Institutional and financial mechanisms for managing personalized adaptive physical culture in a region

The paper proposes institutional and financial mechanisms for managing personalized adaptive physical culture (APC) as a socially significant service within a regional economy. The study aims to justify a management model that aligns regulatory requirements, resource constraints, and individual needs of service recipients. The methodology combines tools of new institutional economics, a process approach to service delivery, and a structural analysis of expenditures on adaptive physical culture and adaptive sport. The results are presented as a four-contour model: institutional (rules, standards, accountability), economic (budget and extra-budgetary financing, project governance), organizational-process (personalized trajectory and an interdisciplinary team), and quality management (planning, assurance, and evaluation of the service effect). The analysis shows that key constraints stem from the dominance of labor and infrastructure costs amid a low share of extra-budgetary revenues; policy directions for diversifying funding and strengthening evidence-based outcome monitoring are proposed.