ASPECTS OF THE SOCIO-ECONOMIC IMPACT OF HEALTH TOURISM
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Abstract
Tourism is considered as a powerful life force for economic and social development. The tourism sector stimulates economic growth both nationally and internationally, increasing employment and investment, with the export of services developing in both quantitative and qualitative terms. Tourism contributes to the preservation of cultural and natural heritage, it guarantees income which could be used to finance cultural heritage objects and infrastructures, promoting the overall perception of European identity and citizenship based on diversity and exceptionality (European Tourism Manifesto, 2022). In 2021, Lithuania Travel, a public enterprise, carried out research on the development of the tourism sector with the analysis of research findings provided by the expert group of the World Tourism Organisation (WTO) and the European Travel Commission (ETC). According to the research, the period of crisis caused by the COVID-19 pandemic, as well as the severe restrictions applied to the tourism sector in all countries, which not only had short-term negative effects, but also changed travel traditions and habits (increased demand for nature and domestic tourism, health, hygienic conditions and safety considered as the most important criterion when choosing a travel destination), is also relevant as Lithuania needs to maximise its potential by creating an image of a safe country with high standards of hygiene. According to the above-mentioned research, the integration of innovations and technological novelties in the tourism sector was also emphasised. In the course of the development of the tourism industry, of which the segment of health tourism is a part, with the ambition not only to reach the quantitative rates of 2019, but even to exceed them, it is reasonable to assess the socio-economic impact. The aim of this article is – to present aspects of socio-economic impact of health tourism on sending and receiving countries. During the systematic review of the research literature, the search for research articles was carried out in the following databases: Cambridge Journals Online; EBSCO; Emerald Publishing; SAGE Journals Online; Science direct; Tylor&Francis etc. The research articles included in the systemic research review cover the period from 1999 to 2023. The methods of comparative analysis, synthesis, graphical presentation and generalisation were used to present the research results. The study assessed the socio-economic impact of health tourism in two areas: positive and negative impact on the countries that send and receive tourists. The analysis of the research literature carried out has shown that if the appropriate regulatory mechanism of health services is not ensured, as well as the appropriate and fair distribution of income from health tourism activities, it may be difficult for low-income social groups to receive timely health services. Therefore, during the development of the health tourism industry, special attention should be paid to ensuring equal access to health services for all social groups, as well as to the training of competent professionals working in health tourism organisations.
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health tourism, social-economic impact, health tourism structure
Akgün, A. E., & Kirçovali, S. Y. (2015). Organizational wisdom and its impact on firm innovation and performance. Doğuş Üniversitesi Dergisi, (16) 2, 193–202. Available at: http://journal.dogus.edu.tr/index.php/duj/article/view/895
Baukutė, G. (2012). Medical tourism: the analysis of positive aspects of establishing medical tourism sector in Lithuania. Available at: http://www.etd.ceu.hu/2012/baukute_gabija.pdf
Bajwa, S. U., Kitchlew, N., Shahzad, K., & Rhman, K. U. (2018). Public–Private Partnership (PPP) as an Interdependent Form (I-Form) Organization. International Journal of Public Administration, (41) 11, 859–867. DOI: https://doi.org/10.1080/01900692.2017.1298610
Bierly P. E. III, Kessler E. H., & Christensen E. W. (2000). Organizational learning, knowledge and wisdom. Journal of Organizational Change Management, (13) 6, 595–618. ISSN: 0953-4814
Andreeva, N. (2017). Wpływ turystyki zdrowotnej na kapitał ludzki. Wybrane aspekty. Studia i Prace WNEIZ US, (42) 2, 9–18. DOI: https://doi.org/10.18276/sip.2017.47/2-01
Abd Rashid, I. M., Ibrahim, S., & Yusoff, W. S. (2020). Recent Performance in Singapore's Tourism Industry Using normality Test, Correlation&Regression Analysis: The Effect of Medical Tourism, Service Sector & Exchange Rate. European Journal of Molecular & Clinical Medicine, (11) 7, 209–216. ISSN 2515-8260.
Beladi, H., Chao, C.-C., Ee, M. S., & Hollas, D. (2019). Does Medical Tourism Promote Economic Growth? A Cross-Country Analysis. Journal of Travel Research, (58) 1, 121–135. DOI: https://doi.org/10.1177/0047287517735909
Bulut, A., & Sengul, H. (2019). Health Tourism in Turkey and The World. Journal of Management, Economic and Marketing Research, (3) 1, 45–62. DOI: https://doi.org/10.29226/TR1001.2019X
Baukutė, G. (2012). Medical tourism: the analysis of positive aspects of establishing medical tourism sector in Lithuania. Public Policy Master’s Theses, Central European University, Budapest, Hungary. Available at: https://www.etd.ceu.edu/2012/baukute_gabija.pdf
Benhacine, D., Hanslbauer, T., & Nungesser, S. (2008). German Health and Wellness Vacationers: Market Analysis and Recommendations. Selective Tourism, (3) 1, 32–52.
Chee, H. L. (2010). Medical Tourism and the State in Malaysia and Singapore. Global Social Policy, (10) 3, 336–357. DOI: https://doi.org/10.1177/1468018110379978
Chen, Y. Y., & Flood, C. M. (2013). Medical tourism's impact on health care equity and access in low- and middle-income countries: making the case for regulation. J Law Med Ethics, (41) 1, 286–300. PMID: 23581671. DOI: https://doi.org/10.1111/jlme.12019
Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, (34), 1–13. DOI: https://doi.org/10.1016/j.tourman.2012.05.009
Cohen, E. (2008). Medical Tourism in Thailand. AU-GSB e-journal, (1) 1, 24–37. Available at: http://www.assumptionjournal.au.edu/index.php/AU-GSB/article/view/381/335
Dragičević, D., & Paleka, H. (2019). Health tourism market in Poland and Croatia – financial effects and potentials. Tourism in Southern and Eastern Europe, (5), 219–232. DOI: https://doi.org/10.20867/tosee.05.5
Erdem, H. (2021). The Role of Health Tourism in the Development of the Country and its Impacts on Employment. PhD thesis: Istanbul Rumeli University.
European Commission (2015b). Cross-border healthcare report highlights advances and efforts at EU and national levels. Health and Food Safety, 3 September. Available at: http://ec.europa.eu/dgs/health_food-safety/dyna/enews/enews.cfm?al_id=1616
Fetscherin, M., & Stephano, R. M. (2016). The medical tourism index: Scale development and validation. Tourism Management, (52), 539–556. DOI: https://doi.org/10.1016/j.tourman.2015.08.010.
Faisal, M., & Dhusia, D. K. (2020). Health Tourism: A New Driver for Development. Advances in Economics and Business Management (AEBM), (7) 2, 50-56. e-ISSN: 2394-1553.
Gan, L. L., & Frederick, J. R. (2011). Medical tourism facilitators: Patterns of service differentiation. Vacation Marketing, (17) 3, 165–183. DOI: https://doi.org/10.1177/135676671140918
Global SPA Summit (2011). Wellness Tourism and Medical Tourism: Where Do Spas Fit? Available at: http://www.espalibrary.eu/search/1048/
Hopkins, L., Labonte, R., Runnels, V., & Parker, C. (2010). Medical Tourism Today: What Is the State of Existing Knowledge? Journal of Public Health Policy, (31) 2, 185–198. DOI: https://doi.org/10.1057/jphp.2010.10
Helble, M. (2011). The Movement of Patients across Borders: Challenges and Opportunities for Public Health. Bulletin of the World Health Organization, (89), 68–72. DOI: https://doi.org/10.2471/BLT.10.076612
Hadzik, A., Tomik, R. & Ryśnik, J. (2016). Determinanty rozwoju turystyki zdrowotnej. Ekonomiczne Problemy Turystyki, (33) 1, 287–300. DOI: https://doi.org/10.18276/ept.2016.1.33-23
Hall, C. M. (2011). Health and medical tourism: a kill or cure for global public health? Tourism Review, (66) 1/2, 4–15. DOI: https://doi.org/10.1108/16605371111127198
Henderson, J. C. (2003). Healthcare tourism in Southeast Asia. Tourism Review International, (7), 111–122. DOI: https://doi.org/10.3727/1544272031437692
Harasim, B. (2014). Turystyka zdrowotna jako czynnik rozwoju gospodarki Podlasia. PhD Theses. Uniwersytet Zielonogórski. Available at: http://hdl.handle.net/11320/1103
Hodžić, S., & Paleka, H. (2018). Health Tourism in the European Union: Financial Effects and Future Prospects. 9th International Conference of the School of Economics and Business Conference Proceedings, 162–174.
Johnston, R., Crooks, V. A., Snyder, J., & Kingsbury, P. (2010). What Is Known about the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review. International Journal for Equity in Health, (9), 1–13. Available at: https://equityhealthj.biomedcentral.com/articles/10.1186/1475-9276-9-24
Junio, M. M. V., Kim, J. H., & Lee, T. J. (2016). Competitiveness attributes of a medical tourism destination: The case of South Korea with importance-performance analysis. Journal of Travel & Tourism Marketing, (34) 4, 444–460. DOI: https://doi.org/10.1080/10548408.2016.1182454
NaRanong, A., & NaRanong, V. (2011). The effects of medical tourism: Thailand’s experience. Bulletin of the World Health Organization, (89) 5, 336–344. DOI: http://dx.doi.org/10.2471/BLT.09.072249
Klijs, J., Ormond, M., Mainil, T., Peerlings, J., & Heijman, W. (2016). A State-Level Analysis of the Economic Impacts of Medical Tourism in Malaysia. Asian-Pacific Economic Literature, (30) 1, 3–29. DOI: https://doi.org/10.1111/apel.12132
Kostadinova, T., & Katsarova, S. (2019). The importance of the European health tourism for the development of economy of wellbeing. In book: 4th International Thematic Monograph: Modern Management Tools and Economy of Tourism Sector in Present Era. DOI: https://doi.org/10.31410/tmt.2019.527
Keliauk Lietuvoje (2021). Turizmo sektoriaus plėtros tyrimas. Available at: https://lithuania.travel/uploads/ataskaitos/Turizmo_sektoriaus_pl%C4%97tros_tyrimas.pdf
Kim, S., Arcodia, C., & Kim, I. (2019). Critical success factors of medical tourism: The case of South Korea. Environmental Research and Public Health, (16), 1–16. DOI: https://doi.org/10.3390/ijerph16244964
Lautier, M. (2008). Export of Health Services from Developing Countries: The Case of Tunisia. Social Science & Medicine, (67), 101–110. DOI: https://doi.org/10.1016/j.socscimed.2008.01.057
Lautier, M. (2014). International trade of health services: Global trends and local impact. Health Policy, (118) 1, 110–113. DOI: https://doi.org/10.1016/j.healthpol.2014.07.004
Lunt, N., & Carrera, P. (2010). Medical Tourism: Assessing the Evidence on Treatment Abroad. Maturitas, (66), 27–32. DOI: https://doi.org/10.1016/j.maturitas.2010.01.017
Lukowicki-Vikuk, A. P. (2012). Turystyka medyczna przejawem współczesnych trendów i tendencji w turystyce. Ekonomiczne problemy usług, (84), 553–568. ISSN 1640-6818.
Moghavvemi, S., Ormond, M., Musa, G., Mohamed Isa, C. R., Thirumoorthi, T., Mustapha, M. Z., Kanapathy, K., & Chandy, J. J. C. (2017). Connecting with Prospective Medical Tourists Online: A Cross-Sectional Analysis of Private Hospital Websites Promoting Medical Tourism in India, Malaysia and Thailand. Tourism Management, (58), 154–163. DOI: https://doi.org/10.1016/j.tourman.2016.10.010
Medical Tourism Magazine (2016). What an NHL Player Taught the Medical Tourism Community about the Right to Try. Available at: http://www.medicaltourismmag.com/the-right-to-try-laws/
Mattoo, A., & Rathindran, R. (2006). How Health Insurance Inhibits Trade in Health Care. Health Affairs, (25) 2, 358–368. DOI: https://doi.org/10.1377/hlthaff.25.2.358
Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., & Peeters, P. (2017). Research for TRAN Committee – Health tourism in the EU: a general investigation. European Parliament, Policy Department for Structural and Cohesion Policies, Brussels. Available at: http://www.europarl.europa.eu/RegData/etudes/STUD/2017/601985/IPOL_STU(2017)601985_EN.pdf
Ormond, M., & Lunt, N. (2019). Transnational medical travel: Patient mobility, shifting health system entitlements and attachments. Journal of Ethnic and Migration Studies, (46) 20, 4179–4192. DOI: https://doi.org/10.1080/1369183X.2019.1597465
Penney, K., Snyder, J., Crooks, V. A., & Johnston, R. (2011). Risk Communication and Informed Consent in the Medical Tourism Industry: A Thematic Content Analysis of Canadian Broker Websites. BMC Medical Ethics, (17), 1–9. DOI: https://doi.org/10.1186/1472-6939-12-17
Padilla-Melendez, A., & Del-Aguila-Obra, A. R. (2016). Health Tourism: Conceptual Framework and Insights from the Case of a Spanish Mature Destination. Tourism & Management Studies, (12) 1, 86–96. DOI: https://doi.org/10.18089/tms.2016.12109
Reddy, S. G., York, V. K., & Brannon, L. A. (2010). Travel for treatment: Students' perspective on medical tourism. International Journal of Tourism Research, (12) 5, 510–522.
The assessment of healthcare system April 15, no. YD-4. Available at: https://webcache.googleusercontent.com/search?q=cache:CVqmuB0vaLMJ
Smith, P. C., & Forgione, D. A. (2007). Global Outsourcing of Healthcare: A Medical Tourism Decision Model. Journal of Information Technology Case and Application Research, (9) 3, 19–30. DOI: https://doi.org/10.1080/15228053.2007.10856117
Smith, R., Alvarez, M. M., & Chanda, R. (2011). Medical Tourism: A Review of the Literature and Analysis for a Role for Bi-lateral Trade. Health Policy, (103), 276–282. DOI: https://doi.org/10.1016/j.healthpol.2011.06.009
Szromek, A. R., Puciato, D., Markiewicz-Patkowska, J. I., & Colmekcioglu, N. (2023). Health tourism enterprises and adaptation for sustainable development. International Journal of Contemporary Hospitality Management, (35) 1, 1–25. DOI: https://doi.org/10.1108/IJCHM-01-2022-0060
World Tourism Organization (2018). UNWTO Tourism Highlights. Available at: https://www.e-unwto.org/doi/pdf/10.18111/9789284419876
Vega-Vázquez, M., Rodríguez-Serrano, M. A., Castellanos-Verdugo, M., & Oviedo-García, M. A. (2021). The impact of tourism on active and healthy ageing: health-related quality of life. Journal of Policy Research in Tourism, Leisure and Events, (13) 3, 349–373. DOI: https://doi.org/10.1080/19407963.2020.1837844
Wong, B. K. M., & Sa’aid Hazley, S. A. (2021). The future of health tourism in the industrial revolution 4.0 era. Journal of Tourism Futures, (7) 2, 267–272. DOI: https://doi.org/10.1108/JTF-01-2020-0006
Zhong, L., Deng, B., Morrison, A. M., Coca-Stefaniak, J. A., & Yang, L. (2021). Medical, Health and Wellness Tourism Research – A Review of the Literature (1970–2020) and Research Agenda. Int. J. Environ. Res. Public Health, (18). DOI: https://doi.org/10.3390/ijerph182010875
Zhang, W., Qin, Z., & Tang, J. (2022). Economic Benefit Analysis of Medical Tourism Industry Based on Markov Model. Hindawi, Journal of Mathematics. DOI: https://doi.org/10.1155/2022/6401796
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