Важные вехи и события в истории казахстанской курортологии

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Аннотация

ВВЕДЕНИЕ. Глубокие социально-политические и экономические изменения 1990-х годов оказали негативное влияние на качество жизни людей и общее состояние их здоровья. Постоянный стресс, присущий урбанизированному обществу, приводит к снижению функциональных возможностей человеческого организма. Развитие санаторно-курортного комплекса является ключевым решением для поддержания основных систем жизнеобеспечения населения и решения проблем, связанных с урбанизацией. Чтобы лучше понять текущее состояние курортной индустрии в Казахстане, важно изучить ее историю и развитие. Это поможет нам понять его особенности и проблемы.

ЦЕЛЬ. Изучить и оценить исторически значимые события в развитии курортологии в Казахстане, а также определить современные тенденции и перспективы модернизации курортной индустрии в стране.

МАТЕРИАЛЫ И МЕТОДЫ. Для обзора литературы были использованы международные электронные базы данных, такие как Medline, PubMed, Google Scholar и eLibrary. Были проанализированы публикации за 2014–2024 годы, а также более ранние работы, имеющие основополагающее значение. Поиск литературы проводился с использованием комплексных стратегий поиска, которые имели отношение к развитию казахстанской курортологии в определенные исторические периоды.

РЕЗУЛЬТАТЫ И ОБСУЖДЕНИЕ. История санаторно-курортного лечения в Казахстане насчитывает более тридцати лет с момента обретения страной независимости. Эта традиционная форма лечения используется в различных областях медицины для профилактики заболеваний. Санатории и курорты предлагают широкий спектр природных ресурсов, включая уникальный климат, чистый горный воздух, минеральную воду и целебные грязи. Эти элементы создают исключительные условия для оздоровления и улучшения состояния здоровья. Такой подход сочетает традиционные медицинские практики с современными технологиями, а также природно-климатические факторы. Несмотря на то что Казахстан обладает значительным рекреационным потенциалом, спрос на эти услуги по-прежнему остается низким. Возможно, это связано с тем, что в центре внимания по-прежнему отдых в советском стиле, в котором особое внимание уделяется социальному взаимодействию и участию государства. В прошлом правительству приходилось покрывать значительные расходы на содержание санаториев, курортов и предоставление рекреационных услуг, обеспечивая восстановительный уход за людьми.

ВЫВОДЫ. Развитие курортов в Казахстане претерпело значительные изменения, начавшиеся в досоциалистический период и продолжающиеся в постсоветскую эпоху модернизации. Благодаря своим богатым природным ресурсам и государственной поддержке, а также частным инвестициям, Казахстан смог частично сохранить свою курортную индустрию. Однако модернизация казахстанских курортов и санаториев требует государственного регулирования с последующей оптимизацией и цифровизацией санаторно-курортной сети с целью предоставления высококачественных лечебно-оздоровительных услуг, доступных всем слоям населения.

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INTRODUCTION

The basis of human existence is considered to be their state of health. In today's world, the primary objective of all urbanised states is the advancement and protection of public health. The Republic of Kazakhstan is one of the developing urbanized states. According to the latest statistical data as of 1 July 2024, 62.7 % of the population of the RK live in cities, representing 12.630.546 people out of a total population of 20.159.707. [1]. The key focus of the Concept of Healthcare Development in the Republic of Kazakhstan until 2026 is to fight and counteract the main predictors of circulatory system diseases and causes of mortality among the working-age population1.

However, insufficient attention has been paid to the application of preventive medicine measures and modern disease prevention methods, particularly in fostering a healthy lifestyle and improving population health at the stage of health-resort treatment.

It is beyond doubt that the therapeutic and recreational effects of natural resources have been known since ancient times. In fact, the trivial buildings of spas in the vicinity of mineral waters created at the beginning of the 15th century are the forerunners of modern resorts. The population of Kazakhstan has been using the therapeutic properties of mineral waters and muds for centuries, but it was only in the 19th century that balneology made significant progress [2].

The history of balneology in Kazakhstan is long and distinguished, with its roots dating back to the Soviet era. It was during this period that the fundamental principles of the modern health resort industry were established [3]. During the Soviet era, a unique health resort treatment system was developed which was distinct from any other system in the world. The concept of continuity served as the basis for a three-stage health recovery system for the entire Soviet population. During the same period, a centralized management system was introduced in the health resort treatment, ensuring sustainable operation and dynamic development of health resort complexes [4].

After the collapse of the Union of Soviet Socialist Republics (USSR) and the emergence of a market economy, the health resort industry of independent Kazakhstan lost its scientific, technical and material infrastructure. Changes and reforms in all spheres of the state at the stage of modernization changed the fundamental framework for the operation of the health resort complex and led to a crisis in the spa sector [5]. After gaining independence, Kazakhstan continued to develop and modernize its health resort facilities, adapting to new economic and social realities. To have a complete understanding of the principles, specificity and identity of the Kazakhstan health-resort industry, it is necessary to give an outline of the historical evolution through the development of the general format of the organization of health-resort services [6].

This article explores the historical evolution and establishment of the health-resort industry through the analysis of the transforming model and organizational framework of the health-resort complex.

AIM

To examine and assess notable historical milestones in the history of Kazakh balneology, as well as to identify current trends and prospects for the modernization of the health-resort industry in Kazakhstan.

MATERIALS AND Methods

The literature search was conducted in international databases such as Medline PubMed and Google Scholar, using Medical Subject Headings (MeSH) terms: USSR Balneology/history, Health Resorts/history, and Kazakhstan. Specific methodological filters were applied to narrow the search focus to studies with critical review designs and reports.

For the historical research, the authors used a natural science approach, which allowed for a deeper understanding of the paradigm of the formation of the health-resort industry during the Soviet era and its subsequent development in the post-Soviet period. This included the analysis of historical data, the study of documents and literary sources, as well as the comparison of various aspects of resort treatment and its evolution in the context of social and medical policy.

RESULTS AND DISCUSSION

According to calculations by the Bureau of National Statistics of the Republic of Kazakhstan, as of the end of 2023, there were 175 restorative treatment and medical rehabilitation organizations in the country, including 115 sanatoriums, 26 rehabilitation centers, 25 specialized sanatoriums and other facilities, and 9 health resorts [7].

The historical evolution and establishment of the sanatorium-resort industry in Kazakhstan had begun long before gaining independence and sovereignty. Given the close historical ties with Russia during the Soviet Union era, it is reasonable to use the Russian model of sanatorium-resort complexes for analyzing aspects of resort treatment, comparing and adapting it to our circumstances and context [8, 9].

Thus, three distinct periods can be identified in the establishment and development of the health-resort sector:

  • the pre-revolutionary period and the early Soviet era;
  • during the USSR period;
  • and the gaining sovereignty and independence, followed by the resurgence of capitalist forms in Kazakhstan.

Table 1 shows an adapted structure of the stages in the development of balneology in Kazakhstan.

 

Table 1. Format of the structure of health-resort services in the Republic of Kazakhstan

Period Name

Historical Period

Period Description

Key Characteristics

Structure Format

Goal

Stage I

Pre-Socialist. From the establishment of the Kazakh Khanate — 1917

Exploration and use of natural therapeutic resources, early concept of resorts.

There is no model formed as such, but there is an understanding of the resort area helping to overcome ailments

Strengthening and restoring individual health (mainly for warriors recovering after repelling attacks of the neighbors)

Stage II

As a republic of USSR

1917–1992

Dynamic development of the health-resort sector with ongoing scientific support

Centralized state-run system for resort management

Universal access to health and wellness activities to promote public health

Stage III

Independence

and independence from 1992 to date

Uncoordinated development, establishment of various forms of ownership

Combination of state and private health-resort services

Supporting individual and public health

 

Stage I

Pre-Socialist Period

In the era of the Kazakh Khanate, there was no management as such in the spas, which were perceived by the locals as places where batyrs, who repelled countless raids of neighbors, and rich nobles restored their strength and health. The pre-socialist period is characterized by the fragmentary work of the health resort sphere, where there was a predominantly patronizing attitude to balneology [10]. In this period, the services of market exchange of goods were just emerging. Not all population groups in Kazakhstan could have full access to health rehabilitation programs. During this period, the private practice of healers prevailed, so the level of organization of therapeutic work was also at a low level. All this allows us to interpret that the pre-socialist period of health resort business has a fragmented organizational and economic format, the purpose of which was to maintain and strengthen individual, rather than public, health [11].

Stage II

Soviet Period

From the first years of the Soviet power, the use of natural physical factors to improve the nation's health was given great importance [12]. After a special government decree in 1918, all the resorts that existed on the territory of the country were declared state property and transferred to the Supreme Council of National Economy, which assigned the task of their management to the People's Commissariat of Public Health of the USSR [13, 14]. From this period, the spa activities of Kazakhstan became part of the USSR healthcare system [6, 15].

Trade unions were involved in administrative and management work, while associations of doctors specializing in health resort rehabilitation were in charge of scientific and methodological support [16]. Thus, an original model of the organization of resort complexes was formed This created a unique structure for the resort industry in the USSR, unprecedented on the global stage. The system was characterized by accessibility, wide availability, and a preventive focus, making resort therapy and wellness a regular part of the Soviet national culture.

New progressive forms of restorative and rehabilitative care were introduced in spa complexes, as well as standardized programs of spa therapies and services. Cost minimization and a high level of comfort became the cornerstones of the development of a unified state policy in the field of balneology [17–19].

Although the resorts belonged to different sectors and government departments, this did not prevent them from pursuing a unified state policy in the field of health recovery and recreation. Funding came mainly from the State Social Insurance Fund and various ministerial funds, which allowed the institutions to finance new construction, reconstruction and substantial modernization.

Economic science began to recognize the resort sector as a contributor to economic growth and national wealth, moving away from its prior view of the industry as unproductive [20–22].

During this period, non-market methods dominated in coordinating resort activities, while administrative organizations managed the allocation of resources, achieving a balance of supply and demand in the resort economy through collective management structures and relevant social and financial institutions [23–25].

Stage III

Independence

The reforms of the 1990s caused cardinal changes in the functioning of the health resort complex of the independent state. The collapse of trade unions and the withdrawal of social insurance funds made it impossible to differentiate between spa vouchers or to cover payments to holidaymakers in the form of compensation.

The funds were withdrawn from the management of trade unions, which, in turn, lost their functions. The established state social insurance funds, in turn, stopped allocating any funds to recreational facilities, except for payment for the cost of stays, which deprived health resorts of funds for expanded reproduction. The difficult economic situation in most sectors of the national economy sharply reduced another source of financing of the resort complex — the funds of industrial enterprises, for which the tasks of fighting for their own survival with the traditional leftover attitude to the problems of recreation and treatment of workers came to the foreground. This could not but affect the state of health resort institutions, statistical indicators of health resort services sharply deteriorated. Only health resorts of the Ministry of Health and law enforcement agencies retained their state status, while the rest were transformed into organizations of different organizational and legal forms and forms of ownership and switched to self-management [26].

The collapse of the USSR, the transition to a market economy, and the difficult economic situation of the transition period hit the spa industry hard. The impoverished population could not pay for health resort treatment. The health-resort system began to fall apart. Many resorts operated at half capacity or less, becoming unprofitable and closing. Only well-to-do citizens could afford health-resort treatment, preferring rehabilitation abroad. Along with changes in quantity, the country's resort complex was reformed in terms of quality. Resorts acquired new organizational and legal forms in accordance with Kazakhstani legislation, and this privatization was of a fundamental nature and reflected a change in ownership forms [27–29].

Since the late 90s, positive development trends have been observed in the health-resort industry of Kazakhstan. Health resorts that survived the transition period began to acquire modern medical equipment and develop new types of services. Unique natural resources, ongoing achievements of Kazakhstani balneology combined with new trends to expand the range of services, improve the comfort of health resorts provide a real opportunity for the successful development of both individual health resort institutions and the industry as a whole [30, 31]. The health-resort industry, like other sectors, saw a shift in ownership forms, leading to a multi-structured landscape with diverse organizational and legal frameworks for resorts. Today, maximum efficiency in recreational institutions is achieved through a pluralistic approach to ownership and management [32]. At the same time, if state and municipal health resorts in their activities are focused on solving medical and social problems, then private health resorts focus on economic efficiency of resource use. Given the diverse forms of sanatorium-resort services, a symbiotic approach that blends public and private resort treatment is currently the most effective model for serving the population [33].

With the development of market relations, the resort complex evolved not only quantitatively, but underwent changes in quality as well. With the change in the conditions of functioning of the health resort industry, there emerged a need to develop new structural and organizational forms, taking into account regional peculiarities and recreational and recovery potential of natural resources. In addition, these forms had to consider the laws of business and ensure the increase of profitability of the health resort industry [34–36].

In the times of market-based relationships, there has been a significant risk of excessive commercialization in the health-resort sector. First of all, this situation has led to the disappearance of affordable but essential medical services and reduced access to recreational services due to the increased cost of vouchers, and secondly it has also caused a decline in research activities in the field of balneology. Experts in the field of health-resort economics believe that a significant boost for the national health-resort industry can be achieved through the integration of innovative therapeutic and preventive measures with various tourism sector services and technologies (such as marketing, management, and hospitality) — a powerful leisure and entertainment industry [37–40].

It is undeniably important to preserve the best traditions of domestic balneology, which contribute to strengthening the health of the nation. An extensive research conducted over many years by Pyatigorsk State Scientific Research Institute of Balneology indicate that spa treatments can be an effective intervention for adults and children with common chronic diseases, with significant medical, social, and economic effects:

  • medical effects include — reduced frequency and intensity of disease exacerbations by 2.5–3 times, reduced hospitalization by 1.5–2 times, decreased average hospital stay by 20–30 %, reduction in the average duration of 1 case of temporary disability by 30–40 %, increase in the remission period of the main disease by 3.5–4 times, of comorbidities by 1.5–2 times, reduction in disease progression by improving the functional status of organs and body systems, increase in the physiological reserves of the organism;
  • social effects include — improvement of the quality of life, restoration of domestic, professional and social functions, reduction of disability, increase in labor potential and professional longevity;
  • effects include — it is estimated that employees will return to work 3–4 times more often, reducing the cost of social insurance payments and the financial costs by 2–2.5 times (due to reduced use of medical services, taking pharmaceuticals, use of outpatient clinics, treatment in hospitals, etc.), increase in labor productivity 10–15 %.

At the present stage, the management structure of health resort business in the Republic of Kazakhstan, corresponding to the market model of economic management, is still being formed. In each region there are many sanatoriums, hospitals, which treat all kinds of diseases, both with the help of medicines and traditional methods. As for the specifics, most people who have undergone various kinds of diseases, surgeries, injuries, also people suffering from joint diseases, etc., are in dire need of sanatoriums, and they play an important role in complementary medicine. The deterioration of air quality contributes to various diseases, weakens the human body, and reduces its resistance to stress and external viruses. Due to the deterioration of air, there are so many different kinds of diseases, after which the human body becomes weakened and becomes unstable to stress and external types of viruses. Also, people get tired of their daily work, in which they practically stay in a stressful state, in which it becomes more and more difficult to cope with their job responsibilities. In such a situation, treatment and recreation in a sanatorium complex will restore all the lost strength and health, both physical and psychological state. This all helps to recover and continue your labor activity in a normal rhythm. Timely treatment in a sanatorium can prevent any disease from moving to a chronic stage. If a person is healthy and refreshed, he/she is a good worker. Thus, if the state develops such health resort complexes in the country and focuses on the simple, necessary needs of people, finance materially support all the complexes, it is certainly a long-term investment in the future.

Medical sanatoriums provide a variety of therapies, including massage, physiotherapy, and dietary therapy, as well as other treatments tailored to each patient's specific needs. These treatments are based on the type of illness the patient has. Most sanatoriums specialize in one or more types of illness, and can be divided into single-profile or multi-profile facilities. Single-profile sanatoriums focus on treating only one type of illness, while multi-profile ones can treat a variety of conditions. Multi-profile sanatoriums have different departments, each specializing in a specific type of treatment. The course of treatment depends on the examination, analysis, and referral of the patient [41].

Despite progress in health-resort projects, there are obstacles hindering the development of this sector:

  • accommodation conditions in medical preventive centers in Kazakhstan do not fully meet the European standards;
  • decreasing accessibility of health-resort services for socially vulnerable groups, such as low-income individuals;
  • unstable growth in the cost of health-resort services;
  • disjointed management of the health resort sector in the Republic of Kazakhstan, in other words, the health resort sector is important for the health care system and tourism as a complementary sector;
  • lack of an appropriate regulatory and legal framework;
  • poor use of medical statistics on health resort service;
  • the scientific concept of the development of health-resort services is practically non-existent.

Conclusion

The health-resort sector is a traditional form of health recovery for post-Soviet countries. In Western countries, where spa business originated, the market has ousted health recovery from the first positions in tourism, replacing it by entertainment and recreation.

Kazakhstan has a variety of natural and recreational resources which are the basis for the operation of health resorts. However, the existing problems, both in the field of functioning of resorts themselves and organization of health resort treatment, as well as in the field of balneology, in modern market conditions make the industry uncompetitive. At the present stage, a targeted strategy of resort and recreational development is required, including a comprehensive assessment of existing and new natural therapeutic resources, their resort development, development of new medical technologies for the application of natural therapeutic factors, as well as the creation of organizational and legal forms that allow effective development of the health-resort industry. Unique natural resources, achievements of Kazakhstan balneology in combination with modern forms of resort management provide an opportunity to preserve the traditions of national balneology and successful development of the health-resort industry.

Kazakhstan has a need for comprehensive measures aimed at improving the health of the population, promoting healthy lifestyles, aimed at the development of human potential. The role of the health resort sector in this regard is underrated. State attention, expressed in the development of program products, should be focused on enhancing the use of the health-resort complex in order to ensure favorable demographic conditions for socio-economic development. In order to create a national modern highly efficient, competitive system of health-resorts and recovery centers, it is necessary to take a number of measures to develop and improve the system of health-resort recreation in Kazakhstan, such as improving the state regulation of the system of health-resort care and recovery of the population, streamlining the benefits for health-resort treatment and recovery and the conditions for their provision, optimizing the network of health-resorts and recovery centers, improving the quality of health care and recreation, improving the quality of health care and recovery of the population, improving the management of health-resort treatment and recovery of children etc.

In summary, the development of the resort industry in Kazakhstan has undergone significant changes from the Soviet times to the post-Soviet modernization period. It is important to note that thanks to abundant natural resources, state support, and private investment, Kazakhstan has been able to preserve and expand its resort industry. Modern resorts and sanatoriums in Kazakhstan offer quality health and recreational services that appeal to both domestic and international tourists.

ADDITIONAL INFORMATION

Author Contributions. All authors confirm their authorship according to the international ICMJE criteria (all authors contributed significantly to the conception, study design and preparation of the article, read and approved the final version before publication). Special contributions: Kairgeldina S.A. — project administration; Tekebaev K.O. — project supervision, data verification; Baurzhan M.B. — scientific analysis, writing — original draft; Absattarova K.S. — data analysis, writing a draft manuscript; Slivkina N.V. — methodology, review & editing.

Funding. This study was not supported by any external funding sources.

Disclosure. The authors declare no apparent or potential conflicts of interest related to the publication of this article.

Data Access Statement. The data that support the findings of this study are available on reasonable request from the corresponding author.

 

1 Decree of the Government of the Republic of Kazakhstan dated 24.11.2022 No. 945 “On Approval of the Concept for the Development of Healthcare of the Republic of Kazakhstan until 2026”

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Об авторах

С. А. Каиргельдина

РГП НА ПХВ «Научно-исследовательский институт курортологии и медицинской реабилитации» Минздрава Республики Казахстан

Email: s.kairgeldina@mail.ru
ORCID iD: 0009-0000-0539-5820

Ph.D. (Biol.), Professor, Director

Казахстан, Астана

К. О. Текебаев

РГП НА ПХВ «Научно-исследовательский институт курортологии и медицинской реабилитации» Минздрава Республики Казахстан

Email: s.kairgeldina@mail.ru
ORCID iD: 0009-0001-0977-0701

Ph.D. (Med.)

Казахстан, Астана

М. Б. Бауржан

РГП НА ПХВ «Научно-исследовательский институт курортологии и медицинской реабилитации» Минздрава Республики Казахстан

Email: s.kairgeldina@mail.ru
ORCID iD: 0000-0003-1244-8673

Ph.D. (Med.)

Казахстан, Астана

К С. Абсаттарова

РГП НА ПХВ «Научно-исследовательский институт курортологии и медицинской реабилитации» Минздрава Республики Казахстан

Email: s.kairgeldina@mail.ru
ORCID iD: 0000-0002-6351-6755

Ph.D. (Med.)

Казахстан, Астана

Н. В. Сливкина

НАО «Медицинский университет Астана»

Автор, ответственный за переписку.
Email: s.kairgeldina@mail.ru
ORCID iD: 0000-0002-8165-0114

D.Sc. (Med.), Professor

Казахстан, Астана

Список литературы

  1. Bureau of National statistics of the Republic of Kazakhstan. Agency for Strategic planning and reforms of the Republic of Kazakhstan. Ministry of National Economy of the Republic of Kazakhstan. Demographic Yearbook 2020. Available at: https://stat.gov.kz (Accessed 01.10.2024).
  2. Shyngysbaeva S., Saipov, A., Aldasheva, A., et al. Current Issues of Health and Wellness Tourism Based on Population Health Preservation in Eastern Kazakhstan. GeoJournal of Tourism and Geosites. 2023; 49(3): 1144–1151. https://doi.org/10.30892/gtg.49329-1113
  3. Yessengabylova A., Bekbulatovaa A., Suraganovaa S., et al. Recreational Potential of Kazakhstan and Prospects of Medical Health Tourism in This Country. International journal of environmental & science education. 2016; 11(15): 8447–8469
  4. Polyakov B.A., Kizeev M.V. Efficiency of Medical and Economic Activities of a Sanatorium-and-Spa Facility in the Active Phase of the Public Health System Reform under Macroeconomic Instability. Problems of Balneology, Physiotherapy, and Exercise Therapy. 2010; 2: 59–61 (In Russ.)
  5. Krivoruchko V.I., Ivanchenko V.R., Covisa T.B. Sanatorium-health Resort sphere: the extension of a functional role in socio-economic development. Krevlacin S.P. Monograph: Sochi. 2015; 158 p.
  6. Razumov A.N., Limonov V.I., Nesterova E.V. On the branch science in the sanatorium-resort sphere. Problems of Balneology, Physiotherapy, and Exercise Therapy. 2019; 2-2: 139–140 (In Russ.)
  7. Bureau of National statistics of the Republic of Kazakhstan. Agency for Strategic planning and reforms of the Republic of Kazakhstan. Sanatorium and resort activities (2023). Available at: https://stat.gov.kz/ru/industries/labor-and-income/stat-ags/publications/117700/ (Accessed 01.10.2024).
  8. Borisova A.V., Ierusalimskij Yu.Yu. Istoriya razvitiya sanatorno-kurortnogo dela v Rossii. Sovremennye problemy servisa i turizma. 2009; 3: 31–34 (In Russ.)
  9. Agasarov L.G., Limonov V.I. Main Stages of the Evolution of the Organization Model and the Management System of Health and Spa Service in Russia (Brief Literature Review). Journal of New Medical Technologies, eEdition. 2020; 5:130–136 (In Russ.)
  10. Bykov A.Yu. Rossijskaya pravitel'stvennaya politika v stepnyh oblastyah i transformaciya tradicionnogo kazahskogo obshchestva: 1731-1917 gg. diss. Sankt-Peterburg. 2005; 50 s. (In Russ.)
  11. Usova I.A., Lutfullin M.F. National Medical Research Center of Rehabilitation and Balneology: 100 Years of History. Bulletin of Rehabilitation Medicine. 2021; 20(3): 113–117. https://doi.org/10.38025/2078-1962-2021-20-3-113-117 (In Russ.)
  12. Morozov A.V. The Work the Health People’s Commissariat of the RSFSR and N.A. Semashko on the Organization of Sanatorium Care in the First Years of the Soviet Regime. Journal of New Medical Technologies. 2016; 4: 246–250 (In Russ.)
  13. Antonyuk M.V., Gvozdenko T.A. Historical Aspects of Development of Sanatorium-Spa Treatment in Russia. Health. Medical Ecology. Science. 2018; 2(74): 4–10. https://doi.org/10.5281/zenodo.1296764 (In Russ.)
  14. Parfenov A.A., Datiy A.V., Limonov V.I., Korolev Y.N. Problems of development health and resort complex of Russia. Journal of Restorative Medicine and Rehabilitation. 2019; 4: 67–70.
  15. Oborin M.S., Frolova N.V., Nagoeva T.A., Artamonova O. A. System Research Methods in Modeling of the Market of Sanatorium Services and Resort-Recreational Systems. Bulletin Of PNU. 2016; 3(42). С. 131–144 (In Russ.)
  16. Stepanyan A.Zh. Main Phases of Implementing Legal and Social and Economic Technologies into Managing the System of Health Resort Rehabilitation of People Exposed to Extreme Stress. Social Aspects of Population Health. 2015; 3(43): 9 (In Russ.)
  17. Plaggenborg SHt. Revolyuciya i kul'tura: Kul'turnye orientiry v period mezhdu Oktyabr'skoj revolyuciej i epohoj stalinizma. Sankt-Peterburg: Neva. 2000: 414 s. (In Russ.)
  18. Bagashev I. Fizicheskaya kul'tura i kurortnoe delo. Kurortnoe delo. 1923; 8–9: 28. (In Russ.)
  19. Kuznetsova L.A. Resort Vacation in the Ussr: Gender Aspect. Perm University Herald. History. 2011; 3(17): 81–85 (In Russ.)
  20. Kuznetsova L.A. Discussions about the form and content of the Soviet holiday resort (The 1920s-1930s). Perm University Herald. History. 2018; 4(43): 98–106 (In Russ.)
  21. Dolinskaia I.M., Kurbanova L.M. The Republic of Dagestan Resort Territories Development: The 1930s – 1980s Soviet Urban Planning Practice. Universum: Technical Sciences. 2024: 5 (122): 38–46. https://doi.org/10.32743/UniTech.2024.122.5.17406 (In Russ.)
  22. Slepakov S.S., Katrenko B.C. Conceptual approaches to the state policy of socio-economic development of the resort. Advances in current natural sciences. 2007; 12(2): 35–39 (In Russ.)
  23. Nauchno-prakticheskoe rukovodstvo dlya vrachej Sanatorno-kurortnoe lechenie; pod obshchej redakciej A. D. Fesyuna. Moskva: OOO Renovaciya. 2022; 544 s. (In Russ.)
  24. Plokhikh R.V., Guliayev T.S., Abulkhatayev L.Iu. i dr. Rekreatsionnaya osvoennost Respubliki Kazakhstan. Almaty. 2010; 49b (In Russ.)
  25. Аликулова А.Ш. Sanatorium Complex of Kazakhstan: Features and Development Prospects. Journal of Economic Research & Business Administration. 2011; 6(88): 70–73(In Russ.)
  26. Limonov V.I. Current State and Development Trends of the Sanatorium-Resort Complex of the Central Federal District. Journal of Restorative Medicine and Rehabilitation. 2020; 1(20): 81–84 (In Russ.)
  27. Radyukevich N.I. Features of modern Russian concepts of seaside resort cities. Colloquium-Journal. 2020: 12(64): 3–6. https://doi.org/10.24411/2520-6990-2020-11785 (In Russ.)
  28. Korneyko O.V., Moskovchuk D.S., Ponomarchuk N.B., Sergeev N.A. Potential Assessment of Integrated Resorts Market as an Instrument for the Economic Development of the Region. Azimuth of Scientific Research: Economics and Administration. 2019; 3(28): 197–200 https://doi.org/10.26140/anie-2019-0803-0047 (In Russ.)
  29. Smykova M.R., Plokhikh R.V., Ustenova O.Zh., Namazbayeva Z.E. Consumer Preferences as Basis for Tourist Branding of Kazakhstan. Issues of Geography and Geoecology. 2017; (3): 19–26 (In Russ.)
  30. Dernovoj A.G. Konceptual'nye osnovy upravleniya i perspektivnogo razvitiya sanatorno-kurortnoj sluzhby v Respublike Kazahstan. Almaty: Sem' ustanovlenij. 2006; 45 s. (In Russ.)
  31. Efimenko N.V. From the Russian Balneological Society to innovative technologies of spa and health resort-based treatment. The 95th anniversary of the Pyatigorsk State Research Institute of Balneology. Problems of Balneology, Physiotherapy and Exercise Therapy. 2015; 92(2): 62-66. https://doi.org/10.17116/kurort2015262-66 (In Russ.)
  32. Mikoyan D.S. Socio-economic development of the infrastructure of the sanatorium-resort sector of the region. Diss. Moscow. 2009; 22 p. (In Russ.)
  33. Glukhov A.N., Efimenko N.V., Kaisinova A.S., Chalaya E.N. Topical issues on medical, social and economic efficiency of sanatoriumand-spa treat-ment. Resort Medicine. 2014; 1: 2–15 (In Russ.)
  34. Samoylov K.I., Rustamova R.S. Medical and health-improving complexes of Kazakhstan: prospects of development. Science and Education Today. 2017; 4(15): 99–101 (In Russ.)
  35. Duisembekova G.R., Sabdalina A.K., Abilgaziyeva Zh.E. The assessment of tourist-recreational potential of the Republic of Kazakhstan. Bulletin of "Turan" University. 2019; 3: 129–135.
  36. Moldazhanov M.B., Purichi V.V. Role of the Sanatorium System of the Russiankazakh Altai in Population Healthcare Improvement. Экономика. Economics Profession Business. 2018; 2(2): 75–82 (In Russ.)
  37. Kan S.M., Kalugin O.A., Iskanderov R.R. The importance of therapeutic muds of the Arasan-Kundyzdy deposit for the development of peloid therapy in Kazakhstan. Problems of Balneology, Physiotherapy and Exercise Therapy. 2019; 96(6): 46–49. https://doi.org/10.17116/kurort20199606146 (In Russ.)
  38. Akimzhanova Kh., Sabitova A., Mussabayeva B., et al. Chemical composition and physicochemical properties of natural therapeutic mud of Kazakhstan salt lakes: a review. Environ Geochem Health. 2024; 46(2): 43. https://doi.org/10.1007/s10653-023-01813-3
  39. Battakova K., Saipov A. Healthcare and wellness tourism for people with occupational diseases in central Kazakhstan. GeoJournal of Tourism and Geosites. 2022; 45: 1586–1593. https://doi.org/10.30892/gtg.454spl07-978
  40. Agybetova R., Zhakupov A., Berdenov Zh., et al. Assessment of recreational suitability of Lake Alakol in the republic of Kazakhstan on hydrological indicators. GeoJournal of Tourism and Geosites– 2023; 46(1): 118–123. https://doi.org/10.30892/gtg.46113-1007
  41. Kazbekkyzy Y.A., Yessimova D.D., Bitter N.V. Medical Aspects of the Development of Health Tourism in the Republic of Kazakhstan. Siberian Journal of Tourism and Economic. 2021; 1(13): 37–50.

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