Analyzing Changes in Remuneration Systems of Public Health Workers
https://doi.org/10.21686/2413-2829-2020-3-61-72
Abstract
The goal of the research is to study changes in remuneration systems in Public Health during the period of passingover from the soviet remuneration system in Public Health to the remuneration system effective during these years. The authors find and analyze reasons that caused the necessity of changes, which took place lately. It is shown that changes in the remuneration system are connected with changes in economic relations in society. The article studies preconditions and possible consequences of passing-over from the regional remuneration system to sectoral one. Because of termination of the period fixed for implementation of May Decrees of the President, new economic reality and new presidential instructions in the field of medical workers’ remuneration the authors propose to revise the existing remuneration systems, to give up control over remuneration rate per individual on average by entity of the Russian Federation, to start monitoring the rate of guaranteed proportion of remuneration calculating on the wage and to introduce the basic wages envisaged by the Labour Code, which should not be linked to the average wage rate by regions.
About the Authors
A. M. Chililov
A. V. Vishnevsky National Medical Research Center of Surgery
Russian Federation
Russian Federation
Abdula M. Chililov – Senior Researcher
27 Bolshaya Serpukhovskaya Str., Moscow, 117997
F. N. Kadyrov
FRIHOI of MoH of the RF
Russian Federation
Russian Federation
Farit N. Kadyrov – Doctor of Economics, Аssociate Director
11 Dobrolyubova Str., Moscow, 127254
References
1. Kadyrov F. N. Stimuliruyushchie sistemy oplaty truda v ramkakh vvedeniya effektivnogo kontrakta [Incentive Pay Systems as a Part of the Introduction of an Effective Contract], edited by V. I. Starodubov. Moscow, Publishing House «Healthcare Manager», 2014. (In Russ.).
2. Kadyrov F. N., Chililov A. M., Obukhova O. V. Osnovnye podkhody k otsenke effektivnosti realizatsii «effektivnogo kontrakta» v zdravookhranenii [The Main Approaches to Assessing the Effectiveness of the Implementation of the "Effective Contract" in Healthcare]. Menedzher zdravookhraneniya [Healthcare Manager], 2020, No. 2, pp. 66–74. (In Russ.).
3. Kadyrov F. N., Chililov A. M., Kuftova Yu. A. Osnovnye kontury ocherednogo reformirovaniya otraslevoy sistemy oplaty truda v zdravookhranenii [The Main Contours of the Next Reform of the Sectoral Wage System in Health Care]. Menedzher zdravookhraneniya [Healthcare Manager], 2019, No. 10, pp. 61–71. (In Russ.).
4. Kolosova R. P. Professionalnye standarty, sertifikatsiya kvalifikatsiy i effektivnyy kontrakt v sisteme sotsialno-trudovykh otnosheniy [Professional Standards, Certification of Qualifications and an Effective Contract in the System of Social and Labor Relations]. Sotsialnotrudovaya sfera v usloviyakh innovatsionnogo razvitiya: globalnoe i lokalnoe, sbornik nauchnykh statey po materialam Mezhdunarodnoy nauchno-prakticheskoy konferentsii. 27–28 noyabrya 2014 g. [Social and Labor Sphere in the Conditions of Innovative Development: Global and Local. Collection of scientific articles on the materials of the International Scientific and Practical Conference. November 27–28, 2014]. Saratov, 2014, pp. 58–65. (In Russ.).
5. Kolosova R. P., Razumova T. O. Neustoychivost zanyatosti: vvedenie v analiz [Employment Instability: an Introduction to Analysis]. Neustoychivost zanyatosti (prekarizatsiya): osobennoe i obshchee s uchetom integratsionnykh usiliy gosudarstva i obshchestva, sbornik [Employment Instability (Precarization): Special and General, Taking into Account the Integration Efforts of the State and Society. Collection of scientific articles]. Moscow, Publishing House «Magistr-Press», 2015, pp. 33–41. (In Russ.).
6. Ulumbekova G. E. Ob oplate truda meditsinskikh rabotnikov v 2013–2016 gg. [About the Wage System of Medical Workers in 2013-2016]. Orgzdrav: novosti, mneniya, obuchenie [Organizational Health: News, Opinions, Training], 2017, No. 1 (7), pp. 41–44. (In Russ.).
7. Chililov A. M., Lapidus L. V., Pirogov M. V. Puti razvitiya standartizatsii rossiyskogo zdravookhraneniya na sovremennom etape [Ways of Development of Standardization of Russian Health Care at the Present Stage]. Vestnik RAEN [Bulletin of the Russian Academy of Natural Sciences], 2015, No. 4, pp. 70–76. (In Russ.).
8. Shavkhalov R. N. Voprosy oplaty truda meditsinskikh rabotnikov v svete realizatsii natsionalnogo proekta «Zdorove» [The Questions of the Wage System of Medical Workers in the Light of the Implementation of the National Project "Health"]. Ekonomika zdravookhraneniya [Health Economics], 2008, No. 10, pp. 30–34. (In Russ.).
9. Sheyman I. M., Sazhina S. V. Kadrovaya politika v zdravookhranenii: kak preodolet defitsit vrachey [Personnel Policy in Healthcare: How to Overcome the Shortage of Doctors]. Mir Rossii. Sotsiologiya. Etnologiya [World of Russia. Sociology. Ethnology], 2018, Vol. 27, No. 3, pp. 130–153. (In Russ.).
10. Shipova V. M., Belostotskiy A. V., Kindarov Z. B., Ermolova M. V. Sovremennoe sostoyanie normativnoy bazy po trudu v zdravookhranenii [The Modern State of the Regulatory Framework for Labor in Healthcare]. Zamestitel glavnogo vracha: lechebnaya rabota i meditsinskaya ekspertiza [Deputy Chief Physician: Medical Work and Medical Examination], 2010, No. 6, pp. 22–28. (In Russ.).
11. Gosden Т., Williams J., Petchey R., Leese В., Sibbald B. Salaried Contracts in UK General Practice: A Study of Job Satisfaction and Stress. Journal of Health Services Research and Policy, 2002, Vol. 7, No. 1, pp. 26–33.
12. Grimshaw D. Changes in Skills-Mix and Pay Determination Among the Nursing Workforce in the UK. Work, Employment and Society Journal, 1999, Vol. 13, No. 2, pp. 295–328.
13. Thompson S. L., Salmon J. W. Physician Collective Bargaining in a U. S. Public Hospital. International Journal of Health Services, 2003, Vol. 33, No. 1, pp. 55–76.
Review
For citations:
Chililov A.M., Kadyrov F.N. Analyzing Changes in Remuneration Systems of Public Health Workers. Vestnik of the Plekhanov Russian University of Economics. 2020;(3):61-72. (In Russ.) https://doi.org/10.21686/2413-2829-2020-3-61-72
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