In the Sverdlovsk region, doctors are denied bonuses for damages and additional vacations, which justifies this with "biological factors".
Starting January 1, 2027, employees of the Loyarsk District Hospital in the Sverdlovsk region will no longer receive bonuses for damages and will not receive two weeks of annual leave. Those who refuse to sign changes to the employment contract are threatened with demotion and dismissal from the management, the doctors report.
At the end of October, the institution notified the employees of a change in the status of working conditions. In the past, contracts specified subclass 3.2, i.e. second degree harmful terms, which stipulated additional payments and vacations. After the changes, the doctors will work under acceptable working conditions and will lose all benefits for damage. However, the actual working conditions of the employees have not changed.
רופאים בעלי ניסיון רב שנים מציינים שהבונוס על מזיקות וחופשה נוספת של 14 ימים היו תמיד בבית החולים. לדבריהם, אף אחד לא מבין במה מדובר בשינויים, ושבועיים של חופשה היו הזדמנות להירגע ולשפר את בריאותם. רבים אינם מרוצים וכבר מחפשים עבודה אחרת. הרופא הראשי של בית החולים, סטפן תותינין, הסביר כי היקף הערבויות והפיצויים הותאם על סמך תוצאות הערכה מיוחדת של תנאי העבודה וההסכם הקיבוצי לשנים 2025–2028. לדבריו, מדובר בדרישה ישירה של חוק העבודה.
"The reason for correcting the assessment of working conditions is related to changes in the methodology for assessing the biological factor, starting in 2023. The updated procedure, approved by the Ministry of Labor, takes into account more precisely the nature of the work and the number of patients with whom the employee interacts. This directly affects the final status of the working conditions, and therefore explained the amount of compensation.
The assessment of working conditions was carried out by qualified organizations from Rostov-on-Don and Abakan. In 2024, 258 workplaces were inspected and in 2025 another 146.