Gummersbach - Variable remuneration is widespread among chief physicians: They make up an average of 45 percent of their salaries. This is what the consulting company reports in the study “Managers and specialists in hospitals 2012”. It is based on the evaluation of around 2,500 positions in almost 150 hospitals.
In terms of variable remuneration, private liquidation law is still the dominant form with share of 49 percent. In the case of new contracts, however, the authors of the study recognize the trend away from the right of liquidation towards bonus agreements. Since 1995, the spread of such bonus agreement has increased from less than five percent to now almost 50 percent for new contracts.
These bonus agreements are often based on economic parameters such as operating results, cost and revenue budget, but sometimes also according to qualitative parameters such as milestones in certain projects, results of surveys of patients or referring physicians or good leadership. "The clinics are pushing this type of variable remuneration because the providers are increasingly dependent on being able to use effective instruments to control the hospitals," said the Kienbaum management consultancy.
The average annual bonus for chief physicians is currently 73,000 euros. In total, you earn an average of 127,000 euros per year as variable remuneration, which also includes bonus payments. Your basic annual salary is 129,000 euros. Head physicians can draw an additional 51,000 euros per year from secondary activities.
However, the salaries are very different: According to the study, chief physicians in Germany can earn between 80,000 and 750,000 euros, the salaries of senior physicians are between 70,000 euros and 200,000 euros . “The number of beds and the sponsorship of the hospital can play role as well as the number of employees for which the respective manager is responsible and the professional experience that the job holder can demonstrate. The specialty and the associated possibility of receiving income from the treatment of private patients play an important role, especially for the chief physicians, ”said von Kienbaum.
Meanwhile, the federal government is planning measures to set economically oriented target agreements in Exclude chief physician contracts. These measures are to be decided by the Bundestag on Friday as an appendix to the Cancer Early Detection and Register Act. . "We are of the opinion that this law counteracts the economization of medicine," said the deputy chief executive of the German Medical Association, Annette Güntert.