Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot61010.32687/0869-866X-2021-29-s1-720-725Научная статьяTHE WAGES IN THE PUBLIC HEALTHCARE: THE PANDEMIC CHALLENGESSafonovA. L.-DolzhenkovaY. V.yvdolzhenkova@fa.ruChubA. A.-Financial University under the Government of the Russian Federation1506202129S172072505082021Copyright © 2021,2021The article analyzes the current practice of remuneration in the Russian budget health care. According to the analysis concluded that at the present stage, the main problems in this area are the high level of differentiation of wages in the context of constituent entities of the Russian Federation, and between different categories of health workers; staff shortages, as well as the opacity of approaches to pay. In addition, it was found that the COVID-19 pandemic not only significantly aggravated the above-mentioned «bottlenecks» of the domestic budget health care, but also created new problems, the most significant of which was the procedure for compensation payments to employees involved in working with COVID-19 patients. Recommendations are formulated to change the current situation, including the need to: review the regulatory approaches to regulating compensation payments to medical workers; formation of lists of professional qualification groups and mandatory types of compensation and incentive payments; determination of the mandatory ratio of the remuneration of the heads of health care institutions to the average salary of the main staff.budget healthcarewage/labor remunerationcompensation and incentive paymentsбюджетное здравоохранениеоплата трудакомпенсационные и стимулирующие выплаты1.Сафонов А. Л., Далецкий А. А., Мазина Н. А. Оценка системы оплаты труда, условий труда и кадрового потенциала медицинских работников в условиях реформирования сферы здравоохранения. М.: АТиСО, 2016.2.Долженкова Ю. В., Полевая М. В., Руденко Г. Г. Новая система оплаты труда в бюджетном здравоохранении // Проблемы социальной гигиены, здравоохранения и истории медицины. 2019. Т. 27, № 4. С. 452-458.3.Габуева Л. А., Зимина Э. В. Оплата труда персонала медицинских организаций: эффективный контракт: учебно-методическое пособие. М.: Проспект, 2015.4.Wu D., Lam T. P., Lam K. F. et al. Challenges to healthcare reform in China: profit-oriented medical practices, patients' choice of care and guanxi culture in Zhejiang province // Health Policy Plan. 2017. Vol. 32, N 9. P. 1241-1247. DOI: 10.1093/heapol/czx059.5.Pirwany I., Wood S., Skiffington J., Metcalfe A. Impact of provider payment structure on obstetric interventions and outcomes: a difference-in-differences analysis // J. Obst. Gynaecol. Can. 2020. Vol. 42, N 7. P. 874-880. DOI: 10.1016/j.jogc.2019.11.071.6.Zappalà S., Toscano F., Polevaya M. V., Kamneva E. V. Personal initiative, passive-avoidant leadership and support for innovation as antecedents of nurses' idea generation and idea implementation // J. Nurs. Scholarsh. 2021. Vol. 53, N 1. P. 96-105. DOI: 10.1111/jnu.12615.7.Yağcı İ., Sarıkaya S., Ayhan F. F. et al. The effects of COVID-19 on Physical Medicine and Rehabilitation in Turkey in the first month of pandemic // Turk. J. Phys. Med. Rehab. 2020. Vol. 66, N 3. P. 244-251. DOI: 10.5606/tftrd.2020.6800.8.Jones Y., Durand V., Morton K. et al. Collateral damage: how COVID-19 is adversely impacting women physicians // J. Hosp. Med. 2020. Vol. 15. N 8. P. 507-509. DOI: 10.12788/jhm.3470.