Hospitals “under contract”: the National Health Service has explained the salaries of doctors




Hospitals that have contracted with the National Health Service of Ukraine and receive funds for medical service packages regulate doctors’ salaries themselves.

This was reported to Ukrinform in the NSZU.

“The logic of the reform is that we pay money as part of an agreement with a medical establishment, and today we have paid 45 billion UAH to 1,617 establishments. And today, the 21st April 40 more medical institutions will receive funding There is a separate payment system, hospitals receive payments twice: prepayment for the 15th day and installment in the first days of next month. for contract services. It goes directly to the account of the medical facility itself, then they manage this money themselves. Hospitals must have a financial plan and a collective agreement. Like medical facilities they pay salaries as stipulated in the collective agreement. The hospital itself decides what type of staff it will have, how many employees it will need to provide all the services, how much it will pay them; ert with local authorities, he decides on the number of beds, “they said in NSZU.

At the same time, the NSSU noted that due to the COVID-19 pandemic, some hospitals are not temporarily accepting patients for planned operations or consultations. For this reason, the payment mechanism for two medical services packages, which previously provided for the payment of treated cases, has been modified.

See also: Salaries of doctors treating coronavirus patients should reach 300% – Stepanov

“Since the planned operations, consultations on two packages (therapy and surgery) have been canceled, a different payment mechanism is provided. We have made changes to the Cabinet resolution, and hospitals will receive funds regardless the number of patients receiving medical services. They will receive funds for the first three months (from April 1 – editor’s note). We understand that the situation is difficult due to the pandemic, and these hospitals will receive a global budget and a delay in keeping medical records until July 1, “said the NSZU.

At the same time, the National Health Service has noted that this payment model does not apply to priority service packages, including medical care during childbirth, neonatal care, treatment of acute stroke, treatment of acute myocardial infarction, early diagnosis of cancer. In these cases, payment will be made during the provision of medical services.

In addition, in the NHA, it has been reported that from the 2020 budget for coronaviruses created under the 2020 budget, which amounts to 64 billion UAH, 15 billion UAH is provided for payments to hospitals that provide medical care for patients with COVID-19.

“Of the 64 billion UAH, 15 billion UAH is earmarked for the procurement of medical facilities to help patients with COVID-19. This money will go to hospitals under contract with the NHA after approval of the package. by the Cabinet of Ministers, there are requirements for equipment, employment, payments to doctors, “- reported in the NSZU.

See also: In the Sumy region, salaries are delayed at the regional infectious diseases hospital

As reported by Ukrinform, on April 18, Health Minister Maxim Stepanov said that the salaries of doctors and medical staff working with patients infected with coronavirus should increase to 300%.

At the same time, the media reported that some doctors had received an advance in April, the amount of which could indicate that the total salary should be lower than it was before the increase.

According to the cost center, at 9:00 a.m. on April 21 in Ukraine, 6,125 laboratory-confirmed cases of COVID-19, of which 161 were fatal, 367 patients have recovered. 415 new cases were recorded per day.

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