PDF(Pubmed)
Abstract：
BACKGROUND: Health tourism is an important component that may influence the direction of development in a region. Mazandarn, Iran, is recognized as a highly sustainable market in the region because of its abundant natural resources, temperate temperature, and strategic geographical location. Therefore, considering the importance of health tourism and its existing potential in Mazandaran, Iran, this study was conducted with the aim of exploring a comprehensive perspective on local drivers in community-based health tourism industry development and factors affecting the attraction of health tourism.
METHODS: We conducted this study in Mazandarn, Iran, using a qualitative approach. Participants included a sample of Iranian people, aged 34-54 years, with previous history of health tourism or expert in it. Participants were selected from three different categories of the community: academic professionals in health tourism, managers in health tourism, and health tourists. Data were obtained via semi-structured in-depth interviews and focus group discussions. Inductive qualitative content analysis was used to converge and compare themes through participant data. The interviews kept going until data saturation was achieved.
RESULTS: Based on our findings, we distilled local drivers in community-based health tourism industry development into five main categories and 30 subcategories: (Sharifabadi AM, Ardakani FA. A model for health tourism development using fuzzy TOPSIS and interpretive structural modeling in Yazd province. J Health Adm (JHA). 2014;17:55.) infrastructure and resources; (Hemmati F, Dabbaghi F, Mahmoudi G. Investigating the impact of Information Technology on the status of Health Tourism in Mashhad, Iran. Revista Publicando. 2018;5(15):54-65.) tourist attractions; (Sarabi Asiabar A, Rezapour A, Raei B, Tahernezhad A, Alipour V, Behzadifar M. Economic, Cultural, and Political Requirements for Medical Tourism Development in Iran: Insights from a Fuzzy Analytical Hierarchy Process Method. Med J Islamic Repub Iran. 2022;35:199.) socio-cultural contexts; (Mosadeghrad AM, Sadeghi M. Medical tourism: Reasons for choosing Iran. Payesh (Health Monitor). 2021;20(2):145-66.) economic-financial factors; and (Manna R, Cavallone M, Ciasullo MV, Palumbo R. Beyond the rhetoric of health tourism: shedding light on the reality of health tourism in Italy. Curr Issues Tourism. 2020;23(14):1805-19.) political-communicative factors. The findings of the study showed that, from the participants\' point of view, although there are several strategies, such as the development of public service and tourism infrastructure, increasing tourist attractions, and formulating appropriate policies and procedures for the development of health tourism, they are also faced with many challenges, especially political, economic, and cultural challenges.
CONCLUSIONS: This study showed that improving infrastructure and resources, promoting tourist attractions, informing socio-cultural contexts, improving economic and financial capacity, and developing political and communicative contexts might increase the attraction of health tourists. The suggested components are not contextually driven, although empirical outcomes may differ based on the level of service offerings in health tourism locations.
METHODS: We conducted this study in Mazandarn, Iran, using a qualitative approach. Participants included a sample of Iranian people, aged 34-54 years, with previous history of health tourism or expert in it. Participants were selected from three different categories of the community: academic professionals in health tourism, managers in health tourism, and health tourists. Data were obtained via semi-structured in-depth interviews and focus group discussions. Inductive qualitative content analysis was used to converge and compare themes through participant data. The interviews kept going until data saturation was achieved.
RESULTS: Based on our findings, we distilled local drivers in community-based health tourism industry development into five main categories and 30 subcategories: (Sharifabadi AM, Ardakani FA. A model for health tourism development using fuzzy TOPSIS and interpretive structural modeling in Yazd province. J Health Adm (JHA). 2014;17:55.) infrastructure and resources; (Hemmati F, Dabbaghi F, Mahmoudi G. Investigating the impact of Information Technology on the status of Health Tourism in Mashhad, Iran. Revista Publicando. 2018;5(15):54-65.) tourist attractions; (Sarabi Asiabar A, Rezapour A, Raei B, Tahernezhad A, Alipour V, Behzadifar M. Economic, Cultural, and Political Requirements for Medical Tourism Development in Iran: Insights from a Fuzzy Analytical Hierarchy Process Method. Med J Islamic Repub Iran. 2022;35:199.) socio-cultural contexts; (Mosadeghrad AM, Sadeghi M. Medical tourism: Reasons for choosing Iran. Payesh (Health Monitor). 2021;20(2):145-66.) economic-financial factors; and (Manna R, Cavallone M, Ciasullo MV, Palumbo R. Beyond the rhetoric of health tourism: shedding light on the reality of health tourism in Italy. Curr Issues Tourism. 2020;23(14):1805-19.) political-communicative factors. The findings of the study showed that, from the participants\' point of view, although there are several strategies, such as the development of public service and tourism infrastructure, increasing tourist attractions, and formulating appropriate policies and procedures for the development of health tourism, they are also faced with many challenges, especially political, economic, and cultural challenges.
CONCLUSIONS: This study showed that improving infrastructure and resources, promoting tourist attractions, informing socio-cultural contexts, improving economic and financial capacity, and developing political and communicative contexts might increase the attraction of health tourists. The suggested components are not contextually driven, although empirical outcomes may differ based on the level of service offerings in health tourism locations.
摘要：
背景：健康旅游是可能影响一个地区发展方向的重要组成部分。Mazandarn,伊朗,由于其丰富的自然资源，被认为是该地区高度可持续的市场，温带温度,战略地理位置。因此,考虑到健康旅游的重要性及其在Mazandaran的现有潜力，伊朗,这项研究旨在探索社区健康旅游产业发展的本地驱动因素和影响健康旅游吸引力的因素。
方法：我们在Mazandarn进行了这项研究，伊朗,使用定性的方法。参与者包括伊朗人民的样本，34-54岁,具有健康旅游的历史或专家。参与者从社区的三个不同类别中选出：健康旅游的学术专业人员，健康旅游经理，健康游客。数据是通过半结构化的深入访谈和焦点小组讨论获得的。归纳定性内容分析用于通过参与者数据进行主题融合和比较。访谈一直持续到数据饱和为止。
结果：根据我们的发现，我们将社区健康旅游业发展中的本地驱动因素提炼为五个主要类别和30个子类别：(SharifabadiAM，ArdakaniFA。亚兹德省基于模糊TOPSIS和解释结构模型的健康旅游开发模型。JHealthAdm(JHA).2014年；17:55。)基础设施和资源；(HemmatiF，DabbaghiF,MahmoudiG.调查信息技术对马什哈德健康旅游状况的影响，伊朗。RevistaPublicando.2018年；5（15）：54-65。)旅游景点；(SarabiAsiabarA，RezapourA,RaeiB,TahernezhadA,AlipourV,BehzadifarM.经济，文化,伊朗医疗旅游发展的政治要求：来自模糊层次分析法的启示。MedJ伊斯兰共和国伊朗。2022年；35:199。)社会文化背景；(MosadeghradAM，SadeghiM.医疗旅游：选择伊朗的原因。Payesh（健康监测）。2021年；20（2）：145-66。)经济金融因素；和(MannaR，CavalloneM,CiasulloMV,PalumboR.超越健康旅游的修辞：揭示意大利健康旅游的现实。本币问题旅游业。2020；23（14）：1805-19。)政治交际因素。研究结果表明,从参与者的角度来看，尽管有几种策略，例如公共服务和旅游基础设施的发展，不断增加的旅游景点，制定发展健康旅游的适当政策和程序，他们也面临着许多挑战，尤其是政治,经济,文化挑战。
结论：这项研究表明，改善基础设施和资源，促进旅游景点，告知社会文化背景，提高经济和金融能力，发展政治和交际环境可能会增加健康游客的吸引力。建议的组件不是上下文驱动的，尽管经验结果可能会有所不同，基于健康旅游地点的服务水平。
方法：我们在Mazandarn进行了这项研究，伊朗,使用定性的方法。参与者包括伊朗人民的样本，34-54岁,具有健康旅游的历史或专家。参与者从社区的三个不同类别中选出：健康旅游的学术专业人员，健康旅游经理，健康游客。数据是通过半结构化的深入访谈和焦点小组讨论获得的。归纳定性内容分析用于通过参与者数据进行主题融合和比较。访谈一直持续到数据饱和为止。
结果：根据我们的发现，我们将社区健康旅游业发展中的本地驱动因素提炼为五个主要类别和30个子类别：(SharifabadiAM，ArdakaniFA。亚兹德省基于模糊TOPSIS和解释结构模型的健康旅游开发模型。JHealthAdm(JHA).2014年；17:55。)基础设施和资源；(HemmatiF，DabbaghiF,MahmoudiG.调查信息技术对马什哈德健康旅游状况的影响，伊朗。RevistaPublicando.2018年；5（15）：54-65。)旅游景点；(SarabiAsiabarA，RezapourA,RaeiB,TahernezhadA,AlipourV,BehzadifarM.经济，文化,伊朗医疗旅游发展的政治要求：来自模糊层次分析法的启示。MedJ伊斯兰共和国伊朗。2022年；35:199。)社会文化背景；(MosadeghradAM，SadeghiM.医疗旅游：选择伊朗的原因。Payesh（健康监测）。2021年；20（2）：145-66。)经济金融因素；和(MannaR，CavalloneM,CiasulloMV,PalumboR.超越健康旅游的修辞：揭示意大利健康旅游的现实。本币问题旅游业。2020；23（14）：1805-19。)政治交际因素。研究结果表明,从参与者的角度来看，尽管有几种策略，例如公共服务和旅游基础设施的发展，不断增加的旅游景点，制定发展健康旅游的适当政策和程序，他们也面临着许多挑战，尤其是政治,经济,文化挑战。
结论：这项研究表明，改善基础设施和资源，促进旅游景点，告知社会文化背景，提高经济和金融能力，发展政治和交际环境可能会增加健康游客的吸引力。建议的组件不是上下文驱动的，尽管经验结果可能会有所不同，基于健康旅游地点的服务水平。
