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Regional Economics: Theory and Practice
 

The contract system of remuneration as a tool to manage the development of medical organizations in the constituent entities of the Russian Federation

Vol. 13, Iss. 47, DECEMBER 2015

PDF  Article PDF Version

Received: 3 June 2015

Accepted: 8 June 2015

Available online: 21 December 2015

Subject Heading: SOCIOECONOMIC POLICY

JEL Classification: 

Pages: 32-46

Molotkov Yu.I. Siberian Institute of Management, Branch of RANEPA, Novosibirsk, Russian Federation
molotkov@sapa.nsk.su

Totskaya E.G. Novosibirsk Municipal Polyclinic No. 16, Novosibirsk, Russian Federation
etockaya_glav@mail.ru

Importance The article studies the health-sector reform process and the implementation of a new contractual system of medical workers’ compensation, developed by the project team for medical organizations of the subjects of the Siberian Federal District. We studied various medical establishments of the District.
     Objectives We aimed to develop a new draft contract remuneration system, enabling the work of medical personnel and development of medical organizations at the level of the constituent entities of the Russian Federation.
     Methods For the study of the current system and formation of new approaches to remuneration in medical organizations, we used a structural and system analysis, participant observation, SWOT-analysis, statistics, the existing normative legal acts, and a functional modeling methodology.
     Results We have developed a draft of a new wage contract system for medical workers, algorithms, tools, and a target program to implement it in health organizations. Using the investigated medical organization case, we proved that the introduction of the contract system provided significant improvements in satisfaction of the population with the quality and availability of medical assistance and the enhancement of key indicative figures of the medical organization.
     Conclusions and Relevance We conclude that targeted management of the project’s implementation is a tool to achieve the desired forecast (project) indicators in health organizations. The proposed contract system can be used in all medical organizations of the constituent entities of the Russian Federation.

Keywords: healthcare, services, salaries, indicative, indices

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