LABOR NORMING FOR PHYSICIANS BASED ON STAFF STANDARDS (BY THE EXAMPLE OF PATHOLOGISTS)

Among the unsolved problems of domestic health care are the issues of labor standards. The employer has the right to determine the amount of work performed (both in the direction of reduction and increase), taking into account the specific situation. Meanwhile, staff standards of relevant medical organizations and their structural subdivisions can be used to normalize the work of physicians of certain specialties. This method of rationing is applicable only for those medical specialties for which staff standards have been approved. In the article the method of norming of physicians' work, proposed by the authors, based on the use of staff standards, is considered. As an example, we propose the implementation of the proposed methodology for the standardization of the work of pathologists, taking into account the standards of the pathoanatomical bureau (department) approved by the Order of the Ministry of Health of the Russian Federation as of March 24, 2016 No. 178n «On the rules for pathoanatomical research». At the same time, when calculating the load norms, a coefficient is applied, compulsorily taking into account the load standards per rate of the pathologist doctor in accordance with Order No. 178n as of March 24, 2016, the type of load and the category of complexity of the work performed. The proposed approach can also be applied to physicians of other specialties, for which statutory standards have been legislatively approved, expressed in the appropriate units of workload. The article also provides all the necessary standards for the relevant calculations and presents the legislative base (orders of the Ministry of Health of the Russian Federation) for the period 2015-2016, which contains staff standards for physicians of other specialties.

physicians, work rationing, staff standards, workload, pathologist

1. Шипова В.М. Организация нормирования труда в здравоохранении // Под ред. О.П. Щепина. - М.: Грантъ, 2002. - 624 с

2. Шипова В.М., Гайдаров Г.М., Плутницкая Г.Н. Сборник нормативных правовых актов, регулирующих трудовые отношения в сфере здравоохранения (2009-2013 гг.) / Под ред. акад. РАМН Р.У Хабриева. -Иркутск: РИО НЦРВХ СО РАМН, 2013. - 495 с