Assessment of the Partnership Quality between Travel Agencies and Health Care Organizations on the International Medical Tourism Market in Taiwan

The medical tourism literature lacks insight into related issues of these types of partnerships. Those that integrate multiple perspectives into one research framework are especially rare. This study evaluated and compared the influence of external environment uncertainty, trust, and resource dependence perspectives on the quality of interorganizational partnerships in the international medical tourism market and quantified these elements using external environment uncertainty assessment on the international medical tourism development. The research sample was based on a survey from 161 travel agency managers in Taiwan. This study found that external environment uncertainty has direct negative impact on trust and resource dependence has a positive influence on interorganizational partnership. Moreover, trust has a significant impact on partnership quality while resource dependence does not. Therefore, medical travel agents should extend their network of trustworthy health care organization partners in order to improve performance, decrease their self-risk, collect information, and avoid missed opportunities.     

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.     

Persian literary heritage tourism: travel agents’ perspectives in Shiraz,Iran

Literature is a cultural component and literary niche tourism is a novel strategy for preserving and transferring literature heritage. This research has four major purposes: (1) to discover why Shiraz can be a destination for promoting literary tourism in Iran; (2) to identify strategies for stimulating this niche tourism; (3) to measure travel agents’ awareness of literary tourism; and (4) to investigate the attitude of travel agent managers towards this niche market. The results illustrated that travel agents are interested in the literary tourism development and they have a high interest in offering and organizing literary tours for tourists, but they are not familiar with this concept.     

论当代旅游发展理论的构建:理念、框架与要点

随着大众旅游初级阶段的到来,我国旅游业也相应进入了国家战略体系,加上旅游教育和人才培养层次的提升,基于中国学术立场和现实诉求的理论创新已是当务之急。在分析总结旅游发展阶段特征和当代旅游发展的核心价值取向的基础上,文章提出了当代旅游发展理论的核心观点:构建以旅游法为核心的国家意志体系,以旅游经济监测与预警为中心的宏观调控体系,以游客满意为导向的微观监管体系。     

The evolution of coastal tourism destinations: a path plasticity perspective on tourism urbanisation

Evolutionary and relational approaches to economic development are gaining ground in geography as a discipline, although in the subfield of tourism geography, their potential is only just becoming recognised. This article focuses on the evolution of mature tourism destinations, taking the path dependency concept forward from the notion of path creation into the new domain of path plasticity. Drawing on the notion of cultural political economy, we examine how tourism destinations can break with path dependency routines incrementally and move steadily towards different future paths, which may recast tourism in a different light in the overall “urban” context of the destination. Using a case study of a Mediterranean coastal destination on Catalonia's Costa Daurada, we explore the inter-tangled tourism and urban development processes in relation to the socio-spatial dimensions of urban change. The article argues for a wider range of social and cultural criteria in the analysis of tourism evolution – advocating the use of path plasticity and a cultural political economy approach – to offer an alternative perspective on shifting tourism situations, reflecting the inherently “urbanising” nature of tourism development in the traditional coastal resort context. It adds to the growing literature on governance and strategy-making in sustainable tourism.     

South Korea's Medical Tourism Destination Brand Personality and the Influence of Personal Values

Adopting Aaker's brand personality scale, this study aimed to determine South Korea's medical tourism destination personality. Based on a survey of US consumers, the results indicate that South Korea's medical tourism destination personality comprised three dimensions: sincerity, competence, and ruggedness. Furthermore, sincerity and competence positively influenced consumers' willingness to travel to South Korea for medical care. This study also found that personal values, in particular excitement, self-respect, sense of belonging, and being well respected, were significant positive predictors of South Korea's medical tourism destination personality. Marketing implications of the findings are discussed, and suggestions for future research are offered. This study serves as a starting point for further research on medical tourism destination brand personality.     

Interpretive structural modeling of quality factors in both medical and hospitality services in the medical tourism industry

This study aims to theoretically integrate quality factors of both medical and hospitality services in medical tourism. Medical tourism comprises both medicine and tourism. Although the core product in medical tourism is medical treatment, attractive hospitality and travel options are also essential. Despite the dual nature of medical tourism, the two aspects of this concept have not been integrated in a unique framework. This study attempts to fill this gap using interpretive structural modeling (ISM). According to ISM, although factors of medical services and hospitality services are independent from each other, these factors have vital impacts on perceived value, satisfaction, and loyalty.     

中国海洋旅游装备制造业的发展障碍和战略路径

旅游业快速增长带动了旅游装备制造业的发展,但海洋旅游装备制造业的发展相对滞后。研究构建了海洋旅游装备制造业的产业动态匹配分析框架,识别产业发展的个性障碍、探讨共性障碍的个性化表现形式,并厘清障碍之间的关系,最终通过战略路径构造来移除或者克服这些障碍。研究认为：（1）海洋旅游装备制造业存在其个性化障碍,其与装备制造业的共性障碍也存在其个性化表现形式。（2）障碍之间的关系表现为宏观、中观和微观3个层面的子系统,从高层级到低层级,两两之间存在匹配扭曲障碍。高层级的子系统存在障碍使其阻碍低层级子系统的发展,而低层级子系统存在障碍使其不能适应高层级子系统的发展及其管理者刻意行为。（3）海洋旅游装备制造业应该实施以下产业发展战略。首先,政府主管部门应该提供“区域集中化”的战略路径支持。其次,产业可以进行“成立行业协会-争取政策支持”“成立产业联盟-完善产业链”和“培育主导企业-打造区域品牌”的战略路径引导。最后,企业原有的“低成本战略路径”应该转换为“产品差异化战略路径”“技术创新战略路径”和“资本聚焦战略路径”。研究结论能够在一定程度上提高海洋旅游装备制造业的产业效率,并为海洋旅游的高质量发展提供借鉴。     

中国古代旅游研究综述

20世纪30年代以来,关于中国古代旅游研究的成果陆续出现,目前尚无有关研究的全面综述。该文分别对早期中国古代旅游研究以及中国古代旅游文学、旅游史、旅游文化、旅游地理与旅游经济研究现状做了概要梳理,并以中国知网期刊论文为数据来源进行统计分析,认为1997年以后中国古代旅游研究有所发展,现有成果的研究重点分别为中国古代以及明清、唐宋旅游,长江中下游地区旅游,旅游史、旅游文化与旅游文学。基于以上梳理与分析,研究认为中国古代旅游研究的进一步发展需要突破视域、理论、方法以及实用性评价标准的局限。     

Tourism destination decisions: the impact of risk aversion and prior experience

This study broadly explores the impact of risk aversion on tourists' destination decisions and, in particular, explores for differences in individuals' leisure and medical tourism destination decisions. The results of this study indicate that risk aversion significantly distinguishes tourists' destination decisions in both leisure and medical tourism in Indonesia, but not in Singapore. All risk-averse groups are less likely to visit Indonesia than Singapore for leisure and medical purposes. By contrast, all risk-averse groups are likely to visit Singapore for leisure purposes, although they remain unlikely to travel to Singapore for medical tourism. In addition, the study found that the impact of prior experience on the likelihood that the two risk-averse groups will travel to Indonesia and Singapore for leisure was significant. Conversely, the effects of prior experience on medical tourism generally do not significantly differ between the two countries.     

Health-care tourism — an exploratory study

This article explores the concept of health-care tourism. It is based on a pilot study that involved a survey of 206 travellers, 22 travel agents, 12 medical doctors and two herbalists; a review of the tourism and travel literature; and content analysis of 284 travel brochures about 24 countries. Healthcare tourism is defined, the sample, methods of data collection, findings, and implications are discussed, and future research areas suggested. Health-care tourism can be used to define an effective marketing strategy.     

Medical Tourism—Attracting Japanese Tourists For Medical Tourism Experience

This study aimed at examining the intention of Japanese tourists to travel to Korea in a medical tourism context by applying the Theory of Planned Behavior (TPB). A total of 237 responses were analyzed via structural equation modeling to test two dimensions of medical tourism models. A total of 14 salient belief items in the health treatment model and 16 salient belief items in the beautification model were identified. Reshaping dimensions of medical tourism and the proved applicability of the TPB extends the knowledge of medical tourism and understanding of Japanese tourists' travel intentions in a medical tourism context. The findings indicate the industry practitioners should put effort into attracting Japanese medical tourists. This research has shown that authorities should influence word-of-mouth information exchange and should seek feedback to develop marketing strategies. Publicity should be coordinated with professional bodies in the originating and destination countries. The research further indicates that regulatory and safety regulations must be in place with easy access to information.     

Asia Pacific Tourism Trends: Is the Future Ours to See?

This paper explores current and emerging tourism trends in the Asia Pacific region via content analysis of industry publications and subsequent review of related academic literature. Experience economy and activity-oriented travel lead the development of the sector in the region and impact other trends. Economic growth, favourable political environment and improved infrastructure have sustained continual growth in visitor numbers from long-haul and intra-regional markets. However, the profile of travellers and their interests are increasingly diverse. Additionally, technology has been playing a significant role in hospitality and tourism industries, while human resources remain one of the biggest challenges in the region. Despite the huge increase in academic literature on sustainability, the industry has not appeared to be engaged with the subject. A number of knowledge gaps are identified for future research to better understand tourism development in the Asia Pacific region.     

Tourism strategy development and facilitation of integrative processes among brand equity,marketing and motivation

With the absence of heavy industry and pollution from intense commercial development, Kinmen is a significant source of additional value for tourism in Taiwan. This calls for in-depth studies on tourism marketing, brand equity and travel motivation in Kinmen. This study attempts to identify the important attributes of Kinmen tourism and extend the related literature on marketing strategy, brand equity and travel motivation by employing a combination of the fuzzy Delphi method (FDM), decision-making trial and evaluation laboratory (DEMATEL) and analytic network process (ANP) approaches to demonstrate the interactions and relations among critical criteria. The FDM identified the critical attributes, which were used in DEMATEL analysis to demonstrate that brand equity has direct and indirect influences on marketing strategy and travel motivation. The use of the ANP with global weighting further reveals that travel intention is the most critical element of Kinmen tourism.     

Dental tourism: Examining tourist profiles,motivation and satisfaction

Despite the overwhelming interest in medical tourism research, knowledge in dental tourism, which is its subspecialty, remains limited. This study is the first to measure tourist profiles, travel motivation and satisfaction among inbound dental tourists in Malaysia. We purposely sampled twelve selected private dental clinics in Kuala Lumpur, Selangor, Melaka and Penang; and distributed the questionnaires to their inbound dental tourists. A total of 196 inbound tourists responded to the questionnaire, mainly from Southeast Asia, Australia, New Zealand and Europe. In order of importance, the main motivation factors were dental care quality, dental care information access, and cost-savings. Tourists were extremely satisfied with dental care services received in the country. While dental care quality, dental care information access and supporting services positively influenced tourist satisfaction; cost-savings and cultural similarities had negative influences. Based on the research findings, we propose some managerial and marketing recommendations.     

反季旅游与旅游季节性平衡:研究述评与启示

季节性是旅游产业最重要的特征之一,对旅游业发展具有重要的影响作用。国内外学者对旅游季节性的含义、测度、成因和影响进行了大量研究,并提出了一些缓解旅游季节性的措施和方法。近年来渐渐兴起的反季旅游成为应对旅游季节性的有效措施。深刻理解反季旅游的内涵和特征,努力实现反季旅游常态化,能有效解决旅游季节性造成的产业失衡问题。但从国内外现有文献来看,有关反季旅游的研究成果却十分有限。文章的主要工作是对旅游季节性和反季旅游相关的国内外研究成果进行梳理,并进一步对反季旅游研究和开发的策略进行分析。首先,对气候与旅游方面的研究文献进行了简单回顾;其次,对旅游季节性的国内外研究成果进行了综述;然后,对反季旅游的概念和内涵进行了剖析和界定,并重点对利用反季旅游缓解季节性的研究成果进行了讨论;最后,提出了我国反季旅游开发的对策和建议。     

Partnerships in International Travel and Tourism Marketing: A Systems-Oriented Approach Between Australia,New Zealand,Germany and the United Kingdom

Abstract

Little empirical research has been conducted about international partnerships between travel and tourism organisations, airlines and their intermediaries such as wholesalers and travel agents. Nevertheless, these partnerships are important because tourism is becoming more international and most destinations have to compete at a global level. Moreover, both producers and intermediaries are increasingly using information technology to increase their knowledge and relationship with customers. Thus this research set out to develop and empirically confirm a systemic model of these partnerships and four related research objectives. The methodology involved multiple case studies based on in-depth interviews with key players in Australia, New Zealand, the United Kingdom and Germany. The first outcome is a confirmation of the systemic model. In addition, the findings show the reasons for engaging in partnerships and the scope for further partnerships among the industry players. As well, the findings show that while ‘disintermediation’ may occur because of the advancement of communication technology, the linkages between travel and tourism organisations, airlines and intermediaries are still significant. Our framework can assist public and private travel and tourism organisations to mutually develop and manage marketing strategies and tactics for overseas markets.     

A clear path towards sustainable mass tourism? Rejoinder to the paper ‘Organic,incremental and induced paths to sustainable mass tourism convergence’ by David B. Weaver

The paper forms a rejoinder to the paper by David Weaver (‘Organic, incremental and induced paths to sustainable mass tourism convergence’). It fully agrees with David Weaver that a sustainable development of tourism should focus on sustainable mass tourism development and not, as is currently the case, so much on niche products labelled ‘sustainable’. However, it critiques Weaver's operationalization of sustainability, his assumption that sustainable mass tourism (SMT) will be the ‘emergent norm’ due to external factors, and his destination development theory showing different paths that, however, all end in SMT. Finally it is shown that the path development idea might be at odds with systems thinking.     

国内外古镇旅游研究综述

随着我国旅游业的快速发展,旅游产品类型不断增加,古镇旅游日趋兴旺。文章通过对近年来相关文献的系统回顾,引证、比较、分析、评价了国内外古镇旅游研究的内容、方法及其结果,希望能够为古镇旅游研究提供有益的参考。     

以理性思维构建旅游学科

文章从对旅游学科尴尬处境的分析入手,讨论了如何以理性思维构建旅游学科问题.文章回顾了国内外旅游学术研究历程,提出并分析了旅游学科得以建立的三大基础,即文献基础、理论基础、人才基础以及各自的内容和特点.文章认为,旅游学科的文献基础包括学术研究文献、旅游实业界经营管理运作文献和政府的政策法规文献,以学术研究文献为核心和重点.最后,文章讨论了旅游学科的理论框架和研究方法论问题,认为旅游学科的理论框架由基础理论、专业理论和应用理论三个层面构成,最能体现旅游研究特点的方法论是跨文化比较研究.