Approaches to justifying the size of the official wages of medical workers

One of the main factors in the formation of motivation to improve the quality and performance of employees of health care providers is a qualitatively and logically built wage system in a medical organization. The basis for calculating an employee’s salary is the amount of the salary, on the basis of which its other elements are established — compensation and incentive payments, other charges. This article is devoted to the study of regulatory issues related to the determination of the salary of employees of medical organizations. Object of study. The system of remuneration of employees of medical organizations. Subject of study. The salary of employees of medical organizations. Purpose of the study. The article discusses the problems of the current system of remuneration in health care, as well as theregulations governing the determination of the size of the official salary of employees of medical organizations. The main theoretical position of the article. The salary of medical workers has a high differentiation even between the subjects of one federal district. Federal legislation regarding the approaches to the wage system is advisory in nature. Therefore, the official salary of doctors of one qualification level, approved at the level of each subject of the Russian Federation, may differ by 5 times. It is substantiated that in order to reduce the differentiation in the size of salaries for medical workers, it is necessary to establish the basic parameters that are uniform throughout the Russian Federation, including the sizes of official salaries of employees of medical organizations. It is advisable to use the value of the minimum wage, annually approved by the Government of the Russian Federation in an amount not lower than the living wage, as the minimum size of the official salary. Scope of the research results. The results can be used as the basis for the policy of improving the remuneration system for employees of federal medical organizations.

1. Federal’nyj zakon ot 19.06.2000 № 82-FZ (red. ot 25.12.2018) «O minimal’nom razmere oplaty truda». URL: http://base.garant.ru/12119913/ (data obrashhenija: 05.04.2020).

2. Ukaz Prezidenta Rossijskoj Federacii ot 07.05.2012 № 597 «O meroprijatijah po realizacii gosudarstvennoj social'noj politiki» URL: https://mintrud.gov.ru/zarplata/legislation (data obrashhenija: 05.04.2020).

3. Postanovlenie Pravitel’stva RF ot 05.08.2008 № 583 «O vvedenii novyh sistem oplaty truda rabotnikov federal’nyh bjudzhetnyh, avtonomnyh i kazennyh uchrezhdenij i federal’nyh gosudarstvennyh organov, a takzhe grazhdanskogo personala voinskih chastej, uchrezhdenij i podrazdelenij federal’nyh organov ispolnitel’noj vlasti, v kotoryh zakonom predusmotrena voennaja i priravnennaja k nej sluzhba, oplata truda kotoryh osushhestvljaetsja na osnove Edinoj tarifnoj setki po oplate truda rabotnikov federal’nyh gosudarstvennyh uchrezhdenij». URL: https://mintrud.gov.ru/zarplata/legislation (data obrashhenija: 05.04.2020).

4. Rasporjazhenie Pravitel’stva RF ot 26.11.2012 № 2190-r «Ob utverzhdenii Programmy pojetapnogo sovershenstvovanija sistemy oplaty truda v gosudarstvennyh (municipal’nyh) uchrezhdenijah na 2012–2018 gody». URL: https://mintrud.gov.ru/zarplata/legislation (data obrashhenija: 05.04.2020).

5. Postanovlenie Pravitel’stva Moskovskoj oblasti ot 03.07.2007 № 483/23 «Ob oplate truda rabotnikov gosudarstvennyh uchrezhdenij zdravoohranenija Moskovskoj oblasti». URL: http://docs.cntd.ru/document/819008253 (data obrashhenija: 05.04.2020).

6. Postanovlenie administracii Vladimirskoj oblasti ot 04.04.2016 № 277 «Ob oplate truda rabotnikov gosudarstvennyh uchrezhdenij, podvedomstvennyh departamentu zdravoohranenija administracii Vladimirskoj oblasti, i medicinskih rabotnikov inyh gosudarstvennyh uchrezhdenij Vladimirskoj oblasti». URL: http://base.garant.ru/19432626/ (data obrashhenija: 04.04.2020).

7. Postanovlenie administracija Kurskoj oblasti ot 30.12.2015 № 955-pa «Ob oplate truda rabotnikov oblastnyh uchrezhdenij, podvedomstvennyh komitetu zdravoohranenija Kurskoj oblasti» URL: http://docs.cntd.ru/document/432839931 (data obrashhenija: 04.04.2020).

8. Prikaz Pravitel’stva Moskvy № 531 ot 9.06.2012 «O meroprijatijah po perehodu medicinskih organizacij gosudarstvennoj sistemy zdravoohranenija goroda Moskvy na sistemu oplaty truda, otlichnuju ot tarifnoj sistemy oplaty truda rabotnikov gosudarstvennyh uchrezhdenij goroda Moskvy». URL: http://docs.cntd.ru/document/456040578 (data obrashhenija: 01.03.2020).

9. Prikaz Minzdravsocrazvitija Rossii ot 14.08.2008 № 425n «Ob utverzhdenii Rekomendacij po razrabotke federal’nymi gosudarstvennymi organami i uchrezhdenijami — glavnymi rasporjaditeljami sredstv federal’nogo bjudzheta primernyh polozhenij ob oplate truda rabotnikov podvedomstvennyh federal’nyh bjudzhetnyh uchrezhdenij». URL: http://www.przrf.ru/docs/full/oplata_truda1/ob_utverzhdenii_rekomendatcij_po_razrabotke_federalnymi/ (data obrashhenija: 01.03.2020).

10. Pis’mo Ministerstva zdravoohranenija RF ot 04.09.2014 № 16-3/10/2-6752 «O sovershenstvovanii regional’nyh i municipal’nyh sistem oplaty truda medicinskih rabotnikov». URL: https://ppt.ru/docs/pismo/minzdrav/n-16-3-10-2-6752-102133 (data obrashhenija: 03.04.2020).

11. Vishnevskaja N. T., Kulikov O. V. // Voprosy jekonomiki. — № 4. — Aprel’ 2009. — C. 91–103.

12. Gamov V. N. Sovershenstvovanie sistemy oplaty truda rabotnikov bjudzhetnoj sfery: dis. ... kand. jek. nauk. — Sankt-Peterburg, 1997.

13. Grebenshhikova N. I. Problemy funkcionirovanija i sovershenstvovanija jekonomicheskogo mehanizma oplaty truda v zdravoohranenii: dis. ... kand. jek. nauk. — Saratov, 2003.

14. Dannye Rosstata. URL: http://www.gks.ru/wps/wcm/connect/rosstat_main/rosstat/ru/statistics/population/healthcare. (data obrashhenija: 03.02.2019).

15. Zhelomeeva N. V. Oklad (dolzhnostnoj oklad) medicinskogo rabotnika bjudzhetnogo lechebnogo uchrezhdenija kak ob#ekt pravovogo regulirovanija.// Jelektronnoe prilozhenie k Rossijskomu juridicheskomu zhurnalu. — 2017. — № 2. — S. 102–120.

16. Kadyrov F. N. Izmenenija v oplate truda rabotnikov bjudzhetnoj sfery: otkaz ot edinoj tarifnoj setki // Menedzher zdravoohranenija. — 2007. — № 11. — S. 53–57.

17. Kolosnicyna M. G., Vladimirskaja E. N. Reformirovanie oplaty truda v gosudarstvennom sektore // Voprosy statistiki. — 2010. — № 11. — S. 38–46.

18. Sergeeva N. M. Sravnitel’naja ocenka urovnja oplaty truda v sisteme zdravoohranenija federal’nyh okrugov RF // Azimut nauchnyh issledovanij: jekonomika i upravlenie. — 2018. — T. 7. — № 4 (25). — S. 283–286.

19. Federal’naja sluzhba gosudarstvennoj statistiki // FSGS: oficial’nyj sajt.URL: https://www.gks.ru/labor_market_employment_salaries (data obrashhenija: 01.11.2019).

20. Chistjakova E. A. Oplata truda v medicinskih uchrezhdenijah: sostojanie i perspektivy // Bjulleten’ medicinskih internet-konferencij. — 2016. — T. 6. — № 1. — S. 193.

21. Hovalyg S. A. Problema vysokoj differenciacii zarabotnoj platy medicinskih rabotnikov uchrezhdenij zdravoohranenija // Aktual’nye problemy issledovanija jetnojekologicheskih i jetnokul’turnyh tradicij narodov Sajano-Altaja Materialy III mezhdunarodnoj nauchno-prakticheskoj konferencii molodyh uchenyh, aspirantov i studentov, posvjashhennoj 20-letnemu jubileju Tuvinskogo gosudarstvennogo universiteta, Godu narodnyh tradicij v Respublike Tyva. — Tuvinskij gosudarstvennyj universitet, 2015. — S. 197–199.