Exploring the World of Medical and Wellness Tourism

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Exploring the World of Medical and Wellness Tourism Business Research Unit (BRU-IUL) A Scoping Review: Exploring the World of Medical and Wellness Tourism Helena Maria Correia Neves Cordeiro Rodrigues A Thesis presented in partial fulfillment of the Requirements for the Degree of Doctor in Management Specialization in Marketing Supervisor: Doctor, Ana Brochado, Assistant Professor Instituto Universitário de Lisboa, ISCTE-IUL Co-Supervisor Doctor, Michael Louis Troilo, Associate Professor The University of Tulsa March 2017 A Scoping Review: Exploring the World of Medical and Wellness Tourism Helena Maria Correia Neves Cordeiro Rodrigues A Thesis presented in partial fulfillment of the Requirements for the Degree of Doctor in Management Specialization in Marketing Presidente: Doutor Luis Antero, Professor Catedrático do ISCTE-IUL Por Delegação: Doutora Hélia Maria Gonçalves Pereira- Professora Auxiliar do Departamento de Marketing Operações e Gestão Geral do ISCTE-IUL Vogais: Doutora Maria Margarida de Melo Coelho Duarte, Professora Associada do ISEG-Lisboa Doutor Joaquim Gonçalves Antunes, Professor Coordenador da Escola Superior de Tecnologias e Gestão do Instituto Politécnico de Viseu Doutora Pedro Manuel dos Santos Taumaturgo de Brito, Professor Auxiliar da Faculdade de Economia do Porto Doutora Ana Margarida Mendes Camelo Oliveira Brochado, Professora Auxiliar do Departamento de Marketing Operações e Gestão Geral do ISCTE-IUL (Orientador) Doutor João Ricardo Paulo Marques Guerreiro, Professor Auxiliar do Departamento de Marketing Operações e Gestão Geral do ISCTE-IUL ii Em memória dos meus pais iii Resumo Objetivo: O Turismo Médico e de Bem-Estar é um fenómeno crescente. Turistas de todo o mundo viajam com o intuito de ter acesso a tratamento médico ou de melhorar o seu estado de saúde através de atividades físicas e psicológicas que lhes sejam benéficas. Esta indústria tem vindo a crescer com ajuda da Internet, permitindo aos turistas fazer melhores escolhas e tomar decisões informadas. Desenho da tese: Este estudo tem como base a análise de conteúdos mistos. A abordagem qualitativa reproduz as avaliações dos turistas e avalia as relações entre as narrativas e os conceitos no Turismo Médico e de Bem-Estar, obtendo resultados replicáveis e generalizáveis. Contribuição teórica: Este estudo contribui com o conhecimento teórico no setor do turismo de Saúde e Bem-estar e o impacto das opiniões dos turistas nas plataformas online como veículo para expressar satisfação e recomendar serviços a outros turistas. Contribuição prática: No Turismo Médico os comentários online indicam características comuns inerentes ao tratamento médico. Como fatores determinantes no processo de decisão os turistas realçam o preço, a eficácia do tratamento, o tempo despendido na recolha de informações medicas, e partilham recomendações com amigos e familiares. No turismo de Bem-Estar os turistas percecionam as infraestruturas do resort-incluindo as condições do quarto e os tratamentos de talassoterapia como fatores determinantes de um bom serviço. Indicam como fatores críticos -o quarto- a limpeza e o conforto em particular uma cama confortável, a casa de banho e o chuveiro. Os turistas que utilizam as Termas e Spa indicam por ordem decrescente a implementação dos seguintes serviços: acesso as termas e serviços, a receção do hotel e sala, qualidade da comida e preço, piscina e banho térmico, localização, vista e acessos bem como o profissionalismo e simpatia dos colaboradores. Originalidade: Os resultados contribuem para o desenvolvimento da literatura sobre o Turismo Medico e de Bem-Estar e sugere diretrizes para potenciais turistas médicos, profissionais de saúde, setor hoteleiro e outros operadores que integram a experiência destes turistas. Com base na análise semântica esta tese identifica novas temáticas que exploram comportamentos, intenções e experiências que os turistas compartilham online. Palavras-chave: Turismo médico; bem-estar; termas e spa; conteúdos gerados pelos utilizadores, experiência. iv Abstract Purpose: Medical and wellness tourism is a growing phenomenon, and tourists all over the world are traveling with the express purpose of accessing medical treatment or promoting health through physically and psychologically beneficial activities. This industry has continued to expand with the Internet’s help, as customers can now make choices that are more appropriate and informed decisions. Design: This research employed mixed content analysis methods. The qualitative approach reproduced tourists’ appraisals and assessed the spatial relationships between terms and concepts in medical and wellness tourism, with generalizable and reproducible results. Theoretical Contribution: This study specifically adds to the literature on post-experiences of medical and wellness tourism and the impact of Web-based information through reviewers’ satisfaction and willingness to recommend facilities to others. Practical Contributions: Medical tourists’ reviews indicate shared commonalities when identifying significant factors in medical services received. These individuals also focus on cost, treatment effectiveness; time spent collecting healthcare information, and recommendations they plan to offer to friends and family. Wellness tourists perceive resort facilities—including room conditions—and thalassotherapy treatments as the primary drivers of good service. Critical attributes of room condition are overall cleanliness and room comfort, especially bed, bathroom, and shower facilities. Tourists’ reviews of their experiences of thermal spa facilities provide a strategic order in which to implement service attributes by degree of influence: thermal facilities and services, hotel reception and room, food quality and price, pool and bath access, location views and accessibility, and staff’s professionalism and friendliness. Originality: The results add to the slowly growing body of literature on medical and wellness tourism and provide significant information to prospective medical tourists, healthcare service professionals, hoteliers, and other operators who become part of tourists’ total experience. This thesis identifies new themes based on semantic analyses that explored tourists’ behavior, intentions, and overall experiences shared online. Keywords: Medical tourism, wellness, thermal spas, user-generated content (UGC), experience v Acknowledgements I would like to express my special thanks to my supervisor, Professor Ana Brochado, and to my co-supervisor, Professor Michael Troilo. I cannot emphasize enough my deep appreciation for their guidance and approachability over the past months. I am particularly grateful to my husband, Luis, who made sure I would succeed; to my daughters, Inês and Sara; and to my mother, who kept me company almost to the end of the process of generating this thesis. I will never forget my colleagues at LLCT, PhD friends, and professors, all of whom have influenced the course of my life by helping me to conclude this work with their great encouragement. vi Contents Resumo ...................................................................................................................................... iv Acknowledgements ................................................................................................................... vi List of Figures ............................................................................................................................ x Acronyms ................................................................................................................................. xii 1. Introduction ........................................................................................................................ 1 2. Theoretical Background ..................................................................................................... 4 2.1. Medical tourism ........................................................................................................... 4 2.2. Demand-side drivers .................................................................................................... 6 2.3. Baby boomers and access to medical tourism ............................................................. 7 2.4. Medical tourism destinations and prices...................................................................... 7 2.5. Medical tourism’s future trends ................................................................................... 9 2.6. From medical tourism to wellness and health ........................................................... 10 2.7. Web content in medical and wellness tourism .......................................................... 12 3. Method ............................................................................................................................. 14 3.1. Lexicographic analysis .................................................................................................. 14 3.2. Operational and analysis method .................................................................................. 14 3.3. Research gap and objectives.......................................................................................... 20 4. Mirror, mirror on the wall, who’s the fairest of them all: A critical content analysis on medical tourism ........................................................................................................................ 22 4.1. Introduction ............................................................................................................... 23
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