Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»269610.69541/NRIPH.2025.01.025Научная статьяThe impact of tangible and intangible incentives on the effectiveness of medical workersKonovalovaEkaterina A.katerinakon-77@yandex.ruhttps://orcid.org/0009-0003-0392-7805TurzinPeter S.b71112@yandex.ruhttps://orcid.org/0000-0001-5231-8000TimashevskyAlexander A.TimoshevskijAA@zdrav.mos.ruhttps://orcid.org/0000-0001-5902-7249DerbenevDmitry P.dipald@mail.ruhttps://orcid.org/0000-0002-1493-5195OynotkinovaOlga S.olga-oynotkinova@yandex.ruhttps://orcid.org/0000-0002-9856-8643N. A. Semashko National Research Institute of Public HealthScientific Research Institute of Healthcare Organization and Medical Management of the Department of Healthcare of the City of Moscow02042025114915222042025Copyright © 2025,2025<p>The article identifies the key tasks of national healthcare at the present stage. The exceptional role of primary health care in maintaining the health of the nation has been revealed. The dependence of the guarantee of accessibility of primary health care on the level of provision of primary health care personnel is noted. The problem of shortage of qualified medical workers has been identified,<br />which results in a decrease in the quality of medical services provided. The study revealed a discrepancy between the labor intensity of medical workers and the amount of monetary remuneration they receive, which has a negative impact on motivation in terms of fulfilling professional duties. A study of the cost structure of primary care workers' working hours has shown that almost 50% of the time is spent filling out documentation, reducing work efficiency, staff interest and engagement. Given the high work intensity, responsibility for decisions made, as well as the different attitudes of employees towards their motivation, the following conclusion is drawn. When forming an incentive system, it is considered necessary to apply an integrated approach that includes both tangible and intangible incentive methods. This will ensure not only the maximum interest of primary care workers, but also increase the prestige of the profession, which, to some extent, will solve the problem of the shortage of qualified personnel.<br /><br /></p>medical workersprimary health carefinancial and non-financial incentivesimpactefficiencyintegrated approachindividual motivationмедицинские работникипервичная медико-санитарная помощьматериальное и нематериальное стимулированиевлияниеэффективность деятельностикомплексный подходиндивидуальная мотивация1.Efimikova Yu. O., Evstafyeva Yu. V., Khodakova O. V. Characteristics of medical personnel resources in the state healthcare system of the region. Problems of social hygiene, public health and the history of medicine. [Problemy sotsial'noy gigieny, zdravookhraneniya i istorii meditsiny]. 2024;32(5):998—1005 (in Russian).2.3.Shemetova G. N., Gubanova G. V., Milashevskaya T. V., Moskvina A. O., Karetnikova A. Yu. 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