Health Resorts Research Articles

The Imperative of Establishing the Mediterranean–Dead Sea Channel: Meeting the Demands of Escalating PV Electricity Production

The current landscape of electricity generation in Israel is significantly influenced by a marked increase in solar power output, primarily from photovoltaic (PV) facilities and plants. The rapid growth of solar energy within Israel’s self-sustained energy grid presents challenges for maintaining frequency stability and voltage equilibrium, limiting feasible solar electricity generation to approximately 12–14%. To expand these limits, integrating electrical storage solutions becomes imperative. An optimal proposal, tailored to Israel’s geographic location, involves constructing a conduit linking the Mediterranean and the Dead Sea. This initiative would include the installation of reservoirs and hydroelectric stations along the descent to the Dead Sea. Implementing such hydroelectric stations can help mitigate the impacts on frequency and voltage stability caused by the fluctuating nature of solar electricity production. Additionally, it can facilitate peak consumption management in the evening through hydroelectric generation, capable of delivering up to 320–330 MW of electrical power even in initial project phases. Furthermore, this strategic conduit offers additional benefits, such as enhancing PV electricity generation potential to 25–30% without exacerbating frequency control issues, producing an average of (150–180) × 103 m3 of desalinated water daily, and counteracting the steady decline of the Dead Sea, which currently recedes by about 1 m annually. Moreover, there are ancillary benefits from extensive desert area landscaping and the establishment of recreational health centers and resorts. A thorough analysis is imperative to estimate the potential increase in solar electricity generation, considering the unpredictable nature of PV outcomes. Additionally, it is crucial to explore the feasibility of using the Dead Sea for brine discharge from electrical hydro-storage plants as a key aspect of this comprehensive evaluation.

Application of a method for the multidimensional assessment of the current state of Polish health resorts on the example of Piwniczna and Krynica-Zdrój

Application of a method for the multidimensional assessment of the current state of Polish health resorts on the example of Piwniczna and Krynica-Zdrój

Ways of seeing architecture and landscape in the voids of presence

The article examines the multi-layered roles of photography and film in “cultural translation,” representing architecture and landscape as a mediated place of conflicting visions, meanings and experiences. Taking the concept of the “production of space” as a starting point, it aims to contextualise the mediatory practices of photography and film by means of analysing the case study of a multifunctional building – the Krvavica Children’s Health Resort – designed in the 1960s by Rikard Marasović on the Adriatic coast of Croatia (formerly Yugoslavia). Focusing on an analysis of three paradigmatic examples of visual practices, the photographic series by Wolfgang Thaler (2011), the episode Mysterious Object in the Pine Forest filmed as part of the documentary series Slumbering Concrete (2016), and the experimental film A Record of Landscape without Prehistory by the artistic duo Doplgenger (2020), the article explores how photography and film communicate quality, in particular how mediated representations (re)create current interpretation and understanding of the intertwined heritage of modern architecture and landscape. Examining aspects of recording the site from different perspectives, a series of questions arise when addressing the issue of space, focused on its role in reshaping meanings, memories, emotions and experiences, narrating not only what architecture and landscape are but also what they could become and how they might be constituted in the context of different cultural identities.

Types

The pieces in this section share an interest in the typical and in the ways in which photographycan be used to provide evidence of that very typicality. Photography’s capacity to recordevidence has been central to its practice and theory from the outset, founded on the premise(and the promise) of an indexical relationship between the thing recorded and the record made.Of course that relationship could always be distorted, manipulated or fabricated by technicalmeans – with increasing ease and regularity in the digital era – but even such distortions wouldonly serve to point up the dominant assumption of fidelity, of the photograph simply recordingand conveying the facts. This is not to say, however, that such photographs would lack aestheticquality or conceptual interest. Mike Mandel and Larry Sultan’s seminal 1977 publication ‘Evidence’enduringly demonstrated this through a careful selection and sequencing of photographsculled from numerous government agencies and research institutions. Nominally objective, thepictures were unfailingly strange, sometimes surreal, sometimes disturbing and often forlorn.These were, as Sandra S. Phillips notes in her essay for the revised edition, ‘photographs madefor the purpose of record’, but by virtue of what they deemed worthy of recording, and how thatrecord was composed and framed, much was revealed, both about the unavoidably expressivecapacities of the medium and about the prevalence of scientific and technical developmentwhich typified the era.1Photographic evidence operates in distinct but related ways in each of these four pieces.There is a shared affirmation that the making of photographs serves to confer significance andvalue on something hitherto overlooked, ignored or misunderstood. In Jasna Galjer’s carefullyconsidered essay, she traces how the Kravica Children’s Health Resort in Croatia - a strikingpiece of socialist-era architecture by Rikard Marasovic – is being reframed in terms of its culturalmeaning and value through photographic and filmic projects. Despite, or perhaps because of,being neglected and in disrepair, the complex demands to be incorporated into the collectiveconsciousness, to allow its past to be reconciled with a potential future. This is as much to dowith its overt formal properties as its layered history in use, both of which are captured in thephotographic and filmic projects which Galjer discusses. (...)

The Industrial Committee of the Medical Society of Kraków (1886–1912)

The Industrial Committee of the Medical Society of Kraków (1886–1907) was established to protect and support the Polish medical industry. In the absence of the official Polish state existed, the activities of the committee provided support for Polish manufacturers and health resorts. The main activity of the committee members consisted in assessing production technology and analysis of the chemical composition of food products, and additional clinical trials of medications. In the case of health resorts, evaluation extended to their infrastructure, technical solutions for spa treatments, and curative properties of the waters and climate. Positively evaluated products and spas received a particular certificate and were officially recommended by the society. As many members of the committee were scientists of world renown who belonged to the social elite, using the products they recommended became fashionable and offered a realistic advantage against foreign competition.

Co-Creation of Sustainable Tourism and Hospitality Experiences: Education and Organizations in Search of New Business Models

Sustainability is and will be very closely linked to the development of tourism in the future. It is the most important trend shaping the sector, and it will continue to determine travelers’ preferences and motivations in the period after COVID-19. It is important that tourism destinations and the stakeholders work together to enhance their resources sustainably through valuing the socio-cultural authenticity of communities, preserving biodiversity, and also ensuring the social well-being and economic security of destinations. Destinations need to work closely with entrepreneurs to better understand their current challenges. Investment in sustainable practices and products must be part of the new business models and provide competitive advantages for all stakeholders. The time we are living in is crucial, and it is a unique opportunity to rethink the sector from the perspective of a more sustainable, safer, and technological future that favors a circular economy model. This work follows the development of a methodology using the Demola Model, collaborated by a higher education institution and a hotel, to seek an investment in a new product driven by a clear commitment to sustainability. With a methodology composed of the application of different tools, namely design research, observations/visits, interviews, benchmarking, speculative design, future scenarios, among others, we have sought to understand the main markets and contexts around the world and explore alternative opportunities and action plans. Aqua Village Health Resort & Spa (Portugal) was selected as a partner for this collaborative work. The final project presented was the creation of a restaurant linked to the sustainable concept and cooking based on fire, located on the riverbank and in the water: Aquafire—Underwater Food Experience.

Assessment of Motor Activity of Patients Undergoing Medical Rehabilitation and Health Resort Treatment

INTRODUCTION. Problem of evaluation of the motor activity patients undergoing medical rehabilitation and sanatorium treatment remains relevant, including obesity.
 AIM. To study the nature and degree of disorders of muscle strength, motor and coordination functions in patients undergoing medical rehabilitation and sanatorium treatment.
 MATERIALS AND METHODS. Single cross-sectional study included 160 patients aged 40 to 65 years with normal and overweight. The complex of the study included: functional tests and assess muscle strength and balance.
 RESULTS. In patients with obesity, compared with persons with normal body weight of the same age, significantly (p 0.05) lower indicators of muscle strength of the right and left arms, strength of the abdominal and back muscles, lower endurance of the abdominal muscles and back muscles and longer time to complete the “Get up and walk” test. Also, in obesity, it turned out to be significantly less time to maintain balance in the “Stand on one leg” tests on the right and left legs with open eyes. A statistically significant direct relationship was found between the level of back muscle strength (γ = −0.82, p = 0.0038) and body weight. A significant relationship was also found between the level of endurance of the back muscles to physical activity and BMI (γ = −0.79, p = 0.01). At the same time, there was no relationship between age and the level of endurance of the back muscles to physical activity (γ = 0.107, p = 0.36).
 DISCUSSION. In patients undergoing medical rehabilitation and health resort treatment, obesity is associated with a decrease in muscle strength and motor activity.
 CONCLUSION. In patients with obesity at the age of 40–65 years, compared with persons with normal body weight of the same age and gender, there is a statistically significant decrease in the muscle strength of the arms, abdomen and back, a longer time to complete the “Get up” test and walk”, as well as deterioration in the function of static balance according to the results of the “Stand on one leg” test.

Safety culture as competitive advantage for slovenian natural health resorts

BACKGROUND: Many studies are focused on safety culture. There is no study on employees’ perceptions of safety culture in natural health resorts. OBJECTIVE: This study aims to examine the concept of safety culture from the perspective of the employees in natural health resorts in Slovenia. METHODS: The survey was administered to a sample of 268 employees in six Slovenian natural health resorts to measure the attitudes, practices/behaviors, knowledge, and training of employees. RESULTS: The results of the survey did not show a statistical correlation between the employees’ safety attitudes and their age, their level of education and their position within the organization. However, this study revealed significant differences in understanding of the safety measures and selected safety attitudes across six resorts. Similarly, the study revealed significant differences in knowledge and understanding of the safety protocols across six resorts. The results are reflecting higher management safety awareness in selected resorts what could result in an important competitive advantage for a selected organization. CONCLUSIONS: The research provides an in-depth insight into the concept of safety culture, presented through the attitudes, practices/behaviors, knowledge, and training of employees in natural health resorts in Slovenia. Findings contribute to the development of conceptual knowledge in safety science.

Push and pull factors influencing the choice of a health resort by Polish treatment-seekers

BackgroundThe objective of the study was to indicate social and psychological (inner) motives associated with the desire and needs of travelling to health resorts (push) as well as external motives resulting from destination’s attributes, and explaining the choice of the health tourism establishment (pull) by Polish treatment-seekers divided into two social groups: persons in employment and retired persons. The research hypothesis assumed the two groups of people differ very much in terms of preferences motivating them to participate in health resort tourism, destination choices and services offered by health resort establishments.MethodsOf the 258 health resorts, 154 establishments were selected for research purposes taking into account a proportional distribution of health resorts throughout Poland. An authorial questionnaire was developed and it included three questions with multiple answers, each answer being assessed on a 5-point Likert scale. The research adds new insights by analysing motives associated with health resort tourism in terms of benefits sought by visitors. The main and strongest motive for choosing health resort tourism is concern for health. In addition to old age pensioners, it was legitimate to analyse the group of employed respondents as their stays at a health resort are undertaken to regain not only physical fitness but also work motivation.ResultsThe present study has demonstrated that motives and age groups have a significant effect on destination choice. Based on the results, it can be concluded that these groups often have diverse needs, expectations and, as a result, motives for choosing this form of tourism and a given health resort. What follows is a possibility of dividing the visitors to health resorts in terms of push and pull motives.ConclusionsThe research hypothesis assuming the two groups varied considerably in terms of preferences motivating them to participate in health resort tourism, destination selection and choice of services offered by the health resort establishment has been confirmed. The ramifications of the study’s findings may also be relevant for health resort/spa tourism outside of Poland because healthy lifestyle promotion is a worldwide trend.

АКТУАЛЬНІСТЬ ПРОЄКТУВАННЯ ГОТЕЛЬНОГО ПІДПРИЄМСТВА З РЕАБІЛІТАЦІЙНИМ ЦЕНТРОМ ДЛЯ ВІДНОВЛЕННЯ ВІЙСЬКОВОСЛУЖБОВЦІВ

In connection with the continuation of military operations in the country, the increase in the number of enlisted men for military service and the complicated consequences that arise during return of the defenders to peaceful life, the rehabilitation of servicemen is urgent. The purpose of the study is to substantiate and develop practical recommendations for the provision of rehabilitation services for recovery of the military personnel in hotel enterprises. The research methodology was based on general scientific methods: analysis, synthesis, classification and review-analytical method, as well as the study of scientific literature on the research topic. The definition of the concept of rehabilitation is formulated and both traditional and modern methods of rehabilitation are considered. A study of the existing rehabilitation centers for conscripts operating on the territory of Ukraine was conducted. Taking into account that the armed aggression of the Russian Federation continues, we see the need to open new enterprises and introduce rehabilitation services against the background of health resorts and resort hotels. The Western part of the country is a promising location for such institutions, due to its favorable climate, clean air and incredible landscapes. The basic requirements and standards for the establishment of a hotel enterprise with a military rehabilitation center are outlined, for proper recovery conditions and a positive emotional impact on the defenders of our country. The design or reconstruction of hotel enterprises with centers for rehabilitation of the military personnel will have a positive impact not only directly on the defenders of Ukraine, but will also affect the economy of the state, its social and humanitarian spheres as a whole. The authors define perspective of the further research in a scientific search for the most "efficiently working" recovery methods for military personnel and to determine the services that will be offered by the rehabilitation center at the hotel enterprise.

К вопросу о правовом режиме земель лечебно-оздоровительных местностей и курортов

This article examines the uncertainty surrounding the legal regime of therapeutic and health areas and resorts. Opposing legal attitudes at both the executive and judicial levels have been identified. One approach is based on extending the legal regime of specially protected natural territories to therapeutic and health areas and resorts created before 30 December 2013. The other confers on them an independent legal regime, distinct from the regime of specially protected natural territories which is more demanding. The difference between these views manifests itself in addressing a number of issues. To ensure legal certainty, alternative recommendations are formulated for resolving the collision of opposite views regarding the legal regime of therapeutic and health areas and resorts through amendments to legislation.

Functional Conflicts in Tourist Coastal Resort Cities with Special Spa Status in Poland. The Stakeholder Approach

This study aims to identify and analyse the potential conflicts of tourism, resort and residents’ functions based on coastal resort cities of the highest importance in Poland (Sopot, Ustka, Kołobrzeg, Świnoujście). Coastal health resorts are specific urban units where tourist and resort functions provided under high environmental restrictions dominate the primary urban function typically focused on social and resident matters. Coastal resort cities attract tourists heavily. Hence, such cities must deal with varied stakeholder expectations. This may lead to conflicts in sustainable urban development.
 The analysis considers the stakeholder perspective regarding the occurrence of various conflicts. Different research methods have been used, including case studies and stakeholder analysis based on the salience model and classifying stakeholders into homogenous groups with the attributes assigned.
 The diverse and often divergent needs of stakeholders in coastal cities require a specific approach to developing such urban units, including stakeholder relationship management. A method used for the resort stakeholder analysis is based on classical stakeholder classification proposed by Mitchel, Agle and Wood (1997).
 The nature of functions performed in resort cities naturally lead to internal and developmental conflicts. However, based on an assessment of attributes assigned their evaluation across key stakeholder groups, the study results show that these conflicts occurred dormant in studied cities.
 The research methods used, an approach taken, and results achieved can be successfully used by decision-makers responsible for urban development to identify and manage potential conflicts deriving from diversified expectations of urban stakeholders or conflicting urban functions.
 The article is of an international character and might be used to various aspects of city management, as it combines stakeholder management approach with urban development and potential function conflicts.

The challenge of digital marketing in health tourism: the case of Spanish health resorts

AbstractInternet presence is essential for tourism companies. Health resorts are a tourism resource of prime importance for the image of a wellness tourism destination. This paper analyses the content of the official websites of Spanish spas, as well as their level of maturity in the development of e-commerce. For this purpose, a model for the analysis of websites based on the content analysis technique is proposed, as well as on the extended model of internet commerce adoption (eMICA) methodology. The model was applied to 106 spas with online presence. The results indicate that although spas seem to be prepared to carry out online transactions, a significant share have basic Internet presence, with a mainly informative function.

Monitoring and Evaluation of the Patients’ Motor Regimen Effectiveness in Rehabilitation and Health Resort Treatment: а Prospective Randomized Study

INTRODUCTION. In medicine, remote monitoring (RM) is a clinical digital technology with software, sensors and equipment for transmitting signals from patients and analyzing them by a physician. Determination of the nature and volume of motor activity of patients is a key condition in medical rehabilitation programs. However, existing monitoring surveillance systems do not assess these parameters.
 AIM. To scientifically substantiate the development of an improved information methodology for remote monitoring of the volume and nature of patients motor activity in accordance with their physiological capabilities for rehabilitation in sanatoriums.
 MATERIALS AND METHODS. A hardware and software complex was used (certificate of state registration of a computer program No. 2022611766 dated 01.02.2022) with the function of registering motor intensity and heart rate indicators of users. The study involved 80 patients in a 24-hour hospital. 42 patients received a rehabilitation program for chronic coronary heart disease (CHD), myocardial infarction (I25.2 according to ICD-10); 38 patients for long COVID (U09.9 according to ICD-10).
 RESULTS AND DISCUSSION. When assessing motor activity, it was revealed that in patients suffering from chronic CHD with a history of myocardial infarction, the average number of steps per day was 8877,5, and in the U09.9 group 9430,3 steps per day. The total density of the motor load corresponded to 35-36 %. The ratio of daytime wakefulness to the time of active procedures in the groups corresponded to 27.6 % and 20,1 %. After the rehabilitation course, there was an improvement in vegetative regulation, according to the endurance ratio, the weakening of the cardiovascular system activity in both groups remained, despite some improvement in the indicators in group 1 from 18.50 0.80 to 16.50 0.15 (p 0.05), the level of hemodynamic load on the cardiovascular system improved only in group 2 from 95,1 5.1 to 80.1 2.5 ((p 0.01). The adaptive potential of the circulatory system remained reduced in both groups.
 CONCLUSION. The developed technology of remote monitoring of the motor regime of patients is intended for rehabilitation and sanatorium-resort organizations to evaluate medical rehabilitation programs according to the intensity of physical therapy, the training zone of the intensity of motor intensity according to heart rate and motor density of rehabilitation measures.

International medical Tourists’ expectations and behavioral intention towards health resorts in Malaysia

Medical tourism, a thriving industry encompassing both healthcare and tourism sectors, has experienced exponential growth over the past decades. The intensifying competition within the global market necessitates a closer examination of the pivotal role played by the perceptions of medical tourists in their decision-making process regarding health destination visits. Thus, this study aims to explore the interplay between international medical tourists' perceptions of health resort attractions and their expectations, while also investigating the mediating effect (expectations) of these perceptions on their behavioral intentions to seek medical and healthcare treatments in a Malaysian health resort. Drawing on the Expectation Confirmation Theory (ECT) and the Theory of Planned Behavior (TPB), this research employed a quantitative research method, surveying 386 international medical tourists. The distribution of the survey questionnaire utilized the online internet email method. The study employed the partial least square structural equation modeling (PLS-SEM) method to examine the hypothesized relationships. The results conclusively support the positive influence of health resort attractions on international medical tourists' expectations and behavioral intentions. Consequently, this study provides valuable implications for the future growth and development of the health resort and medical tourism industry in Malaysia.

Assessment of Spatial and Temporal Variation in NO2 Levels over Tourist Reception Areas in Poland

Air quality in tourist reception areas can be a significant health concern. It also plays an increasingly important role when it comes to choosing tourist destinations. NO2 is a harmful gas that can cause an increased number of cancer or respiratory diseases. The development of satellite remote sensing techniques now enables a much broader spectrum of air quality analysis than mere point measurements at environment monitoring stations. In the study, the spatial diversity of nitrogen dioxide air pollution over tourist reception areas in Poland was assessed. The lowest pollution was found in national parks and tourist regions. The most polluted air was found in tourist reception areas located near industrial regions and large urban agglomerations. Temporal variation—annual and monthly—and spatial variation were determined (for the period 2019–2021). The highest concentrations, exceeding the WHO recommended value (40 μmol/m2), occurred in the winter and autumn. Low pollution was found in most reception areas in the summer (except cities). In 2020, due to restrictions related to the SARS-CoV-2 epidemic, the NO2 pollution decreased (10–20%). In the cold half of the year (October–April), NO2 concentrations greater than 40 μmol/m2 occurred for about 20% of national parks, 50% of health resorts, 30% of tourist regions, and 100% of provincial capitals.

Ciechocinek Spa — the Biggest Health Resort in the Polish Lowlands in Terms of Geotourism

Ciechocinek is known for its unique saline graduation towers and salt works. The crucial date in Ciechocinek’s history was 1836, when four treatment copper bath tubs were installed in the local inn. This gave rise to the beginning of the Health Springs Enterprise, which was the origin of the Health Resort. The graduation towers of Ciechocinek are particular and they are the biggest wooden constructions which serve to vaporize brine’s water from the spring no. 11. The graduation towers were built in the shape of a horseshoe. Two first graduation towers were built in the years between 1824 and 1828 and the third in 1859. The height of towers is about 15.8 m and the total length of all of them is more than 1741.5 m. They constitute a unique monument of the nineteenth-century technology, one of few in Europe. In the graduation towers the concentration of salt brine takes place as a part of the salt production process. A characteristic feature of this process is the production of a natural aerosol with healing properties. Within the graduation towers there is a specific microclimate, a natural and curative inhaler. The technology of salt production, which is based on heating concentrated salt brine, has not changed in 190 years — it consists in heating concentrated brine. Thermal brines of the Na–Cl type and J type from borehole no. 14 (Terma 14) and borehole no. 16 (Terma 16) are used for Ciechocinek Spa mineral water supply. These boreholes are screened in the Dogger and Lias sandstones. The water in Terma 14 has mineralization (total dissolved solids (TDS)) of 43.5 g/L and the temperature on the borehole outflow is 28 °C. The water from Terma 16 has mineralization (TDS) of 53.4 g/L. It is thermal water and its temperature on the borehole outflow is 32 °C. The therapeutic thermal water in the Ciechocinek boreholes occurs at considerable depth and its resources are very slowly renewable. The therapeutic qualities of Ciechocinek springs are strongly recommended for curing cardiovascular, respiratory, orthopedic, traumatic, rheumatic, nervous system, and women’s diseases. The Ciechocinek Spa is a producer of well-known products of perfect quality: “Krystynka” mineral water, flavored water, table salt, medicinal lye, and mud.

Spa towns in Germany: Preferred moving locations for older people?

From the available studies on the spatial patterns and causes of migration of older people, it can be assumed that the ‘wellness’ infrastructure is an important pull factor of places. In the absence of differentiated data on this infrastructure at the municipal level, this paper uses the variable ‘spa’ as a placeholder for this wellness infrastructure. It is assumed that health resorts offer special qualities of this infrastructure. This is reflected in a particularly positive population development of these places. However, the area-wide and at the same time spatially small-scale consideration of the population in two age groups over 50 years could not confirm this assumption. Only in some types of spa towns, such as the Baltic resorts, was the development in these age groups clearly above average. In some places, such as the North Sea islands and spa towns in the alpine upland and low mountains, there were even declines. The spa town status by itself is not sufficient to explain the attractive-ness of these places for higher age groups. This requires further analyses, especially of the infra-structure facilities, local recreational qualities, housing availability and the subjective motivations of the incoming people.

Prevalence of frailty, pre-frailty and geriatric syndromes in pe-ople aged 60 or more that use the Cofrentes spa: a pilot study

A longevity and balneotherapy treatment program has been initiated at the Cofrentes Medical Spa, including the development of the Rosita Longevity App. The objective of this study is to determine the health profiles (degree of frailty and pre-frailty) by means of Fried Frailty Phenotype questionnaire and the prevalence of geriatric syndromes in people over 60 doing balneotherapy at the spa, considering that the thermal environment is an ideal place to treat these types of syndromes and to delay their progress. Thermal/spa facilities often receive older patients with osteo-articular and musculoskeletal conditions. To assess the grade of the functionality, quality of life, depression, nutritional risk, cognitive state, insomnia, and the risk of falls, specific questionnaires were used. Out of a total of 43 participants, 30 were women (69.7%), and 22 older than 70 y (51.1%). There were 2 frail (4.6%) and 20 prefrail (46.5%). Conclusions: more than half of the people older than 60 who visit the Cofrentes spa present a functionality deficit condition. Women present a lower quality of life than men. The more affected items in the prefrail population were grip strength and physical activity. Health Resort Medicine is an ideal place to detect these aspects.

Public Funding of Health Resort Treatment in Russia: Problems and Prospects

In the context of the geopolitical crisis currently observed in Russia, the effective functioning of the sanatorium and resort sector is of particular relevance and importance for the implementation of the national security strategy. An important mechanism that ensures the efficiency of the activity of sanatorium and resort enterprises is the proper state financing of the industry. The results of the study demonstrate the generally unfavorable situation that has developed with the provision of sanatorium- and-spa treatment for citizens in Russia. The study identified the reduction in the number of citizens receiving sanatorium-and-spa treatment at the expense of state funding, as well as vouchers allocated by the state. The decrease in these indicators occurs against the backdrop of a growing use of sanatoriums privileged categories of citizens. Low levels of financing of the sanatorium and resort sector from the state, which do not cover the costs of sanatoriums and resorts, lead to a reduction in the number of responses from health resorts to government tenders and orders. The lack of proper mechanisms to support and develop the national sanatorium and resort sector can lead to a critical situation of its almost complete refusal to participate in the state rehabilitation and treatment programs. The main measures to develop the industry is to increase funding and the implementation of state support programs.