Health care personnel's wages

DEFINITIONS

Average – arithmetic average.

1st quartile – value of a variable, compared to which the amount of smaller or equal variables is about 25%.

3rd quartile – value of a variable, compared to which the amount of greater or equal variables is about 75%.

Average monthly basic wage – gross wage paid in March based on the piece, hourly, daily, weekly or monthly wage rate determined by an employment contract or legal act. Does not include additional remunerations.

Basic hourly wage – base wage, i.e. gross wage paid in March pursuant to the piece, hourly, daily, weekly or monthly wage rate determined in an employment contract or legal act. For calculating the hourly wage, the monthly wage is divided by the number of all working hours (excluding overtime). The hourly base wage is the “pure wage” without regular additional remunerations, additional remunerations for work in the evenings, in the night, on weekends and national holidays and for overtime.

County – location of health care provider. Until 2017, data by the counties is distributed by the administrative division that existed before administrative reform (October 2017). Data starting from 2018 is distributed by new administrative division.

Full-time employee – a person whose working week amounts to 40 hours or less (e.g. residents until end of the year 2012 and radiology and pathology department etc. employees according to the regulation of the Government of the Republic, valid until July 1, 2009) according to internal work regulations.

Health care provider or health care facility – a legal person whose principal or ancillary activity is to provide health care services. Health care providers (except family doctor's offices) must have an activity license issued by the Health Board (Health Care Board until 01.01.2010).

Independent health care provider – health care provider that is not an agency of another provider or its branch.

Median – the central member of a variation sequence, which divides workers into two equal groups, i.e. half of the employees receive wages that are equal to or lower than the median and the other half receive wages equal to or higher than the median.

Nurses and midwives – persons who have completed a programme of basic nursing education (at least three years), i.e., nurses and midwives.

Part-time employee – a person whose schedule is based on partial working days or partial working weeks/months.

Total hourly wage – includes the basic wage (see basic hourly wage) and regular additional remunerations, additional remunerations for evening work, night work, working on days off and national holidays and for overtime. The wage is divided by all working hours (including overtime).

Total monthly wage with all additional remunerations – includes the basic wage (see average monthly basic wage) and regular additional remunerations, additional remunerations for work in the evenings, in the night, on weekends and national holidays, for overtime, and other regular additional remunerations. This also includes non-regular additional remunerations (quarterly and annual bonuses as well as other non-regular achievement and value based remunerations, paid in March).

Type of hospital – seven types of hospitals are distinguished on the basis of provided health care services: regional hospital, central hospital, general hospital, local hospital, special hospital, rehabilitation hospital and nursing care hospital. The local hospital was introduced in 2003 (see classifications).

Type of provider of health care services – health care providers are divided into the following types: hospitals, family doctor's offices, specialist health care providers, dental care providers, emergency medical care providers, rehabilitation care providers, diagnostics providers, nursing care providers and other providers (see classifications).

METHODOLOGY

The aim of the wage survey is to provide a detailed overview of the average hourly and monthly wages of health care personnel across different occupation groups and types of the providers of health care providers. The wages of health care workers have been analysed annually since 2002. In the initial years of the survey, data were only collected from hospitals, but since 2006 the survey includes all health care service providers.

The aim of this analysis is to provide an overview of the average hourly and monthly wages of health care personnel across different occupation groups and types of the health care service providers.

The data is collected from health care providers that have been issued activity licenses for the provision of health care services, pursuant to the Health Services Organisation Act and the derived Regulation of the Minister of Social Affairs.

The data is collected using the report form “Hourly wages of health care workers”, which shall be submitted by all independent health care providers, irrespective of the type of ownership or legal form. Independent health care providers submit aggregate reports on all of their subsidiary divisions/branches. The data is collected each year for March. Service providers shall submit reports to the National Institute for Health Development (NIHD) via the online data collection site A-veeb by April 15.

The data regarding hourly wages include the data of part-time and full-time employees and employees who were partially absent from work in March (on vacation, sick leave or care leave).

The data of monthly wages only include the data of full-time or over full-time employees who worked throughout March, were not sick or on vacation. The wages of employees working with a Contract for Services are not be reflected in the collected data.

When interpreting the results it is important to know that the basis of the wage can be an hourly wage or a fixed monthly wage, and the number of working hours in March differs through the years. Number of working hours in March 2006–2019:
2006 - 184
2007 - 176
2008 - 160
2009 - 176
2010 - 184
2011 - 184
2012 - 176
2013 - 160
2014 - 168
2015 - 176
2016 - 176
2017 - 184
2018 - 168
2019 - 168

CLASSIFICATIONS

Classification of Administrative and Settlement Units of Estonia (EHAK)

This classification is used upon submission of regional statistics. Regional health care statistics are submitted by 15 counties. Information about Tallinn and Tartu is submitted separately. Until 2017, data by the counties is distributed by the administrative division that existed before administrative reform (October 2017). Data starting from 2018 is distributed by new administrative division. This classification system is available on the webpage of the Statistics Estonia in the Classifications section.

Classification of hospitals
On the basis of the services they provide hospitals are divided into seven types: regional hospitals, central hospitals, general hospitals, local hospitals, special hospitals, rehabilitation hospitals and nursing care hospitals. Requirements for different hospital types are laid down in Decree No. 103 Requirements for Hospital Types, issued by the Minister of Social Affairs on 19 August 2004.

Classification of occupations of the health care system
The classification is used for grouping the occupations of the health care system. The classification is available on the webpage of the NIHD (in Estonian).

Classification of health care service provider
On the basis of the type of provided health care service the health care service providers are divided in the following way:

The health care service providers mentioned above are classified in descending order of rank, i.e., if one facility provides several health care services, it is classified as an facility providing a relevant service mentioned afore in the list.

PUBLICATIONS

National Institute for Health Development of Estonia, The National Health Service of Latvia, Health Information Centre, Institute of Hygiene, Lithuania (2018). Health in the Baltic Countries 2016. Tallinn: National Institute for Health Development. Report is available here in pdf-format

National Institute for Health Development of Estonia, The National Health Service of Latvia, Health Information Centre, Institute of Hygiene, Lithuania (2017). Health in the Baltic Countries 2015. Tallinn: National Institute for Health Development. Report is available here in pdf-format

Liivlaid, H. (2016). Hourly wages of health care personnel, March 2016. Tallinn: National Institute for Health Development. Analysis is available here in pdf-format

National Institute for Health Development of Estonia, The National Health Service of Latvia, Health Information Centre, Institute of Hygiene, Lithuania (2016). Health in the Baltic Countries. 2014. Tallinn: National Institute for Health Development. Report is available here in pdf-format

and previous analyzes about hourly wages of health care personnel can be found on NIHD research reports web page

CONTACT

Kai Maasoo

Department of Health Statistics

National Institute for Health Development

Phone: +372 6593 821

E-mail: Kai.Maasoo[at]tai.ee

 

Updated: 16.10.2019