This research delves into the intricate dynamics of travelers’ decision-making processes, particularly their response to the media’s portrayal of environmental risks and the subsequent redirection of their travel choices toward medical destinations (MD). Employing a sophisticated research approach combining path analysis with moderation and multilinear logistic regression models, this study investigates the nuanced factors underlying travelers’ resilience to environmental risks and their propensity to opt for medical destinations. The results of the path analysis reveal a complex network of direct influences of factors from the PPM model (push, pull, and mooring) on choosing a medical destination in the sense that, before moderation, the only significant direct effect on the intention to choose medical destination (MD) was the pull factors. Through moderation, a significant effect of all three factors was achieved, while the direction of influence was changed in the case of push and pull factors. Furthermore, the multinomial logistic regression showed that the respondents prefer to go to a medical destination rather than a rural or urban one after the media emphasis on environmental risks. By integrating these analytical approaches and models, this research advances our understanding of how travelers navigate their choices amid environmental uncertainty. Furthermore, this research sheds light on the pivotal role that these traveler choices play in shaping the sustainability of medical destinations, offering essential insights for stakeholders, policymakers, and researchers navigating the evolving landscape of these destinations.

The authors consider the possibilities of national health care in the context of the export of medical services. The methodology of the work is based on an approach based on different specifics of medical and healthcare tourism and their correlation. The forms of state support are described in the article. The assessment of the plan for the development of the export of medical services and the ways of its implementation are given. The following pointes are highlighted: trends in the commercialization of medical tourism, business strategy, social, economic and technological risks in the development of medical tourism, and the prospects of development. The most attractive areas of medical care in Russia for foreigners are explicated. The financial benefits of exporting medical services and the issue of Russia’s international cooperation in this area are considered.. It is done for a comparative analysis of the achievements in different countries in the medical and tourism industry. The forms of cooperation with the Joint Commission International (JCI) in promoting the export of medical services in Russia were noted. The article also deals with the problems and barriers to the development of the export of medical services and possible ways to solve them.

Wine tourism is an economically promising type of sustainable tourism for the region. Currently, the state has created favourable conditions for the wine-growing regions of the Russian Federation (one of them is the Rostov region) including financial support for the development of viticulture and winemaking. The article describes the forms of state support, explicates the status of the Rostov region among other wine territories since the latter, due to its natural and climatic features, has prospects for creating unique varieties of wine products with access to the level of world recognition. People’s awareness about wine tourism in the region and their intentions of future participation in visiting the Don vineyards and wineries was studied. Methods of content analysis, expert interviews with managers of wineries, and a mass survey of the population in this region, including more than 400 questionnaires were used in the study. The results show that there are three main factors for the successful development of wine tourism in the Rostov region: 1) a unique product of wine tourism in its taste; 2) the organization of wine production in the relationship between government and business, which opens up prospects for creating the necessary infrastructure for the development of enotourism; 3) potential wine tourists. Despite the low awareness of the surveyed residents of the region about the peculiarities of Don wines and wine tourism programs, 62% of respondents showed interest in participating in the tours. Some recommendations are given for organizing tourist routes that include an introduction to the cultural identity of the Don region in their program.

Consideration of the program of globalism and the concept of controlled chaoswas carried out on the basis of a study of the works of A. Toffler and S. Mann. This article analyzes the terminological basis of the proposed concepts. It is proved that the development of information communications testifies to the evolutionarity of processes on the world stage, which cannot be considered a feature of a revolutionary change in the type of civilization. The criticism of the Western attitude about the positioning of the newest society as purely informational, practically unrelated to industrial achievements, is given. It is shown that in reality the information boom is fully provided by the material production of the "second wave", within the framework of the development of which the possibility of solving various pressing problems, including the problem of energy resources, is visible. Special attention in the article is devoted to the criticism of the concept of «controlled chaos» from the perspective of synergetic methodology, the real threats associated with misunderstanding of the behaviour of nonlinear dynamical systems in the bifurcation mode are outlined. The implementation of the globalism program uses many techniques aimed at standardizing values. In this regard, the Kantian narrative of absolute value.

See the retraction notice BIO Web of Conferences 84, 00001 (2024), https://doi.org/10.1051/bioconf/20248400001