that already in 2018 the Fund will not have enough money to pay salaries to health workers, and the amount of the shortfall will be 43.1 billion rubles.
Previously, doctors were informed that it was the Fund’s reserves that would ensure an increase in their salaries. Now there is not enough money for the May decrees, since this Fund must finance, first of all, the purchase of equipment to provide high-tech medical care. As a result, the former head of the Ministry of Finance, Alexei Kudrin, proposed suspending the implementation of the May decrees so that the increase in salaries would not lead to a decrease in expenses for the purchase of medicines, ordering the latest equipment and repair work.
Some government members have proposed increasing insurance premiums charged to the wealthiest Russians. It is quite possible that this will help resolve the issue of increasing salaries for doctors. Statistical departments, having combined the salaries of public and “private” doctors when calculating the salaries, will ultimately receive an average figure for the Federation in the amount of 47-50 thousand rubles per month.
However, in reality, this can be achieved in a simpler way - through massive layoffs and an increase in the number of rates per health worker. Naturally, a doctor who works two hours will receive twice as much. Another question is how will this increased intensity of work ultimately affect patients and the quality of their treatment, or the health of the doctor himself?..
Doctors perform incredibly complex and responsible work. Protecting people's health is a difficult task that also requires adequate remuneration. After all, every person wants to receive a salary equal to the efforts they put in at work. This is especially true for medical workers, who, before starting to treat people, undergo a long period of training and all sorts of low-paid or even free internships.
Unlike private clinics, government workers in medical institutions complain not only about inappropriate working conditions, but also about low wages. Domestic doctors are not inferior to foreign ones in knowledge, but the latter’s wages, as well as the level of respect in society, are many times higher.
How are doctors' salaries determined?
The government drew attention to the current situation regarding salaries of health 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:
- The standard salary established by the state medical institution. Every physician receives it, the size varies depending on the position held.
- Increases for the complexity of the work performed and the loads tolerated. This type most often occurs in surgeons who do not leave the operating table for hours. The body is at the limit of its capabilities all this time, so after the operation doctors need to have quality rest.
- Influence of doctor category: second, first and highest. For the latter, the premium is the most significant.
- Experience. If a doctor has spent more than ten years in medicine, he is entitled to incentives for years of service.
- Inflation compensation. Usually this is a one-time increase in the salaries of all categories of employees throughout the country. It is no more than 5%, depending on the degree of inflation.
- Dependence on 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, government agencies also set minimum wages with the expectation that employees can pay for transportation, food and other vital needs.
As a rule, when it comes to indexations and raises, this concerns only the first item listed: salary.
Doctors receive the bulk of their income not from salary, but from bonuses and compensation.
It is very easy to miss these additional payments at the end of the month. After all, their presence depends not on the state, but on the desire and capabilities of the immediate head of the institution.
Growth prospects
The salaries of public medical workers in 2019 are calculated as follows:
- for doctors, the salary should be three times higher than the average salary of other workers in the region;
- For junior and mid-level medical personnel, salaries will increase 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 Some government doctors will receive an increase of 200% of their previous salary. This gradually brings the indicators closer to the desired level.
In the state budget for 2019 there is a column responsible for increasing 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 services provided by doctors. After all, the better compensation they receive for their time and effort, the more comfortable they are in doing their job.
Moreover, in many public hospitals and clinics now not enough staff, which leads to significant processing. The increase in allocations should attract new specialists, without the need to fire existing ones.
A comment was also made about uniformity of payments received. It's no secret that salaries in Moscow and St. Petersburg are significantly higher than salaries in other regions. However, sometimes there are 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 health workers
The veracity of government statements is regulated by the actual situation in doctors' workplaces.
Many doctors note that their real income has actually fallen, although salaries are indeed gradually increasing.
This is due to the reasons mentioned above: doctors receive their main income not from salaries, but from bonuses. Many also work part-time in additional positions.
Doctors receive compensation for working conditions, overtime, and bonuses. Along with the state requirement to increase 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 example of a therapist position, you can see how doctors’ salaries differ from region to region:
- in Moscow, a therapist receives 90,100 rubles per month;
- already in the region this amount has dropped 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.
Statistics are not a truly reliable source. After all, when compiling data, not only public clinics and hospitals are taken into account for one profession, but also expensive private institutions, in which the same therapist receives many times more money. Thus, the real average salary of public sector employees is even lower.
For comparison, in US average salary for a therapist in terms of rubles will be 415,000, in Europe – more than 200,000 rubles per month.
As for the younger one medical personnel, then their average income is 20,000 rubles. Doctors in certain regions receive slightly more: only 30,000.
A number of regions have also distinguished themselves by the fact that the wages of medical workers with complete higher education, despite official statements, have actually decreased. People in Kalmykia receive the least amount of money as payment for performing their duties.: 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 sector 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 doctors practicing part-time (and this is almost all Russian government doctors) will receive half as much money as before.
So far the government cannot name specific dates for salary increases, as well as their new sizes.
Happened in 2019 salary indexation by 6%. Such an increase merely compensates for the current level of inflation.
Today, doctor is one of the most sought-after specialties in the capital of the Russian Federation. Experienced and qualified medical workers are required both in municipal medical institutions and in private clinics.
Moscow is distinguished not only by its multi-million population, but also by its size. It's no secret that doctors in the capital receive higher salaries than in provincial regions and cities.
The average salary of a doctor in Moscow is 60,000 RUB. But this does not mean that all doctors receive exactly this salary.
Salary directly depends on specialty, qualifications, work schedule and place of employment. Thus, doctors in private clinics earn more than in public medical institutions.
Average monthly salaries of doctors in Moscow:
- A chiropractor receives from 40,100 to 60,000 RUB.
- A local therapist in a clinic earns no more than 53,120 RUB.
- An occupational therapist is one of the highly paid professions. On average, a doctor in this field receives at least 70,000 RUB.
- Pharmacist-analyst. The average salary is from 46,200 RUB.
- Pharmacist-technologist. Average monthly salary - from 42,200 RUB.
- Pharmacist. Salary - from 48,500 RUB.
- Pharmacist. The salary of a pharmacist ranges from 43,700 to 54,100 RUB.
- Vet. varies from 24,300 to 36,200 RUB.
Average salaries of doctors in other areas
| Focus | Average salary (in RUB) |
| Psychotherapist | from 48 100 |
| Reanimatologist | from 27 000 |
| Rheumatologist | from 30 000 |
| Sex therapist | from 45 000 |
| Family doctor | from 43 000 |
| Emergency doctor (paramedic) | from 30,300 to 45,200 |
| Paramedic-laboratory assistant | 35 000 |
| Pre-trip inspection paramedic | 15 000 |
| Dental surgeon | 67 800 |
| Pediatric dentist | 55 000 |
| Dental assistant | 40 000 |
| Nurse | from 18,500 to 26,700 |
| Masseur | from 21 000 |
| Audiologist | from 40,000 to 45,000 |
| Toxicologist | 97 500 |
| Traumatologist | from 40,900 to 60,600 |
| Urologist | from 48,800 to 64,400 |
| Endocrinologist | from 40,000 to 60,000 |
| Dermatocosmetologist | 75 000 |
| Reproductologist | 75 000 |
| School psychologist | 35 000 |
| GP | 81 250 |
Salary growth dynamics
According to the head of the capital's health department, the average salary of medical workers has increased by 54% in recent years.
Dynamics of changes in the average salary of doctors in the capital of the Russian Federation by year
| Year, month | Monthly salary (in RUB) |
| 2012 | |
| January | 40 040 |
| February | 41 890 |
| March | 41 135 |
| April | 41 635 |
| 2013 | |
| January | 49 460 |
| September | 53 375 |
| October | 51 225 |
| November | 54 100 |
| December | 51 900 |
| 2014 | |
| January | |
| February | 50 400 |
| June | 49 800 |
| August | 52 350 |
| September | 62 940 |
| October | 40 750 |
| November | 50 000 |
| December | 50 000 |
| 2015 | |
| January | 60 000 |
| March | 60 000 |
| April | 60 000 |
| May | 50 000 |
| June | 50 000 |
| July | 60 000 |
| August | 60 000 |
| September | 55 000 |
| October | 50 000 |
| November | 50 000 |
| December | 50 000 |
| 2016 | |
| January | 55 000 |
| March | 50 000 |
| April | 55 000 |
| May | 50 000 |
| July | 50 000 |
| July | 50 000 |
| August | 50 000 |
| September | 50 000 |
| October | 55 000 |
| November | 52 500 |
| December | 60 000 |
| 2017 | |
| January | 60 000 |
| March | 60 000 |
| April | 57 500 |
| June | 60 000 |
| July | 60 000 |
Based on the table, we can conclude that the average monthly salary is gradually increasing. But the government assures that in subsequent years the average salary of a medical worker will be no less than 70,000 RUB.
A salary increase is a good incentive for successful work.
At the end of 2017, an order was issued that doctors’ salaries should be equal to twice the average salaries in the regions. So how are health care workers' incomes faring in 2019? Have the promises come true? How much do doctors in capital clinics earn today?
Despite the fact that the medical industry in Russia is declared a strategic priority for the focus of internal reforms, the state of material support for both the medical institutions themselves and medical workers leaves much to be desired. The government says that this “period of turbulence” is short-lived. Starting from 2018, the activities of a doctor, nurse and paramedic will be able to return to the ranks of the most prestigious Russian professions. Are there economic prerequisites for the implementation of the stated plans? What salary can Russian doctors expect in 2018?
How much do doctors earn in the Russian Federation?
In order to have an idea of how a medical worker’s remuneration is formed, let’s look at the main components of his salary. What does the monthly income of a doctor, nurse, paramedic consist of?
first of all, this is the official salary;
secondly, this is an additional payment for intensity, increased loads, and, in general, the specifics of the work;
thirdly, these are bonuses for qualifications and length of service;
The regional coefficient and other payments are also included in the salary.
Despite this segmentation, it is precisely bonuses and allowances that make up the majority of the salary, while if the salary subject to indexation is set centrally by industry officials, then the amount of additional payments for intensity and other bonuses are determined in the medical institution itself, and can be accrued as , and were cancelled.
This arrangement caused a slight decline in the income of doctors in 2015-2016 - the salary increase simultaneously suspended the ability to pay a number of other bonuses, which caused obvious discontent among workers. Such a drop in the income of doctors was recorded in the Arkhangelsk region, Dagestan, Ingushetia, the Jewish Autonomy and other regions.
What salary do doctors and nurses receive, according to statistics? 30 thousand rubles and 20 thousand rubles, respectively, are the monthly income of doctors in most Russian regions.
The salary of Kalmyk doctors is minimal - their monthly salary is only 27,300 rubles per month. Doctors in North Ossetia do not receive much more - 28 thousand rubles per month. The situation is similar in Ulyanovsk - doctors with higher education have an income of 30 thousand rubles.
The highest salaries among Russian doctors are received by doctors in Moscow, St. Petersburg, Khanty-Mansiysk Okrug, Chukotka and Sakhalin. Their bonuses allow them to receive a salary, in some cases, exceeding 100-115 thousand rubles.
Such income inequality in the context of a regional link is widespread and affects all categories of doctors. So, for example, Moscow therapists receive more than 60 thousand rubles a month, and their colleagues in the region receive 15 thousand less. General practitioners in Kamchatka can expect a salary of no more than 40 thousand rubles.
On top of that, we note that the real salary figures for public sector doctors may be much lower - in its information, Rosstat takes into account the salary figures for doctors, both public and private medical institutions, where the income of doctors and nurses is traditionally higher.
Will the salaries of Ministry of Health employees be increased in 2018: latest news
Already in October 2017, doctors’ salaries will be indexed by 5.5%, in line with the inflation rate. As for 2018, expert opinions are divided: some believe that increasing the minimum medical salary to 50 thousand rubles in the country is quite realistic, given that elections are coming next year. Other financial analysts agree that a partial increase in salaries will be realized through cuts in the industry - there is simply no money in the state budget to increase the salaries of the existing number of doctors in Russia. It is predicted that doctors will “pay for” their increased incomes since the beginning of 2018 by increasing their workload – up to 1.5 times the rate.
However, both sides present their forecasts with the utmost caution.
Government plans to increase salaries of Russian doctors
But Russian government officials are more bold in their assessment of the prospects for increasing salaries for medical industry workers. Deputy Prime Minister of the Russian Federation Olga Golodets said that the increase in medical salaries to 200% announced earlier by President Putin in 2018 is quite realistic, and money has already been provided for these needs in the state budget. And, in general, the salary levels of doctors will be equalized in all regions of the Russian Federation.
Analysts have already managed to find a “loophole” in this statement: it is possible that a 200% increase in income will be made relative to salaries at the 2012 level - we recall that it was then, according to the “May decrees” of the President of the Russian Federation, that a program was launched to increase the salaries of public sector workers, and the end date of the program should be 2018.