The role of information sources and image on the intention to visit a medical tourism destination: a cross-cultural analysis

This paper intends to analyze: 1) how information sources, eWOM, and image influence the intention to visit a medical tourism destination;2) the moderating role of culture and 3) cross-cultural differences based on Hofstede’s individualism and uncertainty avoidance. A total of 534 responses were collected using a panel of internet users from six different countries and data were analyzed using structural equation modeling and a series of t-tests. The results show that information sources influence cognitive impressions and in conjunction with overall image and medical cognitive image influence the intention to visit a medical tourism destination. Furthermore, individualism and uncertainty avoidance have a moderating effect among these variables and cross-cultural differences exist in the degree of importance given to information sources, eWOM, image perceptions, and intention.     

The influence of political conflicts on country image and intention to visit: A study of Israel's image

This paper analyzes the image of Israel, a country subject to continuous conflicts, and the effect of a political event on its image. A measurement model is examined before and after a specific international incident, the Mavi Marmara conflict between Turkey and Israel, in order to understand how this event influences the image that the Turks have of Israel, as well as their intention to visit the place. The results confirm that, when people have previous animosity towards a nation, the image of this country is formed mainly through its affective component and not through its cognitive one. The research concludes that a political conflict between two countries significantly damages the country image through the affective component and boosts the previously held animosity. The incident also increases the negative influence of the affective image on the overall country image and on the intention to visit the place.     

Tourists’ intention to visit a country: The impact of cultural distance

Culture has long been recognized as a possible reason why people in different countries make different decisions, but research into its impact in tourism contexts has been limited. This study addressed this gap by examining the influence of cultural distance on tourists’ destination choices. Five cultural distance measures were examined. Of the five measures, perceived cultural distance and Clark and Pugh's index were found to be most strongly related to Australian tourists’ intentions to visit a variety of holiday destinations. The perceived cultural distance measure appeared to be a better predictor and offers some advantages to researchers as it allows respondents to include relevant cultural information in tourism research. However, as Clark and Pugh's method provided similar information, cultural differences can be inferred when it is not possible to survey tourists directly.     

The mediating effect of place attachment on the relationship between golf tourism destination image and revisit intention

Focusing on golf tourism in Hainan Province, this study examined the relationship between place attachment, golf tourism destination image, and revisit intention of golf tourists. Data were obtained using questionnaires distributed to golf tourists in Hainan Province, China in 2016. Survey data from 218 tourists indicated that destination image was positively related to place attachment. Moreover, place attachment mediated the relationship between destination image and revisit intention. Implications of these findings for golf tourism marketing strategies as well as future research directions are discussed.     

Travel risk dimensions,personal-related factors,and intention to visit a destination: a study of young educated German adults

The study examines travel risk dimensions and their relationships with tourist role, past visit experience, gender and intention to visit Thailand among young educated German adults. Using an online survey of 323 German university students, six dimensions of travel risk perception and their relationships with tourist role and past travel experience were revealed. Over-commercialisation risk was found to be the most concerned risk and produce different relationships with tourist role and travel experience from other types of risks. Although political risk was of least concern, it was confirmed as the only risk having a negative influence on travel intention.     

Online destination image: Comparing national tourism organisation's and tourists' perspectives

This study examines the perceived and projected online destination images (DI) manifested in tourist-generated content (TGC) and national tourism organisation (NTO) generated content. Through visual content analysis and mise en scène analysis of photographic data as well as content analysis and perceptual mapping analysis of textual data, the differences between perceived and projected online DI of Eastern Taiwan were explored. TGC and NTO contents were both found to have similarly represented Eastern Taiwan as a destination abounds with “natural environment”, “infrastructure”, “specific activities”, and “tourist attractions”. However, several important DI dimensions were under-represented in the NTO content, for example, “food and beverages”, “transportation”, “information” and “accommodation”. The findings further reveal that the TGC textual content tended to outperform NTO textual content in reflecting affective DI; and photographic content, in general, was more effective in conveying affective attributes. The findings provide useful insights for practice and future research in DI management.     

Factors influencing destination image and visit intention among young women travellers: role of travel motivation,perceived risks,and travel constraints

There is literature detailing the effects of travel motivation, risks perceptions, and travel constraints on the destination image and travel behaviour of individuals. However, literature explaining these factors in the context of prospective young women travellers is scarce. This study empirically tests a comprehensive model of prospective young women’s travel behaviour, based on cognitive and affective perceptions about destination, travel motivations, perceived risks, and travel constraints. A quantitative study was performed on 370 young university women in Malaysia. The results revealed that the travel motivation of young women has positive effects on the cognitive and affective image, whereas the dimensions of perceived travel risks and travel constraints have negative effects on cognitive and affective destination images. The results also found that cognitive and affective images positively influence the visit intention of prospective young women travellers.     

The influence of tourists' monetary and temporal sunk costs on destination trust and visit intention

Although the phenomenon of sunk costs is common in tourism situations, tourism research has largely ignored its effect on tourists. Drawing on prospect theory, cognitive dissonance theory, and signal theory, this study proposed that monetary sunk cost and temporal sunk cost both have significant impact on potential tourists' visit intention. Four scenario-based experiments were performed to test hypothesized relationships. Findings revealed that monetary sunk cost has a negative effect on visit intention, while temporal sunk cost has a positive effect. Good destination reputation attenuates the effects, and destination trust mediates the relationship between sunk cost and visit intention. These studies extend existing theoretical applications by identifying the conditions under which sunk cost can influence tourists' visit intention, and provides relevant practical suggestions for tourism product suppliers and local government departments.     

A rhizomic approach to tourism destination evolution and transformation

This paper critiques linear models of tourism destination evolution through exploring change as anti-hierarchical, self organising and locally inspired. Based upon the Deleuzian concept of networks as rhizomic, the longitudinal qualitative case study shows 100 years of evolution and transformation. The data demonstrated that through collaboration, network connections could be made in endless and unpredictable ways that then formed complex bundlings of network-based capabilities (multiplicities). These knowledge repositories emerged through the non-linear, heterogeneous and volume-filling connections inspired by the informal activities of everyday life. The data demonstrated that network transformation is a result of collaborative connection, and confirms Deleuze's imperative that all creative possibilities exist and new novelty is limited only by the absence of positive acts.     

Resilience to crises of Thai MICE stakeholders: A longitudinal study of the destination image of Thailand as a MICE destination

The COVID-19 outbreak has changed rapidly the business operation and travel behavior of global communities and calls for research on resilience. This study aims to identify the changing destination image of Thailand as a MICE destination during crises and examine the resilience of Thai MICE stakeholders. A mixed method of qualitative and quantitative design was employed using interviews, observations and questionnaire surveys. A longitudinal study of Thai MICE stakeholders during 14 years revealed that the Buddhist concepts of resilience and Thainess contribute to psychological resilience. Buddhism and Thainess cultivate the concept of crisis concierge. Surveys showed unchanged image of exhibition facilities during the political instability. Thailand's incentive travel benefits from the availability of bleisure (a combination of business and leisure) attractions. Good value for money, Thai hospitality, bleisure attractions, and international standard venues are key resilient factors.     

Positioning a tourism destination to gain a competitive edge

Positioning is a form of market communication that plays a vital role in enhancing the attractiveness of a tourism destination. This article describes the different parts of the positioning process and applies it to the case of positioning a U.S. destination to Japanese visitors.     

Competitiveness attributes of a medical tourism destination: The case of South Korea with importance-performance analysis

This study aims to explore the importance and performance of medical tourism destination competitiveness (TDC). The aims were achieved by collecting empirical data on the perceptions of stakeholders in the medical tourism industry in South Korea. Results from the importance–performance analysis (IPA) revealed that medical TDC is primarily influenced by medical treatments and services, destination attributes, and tourism-specific factors. This study not only enhances tourism literature, but also contributes significantly to the existing literature on competitiveness. The study provides useful marketing insights for medical tourism suppliers in South Korea and countries in similar situations with the relevant industry.     

Gay tourism in a sun and beach destination

Gay tourism is seen as an attractive business opportunity for many destinations. However, there is a lack of research at identifying the resources necessary for success in this type of tourism. This work is aimed at filling this gap by using the premises of the resource based view and transfers them to the analysis of territories to identify the valuable resources that are required for a sun and beach destination to attract gay tourists. To this end, this study has focused on a gay tourism sub niche, tourists lodged in gay-exclusive resorts in Gran Canaria. In order to confirm the validity of this approach, the relationship between the satisfaction of gay tourists and the condition of the valuable resources was studied by means of a robust statistical new method, namely Bayesian model averaging. That method permits the inclusion of uncertainty in the theoretical models that determine destination competitiveness, thus reducing many of the problems that arise in the application of the more conventional statistical methods in this type of analysis.     

The effects of environmental and luxury beliefs on intention to patronize green hotels: the moderating effect of destination image

Recent research has demonstrated a disconnect between environmental beliefs and behavior when it comes to the consumption of hospitality products. Unfortunately, while many consumers believe that hotels should engage in green practices, there is mounting evidence that such beliefs do not necessarily translate into actual purchases of sustainable products. The purpose of this research is to examine this issue by developing an integrated framework establishing the relationships among the beliefs, attitudes, and behaviors associated with the consumption of the green hotel product. In particular, we are concerned with the effects of consumers' beliefs regarding the luxury-based trade-offs associated with staying in green hotels. Additionally, we seek to establish the role of destination image as a determinant of the relationships specified in the proposed nomology. The results support our overall hypothesis that the established disconnect between environmental values and sustainable hospitality consumption behavior is at least partially attributable to the cognitive evaluation of the attributes of the hotel's destination. Specifically, our results show that, while the belief that green hotels are less luxurious translates to unfavorable attitudes toward green hotels in urban tourism destinations, this relationship does not occur in nature-based tourism destinations.     

Decisive factors in medical tourism destination choice: A case study of Isfahan,Iran and fertility treatments

The birth of the first in vitro fertilized baby, followed by further advances in the field of assisted reproductive technology (ART) has made this technology one of the most attractive tourism innovations among the different categories of medical tourism. In addition, factors such as legal, moral, religious and ethical issues play important roles in choosing reproductive tourism destinations. The aim of this study was to examine the factors influencing destination choice in infertile couples who referred to the Isfahan Fertility and Infertility Center in Isfahan, Iran. Field evaluation was carried out based on a documentary survey and questionnaire completed by interviewers. Among a target group of 80 infertile couples, 67 were interviewed. The majority of participants in this study were Muslim couples who traveled for reproductive tourism to Iran. It can be concluded that religious affinity may have paramount importance in reproductive medical tourism for Muslim infertile couples.     

Participation as motif in community-based tourism: a practice perspective

Community-based tourism (CBT) is a diversely interpreted term, which has presented understanding and practice contests. These contests highlight the centrality (or not) of participation in CBT, and even its developmental failure. We attempt to move the conversation away from whether and how much participation exists to focus on emic interpretations of how CBT is experienced. As such, our focus is on how and why communities participate in CBTs, as informed by practice theory. We examine how participation might be understood and explained across three cases from Kenya, namely Il Ngwesi, Lumo Wildlife Sanctuary and Mwaluganje Elephant Sanctuary. The data were obtained through in-depth interviews, participant observation and documented sources. The findings highlighted that CBT was a response to contextual challenges, led by the community elders. Community participation was often through representation, which is interpreted in relation to local practices. Case narratives and thematic analysis demonstrated that community participation appeared across the cases as a recurrent practice, or motif, its different forms influenced by local sociocultural, economic and sometimes political tensions in each case environment. Understanding how community participation takes place in different settings informs possibilities for realizing and enhancing tourism-led community development strategies, freeing participation from apparent Western standards.     

Celebrity endorsements in destination marketing: A three country investigation

The present study extends research on the role of celebrity endorsements in destination marketing by exploring various facets of the effect of celebrity endorsements in destination marketing on the consumer. More specifically, theories of source credibility, congruence, social identity and consumer cosmopolitanism, are used to build research questions that investigate the relative effectiveness of a celebrity endorsed tourism advertisement vis a vis a generic advertisement and the boundary conditions governing the same such as destination type (local/global), celebrity country of origin and consumer level factors. The research questions are addressed using four experimental studies in sequence. The same four experiments are run in three countries with different socio-cultural backgrounds to enhance generalization, with a combined sample size of 1073 respondents. Major findings suggest that a celebrity endorser is effective for a destination advertisement. Significant cross-country differences were observed in consumer affect depending on the choice of celebrity (local or global) and the destination type (i.e., domestic or international). The effects are also moderated by consumer cosmopolitanism. The study has multiple theoretical and managerial implications.     

Travel blogs on China as a destination image formation agent: A qualitative analysis using Leximancer

The Internet spreads tourism information around the world and specifically travel blogs function as an online version of word-of-mouth (eWOM). This research explored the role of blogs as a destination image formation agent for China's inbound tourism. Data were collected from 630 bloggers who wrote on two blog websites about their travels within China in 2011 and 2012. The bloggers on TravelBlog.org and TravelPod.com were mainly from English-speaking countries. Qualitative analysis using Leximancer software was applied and identified nine major textual themes and the relationships among these themes. In order of relative importance, the themes were place, Chinese, people, food, train, city, hotel, China, and students. The research indicated that international tourists tended to have positive images of China.     

Fashioning a destination tourism future: The case of Slovenia

Achieving competitive advantage for any destination in times of rapid global change requires tourism stakeholders to have a clear understanding of the direction of change and its implications for business or destination management. The challenges are particularly acute for emerging destinations such as Slovenia. The paper discusses tools for measuring destination performance with particular focus on Importance-Performance Analysis (IPA). Using IPA the paper develops a priority ordering for Slovenian tourism stakeholders to debate, modify and to adopt actions that can help them prepare for the challenges arising from global trends. The survey instrument used for this study asks respondents to highlight both the important areas that should be addressed by tourism stakeholders in Slovenia and also the performance of Slovenia in respect of the success or otherwise of the strategies that are currently being pursued to enhance destination competitiveness. The findings reveal that there are a number of areas in which the Slovene tourism industry considers itself to be underperforming in the implementation of strategies to eliminate drift. The paper explores some of the implications of the findings for strategic action and implementation, making some concluding comments on destination development strategy while highlighting areas for further research.     

Investigating the interplay among the Olympic Games image,destination image,and country image for four previous hosts

ABSTRACT

This research tested the triangular relationships among country image, destination image, and Olympic Games image using a quasi-experimental design on an online platform. One month before the 2016 Olympics in Brazil, four groups of respondents were randomly assigned to a country context to rate their perceptions of one of the following host countries: England, United Kingdom (UK), Greece, Brazil, or Russia. Brazil's image was measured again one month after the Olympic Games. Comparison of groups showed that England had the strongest country image while Brazil and Greece had stronger destination images, and Russia had the lowest score in both domains. The Olympics image was stronger than both Russia’s country and destination images. Theoretical, managerial, and methodological implications are discussed.