In the article, on the basis of complex research of institutional (systemic) and technological (process) changes, which is undergoing the modern market of health-improving services and analysis of innovative approaches to the development of world resorts, the multi-vector concept of organization of health-improving tourism in resorts of Ukraine is substantiated. The basis of this concept defines the following strategic vectors of development: organizational - service management; functional - from health resort to destination; public administration - from sectoral to management; market - from marketing of recreational services to strategic marketing planning of the development of the of wellness. An analysis of global trends in the development of health tourism in the world has shown the rapid development of such a segment as wellness and spa tourism. The annual growth rate of $ 6.39 billion in wellness tourism by 6.5% in 2015-2017 is more than double the growth rate of tourism (3.2%). World tourists made 830 million wellness trips in 2017, that is 139 million more than in 2015 - and now account for 17% of total travel expenses. The number of spa locations has grown from 121,595 in 2015 to more than 149,000 in 2017, employing nearly 2.6 million employees. Earnings growth of 9.9% for spa resorts is well above the pace from 2013-2015 (2.3%). From 2015-2017, the hotel / resort spa category provided the largest amount of revenue at resorts and now is the leader of industry. The market for thermal / mineral springs is also growing rapidly - from $ 51 billion in 2015 to $ 56.2 billion in 2017 - as more and more people refer to balneotherapy (water treatments) for stress relief and healing. It is justified that the priority of the development of health tourism in Ukraine should be the model of service because the development of inbound tourism is hampered by the level of service, and not by the lack of high-tech medicine and qualified doctors. Progress in this area can be achieved if there is a single coordination of the activities of clinics and travel agencies in providing the necessary and sufficient conditions for medical and health tourism in our country. And it is extremely important for the implementation of the provisions of service management to address the issues of development of service in the field of medical and health tourism. The essence of service management determines the focus on quality of service, which is essential for the management of spa and wellness enterprises. It is proved that in order to develop an effective model of organization of the domestic sanatorium-resort complex in the tourism system, it is advisable to develop resorts according to the functional vector of the destination of recovery. Since the is a system of enterprises that form and satisfy the demand for health and recreational services, the destination, on the one hand, is the subject of market relations, because it offers and sells the resort product, and on the other - the object of public administration tourism. Therefore, the is an object of integrated management, because it is capable of integrating all components into a single system, which in turn is able to ensure the production and sale of quality complex resort product. The peculiarity of interaction between the subjects of the recreation and tourism industry is regional orientation, since the main factor of production in this area is natural resources. That is why the main feature of forming an association around or at the resort base is the territorial identity of the particular area where these resources are concentrated. Such an association can be a recreational tourist or health-improving cluster. It is established that the marketing approach to the involves the development of a complex product of the destination, which will be offered to the tourist as a whole. All the elements of the product must meet each other and the needs of the target segment. When there are several target segments in a that are fundamentally different in terms of tourists' motives, requirements and expectations, it is necessary to develop a product for each of them. Thus, the basis of marketing is the formation and development of the required competitive product.
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