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An elaboration of obstacles and perspectives of medical tourism development taking the approach of integrated service provision (Case study: Isfahan Province, Iran)

https://doi.org/10.18470/1992-1098-2023-3-210-225

Abstract

Aim. The intention of the present research has been to examine and evaluate the barriers and limitations to the development of medical tourism in Isfahan as one of Iran’s tourism destinations by taking the approach of service integration.
Materials and Methods. This exploratory research was conducted using mixed qualitative and quantitative methodology. Data analysis by the qualitative method was done using MAXQDA-18 software, while by the quantitative method a combination of SWOT strategic planning technique and multi-criteria decision making was used
Results. Multiple weaknesses and challenges were classified by using a framework of indexes developed on different dimensions including: quality of medical services and facilities; access to medical and tourism information; infrastructures and regulations; communications and marketing; environmental factors; treatment procedures and passive defense and international barriers. Meanwhile, the role of each of these dimensions and sub-indexes in impeding medical tourism development in the region was evaluated by examining the association between the various dimensions contributing to medical tourism development in Isfahan.
Conclusions. To remove the barriers identified, several strategies are proposed. including the provision of health-based integrated services (medical, treatment and wellness), development of shared products by the sectors involved in this domain, compilation of a comprehensive plan for health tourism development, preparation of a coherent and well-organized scientific plan given the policies of resilient economy, realistic and practical attention to the branding issues, the usage of up-to-date methods of modern marketing plan for the health companies and facilitators, removal of the legal barriers to the medical tourism development and compilation of new supportive, supervisory and advertising policies.

About the Authors

S. S. Hosseini
University of Isfahan
Islamic Republic of Iran

Somayeh S. Hosseini, Ph.D. Geography (Tourism), Assistant Professor, Faculty of Geographical Sciences and Planning

Azadi Square, Isfahan, 8174673441

Tel. +989138711684


Competing Interests:

Авторы заявляют об отсутствии конфликта интересов.



M. Taghvaei
University of Isfahan
Islamic Republic of Iran

Massoud Taghvaei

Azadi Square, Isfahan, 8174673441


Competing Interests:

The authors declare no conflict of interest.



Z. V. Ataev
2Dagestan State University; Dagestan State Pedagogical University; Dagestan Federal Research Centre, Russian Academy of Sciences; Kabardino‐Balkar Scientific Centre, Russian Academy of Sciences
Russian Federation

Zagir V. Ataev

Makhachkala

Nalchik


Competing Interests:

The authors declare no conflict of interest.



References

1. Daykhes A.N., Jakovljevic M., Reshetnikov V.A., Kozlov V.V. Promises and hurdles of medical tourism development in the Russian Federation // Frontiers in Psychology. 2020. T. 11. C. 1380. https://doi.org/10.3389/fpsyg.2020.01380

2. Kim K.L., Seo B.R. Developmental strategies of the promotion policies in medical tourism industry in South Korea: a 10-year study (2009–2018) // Iranian Journal of Public Health. 2019. T. 48. Вып. 9. C. 1607–1616.

3. Turner L.G. Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies // International Journal for Quality in Health Care. 2011. T. 23. Вып. 1. C. 1–7. DOI:10.1093/intqhc/mzq078

4. Seo B.R., Park S.H. Policies to promote medical tourism in Korea: a narrative review // Iranian Journal of Public Health. 2018. T. 47. Вып. 8. C. 1077–1083.

5. Rokni L., Avci T., Park S.H. Barriers of developing medical tourism in a Destination: a case of South Korea // Iranian Journal of Public Health. 2017. T. 46. Вып. 7. C. 930–937.

6. Lagiewski R., Myers W. Medical tourism: perspectives and applications for destination development // American Collage of Management and Technology. 2008. URL: http://scholarworks.rit.edu/other/683 (дата обращения: 22.01.2023)

7. Sobo E.J., Herlihy E., Bicker M. Selling medical travel to US patient-consumers: the cultural appeal of website marketing messages // Anthropol Med. 2011. T. 18. C. 119–136.

8. Ganguli S., Ebrahim A.H. A qualitative analysis of Singapore's medical tourism competitiveness // Tourism Management Perspectives. 2017. T. 21. C. 74–84 . https://doi.org/10.1016/j.tmp.2016.12.002

9. 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. C. 364–376.

10. Cesario S.K. Implications of medical tourism // Nurs Womens Health. 2018. T. 22. Вып. 3. C. 269–273. DOI: 10.1016/j.nwh.2018.03.008.

11. IMTJ. Medical travel and tourism. Global market report // First Edition International Medical Travel Journal. 2018.

12. Spatial planning of Isfahan province, 2019 (Strategic Plan). [In Persian].

13. Health tourism department of Iran’s health, treatment and medical education ministry. 2020.

14. Hosseini S., Taghvaei M. Compilation and evaluation of indexes for the development of health villages by taking a medical tourism development approach towards service integration in Iran (a qualitative & quantitative study) // Human Geography Research. 2021. T. 53. Вып. 3. C. 1015–1034. [In Persian]. DOI: 10.22059/jhgr.2020.300901.1008107

15. Heung V.C.S., Kucukusta D., Song H. Medical tourism development in Hong Kong: an assessment of the barriers // Tourism Manag. 2011. T. 32. C. 995–1005. DOI: 10.1016/j.tourman.2010.08.012

16. Singh L. An evaluation of medical tourism in India // African Journal of Hospitality, Tourism and Leisure. 2014. T. 3. Вып. 1. C. 1–11. URL: www.ajhtl.com/uploads/7/1/6/3/7163688/article_1_vol.3_1-2014.pdf (дата обращения: 22.01.2023)

17. Хоссейни С.С., Тагвайи М., Атаев З.В., Братков В.В. Проблемы и перспективы создания туристических деревень здоровья как потенциал развития медицинского туризма в Исламской Республике Иран (на примере провинции Йезд) // Юг России: экология, развитие. 2020. Т. 15. N 3. С. 97–116. DOI: 10.18470/1992-1098-2020-3-97-116

18. Nemati V., Ebrahimpour H., Babaee Y., Abbasgholizadeh N. Assessing barriers to the development of medical tourism. Case study: Ardabil // Journal of Health. 2016. T. 7. N 2. C. 118–133. [In Persian].

19. Çavmak D., Çavmak Ş. Using AHP to prioritize barriers in developing medical tourism: case of Turkey // International Journal of Travel Medicine and Global Health. 2020. T. 8. N 2. C. 73–79. DOI: 10.34172/ijtmgh.2020.12

20. Enderwick P. and Nagar S. The competitive challenge of emerging markets: the case of medical tourism // International Journal of Emerging Markets. 2011. T. 6. N 4. C. 329–350. https://doi.org/10.1108/17468801111170347

21. Najafi B. Designing a model of health tourism marketing in Iran. A thesis for the degree of PhD dissertation, Iran University of Medical Sciences. 2018.

22. Yang Y.-S. Key success factors in medical tourism marketing // International Journal of Academic Research in Business and Social Sciences. 2013. T. 3. Вып. 3. C. 152.

23. Maleki S., Tavangar M. Analyzing health tourism challenges in Mashhad from the perspective of foreign patients // Journal of Geography and Urban Space Development. 2016. T. 2. Вып. 2. C. 153–165 [in Persian].

24. Alsharif M.J., Labonté R. & Lu Z. Patients beyond borders: a study of medical tourists in four countries // Global Social Policy. 2010. T. 10. Вып. 3. C. 315–335. DOI:10.1177/1468018110380003

25. Håkansson K., Rovio S., Helkala E.L., Vilska A.R., Winblad B., Soininen H., Nissinen A., Mohammed A.H., Kivipelto M. Association between mid-life marital status and cognitive function in later life: population based cohort study // BMJ. 2009. 2. C. 339–2462. DOI: 10.1136/bmj.b2462.

26. Campinha-Bacote J. The process of cultural competence in the delivery of healthcare services: a model of care // J. Transcult Nurs. 2002. T. 13. Вып. 3. C. 181–184.

27. Crooks V.A., Kingsbury P., Snyder J., Johnston R. What is known about the patient's experience of medical tourism? A scoping review // BMC Health Serv. Res. 2010. 8;10. Р. 266. DOI: 10.1186/1472-6963-10-266.

28. Jorge R., Singh D. & DeMicco F. The impact of major tourist markets on health tourism spending in the United States // Journal of Destination Marketing & Management. 2019. T. 11. C. 270–280.

29. Samadbeik M., Asadi H., Mohseni M., Takbiri A., Moosavi A. & Garavand A. Designing a Medical Tourism Website: A Qualitative Study // Iranian Journal of Public Health. 2017. T. 46. Вып. 2. C. 249–257.

30. Hwang S., Lee D., Kang C.Y. Medical tourism: focusing on patients’ prior, current, and post experience // Int. J. Qual. Innov., 2018. T.4. C. 4. https://doi.org/10.1186/s40887-018-0024-2

31. Saeedbakhsh S., Kazemi A., Nematbakhsh M., Ranjbarian B. Designing an electronic marketing model for medical tourism of the Islamic Republic of Iran with the proposal systems approach // New Marketing Research Journal. 2020. T. 10. Вып. 2. C. 105–128.

32. Qolipour M., Torabipour A., Faraji Khiavi F., & Saki Malehi A. Assessing Medical Tourism Services Quality Using SERVQUAL Model: A Patient's Perspective // Iranian Journal of Public Health. 2018. T. 47. N 1. C. 103–110.

33. Lunt N., Smith R., Exworthy M., Green S., Horsfall D., Mannion R. Medical tourism: treatments, market and health system implications: a scoping review // OECD Directorate for Employment, Labour and Social Affairs. 2011. C. 7.

34. Bartzis G., Kaitelidou D., Bistaraki A., Konstantakopoulou O. Factors affecting medical tourism destination selection in Greece // Stud Health Technol Inform. 2020. T. 272. C. 314–317. DOI: 10.3233/SHTI200558

35. Beladi H., Chao Ch.-Ch., Ee M. Sh., Hollas D. Medical tourism and health worker migration in developing countries // Economic Modelling. 2015. T. 46(C). C. 391–396.

36. Momeni Kh., Janatib A., Imanic A., Khodayari-Zarnaqb R. Barriers to the development of medical tourism in East Azerbaijan province, Iran: a qualitative study // Tourism Management. 2018. T. 69. C. 307–316.

37. Hosseini S.S., Taghvaei M. The codification and evaluation of policy indexes and medical tourism rules in Iran (a qualitative and quantitative study) // Akhlagh-E Zisti (i.e., Bioethics Journal). 2020. T. 10. N 35. C. 1–14 [in Persian]. https://doi.org/10.22037/bioeth.v10i35.29941

38. Seydaei S., Hosseini S., Yazdanbaks B. Evaluation of the environmental sustainability of Isfahan with an emphasis on air pollution // Geography and Environmental Planning. 2018. T. 29. N 1. C. 113–126 (in Persian). DOI: 10.22108/gep.2018.97857.0

39. Ulaş D., Anadol Y. A case study for medical tourism: Investigating a private hospital venture in Turkey // Anatolia. 2016. T. 27. Вып. 3. C. 327–338. DOI: 10.1080/13032917.2016.1191763

40. Hosseini S.S., Taghvaei M., Seidaiy E.S., Gholami Y., Ataev Z.V. Air pollution: a threat to health tourism development in the Islamic Republic of Iran (case study: Ilam city) // South of Russia: ecology, development. 2022. T. 17. N 2. C. 140–149. DOI: 10.18470/1992-1098-2022-2-140-149.

41. Аксенова Е.И. и др. Рекреационный потенциал медицинского туризма России // Проблемы социальной гигиены, здравоохранения и истории медицины. 2020. Т. 28. С. 1180–1185. URL: https://pubmed.ncbi.nlm.nih.gov/33219777/ (дата обращения: 22.01.2023)

42. Hosseini S., Taghvaei M. Spatial planning and strategies of medical tourism development towards the expansion of health villages (a case study of health region No.2) // Quarterly Journals of Urban and Regional Development Planning. 2019. T. 3. N 7. C. 31–77. [in Persian]. DOI: 10.22054/urdp.2020.54017.1236

43. Lepp A., Gibson H. Tourist roles, perceived risk and international tourism // Annals of Tourism Research. 2003. T. 30. C. 606–624. https://doi.org/10.1016/S0160-7383(03)00024-0


Review

For citations:


Hosseini S.S., Taghvaei M., Ataev Z.V. An elaboration of obstacles and perspectives of medical tourism development taking the approach of integrated service provision (Case study: Isfahan Province, Iran). South of Russia: ecology, development. 2023;18(3):210‐225. https://doi.org/10.18470/1992-1098-2023-3-210-225

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ISSN 1992-1098 (Print)
ISSN 2413-0958 (Online)