This paper considers the significant changes that have occurred in the tourist space of the Altai-Sayan mountainous region. In fact, it is a cross-border area and an important tourist region in the Russian Federation. It should be mentioned that the structure of the tourist space can be studied properly while using the model of the territorial tourist system. The authors examine the common features of tourism systems in the mountainous environments of the region. The study examines the tourist infrastructure, organizers of tourist services, local people’s attitudes and tourists’ preferences in the tourist industry. Studies in the field of tourist space enable to distinguish the types of tourism and their distribution in the Altai-Sayan region. It is worthwhile noting that health tourism has become one of the fastest growing subfields in the tourist industry of this region. The tourist development projects such as the economic zone of “Turquoise Katun” and shore development projects of warm lakes have also encouraged this process. Moreover, ecotourism development is of great importance to this area because there are many protected natural areas and some of them are under UNESCO protection. Also, tourism development outlooks are associated with cross-border cooperation and sustainable economic development of the region.
The health tourism development is of the greatest interest for the business sector and regional authorities in Altai Krai. To a great extent, tourist attractions are maintained and operate year-round. It should be noted that it is essential for the region, located in Siberia. In fact, Belokurikha Resort is the largest recreational area in the Asian part of the Russian Federation. Development of the resort has been subjected to the limits imposed by its location in a small valley of a mountainous river. Therefore, the commercial enterprises, local government and scholars are working on projects for the development of medical tourism within neighbouring territories of the resort. The authors of this paper suggest applying the frame approach in spatial planning for the territorial tourist complex “Bolshaya Belokurikha” (“Big Belokurikha”), and the main elements that are significant for the successful implementation of tourist projects are identified within. The use of the integrated approach allows for the consideration of stakeholders’ interests. To preserve the natural environment and further development of tourism, the natural park "Foothills of Altai" was established. This park is considered as a base of touristic operations. The concept and purpose of spatial development is to combine the development of medical tourism and rehabilitation into the natural environment. Currently, project proposals are being discussed by the working group of Altai Krai, and then they will be sent to the Ministry of Economic Development of the Government of the Russian Federation.
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