The problems of introducing a new wage system for medical workers in the conditions of the modern regulatory framework for labor

• Valentina M. Shipova
• Sergey N. Koretskiy

Abstract

Material and methods. The research materials were regulatory Legal acts on Labor standards in healthcare. The source of legal information is the ConsultantPlus legal reference system. Analytical, study and generalization of experience were used as research methods.

Results. In the study, the analysis of the modern regulatory framework for labor within the health care system of the Russian Federation was carried out by types of labor standards, in connection with which their appropriate systematization was developed and a list of normative legal acts was formed for 6 groups: number norms (in orders on Procedures), number norms (in orders on Rules), number norms (in the order on Rules), time norms (for visits), time norms (for diagnostic studies, procedures, manipulations), load norms.

The problems and shortcomings of regulatory legal acts on labor standards in healthcare have been identified, such as the inconsistency of the content of a number of orders and appendices to orders with their names, contradictory data on the values of labor standards in regulatory legal acts, the lack of standards for the number of auxiliary service medical workers, general hospital staff in the main types of hospital organizations, erroneous recommendations for staffing round-the-clock work, violations of the nomenclature of medical care profiles, positions, specialties, the economic unreasonableness of labor standards and, most importantly, the lack of communication between the individual components of the labor rationing system in healthcare. A number of measures have been identified to eliminate erroneous provisions of regulatory legal acts and improve the regulatory framework for labor in the healthcare system.

Conclusion. The revealed shortcomings and problems of the labor regulatory framework hinder the introduction of a new system of remuneration for medical workers and violate its main conditions: transparency and fairness.

In the conditions of the presented state of the regulatory framework for labor rationing in healthcare, it is difficult to count on the creation of equal tension of labor standards, which is the basis for the introduction of a new system of remuneration for medical workers.

Keywords:new wage system, healthcare, staff and regulatory support, labor standards, medical worker, regulatory legal act, procedure for providing medical care

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