A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea

The purpose of this study is to observe factors related to perceptions of and possible participation in medical tourism by Chinese, Japanese, and Korean visitors to Jeju Island in Korea. It aims to identify cultural differences among them, and how those differences affect their pursuit of medical tourism in the future. The research results illustrate that significant differences exist in how Chinese, Japanese and Korean visitors view factors of choice, discomfort and preferred product items. The study establishes four factor groups regarding medical tourism with exploratory factor analysis. Based on these findings, differences of participation intention and behaviors among the three groups are explained. From this, the study describes distinct characteristics of medical tourism among the three cultural groups. The differences among Chinese, Japanese, and Korean tourists with regard to the selection of destination, inconveniences, and preferred products were found to be all significant. Korean tourists placed most significance on selection factors, followed by Chinese tourists, and, lastly, the Japanese. On the other hand, inconveniences related to medical and care services, stay and cost, and information and insurance elements were most strongly associated with Japanese tourists. This may be a reflection of a possible tendency of Japanese tourists to value safety and cost effectiveness. For Chinese tourists, the importance of stay and cost was equally high as those of their Japanese counterparts, which is indicative of Chinese tourists’ cost sensitivity. Light treatments (minor surgery) were preferred by Chinese tourists, while more significant treatments (major surgery) were preferred by Japanese tourists. In terms of aesthetic and healthcare services, Chinese tourists showed the most interest, while Japanese tourists placed emphasis on rehabilitation (lifestyle-related), which may reflect the Korean Wave’s influence in certain Chinese market segments, leading to an increased demand for cosmetic or plastic surgery.     

Tourist Motives and Destination Competitiveness: A Gap Analysis Perspective

This study explores the use of gap analysis in examining the demand-side and supply-side perceptions of international tourists’ motives for visiting Botswana, along with Botswana’s competitiveness as a tourist destination. Statistically significant negative gaps between tourists and tourism providers’ perceptions mean that further understanding of tourists by providers is necessary to enhance the destination’s competitiveness. The analysis of findings was based on 14 “pull” motivations adapted from Kozak (2002) and 104 destination competitiveness measures, some of which were adapted from Omerzel (2006). Factor analysis, reliability analysis, and a series of independent t-tests were used to analyze the data. Study results indicate that tourists visit Botswana mainly for pleasure seeking rather than culture. The study further reveals that Botswana’s competitiveness as a destination is average. Furthermore, the study found statistically significant differences between tourists and tourism providers on all of the “push” factors and nine of the 15 destination competitiveness factors. In order for Botswana to be globally competitive, there is need for further improvement with a view to match international tourists’ expectations. Particular attention should be directed at improving the way the destination is managed. Further developments should be made on created resources, safety, demand conditions, historical and cultural heritage resources, organized excursions, and cleanliness.     

An exploration of foreign tourists’ perceptions of Korean food tour: a factor-cluster segmentation approach

Food tour in Korea has emerged as a popular program for foreign tourists who learn and experience Korean culture through cuisine, restaurants, and dining customs. The main objective of this empirical research is to investigate foreign tourists’ perceptions of Koran food tour and segment the emerging Korean food tour market. A total of 211 usable responses from foreign tourists who experienced Korean food tour were collected through the purposive sampling approach. The results of an exploratory factor analysis showed 7 food service factors delineated from 30 food tour service attributes and 4 segments of Korean food tour market (authenticity seekers, knowledge seekers, guidance seekers, and utmost experience seekers) were identified through the cluster-discriminant analysis. Detailed implications for the operators and marketers of Korean food tour programs are discussed.     

Effect of celebrity endorsement on tourists’ perception of corporate image,corporate credibility and corporate loyalty

This study explores the effectiveness of using Korean celebrities to endorse a Korean hotel in the Japanese market. Specifically, Japanese tourists’ perception of the hotel's corporate image and corporate credibility were tested along with corporate loyalty. This study found that trust in celebrity endorsers by consumers is transferable to perceptions of image of the hotel, its credibility and loyalty to the hotel. Structural equation modeling was used to explain difference in the relationships between constructs that identified the effectiveness of each celebrity. One important finding was that specific celebrity endorsers may not appeal to the entire target market and for this reason more than one endorser may be required to promote a product.     

The destination competitiveness of Kinmen's tourism industry: exploring the interrelationships between tourist perceptions,service performance,customer satisfaction and sustainable tourism

Based upon an empirical investigation, the study draws upon the responses of 1623 tourists in Kinmen to explore the notion of destination competitiveness and how it is related to customer satisfaction with tourists’ perceptions, service performance and destination competitiveness. It also considers the question of destination competitiveness and sustainable tourism development. Variables such as tourists’ pre-visit perceptions, post-visit satisfaction toward destination attractions and resources, willingness to recommend and revisit, and competitiveness with foreign destinations are tested. The results of the study suggest that there is no correlation between tourists’ overall satisfaction and destination competitiveness. Implications of the study outcome illustrate that a destination's unique tourism characteristics can be the most important variables for destination competitiveness. In Kinmen's case, battlefields, historic relics, beautiful scenery and travel security gave it a competitive edge, despite high prices. In addition, developing the destination's brand image was found to be critical for tourism marketers and authorities in the context of increasingly global tourism competition.     

The Wildlife Tourism Market to Kenya (2002–2003)

An understanding of the wildlife tourism market is fundamental for the development of a competitive and sustainable tourism industry. It is imperative to product development and segmentation, especially with regard to understanding trends in the market place. This study was undertaken to understand better the demographic preferences of wildlife tourists and to determine their preferences, expectations, and choices. Various personal and trip attributes of the visitors were considered. A linear structural relationship (LISREL) approach was applied in order to estimate the structural equation systems by using its maximum likelihood estimator. Using data from 1,566 tourists who had completed their holidays in Kenya, it was found that various forms of travel based on packaging do not significantly affect the preferences of tourists. However, tourists' characteristics and their trip attributes have significant effects on these variables. Advanced age, higher socio-economic status, larger group size, and shorter length of stay are associated with higher preference for wildlife viewing.     

Effects of Gender Differences on Perceptions of Destination Attributes,Motivations, and Travel Values: An Examination of a Nature-Based Resort Destination

This study examines the perceptions of the potential tourist market to a nature-based resort destination from the gendered perspective. The research reveals that significant gender differences exist about the perceived importance of destination attributes and travel values when potential nature tourists consider destination choices. After controlling for demographic and travel behaviour variables, such as age, marital status, education, household income, preference of price quote and length of stay, most gender differences remain significant. In addition, more significant distinctions between men and women are demonstrated after controlling for age and income level. The study provides insights into gendered perceptions of nature-based tourism settings. Specific marketing implications are discussed in an attempt to successfully attract nature tourists and provide a high-quality nature destination experience.     

Chinese medical tourists – Their perceptions of Taiwan

This study explores the motivations and perceptions of Chinese medical tourists visiting Taiwan regarding the quality of tourism packages and the medical services consumed. Knowing the factors that motivate medical tourists and their quality demands for tourism operators and medical institutions is important for medical tourism planners to develop and organize services that serve their customers. Particularly, findings can help tourism operators plan customized itineraries and healthcare services, including software and hardware facilities, for Chinese tourists.     

Exploring tourists' perceptions of tourism impacts

Unlike how tourism is viewed by residents, little is known about how tourists feel about tourism in the destination. Nevertheless, studies have shown that tourists' emotional bonds with the destination positively affect their perceptions of and reactions to tourism in the destination. Such emotional bonds often vary based on tourists' previous experience in the destination. Thus, this study explored how tourists' emotional solidarity with residents influences their perceptions of tourism and how first-timers and repeat tourists differ in their views. To this end, 404 responses from South Korean sport tourists were analyzed. Though differences were not evident between first-timers and repeat tourists in their emotional solidarity or attitudes toward tourism, a positive relationship was confirmed between emotional solidarity and perceptions of tourism. The findings suggest that attitudes toward tourism is no longer a construct exclusive to residents and destination managers should also consider tourists' views.     

Residentsʼ attitudes and behavioural support for tourism in host communities

ABSTRACT

In our study of the “perceptions–attitudes–behaviours” sequence, we explain how resident perceptions of tourism’s impacts on host communities influence not only their attitudes towards tourism, but also their attitudes towards tourists – i.e. a new variable that has recently been introduced in literature. Moreover, we introduce the behavioural support, a concept that denotes a higher level of involvement and engagement of residents with their communities in comparison with the traditional attitudinal support. Our results indicate: (1) the residents’ perception of the positive economic and cultural impacts of tourism are the main variables influencing their attitudes towards tourism and tourists; and (2) both types of attitudes influence on behavioural support for tourism in host communities.     

Heritage Buildings and Tourism: An Experiential View

There has been a lack of attention in previous heritage tourism studies to the experiential relationship between heritage buildings and tourism. The aim of this paper is to explore the experiences gained by international tourists from heritage buildings in a particular region of New Zealand: Hawke's Bay. Specifically, the paper seeks insight into the specific attributes of heritage buildings that influenced the experiences of international tourists in the region. An increased understanding of the experiential relationship between heritage buildings and tourism is essential in strengthening support for preservation, for product development and promotion. Fifty semi-structured, and 66 photograph-supported, interviews conducted with international tourists visiting Hawke's Bay elicited three key experiential themes that emerged from respondents' narratives. These are ‘visual appeal’, ‘personal reflections’ and ‘engaging experiences’. Specifically, it was found that a tourism townscape is not a passive space. Heritage buildings render the townscape an experiential space filled with emotion, mindfulness, engagement and personal meaning. The paper concludes that this finding has important implications for destination promotion and product development and stresses the need for future research into the relationship between heritage buildings and tourism.     

Assessment of Medical Tourism Development in Korea for the Achievement of Competitive Advantages

Medical tourism is a rapidly growing industry in which people travel to other countries to receive medical treatments. In 2010, Korea attracted 81,789 foreign medical tourists who spent approximately US$100 million. The aims of this study are to analyze general trends in the medical tourism market, identify problems, or obstacles that affect the development of medical tourism in Korea, provide solutions to overcome these obstacles, and propose better policies. This study employed qualitative research methods, including content analysis of written publications and in-depth interviews. According to the results of the analysis of Korean medical tourism, the weaknesses of the system include insufficient promotion, the lack of a centralized administrative support system, the absence of differentiation strategies with respect to competing nations, an insufficient number of medical tourism professionals, and an inadequate legal system. In addition, this study identified threats that include competition from other countries offering medical tourism, the emergence of new competitors in East Asia, unexpected global crises, and international antagonism against Korea. This article discusses solutions addressing these weaknesses and threats and presents strategies that Korea can adopt to become one of the premier destinations for medical tourism.     

云南海外客源市场发展及开拓

旅游客源市场是旅游业发展的重要前提，而旅游产品的无形性与不可运输性特点，决定了旅游宣传促销和市场开拓的重要性。本文在分析了云南海外游客市场发展现状和海外旅游者消费水平的基础上，提出了云南开拓海外客源市场的主要对策措施是：突出云南旅游特色，塑造鲜明旅游形象；调整旅游客源结构，开拓高素质游客；充分利用各种媒介，创新旅游宣传促销方式；运用市场经济规律，建立旅游市场开拓机制；加快对外开放步伐，加强区域旅游合作；应用现代科学技术，加快培养旅游营销人才；努力提升开拓海外客源市场的能力和水平。     

Differences Between Management Philosophies Among American and Chinese Hotel Managers: A Cultural Comparison Between Las Vegas and Shanghai

The aim of this study is to ascertain, in an international tourism context, whether there are cultural discrepancies between hotel employees who have been educated and trained in a host country, and guests who have traveled to that country, given that each group is imbued with their own national culture. The findings indicate that not only do Thai frontline hotel employees have different expectations about the behavior of Japanese and Korean customers, but that the expectations of both customer groups concerning their own behavior differ from those of Thai employees. A significant gap was found in perceptions of actual behavior between the international customers and hotel staff, suggesting that cultural discrepancies are indeed present, but also vary by ethnicity. The scale of the discrepancy between Thai employees’ perceptions of Japanese tourists’ behavior, for example, was larger than in the case of the Korean customers. Comparison of the expectations of the two international customer groups also revealed strong differences.     

Tourism product development and the changing consumer demand: A case study of Kenya

Kenya is an important tourist destination in Africa accounting for over 6% of the total international tourist arrivals to the continent. However, in recent years Kenya's tourism industry has been experiencing problems of poor performance and continuing decline in the number of international tourist arrivals. This study examines the main characteristics of the country's tourism product vis‐a‐vis the changing trends in global tourism market demands. It is argued that the underlying cause of the recent poor performance of the tourism industry relates to the nature of the country's tourism product. Over the years, Kenya has been offering a limited tourism product that is based on beach and wildlife tourism. Also, the marketing of Kenya mainly depends on overseas tour operators who mainly sell inclusive tour packages. Thus, the form of tourism product that is offered by Kenya has not responded to the recent changes and trends in international tourism market demands. Post‐modern tourists, particularly tourists from developed countries, are increasing becoming aware of the negative impacts of mass tourism and are increasingly looking for alternative tourism products that provide a deeper and more meaningful experience. Thus, if Kenya is to rejuvenate its tourism industry there is need for the country to provide a diverse alternative tourism product which is more appealing to the post‐modern tourists.     

Analyzing the Use of TV Miniseries for Korea Tourism Marketing

The number of Taiwanese visiting Korea hit a record high in 2004, accounting for a 65% increase over the previous year and taking the first place in destination of departure nationals. Tourism data from 1999 to 2005 also indicates that the total number of tourists visiting Korea has grown steadily. Korean TV miniseries have likely contributed to an increase in tourists visiting Korea. The phenomenon is worth studying in depth. Therefore, the study first classifies tourism induced by Korean TV miniseries. Then, it examines how South Korea executes place marketing to attract tourists and how Korean TV miniseries use product placement to attract tourists to film locations is discussed.     

Domestic tourists to Elmina Castle,Ghana: motivation,tourism impacts,place attachment,and satisfaction

Abstract

Current research on dark tourism lacks an in-depth investigation of the relationships between the various psychological factors that influence tourist satisfaction. Using the cognitive-affective-behavior system, this paper evaluates a theoretical model that postulates relationships between four constructs, namely: motivation, perceptions of tourism impacts, place attachment, and satisfaction. The study extends the tourism literature on cultural sustainability by showing the psychological connections of domestic tourists to a dark heritage site, and the implications for perceptions of tourism impacts on this heritage. Based on a sample of 414 domestic tourists at a dark heritage site in Elmina, Ghana, PLS-SEM confirmed several inter-relationships among the four constructs. Motivation had a positive relationship with perceptions of positive and negative tourism impacts, suggesting that the tourists who were more motivated to visit the site for cultural/learning experiences were also more inclined to perceive both positive and negative tourism impacts. Implications for dark tourism and how heritage site management can influence tourists’ perceptions of impacts are offered.     

A panel data-based analysis of factors influencing market demand for Chinese outbound tourism

This paper presents data on the top 50 outbound destinations for Chinese tourists from 2002 to 2013. The total number of Chinese tourists traveling to these 50 destinations accounts for 95.38% of outbound travelers from China. We built a dynamic panel data model to measure factors that influence market demand for Chinese outbound tourism. The results show that economic variables such as income, tourism prices, and exchange rates have a significant influence on outbound tourism volume. The effect of bilateral goods trade and leisure time significantly differ between the full sample and the two subsamples, whereas political stability of the destinations and special incidents in China have no significant impact on demand for outbound tourism. Based on these findings, this study proposes strategies to strengthen the management of China’s outbound tourism market.     

Exploring the discrepancies in perceived destination images from residents’ and tourists’ perspectives: a revised importance–performance analysis approach

A comprehensive and balanced understanding of both local residents’ and tourists’ perceived destination image (DI) is a pivotal step for successful tourism development. Using the revised importance–performance analysis approach, this study assesses the differences between residents’ and tourists’ perceived implicit importance and performance of DI attributes in the Liyu Lake Scenic Area in Hualien, Taiwan. A mixed methods approach was adopted. First, 30 pertinent image attributes were identified by interviewing local residents and tourists. These image attributes were subsequently used in a questionnaire survey. Results indicate that residents’ and tourists’ opinions were divided on environmental issues and purposes of visit. The most significant finding is that both the residents and tourists regarded the majority of the attributes as “possible overkill,” suggesting that destination management organization should reconsider the direction for future development and try to realize the “real needs” of the residents and tourists based on their motivations.     

Behavioural adaptation to climate change among winter alpine tourists: an analysis of tourist motivations and leisure substitutability

Understanding market responses to climate change impacts has important implications for the sustainability of Australia's winter tourism destinations. Utilising a framework incorporating push–pull tourist motivations and the theory of leisure substitutability, this study sought to explore how winter tourists in Australia will adapt to changes in snow cover in Australia's alpine regions under future climate change scenarios. The results of a questionnaire completed by 231 respondents indicated that tourist motivations were related to behavioural adaptation, and that there is a general preference among the current winter market for spatial substitution in the event of poor snow. Those motivated by recreation specialisation or snow-related attributes were likely to opt for spatial substitution, while tourists motivated by self-expression and après ski activities displayed resilience to poor snow conditions. The results demonstrate a clear division between leisure-driven tourists who valued participation in sport, and experience-driven tourists, who displayed higher resilience to reduced snow under projected climate change scenarios. These results have practical implications for winter tourism destinations, both in terms of targeting experience-driven tourists in the case of reduced snow as well as the longer term sustainability and viability of winter tourism destinations.