International Patients’ Travel Decision Making Process- A Conceptual Framework
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Abstract
Background: Role of information source, perceived benefits and risks, and destination image has significantly been examined in travel and tourism literature; however, in medical tourism it is yet to be examined thoroughly. The concept discussed in this article is drawn form well established models in tourism literature.
Methods: The purpose of this research was to identify the source of information, travel benefits and perceived risks related to movement of international patients and develop a conceptual model based on well-established theory. Thorough database search (Science Direct, utmj.org, nih.gov, nchu.edu.tw, palgrave-journals, medretreat, Biomedcentral) was performed to fulfill the objectives of the study.
Results: International patients always concern about benefits and risks related to travel. These benefits and risks form images of destination in the minds of international patients. Different sources of information make international patients acquaint about the associated benefits and risks, which later leads to development of intention to visit. This conceptual paper helps in establishing model for decision-making process of international patients in developing visit intention.
Conclusion: Ample amount of literature is available detailing different factors involved in travel decision making of international patients; however literature explaining relationship between these factors is scarce.
Ye BH, Qiu HZ, Yuen PP (2011). Motivations and experiences of Mainland Chinese medical tourists in Hong Kong. Tourism Manage, 32:1125-27.
Connell J (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Manage, 34:1-13.
Lunt N (2011). Medical tourism: treatments, markets and health system implications: a scoping review. ed. OECD, Directorate for Employment, Labour and Social Affairs. Available from: www.google.com
Keckley PH, Underwood HR (2008). Medical tourism: Consumers in search of value. Washington: Deloitte Center for Health Solutions. Available from: www.google.com
Johnston R, Crooks VA, Snyder J (2012). I didn’t even know what I was looking for”: a qualitative study of the decision-making processes of Canadian medical tourists. Global Health, 8:23.
Veerasoontorn R, Beise-Zee R (2010). International hospital outshopping: a staged model of push and pull factors. Int J Pharm Heal Market, 4:247-264.
Victoor A, Delnoij DM, Friele RD, Rademakers JJ (2012). Determinants of patient choice of healthcare providers: a scoping review. BMC Health Serv Res, 12:272.
Gudwani A, Mitra P, Puri A, Vaidya M (2012). India Healthcare: Inspiring possibilities, challenging journey. McKinsey & company, New York. Available from: www.google.com
Deloitte L (2008). Medical tourism: Consumers in search of value. Retrieved on, 2:12.
Deloitte (2014). 2014 Global health care outlook Shared challenges, shared opportunities. Available from: www.google.com
Crooks VA, Turner L, Snyder J, Johnston R, Kingsbury P (2011). Promoting medical tourism to India: Messages, images, and the marketing of international patient travel. Soc Sci Med, 72:726-732.
Lunt N, Carrera P (2010). Medical tourism: assessing the evidence on treatment abroad. Maturitas, 66:27-32.
Baloglu S, McCleary KW (1999). A model of destination image formation. Ann Tourism Res, 26:868-897.
Beerli A, Martı́n JD (2004). Tourists’ characteristics and the perceived image of tourist destinations: a quantitative analysis—a case study of Lanzarote, Spain. Tourism Manage, 25:623-636.
Fakeye PC, Crompton JL (1991). Image differences between prospective, first-time, and repeat visitors to the Lower Rio Grande Valley. J Travel Res, 30:10-16.
Um S, Crompton JL (1992). The roles of perceived inhibitors and facilitators in pleasure travel destination decisions. J Travel Res, 30:18-25.
Bieger T, Laesser C (2004). Information sources for travel decisions: Toward a source process model. J Travel Res, 42:357-371.
Yoon E, Guffey HJ, Kijewski V (1993). The effects of information and company reputation on intentions to buy a business service. J Bus Res, 27:215-228.
Alhemoud AM, Armstrong EG (1996). Image of tourism attractions in Kuwait. J Travel Res, 34:76-80.
Phau I, Shanka T, Dhayan N (2010). Destination image and choice intention of university student travellers to Mauritius. Int J Cont Hos Mana, 22:758-764.
Herrick DM (2007). Medical tourism: Global competition in health care. National Center for Policy Analysis (NCPA), Policy Report:19-20. Available from: www.google.com
Mohamad WN, Omar A, Haron MS (2012). The moderating effect of medical travel facilitators in medical tourism. Procedia-Sco Beh Sci, 65:358-363.
Lovelock B (2008). Ethical travel decisions travel agents and human rights. Ann Tourism Res, 35:338-358.
Chuang TC, Liu JS, Lu LY, Lee Y (2014). The main paths of medical tourism: From transplantation to beautification. Tourism Manage, 45:49-58.
Deb PK (2011). Marketing Medical and Health Tourism in India. Anvesha, 4:76.
Turner L (2012). Canada’s turbulent medical tourism industry. Can Fam Physician, 58:371-373.
Kangas B (2010). Traveling for medical care in a global world. Med Anthropol, 29:344-362.
Musa G, Thirumoorthi T, Doshi D (2012). Travel behaviour among inbound medical tourists in Kuala Lumpur. Curr Iss Tourism, 15:525-543.
Medical Tourism Association (2010). Press release: medical tourism associ- ation holds world’s first medical tourism membership meeting and forum. Available from: www.google.com
Muraina L, Tommy I (2012). Outbound Medical Tourism : Result of a Poor Healthcare System. 6. Available from: www.google.com
Al-Hinai SS, Al-Busaidi AS, Al-Busaidi IH (2011). Medical tourism abroad: A new challenge to Oman’s health system-Al Dakhilya region experience. Sul Qaboos Uni Med J, 11:477-484.
Yu JY, Ko TG (2012). A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea. Tourism Manage, 33:80-88.
Alsharif MJ, Labonté R, Lu Z (2010). Patients beyond borders: A study of medical tourists in four countries. Glob Social Pol, 10:315-335.
Eugene Y (2013). Patient-Centeredness Communication Strategy for the Medical Tourism Industry. J Tourism Res Hos, 2:2
Badam R (2005). Americans, Europeans head to India for cheap, high-quality medical care. Guardian. pp B, 7.
Jalilvand MR, Samiei N (2012). The impact of electronic word of mouth on a tourism destination choice: Testing the theory of planned behavior (TPB). Internet Res, 22:591-612.
Rerkrujipimol J, Assenov I (2011). Marketing Strategies for Promoting Medical Tourism in Thailand. J Tourism Hosp Cul, 3:95-105.
Salmon JW (2008). Promotion of Medical Tourism in the Media Creates a Trend. Am Health Dru Ben, 1:49-50.
Crompton JL (1979). An assessment of the image of Mexico as a vacation destination and the influence of geographical location upon that image. J Travel Res, 17:18-23.
Lefkoff-Hagius R, Mason CH (1993). Characteristic, beneficial, and image attributes in consumer judgments of similarity and preference. J Consumer Res:100-110.
Myers JH, Shocker AD (1981). The nature of product-related attributes. Res Market, 5:211-236.
Enis BM, Roering KJ (1980). Product classification taxonomies: Synthesis and consumer implications. Theor Develo mar:186-189.
Moutinho L (1987). Consumer behaviour in tourism. Eur J Marketing, 21:5-44.
Tapachai N, Waryszak R (2000). An examination of the role of beneficial image in tourist destination selection. J Travel Res, 39:37-44.
Sheth JN, Newman BI, Gross BL (1991). Why we buy what we buy: a theory of consumption values. J Bus Res, 22:159-170.
Mason A, Wright KB (2011). Framing medical tourism: an examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites. J Health Commun, 16:163-177.
Purdy L, Fam M (2011). Evolving medical tourism in Canada: Exploring a new frontier. Deloitte Center for Health Solutions:13. www.google.com
Zhan L (2014). Attractive forces and risks of international medical tourism: a study based on India. J Chem Pharma Res, 6:125-129.
Turner LG (2010). Quality in health care and globalization of health services: accreditation and regulatory oversight of medical tourism companies. Int J Qual Health C, 23(1):1-7.
Kangas B (2002). Therapeutic itineraries in a global world: Yemenis and their search for biomedical treatment abroad. Med Anthropol, 21:35-78.
Kangas B (2007). Hope from abroad in the international medical travel of Yemeni patients. Anthropol Med, 14:293-305.
Rokni L, Pourahmad A, Langroudi MHM, Mahmoudi MR, Heidarzadeh N (2013). Appraisal the potential of central Iran, in the context of health tourism. Iran J Public Health, 42:272-279.
Mansfeld Y (2006). The role of security information in tourism crisis management: the missing link. In: Tourism, Security & Safety: From Theory to Practice, Eds Abraham Pizam. 1st ed, Butterworth-Heinemann, Oxford, pp: 271-290.
Sönmez SF, Graefe AR (1998). Influence of terrorism risk on foreign tourism decisions. Ann Tourism Res, 25:112-144.
Lepp A, Gibson H, Lane C (2011). Image and perceived risk: A study of Uganda and its official tourism website. Tourism Manage, 32:675-684.
Tasci AD, Gartner WC (2007). Destination image and its functional relationships. J Travel Res, 45:413-425.
Kim N-S, Chalip L (2004). Why travel to the FIFA World Cup? Effects of motives, background, interest, and constraints. Tourism Manage, 25:695-707.
Chew EYT, Jahari SA (2014). Destination image as a mediator between perceived risks and revisit intention: A case of post-disaster Japan. Tourism Manage, 40:382-393.
Fuchs G, Reichel A (2010). Health tourists visiting a highly volatile destination. Anatolia, 21:205-225.
Penney K, Snyder J, Crooks VA, Johnston R (2011). Risk communication and informed consent in the medical tourism industry: a thematic content analysis of Canadian broker websites. BMC Med Ethics, 12:17.
Reed CM (2008). Medical tourism. Med Clin North Am, 92:1433-1446.
Terry N (2007). Under-regulated healthcare phenomena in a flat world: medical tourism and outsourcing. WNELR, 29.
Goldbach AR, West Jr DJ (2010). Medical tourism: A new venue of healthcare. J Glob Bus Issu, 4:43.
Enderwick P, Nagar S (2011). The competitive challenge of emerging markets: the case of medical tourism. Int J Emer Markets, 6:329-350.
Gartner WC (1986). Temporal influences on image change. Ann Tourism Res, 13:635-644.
Echtner CM, Ritchie JB (1991). The meaning and measurement of destination image. J Tour Stud, 2:2-12.
Gunn CA (1988). Vacationscape: Designing tourist regions. 2nd sub ed. Van Nostrand Reinhold, USA, pp.: 152-178.
Phelps A (1986). Holiday Destination Image: The Problem of Assessment. Tourism Manage, 7.
Sönmez S, Sirakaya E (2002). A distorted destination image? The case of Turkey. J Travel Res, 41:185-196.
Pike S, Ryan C (2004). Destination positioning analysis through a comparison of cognitive, affective, and conative perceptions. J Travel Res, 42:333-342.
Russell JA, Pratt G (1980). A description of the affective quality attributed to environments. J Pers Soc Psychol, 38:311.
Ryan C, Cave J (2005). Structuring destination image: A qualitative approach. J Travel Res, 44:143-150.
Yüksel A, Akgül O (2007). Postcards as affective image makers: An idle agent in destination marketing. Tourism Manage, 28:714-725.
Enteen JB (2014). Transitioning Online Cosmetic Surgery Tourism in Thailand. Telev News Media, 15:238-249.
Viladrich A, Baron-Faust R (2014). Medical tourism in tango paradise: The internet branding of cosmetic surgery in Argentina. Ann Tourism Res, 45:116-131.
Veerasoontorn R, Beise-Zee R, Sivayathorn A (2011). Service quality as a key driver of medical tourism: the case of Bumrungrad International Hospital in Thailand. Int J Leisu Tourism Mark, 2:140-158.
Turner L (2007). From Durham to Delhi:“medical tourism” and the global economy. Comparative Program on Health and Society Lupina Foundation Working Papers Series 2006-2007:109-131.
Turner L (2007). ‘First world health care at third world prices’: globalization, bioethics and medical tourism. Bio Soc, 2:303-325.
Lunt N, Smith R, Exworthy M, Green S, Horsfall D, Mannion R (2011). Medical tourism: treatments, markets and health system implications: a scoping review. Directorate for Employment. Labour and Social Affairs, OECD. Available from: www.google.com
Lunt N, Hardey M, Mannion R (2010). Nip, tuck and click: medical tourism and the emergence of web-based health information. Open Med Inform J, 2010; 4: 1–11.
Wongkit M, McKercher B (2013). Toward a typology of medical tourists: A case study of Thailand. Tourism Manage, 38:4-12.
Prakash M, Tyagi N, Devrath R (2011). A study of problems and challenges faced by medical tourists visiting India. A study by IITTM Gwalior. www.google.com
Shanmugam K (2013) Medical Tourism in India: Progress, Opportunities and Challenges. Available from: www.google.com
Hall CM, Lam C-C, du Cros H, Vong TN (2011). Macao's potential for developing regional Chinese medical tourism. Tourism Rev, 66:68-82.
Ajzen I (1991). The theory of planned behavior. Organ Behav Hum Dec, 50:179-211.
Cheng S-I, Fu H-H, Cam L (2011). Examining customer purchase intentions for counterfeit products based on a modified theory of planned behavior. Int J Hum Soc Sci, 1:278-284.
Huang SS, Hsu CH (2009). Effects of travel motivation, past experience, perceived constraint, and attitude on revisit intention. J Travel Res, 48 (1): 29-44.
Sparks B, Pan GW (2009). Chinese outbound tourists: Understanding their attitudes, constraints and use of information sources. Tourism Manage, 30:483-494.
Heath RL, Liao S-H, Douglas W (1995). Effects of perceived economic harms and benefits on issue involvement, use of information sources, and actions: A study in risk communication. J Public Relat Res, 7:89-109.
Morrison EW, Vancouver JB (2000). Within-person analysis of information seeking: The effects of perceived costs and benefits. J Manage, 26:119-137.
Fodness D, Murray B (1999). A model of tourist information search behavior. J Travel Res, 37:220-230.
Dowling GR, Staelin R (1994). A model of perceived risk and intended risk-handling activity. J Consum Res, 119-134.
Klein LR (1998). Evaluating the potential of interactive media through a new lens: Search versus experience goods. J Bus Res, 41:195-203.
Klenosky DB (2002). The “pull” of tourism destinations: A means-end investigation. J Travel Res, 40:396-403.
San Martín H, Del Bosque IAR (2008). Exploring the cognitive–affective nature of destination image and the role of psychological factors in its formation. Tourism Manage, 29:263-277.
Chen H-J, Chen P-J, Okumus F (2013). The relationship between travel constraints and destination image: A case study of Brunei. Tourism Manage, 35:198-208.
Woodside AG, Lysonski S (1989). A general model of traveler destination choice. J Travel Res, 27:8-14.
Baloglu S (1997). The relationship between destination images and sociodemographic and trip characteristics of international travellers. J Vaca Market, 3:221-233.
Bigne JE, Sanchez MI, Sanchez J (2001). Tourism image, evaluation variables and after purchase behaviour: inter-relationship. Tourism Manage, 22:607-616.
Lee D, Xie K (2011). Cognitive destination image, destination personality and behavioral intentions: An integrated perspective of destination branding. umass.edu. Available from: www.google.com
| Files | ||
| Issue | Vol 45 No 2 (2016) | |
| Section | Review Article(s) | |
| Keywords | ||
| Information sources International patients Affective image Medical tourism | ||
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