Increase in salaries for doctors this year. Real salaries of medical workers in the Russian Federation: statistics published
The healthcare sector in the Russian Federation, as many believe, has come to its knees: free medical services have entered a state, if we call it in medical terminology, comatose. Paid services are in most cases limited to diagnostics and dentistry. The private sector in the field of medicine is emerging at a rather slow pace. Start-up capital, which may be enough to build premises to house comfortable clinics, is completely insufficient. There is no need to talk about purchasing modern medical equipment at all.
It is not always possible to adapt any building to medical needs. According to statistics, only 8 percent of clients use paid healthcare services, and 60 percent of people initially prefer to go to standard clinics. However, in the overwhelming majority of cases, people at the clinic, trying to receive free medical care, are faced with the need to undergo many expensive examinations, for which they have to pay out of their own pocket.
Patients in public medical institutions quite often complain about the quality of services provided. Such claims are usually justified. But it’s worth thinking about what a doctor, for example, a pediatric surgeon, should do in a medical institution in Karelia, who received 9553.47 Russian rubles after taxes and worked 145 working hours, or a therapist from the Crimean Peninsula, whose salary includes taxes paid is 10 thousand 418 rubles and 35 kopecks for 156 hours of hard work?
By order of the Government of the Russian Federation in December 2012, it was recommended that executive authorities develop a plan of changes and measures in the social sphere. These actions, the so-called road map, were supposed to be aimed at increasing efficiency in the healthcare industry.
The measures provided for by the road map are aimed at developing mechanisms for remunerating medical specialists depending on the quality and quantity of free services provided to the population. The authorities believe that decent wages for workers in medical institutions are considered a good lever for personnel management in order to improve the quality of patient care.
Accounting with a double bottom
According to statistics:
- the average salary of a medical worker in the Russian Federation is currently approximately 45 thousand rubles;
- the salary of middle staff in the healthcare industry is 28 thousand rubles per month;
- the salary of junior medical personnel is 19 thousand rubles.
Such indicators take into account total earnings, and it turns out that the requirements of the “road map” are fulfilled nominally. But in reality, quite often medical workers work at several positions at the same time - this is the only way they are able to receive a more or less acceptable amount of financial resources.
For those who are interested in the real salary of a physician, there is a special project “Real salary of a health worker”, where people are not only interested in the monthly salary of, for example, an ophthalmologist from Penza or a driver-medic from the Kaluga region, but also leave data on the size of their own salaries . This resource was created with the goal of showing the true picture that has emerged during the implementation of the “road map” and to combat false data in the reports of hospital management.
The government order, called the “road map,” has two directions. The provisions set out in this document indicate an improvement in the level of earnings of a medical employee. On the other hand, an increase in the salary of a physician should lead to an increase in the efficiency of the health care system as a whole. These provisions propose changing the rules for the provision of medical services and developing new professional standards.
By 2018, it is planned to increase wages for doctors up to 200 percent, junior and mid-level medical personnel - up to 100 percent, and this is in relation to the level of wages for 2012. In addition to the clause on the financing of healthcare facilities, taking into account the wage fund, the “road map” includes sections planning the control of tuberculosis morbidity, mortality and many other indicators of the quality of medical services.
All in one harness
Patients and medical professionals are in the same position. To pay off growing expenses, accounting departments resort to actions such as writing off the same fee for medical services from the compulsory medical insurance fund twice. Official statistics provided by Rosstat differ significantly from the data of a social survey of medical representatives. A real increase in doctors’ wages, as described in the action plan submitted after the “May orders”, has not been noted in any corner of the Russian Federation
In addition to the use of aggregate data for reporting, an increase in remuneration for medical workers is obtained due to a decrease in the number of beds in hospital departments, a reduction in employees and specialists in clinics and hospitals. Such measures are often taken spontaneously, without warning or preparation, for example, increasing the level of the outpatient treatment system for patients. This is rapidly reflected in the increase in the number of errors by medical staff, which is caused by additional workload on specialized doctors and medical staff.
Crowds of people gather in the premises of clinics; many patients have to resort to paid medical services in order not to waste precious time waiting in endless queues. However, not everyone is able to fork out for medical care, refusing to see doctors and trying to cure themselves using “traditional medicine”. According to statistics, instead of lowering the mortality rate, as officials had planned, the result of reforming the healthcare system showed that in the first half of last year, the mortality rate increased by 27 thousand people compared to the same period the year before.
Are the prospects bright?
The salary of a medical employee this year, according to the latest news, should be increased by:
- 159.6 percent in relation to 2012 indicators to specialized doctors;
- 86.3 percent to nursing staff;
- 70.5 percent to junior medical personnel.
It is difficult to say today whether this will actually happen. In October, at a meeting of the Cabinet of Ministers, a discussion of the program is planned, according to which they can discuss the transfer of a key part of the costs of increasing the wage fund of public sector employees for 2016-2018. However, one should not count on a significant improvement: the government confirmed its plans to increase the level of wages for representatives of the public sector, but stipulated their dependence on the country’s financial capabilities.
The instability of the economic situation in the Russian Federation does not contribute to the planned increase in wages by 8 percent. Most likely, there will be not a direct increase in wages according to the “road map”, but indexation taking into account inflation. So you can’t count on an increase of more than 2.7 percent, excluding indexation, compared to last year.
It is worth noting a subtle point in matters of increasing the financing of the wage fund in budget companies: indexation is planned not from the first days of this year, but only from the second half of the year - from October 1. This will hit workers’ pockets even more significantly: from the very beginning, the increase was planned for January last year, after which, it is believed, due to the annexation of the Crimean Peninsula, it was shifted to October 2015. Currently, the date cherished by most is postponed for another year.
It is especially relevant in Russia. Especially when it comes to well-known and common professions. What is the current salary of a doctor? The answer to this question will be given in the article.
Earnings of doctors: how are things today?
Determining the exact figure for doctors' income is not so easy. In addition to the fact that you should take into account the region, place of work, specialty and level of qualifications, you should not forget about state decrees that constantly fix new minimums. However, the average indicator can still be identified. Thus, today the average income of a doctor in Russia is about 45 thousand rubles. The figure, it should be noted, is impressive. In addition, until quite recently (in 2014), a doctor could receive no more than 30-35 thousand rubles for his work. It's all about a special government program regulating the increase in the salaries of doctors to 90 thousand rubles by 2018.
Many doctors, seeing these data, may be slightly perplexed. After all, not every professional medical worker today receives even 40 thousand rubles. Of course, in the regions the income of doctors is much less than what is actually stated. Hospitals and various types of medical institutions may be underfunded, in poor or deteriorating condition. In addition, the amount presented above, which is due to doctors today, already includes various bonuses and allowances.
Earnings by specialization
As mentioned above, a doctor’s salary should not be considered in a general manner. It is necessary to take into account many different factors: from location to specialty.
It is the last factor that will be discussed. For 2016, the following list of main positions and corresponding salaries was compiled:
- cosmetologist - average income 85 thousand rubles;
- gynecologist - 90 thousand rubles;
- osteopath - 70 thousand rubles;
- resuscitator - 70 thousand rubles;
- MRI doctor - 70 thousand rubles;
- dentist - 50 thousand rubles;
- pediatrician - 50 thousand rubles.
The salary of a veterinarian today is about 50 thousand rubles; The salary of a general practitioner is 40 thousand rubles. However, it is worth distinguishing between work activities in private and budget clinics. So, already from the list above it becomes clear that the specialists who, as a rule, are approached by elite and wealthy clients receive the most: cosmetologist, dermatologist, etc.
USA and Russia: salary comparison
Before talking about possible increases and increases in the salaries of doctors in Russia, it is worth paying attention to the income of doctors in the USA. This is necessary, first of all, in order to have an idea of where our country should grow and in what direction. There is no point in denying the fact that the average salary in the Russian Federation is considered relatively low, especially in comparison with European countries and the USA. So how much do medical specialists in the states earn?
The minimum salary for a doctor in the United States is $8,000. Even for a novice specialist this is quite a large amount; all because a doctor abroad is considered an incredibly important and necessary employee. This is truly a necessary person for society. Average salaries in the states are the following:
- surgeon - 20 thousand dollars;
- psychologist - 17 thousand dollars;
- pediatrician - 16 thousand dollars;
- therapist - 15 thousand dollars.
A doctor is a very profitable and prestigious profession abroad. Doctors, both in the USA and in other developed countries, are very respected and cherished. This respect, first of all, is manifested in the financial component.
Should we expect an increase in income?
Will the average doctor's salary ever increase? How soon can healthcare workers see real gains? Answering all these questions is not so easy. However, today there are many comments from various officials and bills being prepared for adoption, according to which it will be possible to track the increase in wages.
The first thing worth noting is the presidential decrees presented on May 7, 2012. The so-called “May decrees” are known to almost all Russians, because they concern, first of all, improving the well-being and standard of living of budget workers. According to the decrees, the income level of workers should have increased at least twice. Are the “May Decrees” being implemented effectively? The question is controversial. As of 2016, workers' wages increased slightly. For example, prices for various types of products and services have increased much more.
What more can doctors hope for? In 2016, 332 billion rubles were allocated for medicine. Despite the seemingly impressive amount, many experts talk about a significant regression in the field of medical financing. Thus, in 2015, an amount of 16% more was allocated from the budget.
So should we expect an increase in doctors' incomes? It is not difficult to draw conclusions.
Payroll methods
It is really necessary to mention payroll calculation methods. The fact is that the state has recently developed a new method for calculating average monthly income. What is this method?
The average income of doctors is now calculated in a special way: the salary will include both the actual income of state employees and the income of citizens working in private companies. It would seem, how could this be related to the basic remuneration of doctors, what could this affect? Many experts talk about this method of calculating average income as an extremely unfair system. In fact, the promised salary increases can be compared with average incomes in the country and positive conclusions can be drawn. At the same time, few people take into account the fact how much the incomes of state employees and wage earners differ.
The “paper increase” is criticized by the people and supported by the authorities (the latter, in particular, declare the “incredible efficiency” of the new payment system). So is there any hope left for an increase in the salaries of public sector doctors?
Situation in 2016
The past year was characterized by extremely deplorable economic indicators. Doctors have acquired new responsibilities. It is becoming increasingly difficult for public sector employees to work, and, unfortunately, an increase in income has not yet been observed. The promised indexation of wages did not happen; almost everyone forgot about the May decrees. The emerging “paper increase” only aggravated the situation.
The salary of a doctor in Russia is really low. You don’t even have to compare it with global indicators - and so it becomes clear that the phrase “live, not survive” is becoming more and more real. Citizens are looking forward to 2017 with hope, expecting at least some decisions from the state. So what should doctors expect?
Forecasts for 2017
Deputy Prime Minister of the Russian Federation Olga Golodets announced two stages of salary increases in 2017. The first stage was supposed to begin on January 1, the second - on October 1. From the first stage, the amount of payments was supposed to increase by 7.5%. On October 1, a doctor’s salary should be 180% of the average for the regions of the country.
Are there any results already? The question remains open. Of course, some budget companies should have already felt an influx of funding. It is also worth mentioning the state’s plans to equate the salaries of medical workers to 200% of the national average - according to the “May decrees” already mentioned above. This must happen no later than January 1, 2018.
Reduction of doctors: truth or myth?
Rumors about layoffs of government workers have been circulating for a long time. Healthcare financing really leaves much to be desired. Despite this, the authorities are trying to find at least some way out, so as not to cause a huge number of “victims” of the cuts. So what should you expect today?
It’s worth noting right away that in 2017 it’s impossible to do without cuts to state employees. Thus, the government began an extensive program to optimize the medical sector, and therefore adopted a decree to close old and half-empty hospitals and other medical centers. Already in 2016, many doctors and other workers were left without work. However, here, too, not everything is so simple: while there is definitely an abundance of therapists today, there are not so many highly specialized specialists (ophthalmologists, dentists, gynecologists, etc.).
Problems still remain today. Despite the fact that the authorities are taking many measures to resolve them, one should not yet expect a qualitative leap and progress.
"Road map": general characteristics
The question of what doctors' salaries cannot be considered if you do not pay attention to special documents and projects developed by the state for a long time. One of the largest projects, developed and adopted by the government back in 2012, is called the “road map”. What it is?
The Road Map includes a number of specific provisions and measures aimed at effectively optimizing the healthcare sector. There are two main groups of measures recorded in this project. The first group is aimed at improving the financial situation of medical personnel. The second group is for increasing wages.
The "road map" regulates the increase in the salaries of chief doctors (as well as ordinary specialists) by 200%, and of middle and junior staff - by 100%. All this should happen by 2018. In addition to salaries, the road map establishes provisions for regulating the level of mortality and disease.
Doctor's salary in Russia: statistics
It is worth summing up all of the above in the form of special statistics. Thus, as of the beginning of 2017, the income of medical workers is approximately the following:
- the average salary of a doctor is 45 thousand rubles;
- income of nursing staff - 28 thousand rubles;
- the income of junior medical staff is 20 thousand rubles.
All these figures, oddly enough, meet the requirements of the Road Map. In reality, everything is somewhat different. “Paper salary increases” greatly distort the situation. We should not forget about the work of doctors at several rates in order to somehow ensure their lives.
Conclusion
All necessary statistics on income, features of accrual and recalculation were indicated above. The question of whether we should expect an increase in doctors' salaries remains open and very difficult. Despite the fact that the government is really monitoring the situation and trying to somehow resolve it, funding for budgetary areas still remains incredibly low.
Doctors and patients have always been in the same boat. That is why the question of the position of doctors concerns absolutely all citizens. There is a direct relationship between the deterioration of an employee’s standard of living and the number of his professional errors. What could be the solution here? At the moment, this is an increase in legal and political culture among the population. Only thanks to this will a person look at the world more broadly, and therefore, notice problems better.
Increasing wages for various groups of public sector employees is an extremely exciting issue for many. The problem is that most of the employees are not sure that it will take place. Moreover, the issues of salary indexation occupy specialists in various fields and departments. Today, one of these burning topics is the increase in salaries for doctors in 2016 in Russia.
What are the specifics of medical work?
Doctors work around the clock when it comes to specialists from inpatient services and ambulance services. Of course, not every day, but in shifts. At the same time, the work day is quite complex and very intense. If a doctor takes on a part-time job or additional duty, his workload increases significantly - it’s quite difficult to withstand this.
The situation is especially dramatic due to the fact that doctors are constantly fighting for human lives. And there are often situations when this is simply impossible to achieve. And these are psychological overloads, breakdowns and much more.
The doctors serving the clinics are also not chilling. Their responsibilities include not only seeing patients on an outpatient basis, but also visiting them at home. At the same time, different patients may live in different parts of the area, and the doctor has to walk a lot.
Therefore, what will happen to doctors’ salaries is not the last question. After all, such work should be paid decently.
What is known about doctors’ salaries in the country?
It is believed, and this is often said at the official level, that medical employees receive fairly high salaries. A number of measures that helped index the salaries of medical workers were implemented a couple of years ago.
According to official statistics, the salaries of doctors are at a fairly competitive level and are estimated at 60,000 rubles.
What can you learn from alternative sources?
If you carefully study various forums and specialized sites for doctors to communicate with each other, you can understand that there are significant problems in this industry. It also becomes clear that the official salaries of many doctors are far from what was announced. According to such sources, you can derive an average figure of 25 - 30,000 rubles. Moreover, many, in order to receive such money, have to work several shifts, take on part-time jobs and shifts. Of course, it’s quite difficult to live with dignity on that kind of money. Of course, raising the salaries of doctors could significantly change the situation.
What documents regulate the increase in medical salaries?
The indexation of wages for doctors, as well as other public sector specialists, is regulated by presidential decrees. Even when taking office, the head of state issued a number of decrees according to which all state employees should receive by 2018 a salary 1.5-2 times higher than what they had at that time.
We moved towards achieving this goal quite successfully, having begun to regularly index employee salaries. But then a large-scale crisis occurred and problems arose in the international situation. The incomes of Russians fell significantly, massive layoffs began, and replenishment of the treasury stopped. Naturally, in such conditions, the state has absolutely nowhere to take money to replenish the budget and fulfill social obligations. Therefore, increasing salaries in the healthcare system in 2016 in the Russian Federation, as well as in other systems, was a big question.
What services are there today on the topic of public sector salaries?
Today they have already begun to talk, even on the official sidelines, that in 2015 it will be necessary to freeze the indexation of salaries of public sector employees. This news can hardly be called pleasant, especially against the backdrop of exponentially increased inflation and other economic troubles.
True, this means that indexation must definitely take place in 2016. But it’s unlikely to be big - after all, there’s nowhere to get money for it. Although even a small increase in salary will allow doctors to reduce the gap between the existing salary and changes in prices for everything.
What do experts think on this issue?
It is still unknown what the salary increase for doctors will be in 2016 - official bodies are silent and do not voice any information on this issue. But experts and analysts are trying to present their forecasts.
For example, they are confident that the size of such an increase, which will definitely take place, will be equal to the official inflation rate in the country. Today this level is announced at 6%. Although real inflation, which is several times higher than this figure, forced official representatives to reconsider their view of official information, and they were already talking about official inflation of 12, or even 17%. In fact, it is, of course, significantly higher. But an increase of this amount will allow doctors to at least level out a little and improve their well-being.
What measures have been taken to replenish the treasury and subsequently fulfill social obligations?
In order to be able to fully fulfill various social obligations, incl. and increase salaries for doctors, a decision was made to reform the health care system. Optimization involves reducing the number of employees - in the capital alone, 7.5 thousand employees were laid off. Many were transferred to other positions; unfortunately, demotions were also expected.
Against this background, whether there will be a reduction in doctors in 2016 in Russia is not an empty question. At the official level they say that there will be no mass layoffs. If the number of employees decreases, it will be for completely natural reasons: some will go on vacation due to age, others will change direction and field of activity, etc.
Optimization in the healthcare sector should, according to reformers, improve the health of the medical sector. Today there is a shortage of highly specialized employees, for example, neurologists, neurosurgeons, etc. Against their background, the number of general practitioners represents a significant oversupply. Therefore, doctors were offered to take advanced training courses and change their profile.
In addition, as part of this optimization, it was also envisaged to get rid of excess real estate on the department’s balance sheet. For example, they began to densify hospitals, combining several medical institutions into one. Let's say there was a hospital, a maternity hospital and a clinic. They were combined and created a treatment complex where the patient can receive all services at once. There is an opportunity to equip such centers with functional equipment. After all, previously it was only required in triple size, but here it’s only one. Therefore, funds were freed up for the purchase of more expensive equipment.
True, against this background, many started talking about the fact that empty hospital premises would simply be sold to commercial medical organizations, and the population would be deprived of free medicine to a fairly significant extent.
An increase in salaries for doctors in 2016 in Russia, on which many specialists are waiting for fresh news, must definitely take place. Emerging data on this issue can be viewed on the official websites of the departments responsible for this event, i.e. Ministry of Finance and Ministry of Health. Also, major newspapers will definitely write about this and report on television news. Therefore, it is worth carefully monitoring the media for the appearance of this kind of news.
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. Experts believe that the actual planned increase may not coincide with the actual one, since budgets at various levels maintain significant deficits.
Latest news for doctors: expected salary increase in 2018
As part of the May decrees, the salaries of doctors should be significantly increased until 2018. Next year, doctors should receive at least 200% of the average salary in the region. For middle and junior staff this figure cannot be less than 100%. The authorities will fully fulfill this task, emphasizes head of state Vladimir Putin.
Since 2012, doctors’ salaries have constantly increased, officials emphasize. Despite the consequences of the economic crisis, this year the salaries of doctors will reach 180% of the average in the region. Since the beginning of the year, doctors' salaries have been increased by 7.5%, the second stage of increase is scheduled for October 1. At the end of 2016, the average salary of a doctor exceeded 50 thousand rubles; for middle and junior staff, this figure reached 28.2 thousand rubles, respectively. and 18.4 thousand rubles.
The transition to two stages of increasing the salaries of doctors during the year indicates the authorities’ intention to optimize budget expenses, experts emphasize. The authorities continue to experience a shortage of funds to finance social obligations, which forces them to look for ways to reduce costs. In such conditions, there remains a high probability of an incomplete increase in the salaries of doctors from January 1, 2018.
In addition, some regions lag significantly behind the implementation of presidential decrees, failing to find the necessary funds to increase wages for medical personnel.
Regional features of increase
The head of the Health Foundation, Eduard Gavrilov, emphasizes problems that may prevent the authorities from fully fulfilling their obligations to increase the salaries of medical staff. At the same time, it is worth taking into account the specifics of remuneration for doctors in various types of medical organizations. If we take into account regional and municipal institutions, the ratio of a doctor’s salary to the average level will be 2.8% lower.
To reach a new level of medical salaries in 2018, the regions drew up their own roadmaps that fix intermediate target values. At the end of last year, more than a third of the regions did not achieve the planned level of increase in doctors’ pay, Gavrilov emphasizes. Also, 16 regions do not meet the indicator for mid-level medical personnel. However, the biggest problems are related to the remuneration of junior staff.
According to the Health Foundation, about 75% of regions were unable to meet the target level of increasing the work of junior medical staff. Such statistics indicate the presence of systemic problems in the implementation of roadmaps. In addition, low pay for junior staff leads to high staff turnover. This trend has a negative impact on the quality of medical services, Gavrilov believes.
Another negative trend is that some regions make changes to approved roadmaps if they cannot ensure their implementation. A similar situation was observed in the Omsk and Ryazan regions, which at the end of 2016. – early 2017 adjusted their own plans.
Experts emphasize that the main factor in implementing the May decrees remains the availability of money in the state treasury. In 2017, the government expects the economic situation to improve, but the domestic budget remains in a vulnerable position.
Budget restrictions
Increasing the salaries of doctors and fulfilling other social obligations depend on Russian budget revenues. The dynamics of oil prices remain unstable, which creates risks of increasing the state treasury deficit. The baseline forecast assumes stable prices in the oil market, but excessive oil production could lead to a new price collapse.
The government does not rule out a new decline in oil prices, which will significantly limit the financial capabilities of the budget. According to the Ministry of Finance's forecasts, a pessimistic scenario allows for a collapse in prices to $25-30 per barrel. In this case, the authorities will try to delay the planned increase in wages until the end of the year.
Next year, medical workers will see another increase in wages. The authorities intend to increase doctors' salaries to 200% of the regional average. For other categories of medical staff, this figure will be 100%.
Experts note regional peculiarities in the implementation of presidential decrees, which indicate the presence of systemic problems. In addition, the vulnerability of the domestic budget to external challenges may hinder the implementation of officials’ plans.
He emphasized that the Foundation’s experts came to this conclusion based on an analysis of data published by Rosstat. In their opinion, this calls into question the fulfillment of the demands of the president and the government to consistently increase doctors’ salaries in 2017 to 200% of the regional average.
Last week, Russian President Vladimir Putin met with doctors from the perinatal center that opened in Bryansk. He recalled that in 2018 the salary level for doctors should be 200%, and for middle and junior staff - 100% of the average salary in the region. The head of state also expressed confidence that the regions will be able to achieve these indicators.
According to preliminary data from Rosstat, the average salary of doctors working in medical organizations at the federal level by the end of 2016 almost reached 180% of the average salary in the region, Gavrilov said.
“However, the average salary of doctors for all types of medical organizations (including regional and municipal) amounted to 155.1% of the average salary in the country (2.8% below the plan), nursing staff - 86.2% (0.1% below plan), junior medical staff – 56.4% (20% below plan),” he noted.
The director of the Health Foundation said that each region has its own “road map” for 2012 – 2018, which sets target indicators linking the average salary of doctors and other health workers with the average salary in the regions.
“According to our data, in 2016, more than a third of regions (31 out of 85) did not reach the target for the average salary of doctors. At the same time, more than 10% fell short of the plan: Moscow (86.4%), Ryazan region (84.8%), Republic of Tatarstan (88.7%) and Kursk region (89.0%),” – reported Eduard Gavrilov.
A fifth (16 out of 85) of the regions did not achieve the target for the salary of nursing staff. Among the anti-leaders in the rating were the Tyumen region (87.4%), the Ryazan region (90.5%), the Republic of Sakha (Yakutia) (91.2%) and the Omsk region (92.1%).
“The worst situation has arisen with the increase in salaries of junior medical staff. Almost three quarters (62 out of 85) of the regions did not achieve the target. We often hear complaints from the heads of medical institutions that due to low salaries, orderlies do not come to work for them. The constant shortage of personnel inevitably affects the quality of work of medical institutions as a whole,” emphasized the head of the Health Foundation.
Separately, he listed the regions that could not cope with the planned increase in salaries among all three categories of medical workers at the same time. These are Voronezh, Kursk, Ryazan, Yaroslavl, Astrakhan, Ulyanovsk, Tyumen, Omsk regions; Republics of Kalmykia, Mari El, Tatarstan, Sakha (Yakutia); Karachay-Cherkess Republic; Yamalo-Nenets Autonomous Okrug; Transbaikal region.
He noted that a number of regions - the Omsk and Ryazan regions - in the last months of 2016 and the Ulyanovsk region - at the beginning of 2017, rewrote the previously approved indicators of the road map, apparently discovering that they could not cope with their own plans.
“Of course, purely formally, now these regions can report on the implementation of plans. The logic is something like this: “we were building a house and it turned out to be a garage, but they quickly explained to everyone that this was how it was intended.” However, in this case, there is no point at all in setting work plans to improve the healthcare system and public control over their implementation, since at the finish line you can change the criteria in any direction for the sake of a formally positive assessment of your work. Therefore, in our analysis we used plans approved at the beginning, and not at the end of 2016.”
Rosstat published data on the average salaries of medical workers in different regions of Russia in 2016. The average salary of doctors in the country over the year increased by 5.8% and amounted to 50.7 thousand rubles; nursing staff - by 4.4% to 28.2 thousand rubles; junior medical staff - by 9.6% to 18.4 thousand rubles.
Meanwhile, according to the “May decree” of the president and the government-approved “road map” to improve the efficiency of healthcare, the average salary of doctors by 2018 should be 200% of the regional average. Taking into account the gradual increase, in 2016 the average salary of doctors should have reached 159.6% of the average salary in the country, nursing staff – 86.3%, and junior medical staff – 70.5%.
In accordance with the government’s plans, in 2017, doctors’ salaries should continue to grow: from January 1 – by 7.5%, then until October 1 – to a value of 180% of the regional average. By the beginning of 2018, the salary of doctors, in accordance with the “May decrees” of the president, should be 200% of the national average.