Problems and prospects of creating health tourism villages as a potential for developing medical tourism in the Islamic Republic of Iran (Case study: Yazd province)
https://doi.org/10.18470/1992-1098-2020-3-97-116
Abstract
Aim. The article discusses the current state of medical tourism, problems and prospects in order to assess the obstacles and limitations in creating tourist health villages in the Iranian province of Yazd.
Materials and Methods. The data were obtained using the analytical and documentary method with a focus on content analysis and by interviewing and questionnaires of key experts of the region: this allowed the identifation and development indices for the development of medical tourism in the development of health villages.
Results. During the first stage, data analysis was performed using the MAXQDA-11 program. In the second stage, the data obtained were studied in order to assess the state of these indices using the SOWAT model. Priorities were then set and the specific weight of obstacles and restrictions was calculated using complex criteria.
Conclusions. Poor transportation provision for medical tourists due to the limited number of domestic and international flights, unavailability of treatment and followup after discharge, ineffective insurance legislation and lack of appropriate new legislation were identified as the main obstacles to the development of medical tourism. Accordingly, long-term and short-term strategies should be developed and implemented in accordance with these issues. On the other hand, taking into account the restrictions and obstacles noted, we have proposed locations suitable for building health villages at a minimum distance from Yazd. These are indicated on a map created using the Arc GIS program. During project implementation, strategic objectives were developed.
Keywords
About the Authors
S. S. HosseiniIslamic Republic of Iran
Somayeh S. Hosseini
Isfahan
M. Tagvayi
Islamic Republic of Iran
Masud Tagvayi
Isfahan
Z. V. Ataev
Russian Federation
Zagir V. Ataev, PhD (Geography), Professor, Research Institute of Biogeography and Landscape Ecology
57 Magomed Yaragsky St, Makhachkala, 367000
Tel. +79289611097
V. V. Bratkov
Russian Federation
Vitaly V. Bratkov
Moscow
References
1. Heung, V.C., Kucukusta, D., Song, H. Medical tourism development in Hong Kong: An assessment of the barriers. Tourism Management. 2011, vol. 32, pp. 995-1005.
2. Yu J.Y., Ko T.G. A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea. Tourism Management, 2012, vol. 33, pp. 80-88. DOI: 10.1016/j.tourman.2011.02.002
3. Connell J. Medical tourism: Sea, sun, sand and surgery. Tourism Management, 2006, vol. 27, iss. 6, pp. 1093-1100. DOI: 10.1016/j.tourman.2005.11.005
4. Cook P.S. Constructions and experiences of authenticity in medical tourism: The performances of places, spaces, practices, objects and bodies. Tourist Studies. 2010, vol. 10, iss. 2, pp. 135-149.
5. Crooks V.A., Turner L., Snyder J., Johnston R., Kingsbury P. Promoting medical tourism to India: Messages, images, and the marketing of international patient travel. Social Science & Medicine, 2011, vol. 72, pp. 726-732. DOI: 10.1016/j.socscimed.2010.12.022
6. Lunt N., Carrera P. Medical tourism: Assessing the evidence on treatment abroad. Maturities, 2010, vol. 66, iss. 1, pp. 27-32. DOI: 10.1016/j.maturitas.2010.01.017
7. Yeoh E., Othman K., Ahmad H. Understanding medical tourists: Word-of-mouth and viral marketing asbpotent marketing tools. Tourism Management, 2013, vol. 34, pp. 196-201. DOI: 10.1016/j.tourman.2012.04.010
8. Bookman M.Z., Bookman K.R. Medical tourism in developing countries. New York, Palgrave Macmillan. 2007. DOI: 10.1057/9780230605657
9. Turner L. Medical tourism and the global marketplace in health services: U.S. patients. International hospitals, and the search for affordable health care, 2011, vol. 40, iss. 3, pp. 443-467.
10. Robinson M. Niche tourism: An introduction. In M. Novelli (Ed.). Niche tourism: Contemporary ideas, trends, and cases. Burlington, MA: Elsevier, 2005, pp. 1-11.
11. Deloitte L.L.P. Medical tourism: Consumers in search of value. 2008. Available at: http://www.deloitte.com/dtt/cda/doc/content/ (accessed 10.09.2019)
12. Ye B.H., Qiu H.Z., Yuen P.P. Motivations and experiences of Mainland Chinese medical tourists in Hong Kong. Tourism Management, 2011, vol. 32, pp. 1125-1127. DOI: 10.1016/j.tourman.2010.09.018
13. Upadhyaya M., Swoni S. The growth and development of Indian global healthcare destinations. Journal of Marketing & Communication, 2008, vol. 4, iss. 2, pp. 81-88.
14. Horowitz M., Rosensweig J., Jones C.A. Medical tourism: globalization of the healthcare marketplace. Meds cape General Medicine, 2007, vol. 9, iss. 4, pp. 33-42.
15. York D. Medical Tourism: The trend toward outsourcing medical procedures to foreign countries. Journal of Continuing Education in the Health Professions, 2008, vol. 28, iss. 2, pp. 99-102. DOI: 10.1002/chp
16. Hall M. Publish and perish? Bibliometric analysis, journal ranking and the assessment of research quality in tourism. Tourism Management, 2011, vol. 32, iss. 1, pp. 16-27. DOI: 10.1016/j.tourman.2010.07.001
17. Azizi F. Assessment of the Barriers to the Development of Health Tourism in Yazd Province, Iran. Health information management. 2016, vol. 12, no. 6, pp. 799-806. (In Persian)
18. Maleki S., Haydar R.M., Shahrokh Z.Kh. Identify and Formulate Strategies for the Development of Health Tourism (Case Study: Tabriz Metropolitan). 2016. vol. 3, iss. 2, pp. 113-130. DOI: 10.22103/JUAS.2016.1843 (In Persian)
19. Nemati V., Ebrahimpour H., Babaee Y., Abbasgholizadeh N. Assessing Barriers to the Development of Medical Tourism Case Study: Ardabil // J. health. 2016. V. 7. Iss. 2. P. 118-133. (In Persian)
20. Taghvaei М., Goodarzi M. Development and prioritization of strategies in medical tourism (Example: Shiraz metropolis). Journal of research and urban planning, 2016, vol. 7, no. 24, pp. 1-22. (In Persian)
21. Veerasoontorn R., Beise-Zee R. International hospital outshopping: A staged model of push and pull factors. International Journal of Pharmaceutical and Healthcare Marketing, 2010, vol. 4, iss. 3, pp. 247-264. DOI: 10.1108/17506121011076174
22. García-Altés A. The development of health tourism services. Annals of Tourism Research, 2005, vol. 32, no. 1, pp. 262-266. DOI: 10.1016/j.annals.2004.05.007
23. Kim S., Lee J., Kim M. How different are first-time attendees from repeat attendees in convention evaluation? International Journal of Hospitality Management. 2012, vol. 31, iss. 2, pp. 544-533.
24. Rokni L., Avci T., Park S.H. Barriers of Developing Medical Tourism in a Destination: A Case of South Korea. Iran J Public Health. 2017, vol. 46, no. 7, pp. 930-937.
25. Tabatabaeinasab S., Nouri A., Mohammadnabi Z., Heshmati F. Customers' typology in medical tourism. Tourism Management Studies. 2015, vol. 9, iss. 26, pp. 60-82. (In Persian)
26. IMTJ. Medical Travel And Tourism, Global Market Report, First Edition. International medical travel journal. 2018. Available at: https://www.imtj.com/ (accessed 06.04.2020)
27. Assadzadeh A., Motafakker A.M., Asgharpur H., Mirani N. Investigating the Role of Institutional Quality on Development of Medical Tourism Industry in Iran: System Dynamics Approach. Journal of Tourism Planning and Development, 2019, vol. 7, iss. 27, pp. 26-54. DOI: 10.22080/jtpd.2019.2209 (In Persian)
28. Izadi M., Ayoobian A., Nasiri T., Joneidi N., Fazel M., Hosseinpourfard M.J. Situation of health tourism in Iran opportunity or threat. J Mil Med. 2012, vol. 14, no. 2, pp. 69-75. (In Persian) Available at: http://militarymedj.ir/article-1-1004-fa.html (accessed 06.04.2020)
29. Shalbafian A. Effective factors for developing health tourism [dissertation]. Tehran: Allame Tabatabaei University, 2006. (In Persian)
30. Bahram D., Jabbari A.R., Farzin M.R., Sherbafchizadeh N., Tabibi S.J. Current medical tourism in Iran: a case study. Payesh. 2012, vol. 11, iss. 2, pp. 171-179. (In Persian) Available at: http://payeshjournal.ir/article-1-464-fa.html (accessed 15.03.2019)
31. Bayat S., Hoseini Hasheminejad D., Bod M. Attracting Factors Identification of Medical Tourists in Hospitals of Tehran City. Jhosp. 2017, vol. 16, iss. 1, pp. 35-53. (In Persian) Available at: http://jhosp.tums.ac.ir/article-1-5549fa.html (accessed 15.03.2019)
32. Nikraftar T., Hosseini E., Moghadam A. Identify Factors Affecting Medical Tourism Attraction in Iran. Jha. 2017, vol. 20, iss. 67, pp. 64-74. (In Persian) Available at: http://jha.iums.ac.ir/article-1-2138-fa.html (accessed 15.03.2019)
33. Mehrjerdi Y., Faregh F. Modeling medical tourism in Iran using the system dynamic approach. Iranian journal of management sciences. 2013, vol. 8, iss. 31, pp. 105-130.
34. Kazemi Z. Study of the effective factor for attracting medical tourism in Iran [dissertation]. Netherland: Lulea University of Technology, 2007. (In Persian)
35. Momtaz N.S., Agharahimi Z. Medical Tourism Industry in Iran: Strategies for Development // Health Information Management. vol. 7, special iss., 2011, 524 p.(In Persian)
36. Expediency Discernment Council, 2010.
37. Iran Trade Development Organization, 2007.
38. Mahdavi Y., Mardani Sh., Hashemidehaghi Z., Mardani N. The Factors in Development of Health Tourism in Iran. International Journal of Travel Medicine and Global Health. 2013, vol. 1, iss. 3, pp. 113-118.
39. Ministry of Health & Medical Education Department of Health Tourism, 2019.
40. Statistical Yearbook of Yazd Province, 2018.
41. Statistical Yearbook, Iran, 2015.
42. Rezaie M., Taherzadeh Z. Evaluation of the impacts of servicing-Spatial Capacities Treatment Centers on the Amount of Medical Tourism Case Study: Yazd city. Urban tourism, 2015, vol. 2, iss. 3, pp. 291-303. (In Persian) DOI: 10.22059/jut.2015.58449
43. Montazerolhoje M.R., Ekhlasi A. Analysis of Factors Affecting the Patient Effectiveness and Satisfaction level in Therapeutic Spaces: A Case Study in Yazd Hospitals. JHOSP. 2018, vol. 17, iss. 2, pp. 81-96. (In Persian)
44. Ye B.H., Yuen P.P., Qiu H.Z., Zhang V.H. Motivation of medical tourists: An exploratory case study of Hong Kong medical tourists. Paper presented at the Asia Pacific Tourism Association (APTA). Annual Conference, Bangkok, Thailand, 2008.
45. Fetscherin M., Stephano R.M. The medical tourism index: Scale development and validation. Tourism Management. 2016, vol. 52, pp. 539-556.
46. Ricafort K.M.F. A Study of Influencing Factors That Lead Medical Tourists to Choose Thailand Hospitals as Medical Tourism Destination (Master Disertation), Webster University, Cha-am, Thailand, 2011.
47. Kanittinsuttitong N. Motivation and Decision on Medical Tourism Service in Thailand. Rev. Integr. Bus. Econ. Res., 2015, vol. 4, iss. 3, pp.173-182. DOI: 10.14456/ajmi.2015.10
48. Dwyer L., Kim C. Destination competitiveness: Determinants and indicators. Current Issues in Tourism, 2003, vol. 6, iss. 5, pp. 369-414. DOI: 10.1080/13683500308667962
49. Iso-Ahola S.E. Toward a social psychological theory of tourism motivation: A rejoinder. Annals of Tourism Research. 1982, vol. 9, iss. 2, pp. 256-262.
50. Pearce P.L., Caltabiano M.L. Inferring travel motivation from traveler′s experiences. Journal of Travel Research. 1983, vol. 22, iss. 2, pp. 16-20.
51. Pyo S., Mihalik B.J., Uysal M. Attraction attributes and motivations: A canonical correlation analysis. Annals of Tourism Research. 1989, vol. 16, iss. 2, pp. 277-282.
52. Pike S. Destination Marketing Organizations. Oxford: Elsevier, 2004.
53. Poon A. Tourism, Technology, and Competitive Strategy, Wallingford: CAB International, 1993.
54. Schwab K. The Global Competitiveness Report 20172018. World Economic Forum, Geneva, Switzerland, 2017.
55. Porter M.E. The Competitive Advantage of Nations. New York, NY: Free Press, 1990.
56. Crouch G. Modelling Destination Competitiveness, A survey and Analysis of the Impact of competitiveness Attributes, Sustainable Tourism, Pty Ltd, Australia, 2007.
57. Thilagavathi K., Shankar Ch. Medical Tourism Research: A Conceptual Framework of Emerging Business Strategies In Healthcare Industry // Proceedings of International Conference on Tourism Development, 2013.
58. Ulaş D., Anadol Y. A case study for medical tourism: investigating a private hospital venture in Turkey, Anatolia. An International Journal of Tourism and Hospitality Research, 2016, vol. 27, iss. 3, pp. 327-338. DOI: 10.1080/13032917.2016.1191763
59. Dadashpoor A., Mohammadi R., Dadashpoor A. Investigating Effect of a Period of Water Exercise on Sleep Quality in Male Elders. JSSU. 2013, vol. 21, iss. 3, pp. 300-310. (In Persian)
60. Salimi A., Ahmadian A. Effectiveness of phototourism in control of seasonal affective disorder symptom journal. Journal of geographical sciences. 2013. vol. 13, no. 28, pp. 191-215. (In Persian)
61. Salarvand S. Comprehensive Theoretical overview of Natural things (Tbyyh Affairs) in Iranian traditional medicine. JIITM. 2012, vol. 3, iss. 3, pp. 251-262. (In Persian)
62. Huang W., Kutner N., Bliwise D.L. A systematic review of the effects of acupuncture in treating insomnia. Sleep Medicine Reviews. 2009, vol. 13, pp. 73-104.
63. Yavari G., Mansouri M. Tourism Crisis Management. Tourism Management Studies, 2017, vol. 12, iss. 40, pp. 21-40. (In Persian) DOI: 10.22054/tms.2018.15614.1439
64. Spatial planning of Yazd province, 2019.
Review
For citations:
Hosseini S.S., Tagvayi M., Ataev Z.V., Bratkov V.V. Problems and prospects of creating health tourism villages as a potential for developing medical tourism in the Islamic Republic of Iran (Case study: Yazd province). South of Russia: ecology, development. 2020;15(3):97‐116. (In Russ.) https://doi.org/10.18470/1992-1098-2020-3-97-116