In the context of globalization and economic knowledge, the sector of innovative medical services is becoming one of the determining factors in ensuring the high innovative potential of the country, ensuring the health and high quality of life of the population and creating conditions for a powerful spurt of economic growth. Therefore, the purpose of this article is to identify mechanisms for the effective development of regional medical clusters. Countries that are able to provide innovative medical services at a high level have global appeal. At the same time, innovative medical institutions, possessing unique technologies and knowledge in the field of treatment and provision of medical services, do not always have experience and knowledge in the field of promotion, especially in the global market. The proposed analysis tool will allow identifying characteristic intervals for institutions of different types of changes in the important characteristics of their innovative potential and assess their position in the global market for medical services. The application of this procedure will allow to assess the level of competitiveness of innovative medical institutions in the global knowledge economy and highlight for them effective tools for strategic development.

The article deals with the development of regional pharmaceutical clusters. We study the development of the Russian pharmaceutical market. It has been highlighted areas where there are promising pharmaceutical companies engaged in innovative activities and using modern marketing strategies, including breakthrough positioning strategy. The aim is to develop a tool positioning regional pharmaceutical cluster region-specific manufacturers and features segments of the pharmaceutical market, including: formulations, dietary supplements and biotechnology (cell and gene) products. Objectives of the work associated with the identification of the structure of the pharmaceutical market, the definition of its specificity, identifying the specific application and development of breakthrough strategies with them through regional pharmaceutical clusters. In this paper we use the matrix method and the method of a breakthrough positioning innovative products analyzed regional pharmaceutical cluster the directions of the strategy and development of a cluster of St. Petersburg. The results of the work related to the definition of the structure and features of the pharmaceutical market segments. Obtained promising areas of pharmaceutical cluster of St. Petersburg. The paper concludes that in the present conditions, the pharmaceutical specialization of individual Russian regions will enhance their innovation capacity and growth of the Russian economy, and the use of a breakthrough positioning strategy will form an effective pharmaceutical specialization of regions.