Raising the salaries of doctors in June. Latest relevant news about the salary of physicians

The doctor is a highly demanded profession in the territory. Russian Federation. All over the world, representatives of the medical industry are highly valued and receive a lot of money for their work. But, unfortunately, the same cannot be said about Russia. Despite the prestige of the profession, the salaries of doctors in this state leave much to be desired. According to statistics, 20% of doctors in the Russian Federation receive a decent salary for such a responsible profession.

The difference in the salaries of medical workers in different cities of the Russian Federation

The table below shows the average salary of doctors by regions of the Russian Federation, as well as by districts. The data is taken from the official website.

Table: average salary of doctors in the regions of the Russian Federation in 2019

Salary in different districts of the Russian Federation

According to the districts, the Nenets and Yamalo-Nenets districts are the leaders in terms of the salary of a doctor. The highest salaries are among doctors in Russia in such areas as:

1. Leningradskaya.
2. Moscow.
3. Magadan.
4. Chukchi.
5. Kamchatka.

If we compare the salaries of doctors by region with the levels of average salaries, then the Altai Republic becomes the leader. Physicians in this republic earn 202.3% more than the average wages by region. In St. Petersburg this indicator is 137%, and in Moscow this figure is only 18.9%. Therefore, the salary of Moscow doctors can hardly be called high compared to the average monthly income of other professions.

Table: average salary of doctors in Russia by districts in 2019

Analysis of the level of salaries of doctors by specialty

In Russia in 2020, the average salary of doctors is approximately 76.989 thousand rubles.

But even despite this, in the Russian Federation there is a catastrophic shortage of qualified medical staff.


Many Russian doctors prefer to leave to work abroad because of more attractive and comfortable conditions labor. The main incentive motivating to move to work in another country is better pay.

For example, you can compare the salary of an anesthesiologist in Russia and the United States of America. In Russia, a doctor in this specialty does not earn more than 69,000 rubles, while a similar specialty in the United States pays about $19,600.

The average salary of doctors for 2020:

• Cosmetologist - 90 thousand rubles.
• Obstetrician-gynecologist - 90.
• Anesthesiologist-resuscitator - 66 thousand.
• Osteopath - 65.
• Neurophysiologist working in public institutions, — 62.
• MRI specialist - 60.
• Ship's doctor - 60.
• Homeopathic doctor - 55.
• Dentist - 50.
• Cytologist - 50.
• Children's pediatrician - 47.
• Geriatrician - 46.
• Microbiologist - 45.
• Therapist - 40.
• Physician involved in functional diagnostics - 35.
• Periodontist - 63.
• Urologist - 30.
• Military doctor - 40-50.

site data superjob.ru

Some time ago, Andrey Prilutsky, Minister of Health of the region, announced that due to the increase in funding for the program “Health Development Ryazan region for 2015-2020, it is planned to increase the salaries of some categories of health workers in the region. We decided to find out what kind of health workers we are talking about and how much their salaries will increase ...

I’ll make a reservation right away: the response of the regional Ministry of Health to the publication’s request is not as specific as we would like. On the one hand, this is logical, since the salary of each physician depends on his qualifications, as well as on the complexity and volume of work performed by him. That is, it will be difficult to immediately determine how many banknotes the salary of, for example, an ambulance paramedic at the expense of federal budget funds will grow, to put it mildly. On the other hand, officials, in principle, have a weakness for average values. So it remains for us, using the data that was shared with us, to independently figure out how much the salaries of Ryazan doctors will grow ...

Let's start with the "average temperature"

When comparing average wages over the past five years, the growth looks impressive.

As Deputy Minister of Health of the region Irina Petina informed Vecherka, the average salary of doctors and employees of medical institutions with higher medical, pharmaceutical or other higher education has increased by 26% since 2012. From 26,372 rubles to 33,226.3 rubles.

For nurses, over the same period, the average salary increased by 44%, increasing from 13,228 rubles to 19,051.7 rubles.
And, finally, the average salary for junior medical staff has been increased by 62% over five years. More specifically, from 7,502 rubles to 12,127.3 rubles.

The growth rates of salaries of medical workers in 2017 and 2018 are indicated in a special “road map” (in other words, in an action plan), approved by order of the regional government dated June 13 this year. And this document provides not only the conditional “average temperature in the hospital”, but also more interesting figures ...

Calculating percentages

The so-called indicator of the average monthly income from labor activity in the Ryazan region, which, according to the Ministry of Labor and Employment of the Region, currently amounts to 25,534.9 rubles. So, from October 1, 2017, the average salaries of doctors, i.e. healthcare workers with higher education, should reach a ratio with this indicator of 180%. I repeat, this does not mean that all doctors as one will receive more than 45 thousand re per brother (which, by the way, is 12 thousand more than the average salary of doctors by this moment time). Specific amounts, again, will depend on the qualifications and workload of each specialist.

Average salaries for nursing staff should be 90% of the mentioned mark of 25,534.9 rubles. By simple calculations, we determine that from the current value (19,051.7 rubles), the increase will be approximately 4 thousand rubles.

A more tangible increase shines for junior medical personnel, for whose representatives, from October 1, a level of 80% of the same indicator of the average monthly income from labor activity has been set. That is, if now the average salary of a junior medical worker is only slightly higher than 12 thousand rubles, in the fourth quarter of this year it should increase by about 8 thousand rubles.

In total, according to the regional Ministry of Health, compared with the end of 2016 in October of the current year, the growth of salaries for health workers of all categories in the region should be 7.5%.

To what extent these intentions will be translated into reality, we will find out in October, when we will certainly return to this topic ...

The level of salaries paid to doctors worries many Russians. Each worker in the medical field hopes to be paid according 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, buy the necessary clothes, food and household chemicals. Not to mention the fact that during the holidays I would like to put 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 doctor is far from being the easiest. At the same time, the level of salaries of medical workers does not at all correspond to the realities of the Russian economy. Those salaries that are accrued 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 profession of a doctor 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 so that this problem ceased to be relevant, and Russian medicine returned to the number of financial institutions. prestigious professions. However, alarm bells regarding the financing of the medical sector have not ceased to sound. Let's talk about what real changes those who have dedicated their lives to protecting the health of Russians can expect.

How are medical salaries determined?

The total amount paid to physicians is summed up from the following components:

• direct salary;
• additional payments, taking into account the complexity of work and the intensity of workloads;
• additional payment taking into account the length of service and the assigned category;
• compensatory surcharges and correction factors that are accepted in each individual region.

When revising wages for certain categories of workers, only their first component increases - salary. It is he who is subject to mandatory indexing. but base salaries those of physicians are usually small, and most of their monthly funding comes from bonus payments, part-time jobs and overtime. This is becoming a serious problem, because the indexation of salaries in 2019 will have a very weak effect on their size, and the accrual of additional payments today is not fully entrusted to the state, but to the management of medical institutions.

Analysis of the current situation

Recall that five years ago the President of the Russian Federation issued the so-called May Decrees. According to the instructions set out in this document, as early as 2018, the level of remuneration for doctors should increase to 200% compared to the average regional salary payments.

Regional authorities claim that this order is already being implemented - back in 2017, in most territorial entities In the Russian Federation, the remuneration of doctors became equal to 180% of the average regional salary. Olga Golodets, head of social sphere The Russian Federation assured the Russians that funding was allocated in the country's budget to further increase the salaries of medical workers, and October 2017 was already marked by an indexation of salaries in the amount of 5.5%.

However, the increase in wages recorded by the statistical departments is explained by the so-called “optimization”. In many medical institutions today they are simply reducing staff, which is why there is a consolidation and consolidation of entire departments. According to some reports, in the last five years alone, about 90,000 people who previously worked in state 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 - work at one and a half rates and regularly take night hours.

Let's say even more - despite such labor exploits, doctors complain about the fall in real incomes. This is because the totals are formed by adding the variable and salary parts. Many heads of medical institutions complied with the May decree in a very simple way - 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 middle medical staff - about 20 thousand rubles.

Medical workers representing the Jewish Autonomy, the Nenets Okrug, Ingushetia and the Arkhangelsk Region say they are getting less than before the "increase" in salaries. Doctors from 25 regions reported that about a thousand rubles had been added to their salaries, and doctors from Voronezh and Altai amazed the public by declaring that their increase amounted to 32-53 rubles! If we look at the situation in the regional context, we can come to the following conclusions:

• the minimum average salary is received by physicians in Kalmykia - 27.3 thousand monthly. Ulyanovsk medical workers are paid an average of 30 thousand rubles, Samara - 35 thousand rubles, Penza - 33.4 thousand, Ossetian - 28 thousand;
• a little better situation for those who work in Sakhalin and Chukotka, in Moscow, St. Petersburg and the Khanty-Mansiysk Okrug, the regional authorities have increased the salaries of local doctors by about 6,000 rubles, and now the average doctor's income is 117,000 rubles a month;
• 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, and as soon as he starts working in the region, wages immediately drop to 45 thousand.

Alas, these statistical calculations do not really reflect the current financial situation in Russia. Since 2017, employees of this department have been counting together the average salary of doctors who work in clinics of all forms of ownership. At the same time, salaries in the city hospital are significantly lower than in private institutions of the medical industry. Well, if we compare with the payments accrued to foreign doctors, then the situation looks quite deplorable - for example, American therapists on average earn 416 thousand rubles, French - 200 thousand, and German - 225 thousand rubles.

The government comments on the situation with regional disproportions, explaining it by high allowances in the northern regions. Well, the rest of the doctors need to deal with the 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 break 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 remuneration of medical workers. He mentioned the “per capita standard” (the amount allocated per year for each person attached to a medical institution under a medical insurance policy), which is planned to increase by 21.7%. As a result, it will cost the treasury about 333.2 billion in national currency.

In the last speech of Anton Siluanov, who heads the Ministry of Finance, it was said that on average the salaries of state employees will increase by 23%, and the planned growth by industry will reach 4.1%, that is, salaries will be adjusted for inflation. Thus, by the beginning of 2019, all financial obligations set out in the May decrees of the President will be fully fulfilled. As a result, mid-level medical staff are guaranteed payments that are identical to the average for the country, and highly qualified state employees (doctors) will receive salaries twice as high as the average.

Recall that the salary of employees financed from the budget of the Russian Federation 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 said that in 2017-2018, the salaries of medical workers increased by 40%. Already in 2018, the average salary will be 140 thousand rubles, which is 2 times higher than the average monthly salary in Moscow! However, the medical workers themselves refute such information - they say that the average wage for their work in the capital is 64.73 thousand rubles. Nevertheless, the government allocated 500 billion rubles for the three-year indexation of salaries, of which:

• 196.6 billion in 2018;
• 219.5 billion in 2019.

At the same time, it should be noted the rather disturbing news that appeared in the media not so long ago. We are talking about problems with financing the Compulsory Medical Insurance Fund, which is filled with contributions from the wages of employees. According to the 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 come to a deficit state. To cover it, it will be necessary to allocate 95.5 billion rubles from the budget in the national currency, and in a 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 medical workers, and the amount of the shortfall will be 43.1 billion rubles.

Earlier, doctors were informed that it was the Fund's reserves that would ensure the growth of their salaries. Now, there is not enough money for the May decrees, since this Fund must finance, first of all, the purchase of equipment for the provision of high-tech medical care. As a result, former Finance Minister Alexei Kudrin proposed to suspend the implementation of the May decrees so that the increase in salaries would not lead to a decrease in spending on the purchase of medicines, ordering the latest equipment and repair work.

Some members of the government have proposed raising the insurance premiums levied on the wealthiest Russians. It is possible that this will help resolve the issue of raising salaries for doctors. Statistical departments, having combined the salaries of state and "private" doctors, will eventually receive an average figure for the Federation in the amount of 47-50 thousand rubles a month.

However, in reality, this can be achieved in a simpler way - massive layoffs and an increase in the number of rates per health worker. Naturally, a doctor who works on two rates 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? ..

The average salary of doctors in Russia increased in 2016, according to Rosstat, by 5.8% and amounted to 50.7 thousand rubles per month. It is noteworthy that in six regions the indicator, for which officials at all levels are stubbornly fighting under the supervision of the president, on the contrary, has gone into the red. The situation with the salaries of middle and junior medical personnel is no better.

Average monthly salary of healthcare workers in 2015-2016, in rubles (Rosstat)

Recall: until recently, officials on a blue eye stated that in accordance with the "May" decrees of the president, the salaries of doctors will increase by 200% of the average salary in the country already in 2017.

However, it now appears that this height will only be stormed in 2018. Vice Prime Minister of the Russian Federation Olga Golodets recently announced that the salaries of doctors will increase in 2017 in two stages and by October 1 should reach 180% of the average for the region.

According to Rosstat, the salaries of those employed in the healthcare and social services sector have grown at a faster pace since 2002, and without any shouting from above. During the period under review, the indicator increased by 21 times against 15.3 times on average in the economy. This made it possible to improve the ratio of wages of workers in this area and the average wage in economy: from 60% in 2000 to 82% in 2016.

In the period 2009–2015, the rate of wage growth in the healthcare sector outpacing the wage growth in the economy as a whole is noticeably less than in the period 2000–2015. The ratio varied in the range from 79 to 87%.

With regard to the increase in salaries for categories of health workers, the implementation of the targets provided for by the road map is regularly monitored to ensure the achievement of the tasks set in the presidential decrees by 2018. Below are the data for the years of the reporting period (2013-2016) for various categories of employees.

As of January 1, 2016, 543,604 doctors and 1,309,846 medical workers with secondary vocational education worked in medical organizations of the system of the Ministry of Health of the Russian Federation.

In some regions, the salaries of doctors in 2014-2015 were twice the average. But there are very, very few of them, so even the aggregate figures for the districts, not to mention the country as a whole, are not so optimistic.

Head of the Design and Analytical Center of the Academy of Labor and Social Relations Anton Daletsky:

– The data of our study are based on interviews directly with health workers, and communication often went beyond the scope of the study. So, we learned that the situation with part-time employment among healthcare workers sometimes goes beyond the reasonable. I understand that in order to survive, doctors have to take additional positions within their healthcare facility, combine this work with private practice or in the field of education. But we have come across egregious cases when surgeons are forced to work as taxi drivers, and paramedics as hairdressers.

Wages in the public sector are an important socio-economic indicator that in one way or another affects the amount of salaries in commercial organizations. Therefore, many managers and employees often have the question: what is the increase in salaries for state employees in 2020? After all, based on its size, you can index salaries in your company. Please note: Rosstat has published the average salaries of state employees by industry and region for the first half of 2020.

In 2018, the Government, executing the “May Decrees” of the President on raising the salaries of state employees (2020), approved the allocation of 14.5 billion rubles to finance the increase in the salaries of certain categories of employees of budgetary institutions. Salary indexation is also planned for 2020. Let's see what these separate categories of workers are. But let's start with the news.

Salary increase from 01.10.2019

• employees of federal state, budgetary and autonomous institutions;
• employees of federal government agencies, civilian personnel military units, institutions and subdivisions of federal executive bodies, in which the law provides for military service and equivalent service.

Besides, Decree of the President of the Russian Federation No. 279 dated June 13, 2019 “On increasing the official salaries of judges in the Russian Federation” from October 1, 2020, salaries will also increase for judges of all ranks: from judges of the Constitutional and Supreme Court to justices of the peace of the constituent entities of the Russian Federation - by the same 4.3%.

Who are civil servants and state employees

First you need to figure out who the state employees are. It is obvious that in everyday life this word “hides” all those people who receive a salary from the budget: officials, security officials, employees of state institutions, doctors, teachers, scientists. But it would not be entirely true to unite all state employees in one large category. Indeed, from the point of view of legislation, they are divided into different categories:

• civil servants (persons working in government bodies, in state institutions);
• public sector employees (teachers, scientists, doctors, kindergarten teachers, employees of cultural institutions and university professors).

The difference lies not only in the name, but also in the approach to material support, subordination and social service. As usual, it is somewhat better for civil servants. Yes, and their salaries and allowances are regulated by separate legislation. Since the salaries of officials and the military are subject to specific rules, we will dwell in more detail on what salary increase for state employees in 2020 was provided for the so-called “other categories” and what will be the salary increase for state employees in 2020 in Russia (latest news).

State employees: doctors, teachers and accountants

According to rough estimates, about 33 million people work in the public sector in Russia. Of all citizens of working age (approximately 83 million people), the share of state employees is more than a third. Of these, about half are those who cannot be called civil servants, namely employees:

• schools;
• kindergartens;
• secondary and higher educational institutions;
• medical institutions;
• libraries, museums and other cultural institutions;
• scientific institutes.

All of them receive wages from the state budget of the Russian Federation: federal or local. Their working conditions are regulated by the Labor Code of the Russian Federation, as well as regulations, developed by the department that manages the activities of the institution. For example, for doctors it is the Ministry of Health, and for cultural workers it is the Ministry of Culture.

It is noteworthy that although all these legal acts (unlike law enforcement agencies) are open and publicly available, it is difficult to officially understand the level of salaries of employees of these structures. After all, the remuneration system involves not only a salary, but also a whole layer of various bonuses, subsidies and bonuses. Therefore, for example, the salary of a chief accountant in budget organization may be the same, but different employees in different industries will receive completely different amounts.

However, when we are talking about average salaries, then when they are calculated, all additional payments are usually taken into account. So, according to Rosstat, the average salary in the country amounted to 49,348 rubles (data for June 2020). Since statistics were sampled for all regions and cities, this figure turned out to be overestimated for small towns: in practice, doctors and teachers in small towns municipalities can receive only 12,000-15,000 rubles a month. In general, the picture of average salaries by industry of public sector employees and regions is presented in the table, formed on the basis of Rosstat data on average salaries of public sector employees.

July 23 Rosstat published data on average wages of certain categories of workers in the social sphere and science in organizations of state and municipal forms of ownership in the constituent entities of the Russian Federation for January-June 2020.

Salaries of state employees in the 1st half of 2020, table:

For comparison: Rosstat data on the salaries of officials at various levels (for 2018).

Salary of state employees in 2020

The indexation of public sector salaries is part of Vladimir Putin's 2012 election program. The main document is Presidential Decree No. 597, sometimes called “Order 597 of the President: Roadmap 01/01/2018”. Then, in May, immediately after taking office, the head of state issued 11 decrees that dealt with raising the salaries of civil servants and other state employees. Then the President promised to raise salaries by 2020, primarily for teachers and doctors.

Salaries are increased primarily for those state employees who are subject to the Decrees of the President:

Salary increases are phased in. Finally:

• for university teachers and doctors (health workers with higher education), the salary level should be at least 200% of the average salary in the region;
• middle and junior medical staff and social workers the level of salary should not be lower than the average salary in the region.

Unfortunately, not all categories of state employees fell under the "May decrees". It is obvious that there are quite a lot of those who have not been raised salaries. Therefore, officials promised not to bypass them and also to index their salaries. Thus, in accordance with the law "On the federal budget for 2020 and for the planning period of 2020 and 2021", it is planned to increase the salaries of state employees (see the table below for indexation rates).

Increasing the salaries of state employees from 01/01/2019

It should be noted that some state employees will have to increase salaries regardless of indexation. Indeed, from January 1, it is planned to increase the minimum wage (increasing the minimum wage), which will affect the salaries of junior and middle-level personnel with secondary education. From 01/01/2019, the minimum wage is 11,280 rubles. This increase in salaries will affect approximately 1.6 million people in the public sector.

Regional decisions to increase salaries for state employees

Decree of the Government of the Russian Federation dated December 28, 2012 No. 2599-r obliges the governments of the constituent entities of the Russian Federation to adopt orders on their regional "road maps" in which to prescribe specific figures for each year to increase salaries. Yes, the roadmap. Sverdlovsk region on salary increase 2020 argued that the average salary of social workers should be at least 100 percent of the average monthly salaries in the Sverdlovsk region. And the Government allocated an additional 2.9 billion rubles from the federal treasury to raise the salaries of state employees in 2020 in the Krasnoyarsk Territory, so that regional allowances and the northern coefficient could be taken into account.

At the end of the year, regional authorities traditionally prepare appropriate decisions regarding salary increases for the next year. For example, in the Lipetsk region, deputies decided to raise the salaries of state employees who are not subject to May decrees by 10% in 2020.