Starting next summer, doctors will be able to earn even more, as the health care reform draft awaiting a parliamentary vote would introduce a new type of performance evaluation system starting next summer, based on which those who work better can receive up to 40 percent more than their usual basic salary. Magyar Hírlap summarized in its article covering the topic .

The health salad law will be tabled in the Parliament on Tuesday. The package of proposals signed by State Secretary Péter Takács brings significant changes to hospital and general practitioner patient care, among other things, it includes salary increases for healthcare workers, restructuring of primary care, and the introduction of new screening tests.

Remember, the government in 2020

implemented the largest wage increase among doctors of all time, thanks to which an experienced, older doctor can now earn over HUF two million.

By removing the gratuity, the government also saved patients a lot of money. However, the process does not stop here, in order to raise the standard, performance measurement and evaluation would be introduced from July 1, 2023. The essence of this is that part of the salary would depend on the quantity and quality of the work performed:

based on the results of the performance measurement, the basic salary of doctors and skilled workers could be diverted up by up to 40 percent and down by 20 percent.

In connection with the innovation, Péter Takács, the state secretary responsible for health, wrote on his social media page: the amount spent on the salaries of health workers in 2023 will already be four times as much as was spent on salaries in 2010. He also recalled that, thanks to the increases of recent years, nurses today receive more than three times the basic salary before the change of government in 2010, and specialists five or even nine times. The current proposal foresees further salary increases for healthcare professionals, and the system of allowances and benefits on top of the salary will be more uniform and transparent.

Another important element of the transformation will be the redistribution of the boundaries of the general practitioner districts. The proposal states that in the future, the creation of the districts will not be the task of the local governments, but of the newly established practice management centers. If a doctor cannot be found in a practice for half a year, the practice manager can assign a doctor of his choice to perform the task.

By restructuring the district boundaries, empty practices would be eliminated and the problems of areas where there are currently no family doctors would be solved.

Péter Takács previously recalled: the reduction is justified, since the decline in the population of small settlements and the decline in population in recent decades has not been followed at all by the development of the number of practices. Yet today we are one million fewer than before the regime change.

The proposal would also make it possible for doctors to be transferred to another hospital if necessary, so that the patient would not be left without care even if there is no suitable specialist in the given institution.

The on-call system would also be changed, according to the bill, it is a basic principle that city hospitals receive patients 24 hours a day, and that county hospitals also provide non-stop on-call. The National Ambulance Service would play a much larger role in the emergency room than before: if it is necessary to evacuate the patient, the paramedics would coordinate the evacuation and also ensure the transport of the doctor. Outside of Budapest, this will be the case for both adult and pediatric medical care, if the representatives vote for the submitted proposal. According to the new law, doctors would be required to be on call twice a month, but not for free: they would receive extra money for the on-call shift, according to the news, an hourly rate of HUF 8,500, for which a separate commission and contractor contract would be concluded with them.

Nursing care would also be taken over by the state.

Author: Alíz Csapó / Magyar Hírlap

Cover image: Photo: MTI / Péter Komka