Tourist engagement has recently emerged in both academic and practitioner discussions. However, empirical inquiry on tourist engagement as a predictor of tourist citizenship behavior is scarce. The purpose of this research is to investigate the relationship between tourist engagement, relationship quality, and tourist citizenship behavior in hotels. Participation and social interaction have been considered the tourist engagement dimensions. Relationship quality as a multidimensional variable included satisfaction, trust, commitment, and intimacy, while tourist citizenship behavior is defined as a unidimensional variable. A structural equations approach was applied to the 690 data sets obtained from travelers of selected hotels. The results indicate that tourist engagement dimensions have a positive impact on the relationship quality dimensions. On the other hand, the effect of relationship quality dimensions on tourist citizenship behavior has been positive. This research can help researchers and hotel managers find ways to strengthen relationship quality between hotels and customers. Regarding hotels’ limited resources for promotional activities, the results could help managers formulate plans to persuade tourists to express citizenship behavior toward hotels, which help hotels establish competitive advantages.

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Purpose The purpose of this review paper was identifying barriers to the use of telemedicine systems in primary health-care individual level among professionals. Design/methodology/approach This study used Scopus and PubMed databases for scientific records identification. A systematic review of the literature structured by PRISMA guidelines was conducted on 37 included papers published between 2009 and 2019. A qualitative approach was used to synthesize insights into using telemedicine by primary care professionals. Findings Three barriers were identified and classified: system quality, data quality and service quality barriers. System complexity in terms of usability, system unreliability, security and privacy concerns, lack of integration and inflexibility of systems-in-use are related to system quality. Data quality barriers are data inaccuracy, data timeliness issues, data conciseness concerns and lack of data uniqueness. Finally, service reliability concerns, lack of technical support and lack of user training have been categorized as service quality barriers. Originality/value This review identified and mapped emerging themes of barriers to the use of telemedicine systems. This paper also through a new conceptualization of telemedicine use from perspectives of the primary care professionals contributes to informatics literature and system usage practices.

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