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In the conditions of the formation of new innovation-oriented trends in the world economy, a special place is occupied by the problem of sustainable development of various fields of activity. Not a small role in this is played by the tourism industry, which can bring significant economic benefits to the region. However, maintaining stable growth of this industry is possible only on the basis of activating social, economic, political and environmental indicators. In this regard, the work is devoted to the study of the foundations of sustainable development of the tourism sector on the basis of an effective management mechanism. The functions of state intervention are specified, the structure of the tourism and recreation complex is given. Directions are proposed to increase the pace of sustainable development of tourist activities in selected local systems. Keywords: tourism industry, activity, region, economic, environmental indicators.

The scientific report presents the results of a study of various approaches to the construction of modern quality management systems in medical organizations. Trends in the development of healthcare systems in the world and in the Russian Federation are analyzed, it is shown what role, on the one hand, the development of the infrastructure of medical care for the population, the staff of medical organizations, and on the other hand, the satisfaction of patients with the quality of the services provided to them by the medical organization, plays.