23 January 2020 16:13

Salary increment will be applied for doctors

The State Agency on Mandatory Health Insurance has approved the regulation "On the Compensation System for Healthcare Personnel of Medical Facilities under the jurisdiction of the Public Legal Entity “Administration of the Regional Medical Divisions.” According to the regulation, the salary of health workers includes salary (tariffs), allowances for working conditions, incentive increments, and other payments provided by the Labor Code, depending on their position, seniority, and performance evaluation.

Allowances for working conditions include the following types:

•   increments for working conditions that are hazardous to health and difficult;
•   increments for working conditions that are particularly dangerous and severe;
•   increments for working conditions associated with human immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV);
•   increments for qualification degrees;
•   increments for continuous work experience;
•   increments for works carried out during the night time;
•   increments for specific working conditions;
•   increments for tense, complex, and high quality work, as well as high performance.

Taking into account the specifics of the work carried out by healthcare staff, incentive increments to their monthly salaries (tariffs) are defined in fixed increments, or merit-based increments depending on their positions. Taking into account the nature of their job responsibilities and the specifics of the registration of a patient's inquiry for a particular doctor position, a fixed incentive increment is applied to the monthly salary (tariff) of some doctors (by specialization/position):

Specialization / position	Amount of incentive increment applied to the salary of doctors
Heads of departments (divisions), where incentive increments for doctors are applied based on merit	100 manat
Doctors of the Department of Health Services Organization (except for dentists)	200 manat
Doctors working in the position of pharmacist	260 manat
Doctors working in the position of family doctor	300 manat
Doctors working in the position of laboratory doctor	340 manat
Doctors working in the position of statistical doctor	340 manat
Doctors working in the position of the head of the Family Health Center	480 manat
Doctors working in the position of emergency doctor
A midwife-gynecologist working at a women's consultation and Family Health Center
Doctors working in the position of the head of pharmacy division	570 manat
*In addition, doctors receive incentive increments for their merits.

In addition, incentive increments based on merit are provided to doctors for the purpose of measuring and evaluating the services provided by their specialization/position. Given the optimum workload and working hours, the maximum limit for doctors' services is restricted and no overpayments for medical services are provided.

Specialization/position	Maximum limit	Amount of monthly incentive increment for performance
General practitioners and pediatrists	Working day limit for outpatient physician: Carrying out medical examinations (examinations by qualified doctor) for a maximum of 20 insured persons	At the rate of 7% of the applied tariff
	Working day limit for a physician who assigns a physiotherapy procedure: No limit is set	At the rate of 20% of the applied tariff
	The calendar month limit for each physician for in-patient services: Carrying out a follow-up for a maximum of 60 insured persons	2 manat per each day during 1-5 days of stay and 1 manat per each day during 6-10 days of stay for each insured person, provided that the duration of stay will not exceed 10 days
Physician-gynecologists and doctors working on all surgical specializations	Working day limit for each outpatient physician: Carrying out medical examinations (by a qualified doctor) for a maximum of 20 insured persons (with the exception of the insured patients admitted to surgery)	At the rate of 7% of the tariff applied for medical examination carried out by a qualified doctor
		At the rate of 15% of the tariff applied for surgery procedures
	The calendar month limit for each physician for in-patient services: No limit is set	At the rate of 15% of the applied tariff
Assistant doctors working on surgical specializations	The calendar month limit for each physician working as an assistant doctor under in-patient conditions: Carrying out a maximum of 60 surgery operation for insured persons	At the rate of 3% of the applied tariff
Assistant doctors working on surgical specializations	The calendar month limit for each physician working as an assistant doctor under in-patient conditions: No limit is set for operations on non-insured persons	At the rate of 3% of the applied tariff
Physicians working on the specialization of anesthesiologists-resuscitators	Limits for any anesthesia operations performed by a physician: No limit is set	At the rate of 5% of the applied tariff
Doctors of the neonatology division	The calendar month limit for newly-born babies treated under in-patient conditions: No limit is set	At the rate of 7% of the applied tariff
General practitioners and surgeons	Working day limit for medical examinations carried out by qualified doctor for non-insured persons: No limit is set	At the rate of 15% of the applied tariff
General practitioners and surgeons	The calendar month limit for surgery operations and procedures for non-insured persons: No limit is set	At the rate of 30% of the applied tariff
Dentists	The calendar month limit for the doctor: No limit is set	At the rate of 60% of the applied tariff, but without the cost of medical supplies used in the service
Doctors working as the head of structural units	The calendar month limit for each physician for medical statements (except for medical statements issued on periodic medical examinations of obligatory groups) and extracts issued as a result of providing appropriate medical services: No limit is set	At the rate of 5% of the applied tariff
Doctors carrying out ultrasound examinations	Working day limit for doctor: Carrying out diagnostic examinations for a maximum of 22 insured persons	At the rate of 8% of the applied tariff
Doctors specializing in EEQ (Electroencephalography), EMG (Electromyography) and Endoscopic Examination	Working day limit for doctor : Carrying out diagnostic examinations for a maximum of 10 insured persons	At the rate of 10% of the applied tariff
Doctors specializing in MRT (Magnetic resonance tomography)	Working day limit for the doctor: No limit is set	At the rate of 8% of the applied tariff
Doctors specializing in CT (computer tomography)	Working day limit for the doctor: No limit is set	At the rate of 10% of the applied tariff
Doctors specializing in X-ray, Mammography, and Fluorography	Working day limit for the doctor: Carrying out diagnostic examination for a maximum of 35 insured persons	At the rate of 10% of the applied tariff for X-ray, Mammography. At the rate of 14% of the applied tariff for fluorography
Cardiologist doctors	Working day limit for doctor for issuing ECG (electrocardiogram) conclusion: No limit is set	At the rate of 10% of the applied tariff

An increment in the amount of 30 manat is paid for each night shift for doctors in the intensive care division and five manat for each patient to whom services are provided during the night. Fixed incentive increments are applied to the monthly salaries (tariff) of managers (heads), doctors ,and dispatchers of emergency ambulance care stations (divisions) in accordance with compensation rates. An increment at the rate of 15% of the monthly salary of a certain group of health workers is applied for working conditions that are hazardous to health and difficult. The rate of increment applied for working conditions that are particularly dangerous and severe will be 20% of their monthly salary and 60% for working conditions associated with human immunodeficiency syndrome (AIDS) or human immunodeficiency virus (HIV).

Fixed increments are paid to doctors working far from their places of residence in villages and settlements. Fixed incentive increments are applied at the rate of 50% of the hourly salary (tariff) of doctors of the surgery, intensive care, maternity, gynecology, and ambulance divisions (division, department, station, cabinet, etc.) of medical facilities, based on the hours of work carried out during the night time (for ambulance services, as well as 35% of the regular incentive increments referred to in paragraph 17.4 of the regulations). For other staff, the rate of increments applied will be 35% of their salary (tariff).

You may find the regulation here.