(1) Background: Tourism is a prominent industry with the capability to generate income for developed as well as developing countries. However, studies are still lacking, particularly those specifically investigating the perception of local residents towards tourism. The perception of the locals is important, since it could determine the extent of their support for tourism development. In addition, previous research has found that male residents are more supportive towards tourism development. Therefore, this factor is adapted in this study to additionally examine whether gender may influence the tourism industry. (2) Methods: This study used Structural Equation Modeling (SEM) technique for determining the structural estimates between constructs. (3) Results: The respondents agree that positive perception, negative perception and tourism impact have a significant impact on support for tourism development, which has been recognized as a Social Exchange Theory model. Moreover, the findings also reveal that gender has the potential to moderate the causal effects of tourism impact on tourism development. (4) Conclusion: The residents understand the tourism sector could strengthen the national economy, but they also want natural resources to be protected.

Medical tourism is nothing new for certain develop and developing countries. This industry is a good money generator to help economic growth and balance of payment of a country. This paper will identify several issues faced by Malaysia in its quest to remain competitive in this industry. The study is aimed to determine which factor is the most importance in providing a high contribution towards medical tourism. This research work assessed four dimensions under human capital construct, and also four dimensions under the physical infrastructure construct. The study also included one mediator construct linking the relationship between each exogenous construct and the intended endogenous construct namely the behavioural loyalty. The study employed stratified sampling method to obtain random sample from foreign tourists seeking treatments in three cities namely Kuala Lumpur, Malacca and Penang. The study utilises partial least square path modelling (PLS-PM). Finally, the result revealed that human capital, high technology, physical infrastructure, and patient satisfaction have positive impact on patient loyalty. Furthermore, the human capital construct was seemed the most importance factor in contributing to the success of medical tourism.

1) Background: Tourism is one of the prominent industry that has a capability to generate handsome income for developed as well as developing countries. However, the study to investigate specifically the perception of local residents towards tourism is still lacking. The perception of the locals is important since it could determine the extent of their support for tourism development. Plus, previous research found that male residents are more support better towards the tourism development. Thus, this factor is adapted as well in this study to examine whether this gender may influence to the tourism industry. 2) Methods: This study used Structural Equation Modeling (SEM) technique for determining the structural estimates between constructs. 3) Results: The respondents agree that positive perception, negative perception and tourism impact has a significant impact on support for tourism development in which has been recognized as Social Exchange Theory model. Moreover, the finding also revealed that gender has a potential to moderates the causal effect of tourism impact on tourism development. 4) Conclusion: The resident understand the tourism sector could strengthen economic nation but they also want the natural resources should be protected.

Medical tourism is nothing new for certain develop and developing countries. This industry is a good money generator to help economic growth and balance of payment of a country. This paper will identify several issues faced by Malaysia in its quest to remain competitive in this industry. The study is aimed to determine which factor is the most importance in providing a high contribution towards medical tourism. This research work assessed four dimensions under human capital construct, and also four dimensions under the physical infrastructure construct. The study also included one mediator construct linking the relationship between each exogenous construct and the intended endogenous construct namely the behavioural loyalty. The study employed stratified sampling method to obtain random sample from foreign tourists seeking treatments in three cities namely Kuala Lumpur, Malacca and Penang. The study utilises partial least square path modelling (PLS-PM). Finally, the result revealed that human capital, high technology, physical infrastructure, and patient satisfaction have positive impact on patient loyalty. Furthermore, the human capital construct was seemed the most importance factor in contributing to the success of medical tourism.