SIMILAR ARTICLES

Laura Codruta Kovesi remains alone in the race for European Chief Prosecutor

French Prosecutor Jean-Francois Bohnert will be appointed as head of the European Financial Prosecutor’s Office, a position for which he was heard on Thursday, 11… Mai mult

Romania – EU country with highest risk of dying in a road accident, Bulgaria is quickly decreasing number of victims since it built motorways

Romania recorded the highest road deaths in the EU also last year, with 96 deaths per one million inhabitants in 2018, almost double the EU… Mai mult

Romania loses competition for a seat at UN Security Council. MAE Excuse: Campaign started too late

Romania lost to Estonia in the final vote to get the non-permanent member position within the UN Security Council for the period 2020-2021. On Friday,… Mai mult

ANAF changes selection procedure for liquidators. Main changes

The new order on approval and selection procedures for insolvency practitioners is an important step to a very good direction, industry experts say. ANAF is… Mai mult

“At a distance from books”: 85,000 teachers (one third of educational staff) are graduates of distance learning

Approximately 85,000 teachers are graduates of distance learning (ID) programs, Education Minister Ecaterina Andronescu said at a meeting with school inspectors from Caras-Severin County. The… Mai mult

Cronicile

Latest developments in progress at Health Ministry: Differentiated wages based on performance, competitions organised at a regional level not by hospitals

de Mariana Bechir , 24.6.2019

Sorina Pintea announced on Thursday further new changes that will be brought to the functioning of the health care system, including new rules for employment competitions in hospitals and wage payment for doctors based on performance.

New developments for job competitions in hospitals

The organization of these competitions is radically changing, as authorities hope that the new system will “eliminate suspicions and promote meritocracy,” as Minister Sorina Pintea explained in an interview to Hotnews.

Main changes:

  • competitions will no longer be organized by the employer unit but in university centres
  • there will be eight centres in university cities “where the residency is also carried out”
  • competitions will be organised quarterly for the vacancies in hospitals from a certain region
  • the examination committee will be established at the level of the Public Health Directorate
  • in order to launch a job competition, each health care legal entity with legal personality will send the list of vacancies to DSP
  • the hiring exam will include a written test, with grid type of topics selected out of up to 2,000 options, and an oral test which will be recorded

Health Minister spokeswoman Oana Grigore, quoted by Hotnews: “This way, we want all competitions to be transparent, based on merit, away from any suspicion, as they will be organized depending on centres and with people from other regions – meaning that not me, in Bucharest, I organize my contest, but observers from other areas will also be present.”

“Some part of the system does not agree for these competitions to be transparent,” Oana Grigore emphasized.

Doctors paid based on performance

The Ministry of Health is working on a regulation that will include indicators based on which wages will be established.

Unitary wage Law includes grids of identical amounts for physicians with the same specialization and same seniority from similar hospitals so that a surgeon from a clinical hospital in a provincial area who performs a few easy surgeries per week gets the same amount as another one from a hospital in a university centre where complex interventions are carried out on a daily basis and which patients from that area prefer instead of the unit in its county, precisely because doctors are better and have more experience.

Labour ministers have always explained that the principle of unitary wage law sets equal pay for equal work, but it never referred to exactly accounting the work done by health professionals.

Now, the Health Minister says “it is not normal for a doctor who performs five surgeries to receive the same salary as one doing 30 operations.”

The team appointed to regulate these differences is to choose a series of indicators not limited to the number of operations, but also to consider their difficulty.

Sorina Pintea:

“The differentiation will be done as follows: within the same unit, there are the same conditions for all doctors. Everyone does approximately the same type of surgery – one of them performs 5, another one 30.

Doctors also have raised the issue of differentiation. And then, the differentiation will be made by hospitals through the organization and functioning regulations, not the manager, but the head of the department, who is a department administrator, has a management contract, a budget of revenues and expenses, including personnel expenses, depending on the cases, complexity and level of payment, according to the law, because this is constant (…)

Theoretically, the doctor does not receive the same salary, because the doctor who goes to the surgery room benefits from a 50% bonus for the time spent in the operating room.

He has something extra in any case, but we will have to make a differentiation by performance indicators of the unit. So every department will manage itself – if the head of the department believes that everyone deserves the same salary, I have no problem. It is not me who decides.

But by regulation, the head of a department is given some indicators which they must respect.

It is very difficult to define these indicators; you need to do that by medical departments, surgery departments (…)

By the end of the year it (the regulation – editor’s note), could be ready because I want to launch it to debate, for us to discuss it. It is a delicate matter and I want to activate as many participants as possible in this debate.

Mergeți în homepage ›

Publicat la data de 24.6.2019

Lăsați un comentariu


NEWS

Laura Codruta Kovesi remains alone in the race for European Chief Prosecutor

French Prosecutor Jean-Francois Bohnert will be appointed as head of the European Financial Prosecutor's Office, a position for which he was heard on Thursday, 11… Mai mult

Romania - EU country with highest risk of dying in a road accident, Bulgaria is quickly decreasing number of victims since it built motorways

Romania recorded the highest road deaths in the EU also last year, with 96 deaths per one million inhabitants in 2018, almost double the EU… Mai mult

Latest developments in progress at Health Ministry: Differentiated wages based on performance, competitions organised at a regional level not by hospitals

Sorina Pintea announced on Thursday further new changes that will be brought to the functioning of the health care system, including new rules for employment… Mai mult

ANAF changes selection procedure for liquidators. Main changes

The new order on approval and selection procedures for insolvency practitioners is an important step to a very good direction, industry experts say. ANAF is… Mai mult

Romania loses competition for a seat at UN Security Council. MAE Excuse: Campaign started too late

Romania lost to Estonia in the final vote to get the non-permanent member position within the UN Security Council for the period 2020-2021. On Friday,… Mai mult

Business internationalization / eMAG makes a step to entry five new international markets and targets a business of EUR 2 billion

eMAG hopes to get the opinion of the Hungarian Competition Council over the next two months for the acquisition of Extreme Digital, the market leader… Mai mult

"At a distance from books": 85,000 teachers (one third of educational staff) are graduates of distance learning

Approximately 85,000 teachers are graduates of distance learning (ID) programs, Education Minister Ecaterina Andronescu said at a meeting with school inspectors from Caras-Severin County. The… Mai mult

Mugur Isarescu: We should make a film for Viasat History about treasure in Moscow

A book should be written or a movie should be made and sent to Viasat History about a treasure evacuated to Moscow, as it is… Mai mult

Rhythm of commercial vehicle registration increases 3 times faster in Romania than EU average

Today, the European Automobile Manufacturers Association (ACEA) announced the status of commercial vehicle registrations in EU member states + EFTA in April and cumulated after… Mai mult

4.2%, from 3%: BNR has increased inflation forecast for 2019

The National Bank increased the inflation forecast for 2019 by 1.2 percentage points, from 3% to 4.2%. Also, the forecast for 2020 goes up by… Mai mult

Emergency procedure at European Court of Justice for Romania’s question: Are MCV recommendations mandatory?

The Court of Justice of the European Union (CJEU) has decided that Bihor Court’s request to be discussed under the emergency procedure, which is a… Mai mult

Government decides to increase external borrowing ceiling by EUR 4bn. It has consumed program resources for two years

The Government's agenda for Wednesday also includes the draft decision to increase the foreign loans ceiling for 2019 and 2020 by EUR 4 billion, up… Mai mult

Preparations for Summit in Sibiu - European Commission’s recommendations for EU's strategic agenda

On Tuesday, the European Commission presented a series of policy recommendations on how Europe can shape its future within an increasingly uncertain and multipolar world.… Mai mult

Meeting between Prime Minister Viorica Dancila and Chinese Prime Minister Li Keqiang: talks on a possible involvement of Chinese companies in PPP projects in Romania

On Friday, Prime Minister Viorica Dancila had a meeting with Chinese Prime Minister Li Keqiang, during which she stated her interest in involving Chinese companies… Mai mult