Health, Wellness and Tourism: healthy tourists, healthy business ...

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These two research studies together cover 6 of the 7 statistical planning regions of Hungary. The main objectives of the research studies were: • examine the local economic impacts of tourism investments financially supported by the government or EU to measure their multiplier impacts. • introduce the operational characteristics and local/national impacts of the new tourism investments (e.g.: new jobs created, growth of operational revenue, growth of local and central budget revenue generated by the new health tourism projects). • introduce quantitative indicators of the demand and its structure with seasonal characteristics • understand the perception of locals and entrepreneurs about the tourism investments • estimate the economic impacts of health tourism development at national level. Research methods Both research studies have relied on the same approach and methodology. This included the following components: • Collect relevant statistical data (desk information) on tourism projects prior to and after developments such as: o Capacity and tourist flow of collective accommodation at the examined destinations. o Number of tourism enterprises at the examined cities/towns o Growth of own tax revenue (inc. Tourism taxes) of local government These data were obtained from the Central Statistical Office, Hungary. • Information and statistical data produced by primary research such as o Investment data of health development projects � Projected, actual investment values � Characteristics of construction � Share of import o Estimated/projected investment values of indirect and induced tourism investment in the following 4-5 years. • Operational data o Number of new jobs generated by health tourism investments o Operational revenue of new units o Quantitative demand indicators of new developments, seasonility and structure of tourist flow o Local and central budget taxes paid by new health tourism The primary research was based on focused statistical data request (data sheets designed specifically for the studies) and interviews with local government representatives and unit managers. While the approach and methodology was the same in the two studies, there were some unique factors and the research timeframe and project macro-environments were different. Next we present a short summary of the studies with key characteristics. • 2004 research study o Scope: 11 health tourism projects, financially supported by Széchenyi Program. o Research timeframe: base year of 2001 and first full operational year in 2004 o Széchenyi Program was the only tourism development program in Hungary in the research timeframe
o The macro and micro environment remained the same during the research timeframe o Examined development projects completed and operations started at nearly the same time o The studied project investment value was over 15% of total project investment value, which allowed for estimation of national impacts. • 2009 research study o Scope: 10 tourism projects, out of which 4 financially supported by Széchenyi Program and 6 projects financially supported by EU Regional Operational Program (ROP). o Research timeframe: 8-year timeframe with different project start and end dates (2004-2008). o The 2008-2009 economic crisis impacted 6 EU supported projects’ first operational data. Major findings This section will present the major findings of the two studies. First the focus will be on the investment multiplier, than on the operational impacts of health tourism project (from employment impacts, through revenue impacts demand indicators and taxation). Investment multiplier Both studies focused on analyzing the impacts of the investments in generating further investments and calculated the investment multipliers for the projects in focus. 2004 research study major findings: • Tourism investment multiplier value of 2,7 based on indirect and induced investments – 11 projects with 77,8M Euro (21bn HUF) investment generated additional 118,5M Euro (32bn HUF) investment, altogether 196,3M Euro (53bn HUF) investment over 5 year period. • 100 HUF government financial support of health tourism development generated 550- 500 HUF private capital investments in tourism over the 5 years. • The induced and indirect investments were primarily in accommodation development (e.g. wellness hotel near the spas, pensions) and spa/thermal bath developments further enhancing facilities and services. 2004 research study - investment multiplier (data in 1000 HUF) 22 620 000 ; 43% 9 700 000 ; 18% Actual investment value (2001-2003) Indirect Investment value (2001-2003) Induced investment value (2004-2006) (Source: Research study, 2004) 20 935 016 ; 39%
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Health, Wellness and Tourism: healt
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Acknowledgements TTRA Europe would
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Kai Illing, Professor, Joanneum, Au
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ELISABETH IXMEIER Elisabeth Ixmeier
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Health and Spa Tourism Business: To
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Literature Review Health and Spa To
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Yoon & Uysal (2005) stated that pus
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Push factors Internal motives - phy
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Respondents were the international
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Perceptions, learning and attitudes
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Table 2 Themes of Motivation Factor
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elaxation as this is generally the
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Oh, H. C., Uysal, M. and Weaver, P.
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According to Ajzen, “persuasive c
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Behavioural Control: Workload Lack
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A Case Study of Innovative Wellness
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RP Care is an innovative modular ex
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The introduction of its modular bus
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UNDERSTANDING THE IMPACT OF LEISURE
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development but, three years later,
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Hamer, D., & Connor, B. (2004).Trav
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URBAN ZEN - AND HOW TO EXPLORE THIS
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Health Tourism - The SPA Goers in P
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Whether we opt for more realistic s
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focused on the paradigm of wellness
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immediately followed by specific ho
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particular reference must be made o
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Tabbachi, M. (2008), “American an
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tourism is a lucrative activity for
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Functional value Functional value i
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“Before my operation, I did exten
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The table below recapitulates the m
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Herrick, D. M. (2007). Medical tour
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Cosmeceuticals in wellness tourism
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will replace chemical materials; ad
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Issues in Co-branding and Co-creati
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producers of the cosmecuticals to a
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Lee, C. L. & Decker, R. (2008). A s
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scheme, although this theoretically
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study identifying the motivation of
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highlighted by Folland et al (2001)
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ackgrounds is expected to accomplis
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Understanding mature traveller’s
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attention to the mature travellers
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Table 1 Travellers’ demographic p
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• To distinguish spring and spa t
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Budapest’s thermal spas on screen
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Budapest as film location The power
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Usually viewers attach an icon to t
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In the second part of the questionn
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Riley R. & Van Doren C. (1992) Movi
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health as “a state of complete ph
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how much exercise they get. Two-thi
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arts, comedy clubs and festivals) w
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The use of the internet in wellness
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The main characteristics of Portugu
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29 Termas de Unhais da Serra 30 Ter
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ongoing consumer and industry resea
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Name Table 2. Spa websites analysed
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more than a handful of links were o
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Health Spa and Wellness - Competiti
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The Czech Republic is rich in spas
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Foreign Exchange Receipts and Expen
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the total fertility exceeded the va
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1. Waters - the internal and extern
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• N - Postoperative and posttraum
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Foreign guests at accommodation fac
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Table 6 shows the number of guests
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M. Zuckerman defines wellness as pr
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Today´s health spa hotels are most
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without spa facilities and service
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Ten Spa Domains. Downloaded from: h
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customer is value, which at each gi
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experiences that renew the spirit.
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eigenvalue 3.668, function 2 explai
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The results of this study support t
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Smith M, & Puczko´ L (2009). Healt
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and Bushell (2009, 11) have defined
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listed reasons in more general leve
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One 54 (13.3) Yes 180 (44.3) 2-4 21
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Discussions and Conclusions The aim
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Kelly, C. & Smith, M. (2009). Holis
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While wellness tourism in Australia
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Cairns, which has been suffering fr
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significantly from there, so if the
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Other factors raised by participant
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Connell, J. (2006b). Medical touris
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The Impact of a Festive Event on Re
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The mission of the World Acadian Co
Page 179 and 180: Table 1 Positive social impacts of
Page 181 and 182: The Acadians’ quest for pride and
Page 183 and 184: Ap, J., & Crompton, J. (1998). Deve
Page 185 and 186: and other characteristics of the ho
Page 187 and 188: Figure 1). Many of the hotels take
Page 189 and 190: Target groups As shown in Figure 2,
Page 191 and 192: to have an influence on these corre
Page 193 and 194: Purification 11 Application of alte
Page 195 and 196: Mueller H. and Lanz-Kaufmann E. (20
Page 197 and 198: The term multidimensional scaling (
Page 199 and 200: Figure 3 shows the split of bednigh
Page 201 and 202: Note: Objects: 32. Proximities: 496
Page 203 and 204: Group one account for 37% of the va
Page 205 and 206: Measurement of Tourism-oriented Asp
Page 207 and 208: Social indicator systems Social ind
Page 209 and 210: 1999/2000, Table 1. presents the me
Page 211 and 212: However, according to Table 1, it a
Page 213 and 214: Since the TSTAR database does not h
Page 215 and 216: the hundred happiest settlements re
Page 217 and 218: Managing Cost, Revenue and Yield in
Page 219 and 220: Method: A Case Study Approach The a
Page 221 and 222: methodologies, and educational trav
Page 223 and 224: and times the data was collected, F
Page 225 and 226: SALA RIES AN D W AGES 18.17% PROFES
Page 227 and 228: Table 11 Treatment and revenue rate
Page 229: Measurement of the Economic Impacts
Page 233 and 234: Employment impacts During our analy
Page 235 and 236: • The examined wellness hotels we
Page 237 and 238: Total number of available beds (acc
Page 239 and 240: • Our analysis showed that new jo
Page 241 and 242: City of Budapest is seen as a touri
Page 243 and 244: of the area will also grow by marke
Page 245 and 246: of the case studies will be present
Page 247 and 248: The water is radio-active and conta
Page 249 and 250: Conclusions In our changing environ
Page 251 and 252: no exception. Already, patients are
Page 253 and 254: Data regarding levels of training o
Page 255 and 256: Figure 2 - Graph showing price will
Page 257 and 258: Table 13 - Typical hospital costs f
Page 259 and 260: that people willing to pay slightly
Page 261 and 262: Continue follow-up care in the UK F
Page 263 and 264: HEALTH TOURISM IN IZMIR: POTENTIAL,
Page 265 and 266: • Service provided within the ins
Page 267 and 268: Table 2 - SWOT Analysis of Health T
Page 269 and 270: 16. Increasing interest in alternat
Page 271 and 272: APPENDIX 1 Interview Questions 1. M
Page 273 and 274: point of view it means wholeness as
Page 275 and 276: Men Women International Playboy, Me
Page 277 and 278: elderly wanted to look like, to act
Page 279 and 280: Table 4. The number of experienced
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emains an open question when the sh
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Most important criteria when bookin
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The study investigates the performa
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The survey was distributed to 400 u
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Conclusions and Discussion In this
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A Comparative Analysis of Spa Touri
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year-long Ottoman occupation: the T
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although unintentionally, represent
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separated and I don't like being st
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Creighton, M. (1997): Consuming Rur
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Does tourism really contribute to o
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Africa (mainly Cape Verde, Angola a
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The theoretical significance of und
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Veenhoven (2005:61) “quality-of-l
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Brunt and Courtney (1999). Brunt, P
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Expectations of Health Tourists in
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40%). Only those guests were includ
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accommodation, meals and health off
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Exploring The Relationship Between
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proposed at 1975 by Cskiszentmihaly
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Table 1 Participant information ana
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Table 3 Well-being analysis result
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Csikszentmihalyi, M.,(1990), Flow:
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evident in Ancient Greece and Rome.
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Resort spas - Sometimes called ‘a
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analytic model has several methodol
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From this survey, we selected sever
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Gulliver in the land of giants? The
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emergency cases. As the commonly kn
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Figure 1. The main factors of quali
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Surgical medical touristic market T
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• Seamless services: The professi
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of price-advantage segment. Due to
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Appendix 1. The characteristics of
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Appendix 2. The characteristics of
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Introduction Arguments for the need
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The DOSTWELL Wellness Quality Seal
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The statistics obtained from the su
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Table 1 Sample of the Classificatio
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Goebel, G., Kapfensteiner, C., Wenz
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interest activity and health and we
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performance calls for a unity of wi
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Table 2 - Learning Commitment Analy
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higher the tourists satisfaction in
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supporting factors and resources, d
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Sustainable Wellness Tourism Destin
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In tourism marketing Savonlinna has
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The role and actions of Savonlinna
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Haaga-Helia (2010). DP in Experienc
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Hall, M. (2003) Spa and Health Tour
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excellent capabilities. Despite of
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Australian Wellness Tourism Provide
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thrills and excitement which someti
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The actual responses were compared
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therapies such as Feldenkrais, acup
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Table 2: Average Number of Employee
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As expected, Day Spas and Beauty Sp
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Snoj & Mumel, 2002). Furthermore, r
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Cooper, C. P., Fletcher, J., Noble,
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The Exploration of the Perceived Tr
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The key question in market segmenta
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significantly from each other. Ther
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Table 3 Cross-table of Background o
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4. Travel benefit perception reflec
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http://www.oxfordreference.com/view
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summary or as a commonly accepted b
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Third, these proxy prototypes were
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Table 2 Main travel purpose of the
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Table 4 Non-response shares for des
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Figure 1 Image positions of five As
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Figure 2 Image positions of five Eu
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piecemeal hypothesis and an undiffe
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Taasci, A.D.A. and Kozak, M. (2006)
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Among the economic factors determin
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The demographic profile of the dent
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The main part of the tourists’ ex
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Interview II was with the Chief Den
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anchor point of the dental tourism
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The country itself could profit muc
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Appendix
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