Health Resorts Research Articles

Analysis of health resorts in Bulgaria and calculation of the adaptation radius for outgoing tourism in the country

The article examines the types of health resorts, the resources used for treatment and the distribution of resorts across the country. There is also a calculation of the adaptation radius for outbound tourism from Bulgaria.

Innovative Processes in the Sanatorium and Resort Sector of the Republic of Belarus

INTRODUCTION. The introduction of innovative processes in sanatorium-resort activities helps to approach the individual treatment of a citizen’s disease or preventive measures aimed at reducing the incidence of the population in a sanatorium-resort area, simplify the functioning of health resorts and their provision of high-quality services for sanatorium treatment and rehabilitation. AIM. To determine the level of public awareness about sanatorium-resort organizations in the Republic of Belarus and to propose an algorithm for introducing innovative processes into their activities. MATERIALS AND METHODS. The survey method was used in the study. The research tool was a questionnaire. The representativeness of the sample was ensured by calculating the required number of respondents, taking into account the population of the regions of the Republic of Belarus (923 people) account the power of the study at the level (1 – β) = 80 %. A mobile application has been developed in the Visual Studio Code environment to improve the activities and optimize organizational processes in the health resort in order to raise public awareness, based on a study conducted in the health resorts of the republic to assess the quality of services provided for sanatorium treatment and wellness. RESULTS AND DISCUSSION. To identify the factors influencing the choice of a health resort by the population, cluster analysis, showed the closest correlation between the factors “doctors’ recommendations” and “medical services” influencing the choice of a health resort. The distribution of health resort awareness assessment in the regional context varied from 10.5 % (Grodno region) to 17.7 % (Minsk). The following are proposed: a system for informing the population and an algorithm for meeting the needs of the population in treatment and rehabilitation, the participation of information in sanatorium and resort activities. A selective assessment of the quality of spa treatment and wellness services in health resorts was carried out. A mobile application has been developed. CONCLUSION. The level of awareness of the population of the Republic of Belarus about the activities of sanatorium-resort organizations was assessed using a survey method — regional differences were identified. A model of the public information system and an algorithm for meeting the needs of the population and health improvement, the participation of information in sanatorium and resort activities are presented. A mobile application has been developed for sanatorium-resort organizations.

Medical Rehabilitation and Health Resort Treatment at the Resort “Sernovodsk-Kavkazsky”

INTRODUCTION. Medical rehabilitation and health resort treatment are important parts of the health care system of the Chechen Republic, which are actively developing with high potential and competitiveness. Studies on the treatment of patients with chronic non-communicable diseases show the effectiveness of natural therapeutic resources and other innovative non-medication methods. AIM. To analyze and identify the most promising for the development of the Resort “Sernovodsk-Kavkazsky” directions of treatment of patients with chronic non-infectious diseases. MATERIALS AND METHODS. Data from information-analytical systems of the sanatorium-resort industry of the Russian Federation and the data of our own research were used for the analysis. RESULTS. The analysis and the main results confirming the effectiveness of treatment of patients with chronic non-infectious diseases with the use of natural healing resources and other innovative non-medication methods realized in the Resort “Sernovodsk-Kavkazsky” are presented. The most promising ways of development of health resort treatment and medical rehabilitation are determined. CONCLUSION. The increasing activity of unfavorable environmental factors, which negatively affect the functional state of the organism and the level of health of the population as a whole, require from the health care system continuous improvement, including in the sanatorium and resort industry.

Is It Possible to Breathe Fresh Air in Health Resorts? A Five-Year Seasonal Evaluation of Benzo(a)pyrene Levels and Health Risk Assessment of Polish Resorts

This study examines air quality in Polish health resorts (HR) and its potential health risks, challenging the belief that these environments always provide safe air for recovery. Over five years, air quality was evaluated by measuring concentrations of PM10 and benzo(a)pyrene (B(a)P) in seven resorts with varying environmental conditions. Using data from 3781 daily samples, both non-carcinogenic and carcinogenic risks were assessed for visitors (various age groups) and employees to determine health risks from prolonged exposure. The findings show frequent exceedances of national B(a)P limits, with some resorts, such as HR2 in Rabka-Zdrój and HR3 in Polanica-Zdrój, surpassing permissible levels by up to 320% and 373%, especially in winter. Non-carcinogenic risks exceeded safe limits by up to 40% for visitors in HR2 and 18% for employees in HR6 (Szczawno-Zdrój). Carcinogenic risks were up to 3.74 times higher than acceptable levels for visitors in HR2 and 3.15 times higher for employees in HR5 (Latoszyn), indicating a continuous risk from long-term exposure. These findings underscore the urgent need for measures to improve air quality in HRs. Given the global implications, similar risks could affect resorts worldwide. Therefore, future research should focus on cross-border studies and innovative strategies to manage pollution and protect health.

Spa Center as the Economic Engine of the Municipal Business Ecosystem: Case of Banja Koviljača Organizational Network

This paper addresses the role of the Spa Health Resort as the Economic Engine of the Mu-nicipal Business Ecosystem. Usualy a single larger enterprise drives the local economy at the municipal level, and in the case of Serbia that company has often been from heavy in-dustries. For many transitional economies, local communities have been supported by the main municipal organization, identified in the literature under the terms economic engine, anchor, driver, powerhouse, catalyst, hub or lifeline. Most literature defines it as a compa-ny that plays a pivotal role in propelling municipal economic growth and development, acting as the source of economic stability and resilience within the municipality. Our re-search is based on dataset gathered from the Serbian Chamber of Commerce, extracted from the annual financial and business reports of 80,737 companies and sole entrepre-neurs in Serbia from 2013 to 2022 and supplemented by detailed insights into business reports of hypothesized economic engine. Our findings support the hypothesis that Spe-cialized Rehabilitation Hospital Banja Koviljaca's acts as economic engine for the region. Conclusion is that investment in balneo industry returns mutlifold benefits of different categories to the community and the state.

Long COVID Cardiopulmonary Symptoms and Health Resort Treatment: A Retrospective Study.

Background/Objectives: Long COVID covers many cardio-pulmonary symptoms, worsening individuals' health status. Health resort treatment applies balneological factors, physical medicine modalities, climate actions, and exercises that may be beneficial for COVID-19 survivors. This study aimed to assess the severity of the cardiopulmonary symptoms in people qualified for health resort treatment and its efficacy in this group of patients. Methods: Medical records of 239 people attending health resort treatment were analysed. A total of 122 people (71 women and 51 men) with a mean age of 64.35 years ± 8.66 years were enrolled in the analysis. The cardiopulmonary symptoms of long COVID were assessed twice: before and after health resort treatment. Results: Persisting COVID-19 symptoms do not differentiate between women and men. Health resort treatment reduces symptoms severity in both sexes. Age does not mediate the efficacy of health resort treatment. Conclusions: The persistent symptoms of COVID-19 are of low intensity in people qualified for health resort treatment and are independent of gender. Health resort treatment effectively mitigates dyspnoea, tightness of chest, and sputum in long COVID patients, so it should be implemented into the standard treatment course for COVID-19 survivors as a continuation of therapy.

Advantages and Challenges of Health Tourism Development in Croatia

This paper presents the advantages and challenges of Croatia as a health tourism destination. Croatia is a popular tourist destination where tourism significantly contributes to the country's GDP. Health tourism in Croatia is based on natural health resorts, preventative medical and rehabilitation programs, and various wellness offerings. However, the current state of health tourism is not very promising, as large medical institutions (such as clinical hospital centers, general hospitals, and polyclinics) show little interest. Previous guests have expressed dissatisfaction with the lack of innovation in the programs offered and the limited accessibility for persons with special needs. Significant investment in hotel and medical infrastructure is necessary to meet contemporary global tourist demand, including staff education and increased competitiveness in the international market. This research highlights the importance of health tourism as a selective type necessary for the current and future development of tourism at both local and international levels. The objective is to understand the existing potential of the Saint Nicholas Polyclinic and explore possibilities to further valorize health resources. The research methodology included a survey questionnaire, with results displayed graphically. The findings indicate that Croatia has the prerequisites for health tourism development, particularly in medical tourism. Keywords: tourism, health tourism, sanatorium, polyclinic, development

Influence of meteorological conditions on the variability of indoor and outdoor particulate matter concentrations in a selected Polish health resort

The article evaluates air pollution by particulate matter (PM) in indoor and outdoor air in one of the Polish health resorts, where children and adults with respiratory diseases are treated. The highest indoor PM concentrations were recorded during the winter season. Therefore, the maximum average daily concentration values in indoor air for the PM10, PM2.5, and PM1 fractions were 50, 42 and 23 µg/m3, respectively. In the case of outdoor air, the highest average daily concentrations of PM2.5 reached a value of 40 µg/m3. The analyses and backward trajectories of episodes of high PM concentrations showed the impact of supra-regional sources and the influx of pollutants from North Africa on the variability of PM concentrations. The correlation between selected meteorological parameters and PM concentrations shows the relationship between PM concentrations and wind speed. For example, the correlation coefficients between PM1(I) and PM1(O) concentrations and wind speed were − 0.8 and − 0.7 respectively. These factors determined episodes of high PM concentrations during winter periods in the outdoor air, which were then transferred to the indoor air. Elevated concentrations in indoor air during summer were also influenced by chimney/gravity ventilation and the appearance of reverse chimney effect.

Legal analysis of the functioning, organisation and management of modern health resorts and medical spa care

On the surface, it would seem that the operation of a health resort commune does not differ from the majority of local authorities in Poland that do not have health resorts in their area and its activities can be subordinated to the market law of supply and demand. It would seem that it is the health resort gminas that are particularly privileged entities, endowed by nature with unique therapeutic raw materials, unique landscape, clean air and high forest cover, and being the proverbial apple of the sovereign's (the State's) eye, they have versatile development opportunities. A health resort municipality is a municipality whose area or part thereof has been granted the status of a health resort in accordance with the procedure set out in the Act on Health Resort Treatment, Health Resorts and Areas of Health Resort Protection and on Health Resort Municipalities of 28 July 2005. A health resort is an area where spa treatment is carried out, separated for the purpose of utilising and protecting the natural medicinal resources located in its area, which has been granted the status of a health resort. It follows from these definitions that a health resort is a limited area of the territory of a municipality, carrying out a specific activity such as spa treatment.

Research on Location and Routing for Cold Chain Logistics in Health Resorts Considering Carbon Emissions

Research on Location and Routing for Cold Chain Logistics in Health Resorts Considering Carbon Emissions

Accounting and analytical support of internal cost control in the health resort institutions

Subject. This article focuses on the development of methodological tools for accounting and analytical support of internal cost control in economic entities of the health resort complex. Objectives. The article aims to develop the theoretical and methodological foundations and detail practical provisions for accounting, control and analytical support of internal control of the costs incurred, confirming the voucher cost and helping minimize the amount of invested financial and intellectual resources. Methods. For the study, I used the methods of grouping, generalization, expert assessments, comparative analysis, classification, factor analysis, and modeling. Results. The article clarifies the concept of Health Resort Service, develops a set of principles that reveals the methodology for the formation of internal management reporting and its structural elements for grouping information, and it offers a variant of regulation of internal cost control. Conclusions and Relevance. The developed multi-component structured model of internal control for analytical assessment and monitoring of costs, determining their compliance with the planned ones, within the framework of the business process Providing a Comprehensive Health Resort Service, is universal for economic entities of the health resort complex, which optimizes control procedures. The key proposals for the formation of methodological approaches to the organization of internal cost control in health resorts can help minimize entrepreneurial risks and increase the efficiency of activities.

ANALYSIS OF THE HOTEL INDUSTRY ESTABLISHMENTASSORTMENT POLICY: THEORETICAL AND PRACTICAL ASPECTS

Objective. The objective of the article is the analysis of theoretical and practical principles of the hotel industry establishment assortment policy evaluation. Methods. The following research methods and techniques are applied in the research process: analysis, synthesis (to substantiate the existing theoretical approaches to evaluating the assortment policy of the hotel industry establishment), generalization and systematization (to identify the available scientific approaches, identify trends in the hotel industry establishment services assortment management under study), comparison (when assessing the competitiveness of the assortment policy of the investigated hotel industry establishments), ABC analysis (to assess the range of services of the investigated hotel industry establishment), survey (to find out the portrait of consumers of hotel services and their satisfaction with the assortment policy of the investigated hotel industry establishment), abstract-logical method (to formulate conclusions), graphic and tabular methods (to visualize research results). Results. Improving the assortment policy of a hotel industry establishment is an important aspect in the modern hotel industry, especially in conditions of constant changes and growing competition. The content analysis of the scientific literature showed the absence of a single approach to the analysis of the assortment policy of the hotel industry. It has been established that different methods can be used to evaluate the assortment policy of the hotel industry establishment, which focus on different aspects of the analysis and answer various questions regarding the optimization of the assortment. For the analysis of the assortment policy of the hotel industry establishment, an author's methodology is proposed, which allows to comprehensively investigate various aspects of the assortment policy of the hotel industry establishment, which makes it possible to identify existing problems, develop and make more reasonable management decisions regarding the formation of the optimal assortment of services of the hotel industry establishment. Approbation of this technique is implemented on the basis of the hotel complex «Health Resort & Medical SPA Panorama Morska». Based on the results of the conducted research on the effectiveness of the assortment policy of the hotel the problems are systematize and options for their solution are proposed.

Влияние рынка санаторно-курортных услуг на развитие экономики Казахстана

The purpose of writing the article was to consider the authors of the current state and development of the market of spa services in Kazakhstan, which has a significant impact on the sustainable development of the country's economy. Currently, in harsh market conditions, the level of competitiveness of spa services suffers first of all, that is, it means the possibility of these services to bring acceptable income to the company and has a significant impact on the sustainable development of this business. Materials and methods: within the framework of a systematic approach, when writing the article, the author applied the principles and methods of complex and comparative analysis, economic and statistical, including graphical, the principle of groupings, etc. Research results: today in the Republic of Kazakhstan there are all the economic prerequisites for the development of sanatorium-resort services, where natural resources and space have served as the basis for the development of the economy of sanatorium-resort tourism in the country. In the republic, you can find all the main types of sanatoriumresort institutions that use comprehensive rehabilitation, treatment, recovery and prevention programs. The authors analyzed and studied the main types of health resorts of the Republic of Kazakhstan, the economic component of the current state of the market of sanatorium-resort services in Kazakhstan, the structure of public spending on paid services in the field of sanatorium-resort organizations in Kazakhstan, determining the positions of the regions of Kazakhstan on sanatorium-resort organizations, etc. The main problems hindering the development of sanatorium-resort services were also highlighted and the characteristic features of the sanatorium-resort services market that distinguish it from other markets were highlighted. It is worth noting that the importance of modern activities of sanatoriumresort enterprises in tourism is due to the long and rich traditions of domestic balneology, based on strict scientific approaches to organization and high professionalism in the implementation of sanatoriumresort services.

МЕТОДЫ ОЦЕНКИ ОЗДОРАВЛИВАЮЩИХ ФАКТОРОВ САНАТОРНО-КУРОРТНОЙ СФЕРЫ

Background. Preventive measures aimed at preserving the health of the country's population should be based on health-resort rehabilitation and treatment using the healing factors of health resorts. In this regard, the study, from the point of view of a systematic approach, considers the data availability assessment of the health-improving factors that affect the activities of the health resort sector in the regions of the country with prioritization of the activities of health resort The purpose of the study is to establish the data availability assessment of health-improving factors that affect the activities of health resort organizations. Material and methods. A retrospective analysis of the sources of official statistical data, the state cadastre systems of natural resources, the results of scientific research in the health resort sector and health resort organizations. The level of data availability assessment of the health-improving factors of health resorts is determined by the method of expert assessment. Results. It is proposed to take into account the system of healing factors affecting the health resort sphere in the following components: natural therapeutic potential (biomedical – meteorological characteristics, severity index, etc.) and natural resource – landscape conditions, mineral waters, therapeutic mud). Medical diagnostic and human resources potential is the medical and diagnostic base of health resorts, staff qualifications. Social and cultural potential is the quality of services provided for health resort treatment and rehabilitation, inextricably linked with social and cultural events, as well as the basis to carry out these events, and qualified staff of health resorts. The interrelation of the components is manifested in both internal and external relations of health resort organizations, awareness and degree of satisfaction with the services of health resort treatment of the population. Conclusion. The methods of assessing the healing factors are grouped, the methodology of an integrated approach – monitoring of health resort organizations and the possibility of establishing permanent contacts between healthcare institutions and health resorts of the country is proposed.

Study on the Geographical Spatial Characteristics of Forest Health Resorts in Fujian Province, China

Forest health tourism is an increasingly popular new form of tourism. Fujian Province, with its abundant forest resources, ranks among the top provinces in China in terms of forest coverage and holds significant development potential. The study focuses on 80 provincial-level forest health resorts in Fujian Province, China. Software such as the ArcGIS geographic information system is used to analyze the resorts’ nearest neighbor index, geographic concentration index, kernel density, etc., thus indicating their spatial distribution characteristics. Overlay analysis, correlation analysis, and fitting analysis are employed to explore the spatial distribution specificity and its influencing factors. The research results indicate that forest health resorts in the area exhibit an aggregated distribution with a higher overall concentration. They are influenced by factors such as the distribution of river systems, the accessibility of transportation, distance to central cities, and socio-economic conditions. The geographic concentration index (G) is 50.28 and the unevenness index (S) is 0.640, both indicating that the forest health resorts in Fujian Province demonstrate a distribution pattern of “overall dispersion with multiple core aggregations”. Based on the research findings, the article puts forward some policy insights. Taking into account the local geographical characteristics, it advocates for the rational development of forest health resort industry models suitable for the region. It suggests incorporating innovative ideas into the forest health resort industry in order to broaden development channels. Additionally, it emphasizes the importance of close collaboration between the government and the market for mutual development.

Psychosocial interventions for cardiac surgery patients: context of interdisciplinary interaction

IntroductionMulti-staged and personalized in nature, psychosocial interventions for cardiac surgery patients explain the necessity of relying on the potential of interdisciplinary interactionObjectivesTo present the review of the model of interdisciplinary interaction of experts and institutions in the course of psychosocial interventions for cardiac surgery patients, which is currently used in the Chuvash Republic.MethodsThis model involves the experts and institutions of the regional healthcare system, the regional system of social care, the regional and federal system of education, non-governmental medical and health resort institutions, and private practitioners.ResultsIn the center of this model is the Regional Cardiology Center, which interacts with the Psychotherapeutic Center and the Republican Mental Hospital’s Helpline. It also involves the town hospitals and the central district hospitals, non-governmental clinics and private practitioners. The process of rehabilitation and follow-up care continues in the regional health resorts. The social service centers provide additional support. The institute of chief experts of the regional Health Care Ministry, which includes a psychiatrist, cardiologist, psychotherapist, and psychologist, oversees the overall activity. The clinic faculty professors and associate professors are involved in the development of the programs.ConclusionsThe practical results of using the regional model of interdisciplinary interaction enhance the potential of psychosocial interventions for cardiac surgery patients.Disclosure of InterestNone Declared

Regional Health Resort Area: Risk Assessment of Functioning and Development

Introduction. The sphere of resort recreation in some regions of the Russian Federation in recent years is characterized by unfavorable trends, manifested in a reduction in the number of health resorts, the number of places in them, as well as the number of accommodated persons. In this regard, it is very relevant to study the risks affecting the further functioning of the industry, as well as the development of a list of measures to reduce them. The purpose of the study was to verify the risks of functioning and development of the regional health resort industry and to develop directions for their reduction. Materials and Methods. The object of the study is the health resort sector of the Irkutsk Region. The characteristics of the industry are demonstrated using the methods of retrospective and comparative analysis, comparison of the dynamics of a number of indicators: the number of health resort organizations, the average number of beds in them, the number of people accommodated in health resort organizations, the load factor. The assessment of risks of functioning and development of health resort sphere of the region was carried out using the method of expert assessments in the context of six groups of risks: political, economic, social, infrastructural, environmental, legal, according to four criteria ‒ probability, impact, manageability and significance. Results. Based on the analysis, it was shown that, having a significant potential, the health resort industry of the region as a whole is characterized by satisfactory results of functioning. The analysis of the significance and manageability of risks allowed the author to define strategies for their management, to formulate the main measures for the development of the regional health resort complex of the Irkutsk Region, aimed at reducing infrastructural, economic and environmental risks. Discussion and Conclusion. The results obtained can be useful for employees of public institutions, whose competence includes the development of management decisions aimed at the development of health resort sphere of the Irkutsk Region. The methodological tools used in the article may be of interest to scientists, researchers conducting scientific research on the problem of reducing the risks of functioning and development of health resort sphere of territories (regions, tourist destinations).

The Post-Flight Rehabilitation Program for Astronauts in Health Resort: Case Report Series

INTRODUCTION. The prospects for studying deep space are associated with the development of methods and programs for restoring the body of astronauts after flights. In this case, an important role is given to the implementation of aspects of restoring the functions of the nervous system of astronauts at the 2nd stage of post-flight rehabilitation (PFR) in Health Resort.
 AIM. To develop a program of rehabilitation for cosmonauts in Health Resort (stage 2 of PFR), aimed at restoring the functions of the nervous system.
 MATERIALS AND METHODS. The study involved 5 cosmonauts. Diagnostics included assessment of psychological and psychophysiological parameters and properties of the nervous system, the functional state of the autonomic nervous system. The rehabilitation program included: intake of mineral water “Slavyanovsky”, carbon dioxide-hydrogen sulfide baths, baro-, halo-, inhalation and climate therapy, a course of 5 sessions of neurofeedback on the β-rhythm of the brain. The duration of PFR was 21 days, procedures were carried out every other day.
 RESULTS AND DISCUSSION. An assessment of heart rate variability revealed the predominance of the influence of the parasympathetic division. After the rehabilitation course, there was a decrease in the stiffness index. There was a positive trend towards normalization of indicators: blood saturation, reflection index, a marker of left ventricular function, cardiac output, blood pressure and oxygen absorption from the microcirculatory system. The dynamics of biofeedback training indicators based on the β-rhythm indicated the orderliness and synchronization of the electroencephalogram (EEG) rhythm signal; an increase in the efficiency of mental work was also revealed.
 CONCLUSION. The results obtained indicate the positive impact of the developed program of the 2nd stage of PFR, as a result of which a positive dynamics of indicators of autonomic regulation, central hemodynamics, improvement of mental performance, orderliness and synchronization of the EEG rhythm signal.

SUSTAINABILITY ON INSTAGRAM: AQUA VILLAGE HEALTH RESORT & SPA CASE STUDY

Purpose: The aim of this study is to analyze the hotel Instagram posts that were posted on the social network, to verify people reactions as well as understand their content in terms of sustainability. Also, explore the opinions about the posts they did and understand if people can perceive the sustainability work looking at these posts. The article's object of analysis is the Aqua Village Health Resort & SPA hotel unit, a luxury hotel structure that advertises itself as sustainable, with a strong connection to the environment, endogenous and water resources. Design/Methodology/Approach: Authors used a mix approach, with netnography and survey quantitative analysis. Authors used netnography, counting and analyzing the 89 posts that the company made on Instagram, during seven months, between June and December 2022, to verify the types of posts and the reactions they provoked, as well as to assess their content in terms of sustainability. To complementing this analysis, surveys were carried out to test what the first and last post of each of the months under analysis transmits or makes them feel. Findings: The paper provide empirical insights about how to promote a sustainable Hotel on Instagram. Looking at the major conclusions, the paper provide information about the importance of Instagram posts and information about how a hotel can be sustainable and communicate that through social networks. With these results authors can conclude that the hotel does not use Instagram to be promoted as a sustainable player. Research, Practical & Social Implications: Authors suggest future research on how to use social media to promote sustainability. Originality/Value: This paper allows to understand the importance of promote a sustainable business using Instagram.

Substantiating the directions of health tourism development in Czechia

<abstract> <p>The purpose of the article is to substantiate the directions of health tourism development in Czechia. The purpose of the study is the subjects of health tourism: well-known rehabilitation centers in Czechia, medical institutions, health resorts. The methodological basis was formed by the following methods: abstract-logical; statistical; expert evaluation; cluster analysis; piecewise linear approximation. Among the most popular regions of Czechia for health tourism, the main places are Prague, Moravian-Silesia, Olomouc, Plzeň, South Moravian and South Bohemian. The increase in the number of patients among residents of the country and foreigners who use health tourism services is studied. The five leaders among the countries that used the services are identified. The main problems and advantages of health tourism in Czechia are identified. The Czech tourism development strategy for 2021–2030 is analyzed and directions for its implementation are proposed. <bold>Originality / value</bold>: the originality of the study lies in forecasting the directions of health tourism development in Czechia using the method of piecewise linear approximation in the following areas: adults with health insurance; adults at their own expense, children and teenagers, which will increase the volume of income for health tourism institutions in Czechia. According to the forecasting results, the demand for health services will increase by 3% annually. The results of this study can be useful for substantiating the directions of further health tourism development in the country, which will ensure the competitiveness and investment attractiveness of the country.</p> </abstract>