DEVELOPMENT FEATURES OF THE INSTITUTIONAL ENVIRONMENT OF THE SANATORIUM-RESORT COMPLEX OF THE REGION
The institutional environment is an important factor in the development of resort medicine in the region, contributes to the formation of a market for health-improving services in accordance with demand trends, expanding its quantitative capacity and defining the vector of strategic partnership with consumers, authorities and business environment. The industrialized regions of the country, such as the Perm Territory, are interested in the development of alternative specialization, which provides a positive impact on the socio-economic condition of the region. The sanatorium-resort complex has a multidirectional effect on the socio-economic development of regions, the formation of the institutional environment involves considering not only various factors, but also levels that should be assessed in correlation. The enterprises of the sanatorium-resort complex are part of the institutional environment for the development of health care, resort medicine and medical tourism. On the other hand, the sanatorium complex needs favorable institutional conditions that can be formed with the active participation of regional authorities. The purpose of the study is to develop a model of the region`s sanatorium and resort system based on factors and elements of the institutional environment that provide a positive impact on the socio-economic development of the region. Methods: analysis of statistics and normative legal acts, systematic, situational, network approaches, modeling of socio-economic processes of the functioning of the sanatorium complex of the region using the example of the Perm Territory. The scientific, theoretical and applied aspects of the development of the spa complex are considered. Its important role in the quality of the material and medical infrastructure of resort medicine and medical tourism is determined. The positions and performance indicators of the sanatorium-resort complex of the Perm Territory are studied. A model of the sanatorium-resort system is developed, and the levels of the institutional environment for the development of the sanatorium-resort complex are proposed, which provide stable links of the spa and recreation services market entities. The necessary institutional conditions for the effective functioning of sanatorium complexes and systems that provide a positive impact on the socio-economic development of regions are identified: improving living standards; growth of economic income of the business environment and tax revenues; raising the rating position of the Perm Territory within the Volga Federal District.
Keywords: sanatorium-resort complex, sanatorium-resort system, health care, institutional environment, medical tourism.
Highlights:
the features of the convergence of medical and health tourism and medical tourism as a condition determining the direction of growth of regional sanatorium complexes are considered;
factors for the formation of the institutional environment of the sanatorium-resort complex as an independent education and an element of other systems and complexes - health care, resort medicine, medical tourism are studied;
a model of the sanatorium system of the region is developed, considering factors and conditions of the institutional environment at various levels of functioning of the sanatorium complexes;
the analysis of rating positions of the sanatorium-resort complex of the Perm Territory is carried out, the basic elements of the sanatorium-resort system are characterized;
recommendations are formulated on the formation of the institutional environment to ensure the positive impact of the sanatorium complex on the socio-economic development of the region.
Matvey S. Oborin, Doctor of Economics, Professor, Department of Economic Analysis and Statistics, Perm Institute (Branch), Plekhanov Russian University of Economics, Professor, Department of World and Regional Economics, Economic Theory, Perm State National Research University, Professor, Management Department, Perm State Agro-Technological University, Professor, Department of Management and Technology in Tourism and Services, Sochi State University; Tamara A. Nagoyeva, a senior lecturer, Department of Economic Analysis and Statistics, Perm Institute (Branch), Plekhanov Russian University of Economics, a post-graduate student, Perm State National Research University; Irina V. Kozhushkina, a junior researcher, Perm State Agro-Technological University.