Quality, Value? – Insights into Medical Tourists’ Attitudes and Behaviors

Prajitmutita, Lyn Manassannan; Perényi, Áron; Prentice, Catherine

doi:10.1016/j.jretconser.2016.04.005

Cited by 34 publications

(19 citation statements)

References 65 publications

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“…Values have been shown to influence attitudes relevant to behaviors in sustainability contexts [ 43 ]. Medical tourists’ attitudes derived from values can be defined as a predictor of behaviors that constitute the final phase in the VAB hierarchy [ 43 , 44 ]. In the health tourism setting, consumer value is the key element that inspires their attitude toward healthy practices [ 35 ].…”

Section: Literature Reviewmentioning

confidence: 99%

Does International Travel Frequency Affect COVID-19 Biosecurity Behavior in the United States?

Kim

Hall

Bonn

2021

IJERPH

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High-quality biosecurity practices are critical to restarting international tourism. Effective market segmentation improves the communication and efficacy of health advice. Travel frequency is an important basis for health-related consumer segmentation, as it is closely related to risk of greater exposure to infectious diseases. Theoretically grounded studies of tourist biosecurity behavior and travel frequency have largely been neglected, although insights into practices and attitudes are especially relevant for coronavirus disease of 2019 (COVID-19 (coronavirus disease of 2019) health responses. Therefore, this research constructed and tested a conceptual model applying Value–Attitude–Behavior theory to US travelers to see whether the frequency of international travel affected tourist COVID-19 related biosecurity behavior. US respondents were drawn from a panel using a quota sampling technique according to the age and gender of American outbound tourists. An online survey was administered in September 2020. The responses (n = 395) of those who traveled internationally within five years were analyzed utilizing partial least squares-structural equation modeling (PLS-SEM) with multi-group analysis. Travel frequency significantly affects biosecurity behavior. High travel frequency (≥8 trips) has the strongest effect of value on biosecurity attitudes, personal norms, social norms, and biosecurity social norms, leading to biosecurity behaviors. Biosecurity behaviors pertaining to medium travel frequency (4–7 trips) are significantly influenced by personal norms. At low travel frequency (1–3 trips) levels, biosecurity behaviors are stimulated by biosecurity attitudes and social norms, showing the highest predictive power among the three groups. This work provides insights into international travel consumer biosecurity practices and behavior. From a market segmentation perspective, the levels of international travel frequency have various influences on biosecurity values, attitudes, personal norms, social norms, and behaviors. The biosecurity behaviors of low-frequency travelers are found to be the most significant of the three groups, suggesting that individuals who travel less frequently are more likely to practice responsible COVID-19 biosecurity behavior.

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Section: Literature Reviewmentioning

confidence: 99%

Does International Travel Frequency Affect COVID-19 Biosecurity Behavior in the United States?

Kim

Hall

Bonn

2021

IJERPH

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“…In these studies, quality of health care consists of many factors, including service, medical staff, and quality, and patient-perceived value. 9,18,[22][23][24]30 Patients perceived a high level of service and medical quality in destination hospitals including the following: easy access to care, 23 the ability to communicate the treatment with health care providers, 23 trust relationship with physicians, 22,36 and obtained good health outcomes. 23 Manaf et al 9 conducted a survey of 173 international patients from 21 countries in Malaysian hospitals.…”

Section: Experience In Quality Of Health Carementioning

confidence: 99%

“…9,24,25,30 The perception of value contributes more to overall satisfaction than the service quality, and it directly influences the intention to revisit. 30 Service quality has an opposite effect on patient satisfaction and perceived value. Trust in the provider and the clinic contributes to patient satisfaction and is an effective indicator for the future intention to revisit.…”

Section: Experience In Quality Of Health Carementioning

confidence: 99%

An Integrative Review of Patients’ Experience in the Medical Tourism

Wang

2020

INQUIRY

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Medical tourism has emerged as an industry due to the constantly improved information technology and decreasing cost for transportation. Evidence on how medical tourists develop their medical travel and their experience keeps growing. This article aims to provide an integrative review to understand medical tourism from the patients’ perspective. PRISMA procedures were followed. All the literature was published from January 1, 2009, to May 4, 2019, in peer-reviewed journals in CINAHL and MEDLINE/PubMed. Johns Hopkins Nursing evidence level and quality guide were used to evaluate evidence level. Twenty-one studies including 8 quantitative, 10 qualitative, and 3 mix-method studies were reviewed. Low cost, short waiting list, quality, and procedures available were the motivators to treatment abroad. The Internet, former tourists’ testimonial, and physician and facilitators’ advice were the predominant resources consulted. Perceived value of medical quality directly affected patients’ overall satisfaction. Our integrative review has led to the identification of many factors related to medical tourist’s experience. We suggest further empirical researches on (1) the patients’ decision-making process of motivators and barriers, (2) the factors related to patients’ experience on the health care quality, and (3) the strategies to ensure the continuity of care.

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“…For example, Manca and Fornara [45] employed bipolar scales to measure respondents' attitudes based on the following adjectives: good-bad, appropriate-inappropriate, right-wrong, pleasant-unpleasant, boring-funny, harmful-beneficial and useful-useless. Prajitmutita and his co-authors [46] used satisfaction to measure customers' attitudes towards a product or service based on their degree of pleasure and fulfilment.…”

Section: Effects Of Emotion On Behaviormentioning

confidence: 99%

Visiting Intangible Cultural Heritage Tourism Sites: From Value Cognition to Attitude and Intention

et al. 2019

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Intangible cultural heritage (ICH) has recently become an important area of tourism development for many countries that are home to such cultural resources. Within this context, the value of an ICH site has often been used to guide tourism development and policy making. In addition, community residents’ attitude and perception of ICH contribute to tourism development. In this study, we used the traditional firing technology of Longquan celadon in Zhejiang Province, China, as a case study to understand the relationships between value recognition and attitude along with the intention to visit the heritage site. We surveyed 368 residents and conducted path analysis to test such relationships. Findings revealed significant positive correlations between residents’ cognition of ICH value, their attitudes and travel intentions. Among them, attitudes played a mediating role in the formation of value cognition to travel intention. These findings offer insights into ICH-related tourism development, particularly regarding tourism product design, marketing and post-development evaluation, as well as the conservation of ICH sites.

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Quality, Value? – Insights into Medical Tourists’ Attitudes and Behaviors

Cited by 34 publications

References 65 publications

Does International Travel Frequency Affect COVID-19 Biosecurity Behavior in the United States?

Does International Travel Frequency Affect COVID-19 Biosecurity Behavior in the United States?

An Integrative Review of Patients’ Experience in the Medical Tourism

Visiting Intangible Cultural Heritage Tourism Sites: From Value Cognition to Attitude and Intention

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