The relevance of the work is determined by the need to improve the Russian healthcare system in response to new internal and external challenges and threats to economic security. The subject of the study is the reform of the healthcare management system in China. The purpose of the work is to analyze China’s experience in modernizing the healthcare system in order to identify organizational and managerial measures that can be applied in government activities aimed at preserving, strengthening and restoring the health of the Russian population. The primary importance of early detection and prevention of diseases in modern medicine and the role of public authorities in managing these processes have been established. It is concluded that China has adopted a policy of further deepening reforms and modernizing the healthcare system, taking into account Chinese specifics, providing for the implementation of a development strategy focused on improving the public health system, integrating medical and preventive activities.; improving the system of monitoring and early warning of diseases, responding to emergency situations. The scientific novelty of the study and its difference from similar works lies in the established features of the reform of the healthcare management system in the PRC, in which public and private medical institutions operate effectively, operating under state control using low-cost management mechanisms and tools, combining traditional and modern methods of treatment.

At the present time, an effective methodological toolkit has not been developed to manage economic processes in modern conditions in order to ensure the sustainable economic development of enterprises. On the basis of mathematical modeling, it has been proposed that such a tool could be created to provide a quantitative assessment of the main parameters in the creation of innovative products and activities of enterprises. Additionally, on the basis of this tool, decision makers could regulate these processes by introducing additional resources and buying risks. For this purpose, it is necessary to modernize the means of production, which requires a reassessment of the technical level of enterprises. It is possible to achieve these parameters through a certain technical policy of production modernization. In this aspect, the technical policy of enterprises should consider the fact that, depending on the complexity of innovative products put for development and production, the time lag between the start of production of such products and the moment when they enter the market with competitive advantage changes. This competitive advantage is determined by the design methods at a given cost. At the same time, the service models of enterprises are used as one of the most important tools to achieve the profitability of the enterprise, leading to its sustainable economic development. As a result of the proposed toolkit, a strategy for managing the processes of the sustainable economic development of enterprises could be developed based on the creation of an intelligent system using artificial intelligence and the use of large databases that create information support for decision makers to regulate these processes. This set of tools makes it possible to achieve the organization of sustainable economic development. To assess the technical, economic, and technological level of the enterprise, a complex integral indicator was obtained on the basis of mathematical modeling. It was proposed to confirm the obtained integral assessment by comparing the obtained calculated data with an expert assessment. The method of expert evaluation is used in the article. Expert assessments were obtained in science-intensive organizations in which the authors held managerial positions and were engaged in scientific projects. The obtained inputs were formulated based on the analysis of the reporting documentation provided by the organizations. The conducted research indicates the importance of the proposed practical recommendations and materials for solving the tasks set in this study.

Introduction: The Kaliningrad region, as an exclave territory of the Russian Federation on the Baltic Sea coast, possesses significant sanatorium and resort potential; however, its positioning in the cross-border medical tourism market remains insufficiently studied from an economic competitiveness perspective. The region's exclave status and proximity to Poland and Lithuania, which constitute the competitive field of Baltic spa services, necessitate a quantitative assessment of price, infrastructure, and institutional competitiveness parameters. Objective: To develop and validate a methodology for the integrated economic assessment of sanatorium competitiveness in the Kaliningrad region compared with Baltic resort destinations (Kołobrzeg, Świnoujście, Palanga, Druskininkai, Jūrmala). Materials and methods: A comparative economic analysis of 14 sanatoriums in the Kaliningrad region and 22 foreign sanatoriums in the Baltic region was conducted for the period 2022–2025. Benchmarking methods for tariff policy, calculation of the price competitiveness index (PCI), resource provision coefficient (RPC), and construction of a "price – quality" matrix based on multi-criteria analysis were employed. Statistical processing included Spearman's correlation analysis and cluster analysis (Ward's method) using SPSS Statistics 27.0. Results: The average cost per bed-day with treatment in the Kaliningrad sanatoriums was 4,280 RUB (≈44 EUR), which is 38.6% lower than in Kołobrzeg (≈72 EUR) and 57.9% lower than in Druskininkai (≈105 EUR). The PCI of Kaliningrad sanatoriums equals 1.64 (high price attractiveness). Peak season occupancy reaches 94.2%, although the annual average (68.7%) lags behind Polish resorts (76.3%). The integrated competitiveness index (ICI) of Kaliningrad sanatoriums was 0.61, corresponding to the "moderate competitiveness" zone, with leading price positions but deficits in transport accessibility and international certification. Conclusions: Kaliningrad sanatoriums possess a pronounced price advantage and unique natural resource potential (amber therapy, peat mud), yet the realization of competitive opportunities in the cross-border Baltic market is constrained by the exclave's logistical limitations and a deficit of international quality standards.

Introduction. The relevance of the topic under consideration, on the one hand, is due to external factors, when decisions of a strictly political nature by the Western world leaders and subsequent economic sanctions “cut Russia off” from a number of important technologies. On the other hand, the lack of a coherent domestic economic policy leads to a mismatch of targets at the national and regional levels. subjects of economic activity, both at the micro and macro levels. In this regard, the development of methodological foundations that allow for the integration of economic entities at the macro level, while qualitatively improving the efficiency of management is extremely important. Theoretical analysis. The article analyzes and evaluates the international experience of technological development management. The main directions of improving management efficiency have been identified. A structural analysis of the subjects of regional management was carried out, which allowed us to identify the main problems. Results. The necessity of using a project approach based on regional technology platforms is substantiated. An organizational model of regional management is presented, which allows for dynamic technological development in strict compliance with all principles of sustainability. Conclusion. Qualitative improvement of management efficiency is possible only on the basis of integration of both different types of management and target indicators of management entities. Such integration should be based on a new industrial policy and represent a permanent process.