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Designing a Model for the Management of Health Tourism Development in Fars Province, Iran | ||
Health Management & Information Science | ||
مقاله 4، دوره 8، شماره 2، تیر 2021، صفحه 107-118 اصل مقاله (1.1 M) | ||
نوع مقاله: Original Article | ||
شناسه دیجیتال (DOI): 10.30476/jhmi.2021.89308.1066 | ||
نویسندگان | ||
Rohollah Karimi1؛ Somayeh Hesam* 2؛ Rahim Ostovar3 | ||
1PhD Student in Health Services Management, Department of Health Services Management, Shiraz Branch, Islamic Azad University, Shiraz, Iran | ||
2Assistant Professor, Department of Health Services Management, South Tehran Branch, Islamic Azad University, Tehran, Iran | ||
3Associate Professor, Department of Health Services Management, Medical Sciences, Islamic Azad University of Shiraz Branch, Shiraz, Iran | ||
چکیده | ||
Introduction: Health tourism as a basic parameter has an undeniable role in achieving sustainable growth and development and has been given special attention in developed countries, while in developing countries such as Iran, less attention has been paid to this issue. This study aimed at designing a management model for the development of health tourism in Fars Province, Iran. Methods: This study was performed by descriptive-correlation method which is a type of applied research in terms of quiddity and purpose. The sample consisted of 120 foreign tourists who have traveled to Fars province to receive health services. All participants were selected by the purposive sampling method within a survey design from medical tourism centers, wellness tourism centers, and curative tourism centers in Shiraz City of the province. After informed consent was obtained, the required quantitative data were collected using a survey method and a questionnaire. The questionnaire used had 6 sections including: (1) structural management; (2) behavioral management; (3) environmental management; (4) protective management; (5) development and improvement management; and (6) development of health tourism, which had 34 items and each item was scored based on a five-point Likert scale (from 1=very low to 5=very high). Data analysis was performed with SPSS-20 and Smart-PLS software. Results: In this study at first, validity and reliability analyses using SEM for Cronbach’s alpha and composite reliability (CR) of subscales and total score of the questionnaire revealed an moderate to excellent level of internal consistency (a=0.62 to 0.91 and CR=0.68 to 0.98), respectively. The findings indicated that independent variables of model explain 0.921% of health tourism management variations in this sample. With regards to the path coefficients between latent constructs of the model, three structural (0.315), behavioral (0.459), environmental (0.234) factors have a significant effect on health tourism management in this study (TConclusion: Managers and officials of Fars province are expected to use the management model presented in this study to develop health tourism and focus on the pillars of sustainable development of this model such as structural, behavioral, environmental, protective and development factors for attracting foreign tourists and promoting health tourism in Fars province. | ||
کلیدواژهها | ||
Management model؛ Development؛ Health tourism | ||
مراجع | ||
1. Arabshahi A, Ariyanfar M. Health tourism and tourism development; reviewing the potential and capabilities of iran in health tourism and medical-curative tourism. Geographical Journal of Tourism Space. 2013;3(9):133-52. 2. Özlem Ö, SONĞUR C. Türkiye’nin Dünya Sağlık Turizmindeki Yeri ve Ekonomik Boyutu-Turkey’s Position in the World Health Tourism and Its Economic Dimension. Mehmet Akif Ersoy Üniversitesi Sosyal Bilimler Enstitüsü Dergisi. 2013;4(7):69-81. 3. Hofer S, Honegger F, Hubeli J. Health tourism: definition focused on the Swiss market and conceptualisation of health(i)ness. J Health Organ Manag. 2012;26(1):60-80. doi: 10.1108/14777261211211098. 4. Seyydjavadyn S, Shafaei M, Shafaghat Lonbar H, Najafi B. Investigating the Development of the Private Sector in Health Tourism (Based On Lewin’s Model). Journal of Health Accounting. 2013;2(2):15-32. 5. Azizi F, Zahedi S. Assessment of the barriers to the development of health tourism in Yazd Province, Iran. Health Information Management. 2016;12(6):799-806. 6. Qureshi MI, Hassan MA, Hishan SS, Rasli AM, Zaman K. Dynamic linkages between sustainable tourism, energy, health and wealth: Evidence from top 80 international tourist destination cities in 37 countries. Journal of cleaner production. 2017;158:143-55. doi: 10.1016/j. jclepro.2017.05.001. 7. Herrick DM. Medical tourism: Global competition in health care. National Center for Policy Analysis. 2007;1:2-3. 8. Association MT. medical tourism facts and figures. Medical Tourism Association: 2015. 9. Armaitiene A, Bertuzyte R, Vaskaitis E. Conceptual framework for rethinking of nature heritage management and health tourism in national parks. Procedia-social and behavioral sciences. 2014;148:330-7. doi: 10.1016/j.sbspro.2014.07.050. 10. Blanke J, Chiesa T, editors. The travel & tourism competitiveness report 2013. Geneva: The World Economic Forum; 2013. 11. Hospital E, Federation H. Hospitals in Europe: Healthcare Data. HOPE Publications Brussels; 2011. 12. Sandberg DS. Medical tourism: An emerging global healthcare industry. International Journal of Healthcare Management. 2017;10(4):281-8. doi: 10.1080/20479700.2017.1296213. 13. Sharifabadi AM, Ardakani FA. A model for health tourism development using fuzzy TOPSIS and interpretive structural modeling in Yazd province. Journal of Health Administration (JHA). 2014;17(55):73-88. 14. Harandi A, Mirzayan KP. Explaining health tourism attraction model: Using classic grounded theory strategy. Urban Tourism. 2017;4(1):87-98. doi: 10.22059/jut.2017.61997. 15. Ziaee M, Abbasi Karjegan D, Kazemian G, Karoobi M. Design And Development Of Three-Dimensional Model Of Tehran Tourism Management (TDMTTM). Tourism Management Studies (Tourism Studies). 2017;12(37):1-24. 16. Mirfakhradini H, Mirfakhradini F, Sadr Bafghi M. Investigating rate of iatric tourisms’ satisfaction and prioritizing the effective factors on it via Fuzzy TOPSIS approach. SSU_Journals. 2013;20(5):668-78. 17. Pocock NS, Phua KH. Medical tourism and policy implications for health systems: a conceptual framework from a comparative study of Thailand, Singapore and Malaysia. Global Health. 2011;7:12. doi: 10.1186/1744-8603-7-12. 18. Woodhead A. Scoping medical tourism and international hospital accreditation growth. Int J Health Care Qual Assur. 2013;26(8):688-702. doi: 10.1108/IJHCQA-10-2011-0060. 19. Lunt N, Jin KN, Horsfall D, Hanefeld J. Insights on medical tourism: markets as networks and the role of strong ties. Korean Social Science Journal. 2014;41(1):19-37. doi: 10.1007/s40483-014-0012-7. 20. Johnston R, Crooks VA, Snyder J, Kingsbury P. What is known about the effects of medical tourism in destination and departure countries? A scoping review. Int J Equity Health. 2010;9:24. doi: 10.1186/1475-9276-9-24. 21. Ahmadi F, Bemanian M, Sadeghi A. Presenting Pattern of Sustainable Tourism Development of Waterfall Protected Area. Journal of Environmental Science and Technology. 2013;15(1):151-65. 22. Boran FE. An integrated intuitionistic fuzzy multi criteria decision making method for facility location selection. Mathematical and Computational Applications. 2011;16(2):487-96. doi: 10.3390/mca16020487. 23. Loh MSA, Taghvaei M, Vasili M, Zare M. Identification and ranking the criteria related to location decisions of health villages: a case study in Isfahan, Iran. Health information management. 2017;14(3):96-102. 24. Gearing CE, Swart WW, Var T. Establishing a measure of touristic attractiveness. Journal of Travel Research. 1974;12(4):1-8. doi: 10.1177/004728757401200401. 25. Esiyok B, Çakar M, Kurtulmuşoğlu FB. The effect of cultural distance on medical tourism. Journal of Destination Marketing & Management. 2017;6(1):66-75. doi: 10.1016/j.jdmm.2016.03.001. 26. Wagle S. Web-based medical facilitators in medical tourism: the third party in decisionmaking. Indian J Med Ethics. 2013;10(1):28-33. doi: 10.20529/IJME.2013.006. 27. Zarei A, Azar A, Rezaei Rad M. Measurement of social marketing in health tourism. Journal of Tourism Planning and Development. 2016;5(18):33-53. 28. Dryglas D, Salamaga M. Segmentation by push motives in health tourism destinations: A case study of Polish spa resorts. Journal of Destination Marketing & Management. 2018;9:234-46. doi: 10.1016/j.jdmm.2018.01.008. 29. Savaşan A, Yalvaç M, Tuncel E. Statistical reasoning for developing an attitude scale for health tourism stakeholders in North Cyprus context. Procedia computer science. 2017;120:196-203. doi: 10.1016/j.procs.2017.11.229. 30. Ormond M, Sulianti D. More than medical tourism: lessons from Indonesia and Malaysia on South–South intra-regional medical travel. Current Issues in Tourism. 2017;20(1):94-110. doi: 10.1080/13683500.2014.937324. 31. Khazaei N, Amiri-Beshli M, Rasoli SH, Gorgani GA. Analysis and effects of health tourism development in Mazandaran province. 6 September 2015. Tehran: National Conference on Civil Engineering and Architecture (NCCEA). 32. Lee HK, Fernando Y. The antecedents and outcomes of the medical tourism supply chain. Tourism Management. 2015;46:14857. doi: 10.1016/j.tourman.2014.06.014. 33. Bahar M, Derici M, Gul C, Guney E, Ozgirin K, Yildirm R. A New Opportunity for Turkey: Medical Tourism Review Document. TUSIADHealth Study Group, Istanbul. 2009. 34. Somnuek P, editor The development of teaching and learning innovation by using instructional media for enhancement of learning achievement towards tourism product knowledge in tourism marketing class. SHS Web of Conferences; 2014. doi: 10.1051/shsconf/20141201040. 35. Gan LL, Frederick JR. Medical tourism in Singapore: A structure-conductperformance analysis. Journal of Asia-Pacific Business. 2011;12(2):141-70. doi: 10.1080/10599231.2011.558440. 36. Cavana R, Delahaye B, Sekeran U. Applied business research: Qualitative and quantitative methods. New Jersey: John Wiley & Sons; 2001. 37. Kline RB. Principles and practice of structural equation modeling (3. Baskı). New York: Guilford. 2011. 38. Wolf EJ, Harrington KM, Clark SL, Miller MW. Sample Size Requirements for Structural Equation Models: An Evaluation of Power, Bias, and Solution Propriety. Educ Psychol Meas. 2013;76(6):913-34. doi: 10.1177/0013164413495237. 39. Palys T, Given LM. The Sage encyclopedia of qualitative research methods. L, M Given (Ed), Purposive sampling. 2008:697-8. 40. Ghadampour E, Khodarahimi S, Rahmian Bougar M, Nahaboo S. Single Mothers’ Attachment Styles and Personality Influences on Child Psychopathology. The American Journal of Family Therapy. 2020;48(4):340-55. doi: 10.1080/01926187.2020.1716870. 41. Tongco MDC. Purposive sampling as a tool for informant selection. Ethnobotany Research and applications. 2007;5:147-58. doi: 10.17348/era.5.0.147-158. 42. Fornell C, Larcker DF. Structural equation models with unobservable variables and measurement error: Algebra and statistics. Los Angeles: Sage Publications Sage CA; 1981. doi: 10.2307/3150980. 43. Howitt D, Cramer D. Introduction to SPSS in psychology: For version 16 and earlier. New York: Pearson Education; 2008. doi: 10.1002/(SICI)1097-0266(199902)20:23.0.CO;2-7. 44. Hulland J. Use of partial least squares (PLS) in strategic management research: A review of four recent studies. Strategic management journal. 1999;20(2):195-204. 45. Ringle C, Da Silva D, Bido D. Structural equation modeling with the SmartPLS. Bido, D, da Silva, D, & Ringle, C(2014) Structural Equation Modeling with the Smartpls Brazilian Journal of Marketing. 2015;13(2):56-73. doi: 10.5585/remark.v13i2.2717. 46. Kline RB. Principles and Practice of Structural Equation Modeling Methodology in the Social Sciences series. New York: Guilford Press; 2015. 47. Khodarahimi S, Rasti A, Bougar MR. The impact of demographics and nutritional status on cognitive functioning in an Iranian adults sample. Psychologie Française. 2021;66(1):1-14. doi: 10.1016/j.psfr.2020.06.001. 48. Swanson KK, Horridge PE. Travel motivations as souvenir purchase indicators. Tourism management. 2006;27(4):671-83. doi: 10.1016/j. tourman.2005.03.001. 49. Chanin O, Khunchumnan P, Amphansookko S, Thongyai K, Rodneum J, Sriprasert P. Guidelines on health tourism management for middle eastern tourists in Phuket province. Procedia Computer Science. 2015;65:1146-53. doi: 10.1016/j.procs.2015.09.031. 50. Mabodi M, Hakimi H. The determinants of medical tourism; Iran’s case study. Tourism planning and development. 2015;15(4):80-106. 51. Kharazmi A, Rahnama M, Javan J, Shokouhi M. Factors Affecting the Promotion of Health Tourism; Comparitive View of Foreign Tourists and Domestic Managers. 2016;8(3):405-16. doi: 10.18869/acadpub.jnkums.8.3.405. 52. Abdekhoda MH, Ghazimirsaeed SJ, Alibyek M, Ershad SR. Assessment of hospital websites of medical universities in Tehran, Iran, based on information necessary for attracting medical tourism. Health Information Management. 2016;13(2):102-7. 53. Delgoshaee B, Jabbari A, Farzin M, Sherebafchizade N, Tabibi S. Current status of medical tourism: case study of Iran. Quarterly of Payesh. 2012;2(1):171-9. 54. Mirfakhradini H, Mirfakhradini F, Sadr Bafghi M. Investigating rate of iatric tourisms’ satisfaction and prioritizing the effective factors on it via Fuzzy TOPSIS approach. SSU_Journals. 2013;20(5):668-78. | ||
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