The government has announced a new review of the procedure for paying doctors for cancer alert – the Deputy Prime Minister talks about this Tatiana Golikova reported on November 8 at a meeting with the president Vladimir Putin. According to her, now the government, together with the Ministry of Health, as part of the new State Guarantees Program, plans to “reconsider some elements of the medical examination program in order to detect cancer at earlier stages.” If some studies are moved to earlier stages, it is necessary to modernize payments in relation to those doctors who carry out this work, the Deputy Prime Minister clarified.
According to her, it is also necessary to think again about the feasibility of consolidating such payments for one health worker: “We are interested in ensuring that all doctors who work with these patients have oncological alertness.”
Head of the Executive Committee of the Popular Front Mikhail Kuznetsov complained that payments for cancer vigilance often do not reach doctors due to bureaucracy: “the requirements for paperwork and reports are such that it is easier to refuse this payment, and this is confirmed by the figures.”
To the President’s question to the Minister of Health Mikhail Murashko, Is it worth increasing “oncology payments?” the official noted that the Ministry of Health is ready to “work through and simplify” receiving payments, but there is no talk of raising them for everyone, since there are also social payments.
This is not the first initiative of the authorities in the fall to review payments for cancer alert. The State Duma proposed to the Compulsory Medical Insurance Fund to make a system of incentive payments to medical staff for cancer vigilance “more adaptive to the current situation”: according to the head of the Duma Committee on Health Protection Badmy Bashankaeva, Not only doctors, but also rural paramedics and nurses deserve incentive payments.
According to the scheme approved for 2024, payments for cancer vigilance will be made as before: 1000 rubles. are intended for one doctor who first prescribed a consultation with an oncologist or a study. Previously (from 2020 to 2022), payments were to be divided among three health workers who discovered the disease during a medical examination.
More than 50 billion rubles are allocated annually from the compulsory medical insurance insurance reserves for payments for cancer vigilance, but in reality they remain unused. Thus, according to the results of the first half of 2023, only 1.7 million rubles were actually used for these purposes, the Accounts Chamber reported.
In the summer it became known that a third of the regions had completely refused to pay doctors for cancer alert. Then the auditors stated that the mechanism for supporting medical workers in identifying cancer diseases was being implemented “ineffectively.”