According to Rosstat, today the average salary of medical workers in the country is 97,546 rubles.

New payroll rules for healthcare workers

According to Rosstat, today the average salary of medical workers in the country is 97,546 rubles. Indexation at the level of 8.4 – 8.6% will not be the only solution to increase the income of healthcare workers. Today, in general, the legislation of the Russian Federation is changing in terms of salaries and allowances for medical personnel in all regions.

When will doctors get a pay rise?

At present, serious work is being carried out in the State Duma on the application of the legal measures taken and the introduction of regulations to increase the salaries of doctors in various regions of Russia. A pilot project has already been introduced in seven regions (Belgorod, Tambov, Omsk, Orenburg, Kurgan, the Republic of Sakha, the city of Sevastopol). The main goal has been set – to reduce the influence of regional authorities, to equalize incomes between urban and rural specialists, to equalize indicators across the country.

According to the latest news, the basic salary of medical workers will be increased to the mandatory 50% of the basic salary. Further, the amounts calculated by regional coefficients, qualifications, processing will be added to it. Therefore, we should expect an increase in wages by high percentages: in weak regions by 30-70%, in more favorable regions by 4-25%. The implementation period in the regions for the pilot project is March 2022.

According to the Government, it is necessary to achieve the set goals immediately, since the medical staff has long suffered from unfair decisions made by the heads of departments and municipalities. If fairness in wages in the healthcare sector is restored, then naturally the problem with the shortage of doctors in small towns, villages and villages will be solved.

The Ministry of Labor and Social Protection, the Ministry of Health, the Central Research Institute, and statistical structures are involved in the decision.

Raising the salaries of medical workers by specialty and regions of Russia

Indexation of salaries for state employees is so far the only tool applicable at the beginning of 2022 from January 01-February 2022. The rest of the planned actions as part of the changes made to the Labor Code will be introduced based on the results of the pilot project after the 1st quarter. This implies adjustments in the model for calculating wages and the installation of uniform requirements for Russia.

Nevertheless, there was a partial increase in the salaries of medical staff in 2022. Here is a summary in rubles for some regions “before” and “after” the increase:

By profession	Surgeon	Anesthetist	Therapist	Neurologist	Pediatrician	military medic	Nurse	laboratory assistant	District doctor	Pharmacist
before	after	before	after	before	after	before	after	before	after	before	after	before	after	before	after	before	after	before	after
Moscow	166 281	180 581	165 025	179 217	119 600	129 886	76 690	83 285	80 030	86 913	92 000	99 912	64 400	69 938	100 000	108 600	90 000	97 740	69 000	74 934
Moscow region	116 833	126 881	113 361	123 110	76 500	83 079	63 510	68 972	52 670	57 200	60 000	65 160	55 000	59 730	70 000	76 020	73 600	79 930	63 220	68 657
St. Petersburg	129 547	140 688	114 442	124 284	97 500	105 885	75 000	81 450	51 460	55 886	51 520	55 951	60 000	65 160	87 000	94 482	87 615	95 150	67 423	73 221
Republic of Tatarstan	72 192	78 401	71 524	77 675	40 053	43 498	42 000	45 612	28 818	31 296	28 851	31 332	33 600	36 490	48 720	52 910	49 064	53 284	37 757	41 004
Altai region	64 787	70 359	56 950	61 848	32 556	35 356	37 688	40 930	25 859	28 083	25 889	28 116	30 151	32 744	43 719	47 478	44 028	47 814	33 881	36 795
Krasnoyarsk region	98 374	106 834	94 148	102 245	75 075	81 531	75 748	82 262	39 624	43 032	39 670	43 082	46 200	50 173	66 990	72 751	67 464	73 265	51 916	56 380
Krasnodar region	73 013	79 292	64 935	70 519	55 575	60 354	42 750	46 427	29 332	31 855	29 366	31 892	34 200	37 141	49 590	53 855	49 941	54 235	38 431	41 736
Sverdlovsk region	85 423	92 769	79 334	86 157	64 350	69 884	49 500	53 757	33 964	36 884	34 003	36 927	39 600	43 006	57 420	62 358	57 826	62 799	44 499	48 326
Crimea	65 236	70 846	62 328	67 688	49 725	54 001	38 250	41 540	26 245	28 502	26 275	28 535	30 600	33 232	44 370	48 186	44 684	48 526	34 386	37 343
Bashkiria	76 190	82 742	70 319	76 366	57 525	62 472	44 250	48 056	30 361	32 972	30 397	33 011	35 400	38 444	51 330	55 744	51 693	56 138	39 780	43 201
Dagestan	56 110	60 935	51 254	55 662	41 925	45 531	32 250	35 024	22 128	24 031	22 154	24 059	25 800	28 019	37 410	40 627	37 674	40 914	28 992	31 485

In addition, the highest average salary of medical workers was noted in the Chukotka Autonomous Okrug within 259 thousand rubles, further in the Yamalo-Nenets Okrug – 255 thousand and Magadan Region 203 thousand.

The minimum income for doctors is set at 50,000 rubles. on the territory of Ingushetia, North Ossetia, the Kabardino-Balkarian Republic. In rural and remote areas, the salary of medical staff starts from 15 thousand rubles.

Average salaries of doctors in other countries

The appearance of modern medicine is primarily associated with the development of IT technologies, so today doctors in the field of surgery, examinations, and oncology use new medical equipment. For preparation, they are sent to the producing countries of the USA, France, Germany, Ireland. In these states there are many specialized clinics where people from all over the world come for quality treatment.

Here is a statistic showing how much an average doctor earns in the leading countries and other countries.

By country	Average salary of doctors per month, 2022
in dollars	in rubles
United Kingdom	$18 626	1 359 698
China	$10 897	795 481
Israel	$10 895	795 335
France	$10 825	790 225
Japan	$10 497	766 281
Germany	$10 035	732 555
Australia	$9 295	678 535
USA	$8 830	644 590
Turkey	$1 310	95 630
Belarus	$1 015	74 095
Ukraine	$970	70 810
Kazakhstan	$575	41 975
DPR	$268	19 564

Highly paid specialists in the field of medicine include orthopedists, pediatricians, gynecologists, oncologists, surgeons, neurologists, cardiologists, and dentists. Doctors who work in the space, aviation industries, as well as in sports competitions, get well. Astronaut doctors have a median income of $5,000 to $15,000 among the major powers.

Additional payments to doctors for work with coronavirus

Medical workers directly involved in the reception, care and treatment of people with coronavirus disease will continue to receive an increase in 2022. According to the regulations, the following monthly payment scheme (in rubles) has been established:

1. Qualified senior specialists – 80,000.
2. Medical workers with average experience – 50,000.
3. Junior assistants – 25,000.

In addition, volunteers who take part in looking after orphans, the disabled, the elderly will receive monthly assistance in the amount of 12 thousand 130 rubles.

According to Mikhail Mishustin, these measures have been taken for a fair assessment of the work of medical / social workers who invest a huge amount of effort and their own health in this difficult time. Also, according to him, the money has already been allocated from the state budget for the first six months. The amount of 128 billion was calculated, but it is planned to finance work during the New Year holidays from it.

The salaries of staff in covid departments by region will be raised by 15-100%. The percentage does not seem high, since specialists in some places receive, by federal standards, simply meager incomes.

Calculation of salaries of doctors in the public sector

Changes in the settlement system since last year are recorded in separate documents of the Ministry of Labor and the Ministry of Health. To understand the question: “How much will the medical staff still be paid?” – you should analyze the structure of the calculus. In fact, this is already a new incentive scheme for state employees and it looks like this:

1	The base salary in the amount of 13,890 rubles.	This is the minimum wage index after 2022 indexation to the inflation level with a percentage lead. Compared to the previous period, it is 8.6% more.
2	Each job has its own difficulty factor.	Specializations are divided according to 16 criteria. For example, junior staff is divided into a nurse, a doctor's assistant, a nurse, district staff – a coefficient of 1.0 – 1.44 is applicable. Further, senior medical orderly, trainee, laboratory assistant – 1.54 – 1.94. Doctors-specialists of different departments, employees of mobile teams, surgeons, heads of departments – 2.23 – 3.13.
3	Add regional coefficients	According to the approved bill, the Belgorod region and Sevastopol have 1.380, for the Kurgan region 1.0. Also, the salaries of doctors will increase in the Orenburg region by 1.09, Omsk – 1.11, Tambov – 1.14, Yakutia – 1.16.
4	Incentive through bonuses, surcharges and allowances	Provided for intensive work, high results and quality of fulfillment of labor obligations, participation in conducting medical / sanitary operations with a visit (including in space, aviation activities). From RFP 15 – 65%.
5	Surcharges for moving to the countryside, region, region	Physicians who move to settlements under a special state program will receive an increase in their salary. Plus paid rent in the amount of 20 thousand rubles / month
6	Compensation for professionalism and special conditions	For medical activities in the subjects of the Russian Federation with severe climatic conditions. For the harmfulness and danger of conditions in the performance of medical obligations. With additional working hours, night shifts, holiday exits, combining positions. Doctors are paid separately for their work with HIV-infected patients. The average surcharge is 5 – 40%.

The statistical data of Rosstat are applicable for the calculation of regional coefficients. The figures for average salaries in a particular region will be taken as the basis for key parameters. It also established 16 criteria for stimulating medical staff and 8 additional payments in the form of compensation.

Will there be a 13th salary for doctors in 2022?

In accordance with the Labor Code of the Russian Federation, an Order on bonuses is put into effect within the state organization. Heads of regional hospitals, polyclinics, medical centers have the right to financially thank employees for their quality work. Still, a lot depends on the budget, the working year and the correct distribution of finances.

In 2022, the receipt of the 13th salary will be regulated by internal documents.Perhaps the premium will be distributed on a quarterly basis, or it may be paid in a lump sum.

In medical institutions, the bonus is set as a percentage of the salary or an additional salary is paid.

When applying for a medical position, a contract is drawn up, which describes in detail the salary, the conditions for the increase, including bonuses.

After the completion of the pilot project, and more specifically in April, it will become clear “whether doctors will have the 13th salary or bonuses are applicable during the year.” Recall that today representatives from the State Duma are systematically equalizing the incomes of budget employees at the federal and regional levels. This will affect the system of remuneration of doctors, teachers, cultural workers.

Uniform rules for calculating salaries for medical workers 2022

The Ministry of Labor and the Ministry of Health have developed a document that lists uniform rules for calculating salaries for healthcare workers.

As planned, 7 regions will take part in the pilot project at the beginning of 2022, and then the sectoral wage system will spread throughout the country.

We will figure out what the income of medical workers will depend on, and who can count on a significant increase in salaries.

Peculiarities of the Industry Remuneration System for Physicians: Review of the Draft Law of the Ministry of Labor and the Ministry of Health

The Sectoral Remuneration System (OSOT) is designed to make the mechanism of payroll clear and transparent, to increase the attractiveness of the industry for young professionals. In addition, according to the ministers, with the help of OSOT, it will be possible to reduce the difference in wages for doctors from different regions of the Russian Federation.

Fragment of the draft law of the Ministry of Labor and the Ministry of Health with uniform rules for calculating salaries for medical workers

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According to the project, wages will consist of three parts – salary, incentive and compensatory allowances. How much a particular health worker will receive depends on many factors, including the regional minimum wage. For example, the minimum wage set at the federal level for 2022 is 13,617 rubles, in the regions it is lower.

The starting amount of the salary of medical workers is small, but it is not tied to the position, length of service and complexity of the work, so relying only on it is irrational. When calculating wages, the coefficients of differentiation of official salaries will be used, taking into account the complexity of work – in the project they are indicated in the range from 1 to 3.13. Regional coefficients are also not planned to be canceled.

Annex No. 1: coefficients for differentiation of official salaries, taking into account the complexity of work

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To increase the level of income of medical workers, in addition to the coefficients, compensation and incentive payments were also provided. For example, for mentoring, night shifts, work in harmful and dangerous conditions or in rural areas, they will be paid up to 60% of the salary.As a result, the ultimate sum will grow many times.

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What types of payments will not affect the sectoral system of remuneration of doctors

Industry rules will not affect those types of payments that are provided for by individual regulatory acts. For example, surcharges for working with coronavirus patients will continue to regulate the decree of the government of 12.04.2020. No. 484. Its action automatically lasts after President's instructions. Means have already been allocated in the amount of 69 billion rubles.

In 7 pilot subjects of the Russian Federation will launch a new wage system of health workers

Mikhail Mishustin Approved a pilot project to introduce a new system of remuneration of medical workers. The corresponding decree of the Government of the Russian Federation of June 1, 2021 No. 847 "On the implementation of a pilot project in order to approve the requirements for remuneration systems of medical workers of state and municipal health institutions" was published today on the official website of the Government of the Russian Federation.

Thus, the Government of the Russian Federation is planned to implement a pilot project from November 1, 2021 to March 31, 2022 in 7 subjects of the Russian Federation (in the Republic of Sakha (Yakutia), Belgorod, Kurgan, Omsk, Orenburg, Tambov regions and the city of Sevastopol).

Responsible for organizational and methodological support were appointed by the Ministry of Health of Russia and the Ministry of Internal Affairs of Russia. Participants in the pilot project will be Russian state and municipal medical organizations of the federal and regional level.

Decree of the Government of the Russian Federation provides that the work of employees of these medical institutions will include official salaries in groups of posts, as well as compensatory and stimulating payments.

At the same time, the size of the salary will be determined by multiplying the calculated value on the complexity of labor complex and the regional coefficient. Regional coefficients will be reviewed every five years. These values ​​will be established by the Government of the Russian Federation.

The final payment of the health worker the amount of the official salary with all the allowances and additional charges should not be less than the amount in the existing wage systems. At the discretion of a medical organization, additional stimulating payments for workers can be installed.

The implementation of the pilot project is planned in three stages, in particular:

• Preparatory (analysis of the current wage system for the period of June-August 2021);
• Formation of proposals for the basis of the preparatory stage (term of implementation – until September 30, 2021);
• The introduction of a new employee remuneration system (implementation period – November 2021 – March 2022).

Also, the document under consideration of the implementation of the Decree of the Government of the Russian Federation provides assignments for ministries.

Thus, in particular, the Ministry of Health of Russia it is necessary to approve the list of medical organizations in the regions participating in the project, as well as to carry out with Mintruda Russia, an analysis of the current wage system in the subjects of the Russian Federation participants, up to June 30 of the current year.

The Ministry of Labor of Russia is to develop a methodology for the formation of a new wage system of health workers and approve the relevant recommendations on the application of a new payment system, up to July 31 of the current year.

And also before the end of the preparatory stage, to form proposals for the size of the calculated value for its use in a new wage system and together with the Ministry of Health of Russia to prepare proposals for the definition of groups of employee posts to establish job salary, the size of coefficients and stimulating payments in accordance with the new system.

The current system of remuneration of medical workers does not contain uniform requirements for the appointment of salary size, as well as stimulating and compensatory payments, in connection with which the salaries of the same category of workers are different. According to the certificate of the Decree of the Government of the Russian Federation, the new wage system is aimed at eliminating the indicated problem settles the current situation with the salaries of medical workers.

Salary of doctors in the road map: what it is and how it is calculated

The social sphere of the state is the basis of the life of citizens of the whole country. Indeed, in the framework of the concept includes such important areas as education, medicine, culture, sports, social security and protection of citizens. That is, the foundations of the basics of state regulation.

All our life depends on the economic situation in these areas. Evaluating the unfavorable situation, the Russian president in 2012 gave instructions to the government to develop a set of measures to improve the economic situation in the social sphere.

The result was the decree 597 on raising the salary and the road map.

What is a "road map" and why need

May presidential decrees and there are a "roadmap". Only they do not have any relation to the roads and motorways. The essence of the adopted document is to improve the quality of services in the social sphere.

The key direction of the President of the President (Decree No. 597) is a phased increase in the level of remuneration of medicine, education, culture and sports. But the project was not limited to one wage. And as the result of the execution of a set of events was planned to achieve the following goals:

1. Increasing the attractiveness and competitiveness of the salary of workers in this area.
2. Improving the efficiency and efficiency of labor by material incentives.
3. Conclusion of effective contracts with indicated categories of specialists.
4. Establishment of a direct relationship of earnings to the quality and volume of services rendered and work.
5. Development of regional update programs and modernization of health care.
6. Approval of regional road maps.
7. The introduction of professional standards for individual categories of workers.

Consequently, the "roadmap" – what is it in the salary? This is an action plan aimed at achieving a certain level of remuneration of medical professionals, as well as to improve the quality of services in this area.

Necessarily or not

Work on the road map is obligatory only for the state field of activity. It is impossible to abandon the execution of May decrees of the president in state and municipal institutions.

But commercial companies have the right to not apply the regulations on the growth of salaries of health workers.

But as practice has shown, most of the non-state clinics and medical organizations began to adhere to the presidential course.

Resolution No. 847. How will the wage of health workers be charged in the pilot project?

The co-chairman of the medical workers' action "Action" Andrei Konoval gave clarification for the Muir channel on the charges of remuneration by health workers according to the decree on the introduction of a new wage system to health workers №847n. It will begin to operate from November 2021 in the pilot project mode.

How will the work pay for health workers?

The government will establish the size of the official salary for each position: doctor, nurse, paramedic, sanitary. The salary size will be installed for each region. It will depend on the level of "economic efficiency", that is, a regional coefficient will appear.

Salary – guaranteed part of wages – will be installed from the center, government decree. In the same way, the size of each stimulating and compensatory payment will be determined. For example, allowance for work experience, for night duty. Today, the size of these allowances can differ significantly.

As for the list of premiums, it will also be approved centrally. When taking a position, the specialist will clearly understand how much he can earn. At the same time, stimulating payments for quality and intensity are preserved. They will depend on the available funds in the institution. The component of these payments in the salary structure will be minimized.

The main question is what will be the original salary sizes. It is now important to monitor changes in legislation. The ruling indicates that there will be no reduction in current wages, however, the bill is not taken into account. If they are eliminated, then perhaps the payment of labor will be reduced.

Therefore, the feedback from the health workers from the regions is very important, where the pilot project will be launched: the Republic of Sakha (Yakutia), Belgorod, Kurgan, Omsk, Orenburg, Tambov region and the city of Sevastopol.Development of regional update programs and modernization of health care.

Approval of regional road maps.

The introduction of professional standards for individual categories of workers.

Consequently, the "roadmap" – what is it in the salary? This is an action plan aimed at achieving a certain level of remuneration of medical professionals, as well as to improve the quality of services in this area. Necessarily or notWork on the road map is obligatory only for the state field of activity. It is impossible to abandon the execution of May decrees of the president in state and municipal institutions.

But commercial companies have the right to not apply the regulations on the growth of salaries of health workers. But as practice has shown, most of the non-state clinics and medical organizations began to adhere to the presidential course.

№ 1762Resolution No. 847. How will the wage of health workers be charged in the pilot project?

• The co-chairman of the medical workers' action "Action" Andrei Konoval gave clarification for the Muir channel on the charges of remuneration by health workers according to the decree on the introduction of a new wage system to health workers №847n. It will begin to operate from November 2021 in the pilot project mode.
• How will the work pay for health workers?
• The government will establish the size of the official salary for each position: doctor, nurse, paramedic, sanitary. The salary size will be installed for each region. It will depend on the level of "economic efficiency", that is, a regional coefficient will appear.

Salary – guaranteed part of wages – will be installed from the center, government decree. In the same way, the size of each stimulating and compensatory payment will be determined. For example, allowance for work experience, for night duty. Today, the size of these allowances can differ significantly. As for the list of premiums, it will also be approved centrally. When taking a position, the specialist will clearly understand how much he can earn. At the same time, stimulating payments for quality and intensity are preserved. They will depend on the available funds in the institution. The component of these payments in the salary structure will be minimized.

The main question is what will be the original salary sizes. It is now important to monitor changes in legislation. The ruling indicates that there will be no reduction in current wages, however, the bill is not taken into account. If they are eliminated, then perhaps the payment of labor will be reduced.Therefore, the feedback from the health workers from the regions is very important, where the pilot project will be launched: the Republic of Sakha (Yakutia), Belgorod, Kurgan, Omsk, Orenburg, Tambov region and the city of Sevastopol.The trade union is ready to control how this reform is held. It is very important that we follow and try to influence the adoption of amendments and management decisions, if something goes wrong.

New stagnation will act in the mode of a pilot project in seven regions from November 1, 2021. Until March 2022, data analysis will be carried out. By July, 2022, the main wage parameters for the whole country will be developed. It is assumed that at the federal level the system will be launched from January 2023.

Coronavirus: Mintrost explained to someone from health workers AT Letter dated April 12, 2021 No. 14-1 / 10 / P-2784

Mildrost said that in pursuance of the instructions of the Government of the Russian Federation of March 11, 2021 No. TG-P45-3036 Ministry of Transport of Russia together with the Ministry of Health of Russia considered a letter on the explanation of individual provisions Decisions of the Government of the Russian Federation of October 3020

(hereinafter referred to as the Resolution No. 1762) and in addition to letters of the Ministry of Labor of Russia dated December 30, 2020 No. 14-1 / 10 / B-12880 and on February 26, 2021 No. 14-1 / B-206 for competence and explained the following .

"Paragraph 2 of Resolution No. 1762 established categories of medical professionals who have the right to special social payment: doctors and medical professionals with higher (non-medical) education, Middle Medical Personnel, Junior Medical Personnel, and Non-Medical Assistance for Diagnostics and Treatment New coronavirus infection (COVID-19), but in contact with patients with a prescribed diagnosis of a new coronavirus infection (COVID-19) when performing official duties.

Please note that payments in connection with the new coronavirus infection (COVID-19) are also carried out by non-medical workers engaged in organizations providing transport services in the implementation of medical evacuation of patients with a new coronavirus infection (COVID-19): drivers of emergency medical care machines, Members of the flight crews of the aircraft of sanitary aviation.

Other non-medical workers are not eligible for benefits due to the novel coronavirus disease (COVID-19).

In accordance with paragraph 8

Decree No. 1762 by order of the Ministry of Labor of Russia dated December 15, 2020

No. 894n

(hereinafter – Order No. 894n), in agreement with the Ministry of Health of Russia, clarifications on the application of Decree No. 1762 (hereinafter – Clarifications) were approved. They, among other things, reflect the features associated with part-time employment, provide explanations for the categories of employees who receive special social benefits and other issues raised in the letter.With

1. Order No. 894n
2. can be found on the official Internet portal of legal information, as well as on the official website of the Ministry of Labor of Russia.

• In accordance with subparagraph "a" of paragraph 2 of Decree No. 1762, special social payments are established for medical and other workers providing medical assistance for the diagnosis and treatment of a new coronavirus infection (COVID-19), including medical workers of the X-ray room (service), in accordance with a temporary procedure for organizing the work of medical organizations in order to implement measures to prevent and reduce the risks of the spread of a new coronavirus infection (COVID-19), approved

by order of the Ministry of Health of Russia dated March 19, 2020 No. 198n

• (hereinafter respectively – the Provisional Order, Order No. 198n).

In accordance with paragraph 1. 3 of Appendix No. 2 to Order No. 198n, the heads of the executive authorities of the constituent entities of the Russian Federation in the field of health protection and the heads of medical organizations and their structural divisions that provide ambulances, including specialized ambulances, medical care, determine general field mobile ambulance teams sent to a call to patients with symptoms of acute respiratory viral infections (hereinafter referred to as ARVI) and community-acquired pneumonia, to patients diagnosed with a new coronavirus infection (COVID-19) and for the selection of biological material for laboratory tests for the presence of a new coronavirus infection (COVID-19), as well as mobile ambulance teams performing medical evacuation of patients with novel coronavirus infection (COVID-19).Thus, special social payments under subparagraph "a" of paragraph 2 of Resolution No. 1762 are received by medical workers of the indicated mobile ambulance teams.

Based on paragraph 1 of Appendix No. 5 to Order No. 198n, the heads of the executive authorities of the constituent entities of the Russian Federation in the field of health protection are adjusting the schemes for reprofiling medical organizations for the hospitalization of patients with a new coronavirus infection (COVID-19), providing for the creation of conditions for their isolated stay in hospital conditions specially designed for patients. In accordance with paragraph 4 of Appendix No. 10 to Order No. 198n, the structure and staffing of structural units of a medical organization for treatment (COVID-19) are established by the head of the medical organization. The head of the medical organization approves the temporary staffing of the medical organization and redistributes the functional duties of medical workers on the basis of additional agreements to labor contracts concluded in accordance with the Labor Code of the Russian Federation. At the same time, the formation of a temporary staffing table for structural units of a medical organization for patients with a new coronavirus infection (COVID-19) is carried out in accordance with the temporary staffing standards provided for in Annexes No. 16-17 to Order 198n. Special social payments in accordance with subparagraph "a" of paragraph 2 of Decree No. 1762 are made, among other things, to medical workers of repurposed medical organizations and structural divisions of medical organizations that provide medical care to patients for the diagnosis and treatment of a new coronavirus infection (COVID-19) in an inpatient setting.In accordance with paragraph five of subparagraph "a" of paragraph 2 of Resolution No. 1762, special social payments are also made to medical workers providing primary health care for the diagnosis and treatment of a new coronavirus infection (COVID-19) in accordance with the Temporary Order.

1. If a medical organization is involved in the provision of primary health care to patients with symptoms of acute respiratory viral infections, patients diagnosed with a new coronavirus infection (COVID-19), as well as patients at risk of contracting a new coronavirus infection (COVID-19), in accordance with subparagraph 2.2.
2. 1 of paragraph 2 of Appendix No. 3 to Order No. 198n, heads of medical organizations ensure the definition of structural divisions of a medical organization and the positions of medical workers in the indicated structural divisions of a medical organization involved in the provision of primary health care to patients with symptoms of acute respiratory viral infections, patients with an established diagnosis of a new coronavirus infection (COVID-19), as well as patients at risk of contracting a new coronavirus infection (COVID-19). In accordance with subparagraph "b" of paragraph 2 of Decree No. 1762, special social payments are made to medical workers who do not provide medical assistance for the diagnosis and treatment of a new coronavirus infection (COVID-19), but who are in contact with patients diagnosed with a new coronavirus infection (COVID-19) ) in the performance of official duties. In this case, according to paragraph 4 of Order No. 894n, for the implementation of special social benefits, all days of work are taken into account on which medical workers have been in contact with patients with an already established diagnosis of a new coronavirus infection (COVID-19) in the performance of their duties.
3. In our opinion, paramedics (nurses) for receiving ambulance calls and transferring them to mobile ambulance teams receive special social payments for the actual number of standard shifts based on the hours worked according to the time sheet.

In accordance with Interim guidelines "Prevention, diagnosis and treatment of a new coronavirus infection (COVID-19)" (Version 10 dated February 8, 2021) under the standard case definition (COVID-19), a confirmed case (COVID-19) is considered when:

a positive laboratory test result for the presence of SARS-CoV-2 RNA using nucleic acid amplification methods (NAAT) or SARS-CoV-2 antigen using immunochromatographic analysis, regardless of clinical manifestations;

a positive result for IgA, IgM and/or IgG class antibodies in patients with clinically confirmed COVID-19 infection. In case of receipt of laboratory confirmation of the diagnosis, the ICD-10 code is set: U07.1 – Coronavirus infection COVID-19, virus identified (confirmed by laboratory testing regardless of the severity of clinical signs or symptoms). In the absence of laboratory confirmation of the diagnosis, but the presence of a typical clinical picture and / or epidemiological data, the following ICD-10 code is set:U07.2 – Coronavirus infection COVID-19, virus not identified (COVID-19) is diagnosed clinically or epidemiologically, but laboratory studies are inconclusive or not available). Article 1

Federal Law of May 31, 2001 No., No. 73-FZ "On state forensic activities in the Russian Federation"

state forensic activities are carried out in the process of legal proceedings by state forensic institutions and state forensic experts, and consist in the organization and production of forensic examination.The task of state forensic activity is to assist courts, judges, bodies of inquiry, persons conducting inquiries, investigators in establishing the circumstances to be proved in a particular case, by resolving issues that require special knowledge in the field of science, technology, art or craft.