Transformations at medical institutions: the role of personnel motivations

The article stresses the urgency of remodelling the management of special medical aid services at the present stage of development of the Russian society. The author offers typology of approaches to carrying out organizational transformations and emphasizes personnel motivation as an important factor of their realization. He shows that under the conditions of cutting down budget funding of the health care, non-economic motivations of personnel remain actually the only factor of raising efficiency of the transformation in medical institutions.