Exploring the factors influencing the travel motivations of US medical tourists

Medical tourism (also called medical travel, health tourism, or global health care) is a term initially coined by travel agencies and the mass media to describe the rapidly growing practice of travelling across international borders to obtain health care. In the past decade, the attempt to achieve better health while on holiday through relaxation, exercise, or visits to spas has been taken to a new level with the emergence of developing countries as destinations for medical tourism. It has grown dramatically in recent years primarily because of the high costs of treatment in rich countries, long waiting lists, the relative affordability of international air travel, favourable economic exchange rates, and the availability of well-qualified doctors and medical staff. Keeping in mind the rapid growth of this industry, a study was conducted to shed light on the importance of different factors that influence the travel motivations of US medical tourists to international destinations.     

Travel for treatment: students' perspective on medical tourism

Medical tourism is the act of travelling abroad for health care. The theory of planned behaviour was used to investigate the medical tourism beliefs of 336 undergraduate students in a basic psychology course at a large midwestern American university. Students did not have positive intentions for mere willingness to seek more information about travelling to a developing country to receive medical treatment. An educational intervention is necessary to help promote travel for medical treatment. The intervention may include educating people on the availability of quality health care, highly trained competent doctors and the ability to vacation and see another country. Copyright © 2010 John Wiley & Sons, Ltd.     

Inter-regional and inter-temporal analysis of travel behaviour for Asian metropolitan cities: Case studies of Bangkok, Kuala Lumpur, Manila, and Nagoya

The unprecedented demand for travel experienced in Asia, in conjunction with the economic development of the1980s, has resulted in a number of detrimental effects on urban systems. Economic development has certainly intensified per capita income enhancing personal mobility. In Asia, private vehicle ownership and usage have continued to be recognised as an obligatory element of travel for many. Undoubtedly there is a direct relationship between vehicle ownership and public transport usage. Inter-regional and inter-temporal investigations of travel behaviour in Asian cities are therefore necessary to develop an understanding of the future transportation system including suitability and the role of public transport. Since travel data are scarce in Asian countries, inter-regional or inter-temporal travel behaviour investigations do not exist to date. Several travel demand models are developed using discrete choice modelling techniques and Bangkok, Kuala Lumpur, Manila, and Nagoya as case studies. Estimation results of the mode choice models are successfully incorporated to compare travel behaviour trends in selected cities in Asia. The developed models are tested for spatial and temporal transferability.     

Cultural tourism behaviour and preferences among the live‐performing arts audience: an application of the univorous–omnivorous framework

This study uses the omnivorous–univorous theoretical framework of the arts marketing studies to identify relationships between the live‐performing arts and cultural tourism behaviours and preferences. Patrons of a major performing arts centre were segmented in three groups — sporadic, univores and omnivores — and examined regarding their cultural tourism behaviours and preferences. Statistical analysis revealed significant differences among groups in terms of demographic characteristics, art and culture consumption and cultural tourism behaviour and preferences. Study results add to the body of knowledge of tourism, suggesting that the culture omnivorous consumption behaviour reported in art marketing studies is also relevant to cultural tourism. Results suggest the existence of omnivorous cultural tourists seeking a wide variety of cultural products and experiences. The identification of a group of individuals with little interest and consumption of culture, including cultural travel destinations, also emerges from this study. Copyright © 2009 John Wiley & Sons, Ltd.     

Characteristics of market segmentation for sustainable medical tourism

This study investigated the characteristics of markets segmented by the push–pull factors associated with medical tourists. The questionnaire sought information on attributes of medical tourism motivations and included eight push factor attributes, 10 pull factor attributes, and 13 demographic and medical tourism behavior variables, for a total of 31 items. The surveys were translated into Chinese, Japanese, and English. This paper proposes a market segmentation that consists of three significant segments, the quality seeker, the essential services seeker, and the rest seeker. The results indicate that these segments have strategic implications for reaching individual markets in the medical tourism industry.     

The effects of perceived authenticity,information search behaviour,motivation and destination imagery on cultural behavioural intentions of tourists

This study tested a structural model which investigates the effects of perceived authenticity, motivation, information search behaviour and destination imagery on tourists' behavioural intentions to consume cultural attractions. Data were collected at selected cultural and natural heritage sites in the island of Mauritius (N?=?600). The sample was split into two data sets. Structural equation modelling and hierarchical multiple regression were employed to test the hypothesised relationships. Findings revealed a significant positive relationship between perceived authenticity and cultural behavioural intentions of tourists. Destination imagery had an influence on tourists' cultural intentions. Information search behaviour was found to exert a negative influence on tourists' cultural intentions while motivation did not have any influence on the latter. Perceived authenticity was seen to exert a moderating effect on the respective relationships between motivation, information search behaviour, destination imagery and cultural behavioural intentions of tourists. The theoretical and managerial implications of the study are discussed.     

Consumer behaviour in tourism: Concepts,influences and opportunities

Although consumer behaviour (CB) is one of the most researched areas in the field of tourism, few extensive reviews of the body of knowledge in this area exist. This review article examines what we argue are the key concepts, external influences and opportune research contexts in contemporary tourism CB research. Using a narrative review, we examine the CB literature published in three major tourism journals from 2000 to 2012. Of 519 articles identified and reviewed, 191 are included in this article. We examine the development of and scope for future research on nine key concepts, including decision-making, values, motivations, self-concept and personality, expectations, attitudes, perceptions, satisfaction, trust and loyalty. We then examine three important external influences on tourism behaviour, technology, Generation Y and the rise in concern over ethical consumption. Finally, we identify and discuss five research contexts that represent major areas for future scholarship: group and joint decision-making, under-researched segments, cross-cultural issues in emerging markets, emotions and consumer misbehaviour. Our examination of key research gaps is concluded by arguing that the hedonic and affective aspects of CB research in tourism must be brought to bear on the wider CB and marketing literature.     

Detecting common method bias in predicting creative tourists behavioural intention with an illustration of theory of planned behaviour

With the rapid development of creative industries in the global economy, creative tourism is viewed as a development tool for stimulating national economies and highlighting industries, regions, and cities, making a significant contribution in changing the tourist experience. The theory of planned behaviour (TPB) is empirically well-supported as a conceptual framework for predicting human behavioural intentions and behaviours. This study aims to apply the TPB to develop a theoretical framework for understanding tourists’ revisit intentions in the context of creative tourism. Moreover, this study also intends to detect the potential effects of common method bias (CMB) within applications of the TPB in tourism domains. An empirical study was carried out in three popular creative tourism attractions, Meinong, Singang, and Yingge, in Taiwan. The data collection resulted in 395 valid questionnaires. The current study validates the notion that the TPB is a theoretical and practical framework for understanding tourists’ intention to revisit in the context of creative tourism. In addition, this study also contributes to enhancing awareness of the potential effects of CMB with regard to the application of the TPB in tourism.     

Motives and behaviour of second home owners in Iceland reflected by place attachment

Second home tourism has a long tradition in the Nordic countries, and seems to be gradually growing worldwide. The processes underpinning the decision to own a second home are often complex and connected with numerous influencing factors such as cultural setting, personal preferences and attitudes, economic situation, as well as practical questions regarding distance, anticipated utilization, and localization factors. The relationship between the environment in which the second home is situated and the prospective homeowners is likely to have a strong geographic character. This study aims to assess and analyse the habits and motivations of second home owners in Iceland and evaluate whether their behavioural patterns and patterns of geographical preferences can be explained by the concept of place attachment. The results reveal that place attachment can be seen as a significant localization factor influencing temporal and spatial development of second homes, which in turn helps explain the observed geographical patterns. While it has also been shown that homeowners with a prior connection to the locations in question do display different behavioural patterns than homeowners who obtained property in locations to which they had no prior connection, the results further reveal that heterogeneity is caused by diversity in lengths of ownership rather than being due to place attachment. In conclusion, the concept of place attachment is of only limited use in seeking to explain differences in behaviour among second home owners subsequent to the acquisition of property, suggesting that different forms of place attachment produce similar behavioural patterns.