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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">ymj</journal-id><journal-title-group><journal-title xml:lang="ru">Якутский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Yakut Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1813-1905</issn><issn pub-type="epub">2312-1017</issn><publisher><publisher-name>ЯНЦ КМП</publisher-name></publisher></journal-meta><article-meta><article-id custom-type="elpub" pub-id-type="custom">ymj-1386</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯ, МЕДИЦИНСКОЙ НАУКИ И ОБРАЗОВАНИЯ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>ORGANIZATION OF HEALTH CARE, MEDICAL SCIENCE AND EDUCATION</subject></subj-group></article-categories><title-group><article-title>Эффективный контракт как метод оптимизации и роста доходов работников здравоохранения</article-title><trans-title-group xml:lang="en"><trans-title>Effective Contract as Method of Optimization and Growth of the Income of Workers of Health care</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Борисова</surname><given-names>Е. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Borisova</surname><given-names>E. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Борисова Елена Афраимовна – к.м.н., директор </p></bio><bio xml:lang="en"><p>Borisova Elena Afraimovna – Candidates of Medical Science., director </p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Саввина</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Savvina</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Саввина Надежда Валерьевна – д.м.н., проф., зав. кафедрой Медицинского института </p></bio><bio xml:lang="en"><p>Savvina Nadezhda Valeryevna – MD, professor managing chair of public health and health care, the general hygiene and bioethics, Medical institute </p></bio><email xlink:type="simple">nadvsavvina@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Луцкан</surname><given-names>И П.</given-names></name><name name-style="western" xml:lang="en"><surname>Lutskan</surname><given-names>I. P.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Луцкан Иван Петрович – к.м.н., доцент МИ СВФУ,</p></bio><bio xml:lang="en"><p>Lutskan Ivan Petrovich – Candidates of Medical Science., the associate professor of public health and health care, the general hygiene and bioethics, Medical institute</p></bio><email xlink:type="simple">lutskan@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Тимофеев</surname><given-names>Л. Ф.</given-names></name><name name-style="western" xml:lang="en"><surname>Timofeev</surname><given-names>L. F.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Тимофеев Леонид Федорович – д.м.н., проф. МИ СВФУ</p></bio><bio xml:lang="en"><p>Timofeev Leonid Fedorovich – MD, professor of chair of public health and health care, the general hygiene and bioethics, Medical institute</p></bio><email xlink:type="simple">tlfnauka@mail.ru</email><xref ref-type="aff" rid="aff-2"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ГБУ РС(Я) «Медицинский центр г. Якутска»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State budgetary institution of the Republic of Sakha (Yakutia) "The medical center of Yakutsk"</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>СВФУ им. М.К. Аммосова</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Ammosov NEFU</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2015</year></pub-date><pub-date pub-type="epub"><day>13</day><month>09</month><year>2025</year></pub-date><volume>0</volume><issue>4</issue><fpage>41</fpage><lpage>45</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Борисова Е.А., Саввина Н.В., Луцкан И.П., Тимофеев Л.Ф., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Борисова Е.А., Саввина Н.В., Луцкан И.П., Тимофеев Л.Ф.</copyright-holder><copyright-holder xml:lang="en">Borisova E.A., Savvina N.V., Lutskan I.P., Timofeev L.F.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://ymj.elpub.ru/jour/article/view/1386">https://ymj.elpub.ru/jour/article/view/1386</self-uri><abstract><p>Рассмотрен один из методов оптимизации и роста доходов работников здравоохранения, а именно заключение трудового эффективного контракта. Для этого мы предлагаем не только новые должностные обязанности, но и критерии эффективности работы медицинского персонала, при этом обязательно учитываются и социальные гарантии работника. В результате данной работы были получены данные, позволившие говорить о мерах по эффективному использованию трудовых ресурсов и формированию средней заработной платы выше, чем в экономике региона.</p></abstract><trans-abstract xml:lang="en"><p>The purpose of creation of any system of compensation is the motivation of workers on improvement of quality of the made production or service, in a case with health care this service is medical care, besides is solved, and a problem of attraction of new qualified personnel. In this article we tried to consider one of methods of optimization and growth of workers of health care, namely the conclusion of the labor effective contract. For this purpose we offer not only new functions, but also criteria of overall performance of the medical personnel, thus are surely considered also social guarantees of the worker. As a result of this work the data which allowed speaking about recommendations about effective use of a manpower and formation of an average salary above than in region economy were obtained.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>заработная плата</kwd><kwd>эффективность</kwd><kwd>эффективный контракт</kwd><kwd>экономика здравоохранения</kwd><kwd>здравоохранение</kwd><kwd>трудовые отношения</kwd><kwd>функция врачебной должности</kwd><kwd>социальный пакет</kwd><kwd>гарантии</kwd><kwd>индикаторы</kwd></kwd-group><kwd-group xml:lang="en"><kwd>salary</kwd><kwd>efficiency</kwd><kwd>effective contract</kwd><kwd>health care economy</kwd><kwd>health care</kwd><kwd>labor relations</kwd><kwd>function of a medical position</kwd><kwd>social package</kwd><kwd>guarantees</kwd><kwd>indicators</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Гусева С.Л. 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