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

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Conclusion Summary of comparison between India and the UK India UK Price £3,575 - £4,750 £9,680 - £15,230 Quality Quality of staff Infection rates Surgical outcomes Satisfaction Follow-up care Strategic positioning (Taj Medical Group, 2009) Monitoring bodies: Joint Commission International and the International Organization for Standardisation Employ high quality doctors with worldwide training. C. difficile: nil Wound infection (Hip) : 0.6% Wound infection (Knee): 0.42% Revision Rates (Hip) : 1.17% Revision Rates (Knee) : 0.00% Mortality Rates (Hip): 0.00% Mortality Rates (Knee) : 0.00% 4 of 4 patients would recommend Apollo to others and would return themselves for future treatment Does not meet the BOA recommended follow-up treatment guidelines Likely to be positively affected by recession as people seek cost-cutting alternatives to expensive treatments in the UK. (Spire Healthcare, 2009) Monitoring bodies: Care Quality Commission and Independent health care: national minimum standards Employ high quality doctors with worldwide training. C. difficile: 0.02 per 1,000 bed days Wound infection (Hip): 0.30% Wound infection (Knee) : 0.04% Revision Rates (Hip) : 0.8% Revision Rates (Knee) : 1.0% Mortality Rates (Hip): 3.2% Mortality Rates (Knee) : 3.6% 85% of patients would recommend Spire’s services to others. Unclear as to whether follow BOA standards Likely to be negatively affected by recession as disposable incomes are reduced. Outsourcing surgery has the potential to increase brand equity and market share for insurance providers in the UK without compromising patient satisfaction or quality of care. However, the following conditions should be met in order to gain maximum advantage from this strategic direction: Create an appropriate pricing strategy The luxury image associated with private healthcare in the UK may conflict with the competitive costing approach that outsourcing provides; sub-brands or cash-back systems may be helpful. Creating the right package tailored to the individual Customers should have the option of receiving certain treatments in the UK, with foreign treatment only for procedures that they would be willing to travel for. A package which includes flights and accommodation would help maintain brand image by ensuring the whole experience is of a high standard. Outsource to an accredited reputable hospital Independent assurance of quality is essential. However, accreditations are only beneficial if patients are aware of the existence of these awards and the level of quality they represent.
Continue follow-up care in the UK Follow-up care is a major concern to both patients and doctors. Insurance companies should use their established networks of private healthcare providers in order to ensure pre- and postoperative care is offered in the UK irrespective of where surgery takes place. Recommendations: • Questionnaire survey: a larger sample size is required to enable examination of a greater social demographic range. • To ensure validity of the cost analysis results, accurate and detailed cost breakdowns of treatment are required. • A wider survey of patients who have previously travelled for surgery would be beneficial. • Direct comparison of the accreditation systems currently in use in both India and the UK would ensure that the standard of treatment provided could be accurately compared. • Quality of treatment could be further investigated through the analysis of 10 year revision rates of hip and knee replacements in both the UK and India. • Increasing the scope of the entire project to include the NHS would confirm whether the conclusions of the project can be applied to the UK healthcare market in its entirety. References Aron, R., Singh, J., (2005) Getting offshoring right Harvard Business Review [Online] 83(12) 135-143 Available from: http://web.ebscohost.com/ehost/pdf?vid=2&hid=113&sid=7e658504-dc9b-46d5-bd18- 597c367d324d%40sessionmgr103 [Accessed 8th May 2009] Taj Medical Group (2008) The Taj Medical Group - Our Fully Inclusive Prices. [Online] Available from: http://www.tajmedicalgroup.co.uk/prices.html#orthopaedic [Accessed 5th December 2008] Spire Healthcare. (2008) Guide prices for self-pay treatment. [Online] Available from: http://www.spirehealthcare.com/selfpay/Guide-prices/ [Accessed 5th December 2008] Deloitte, (2008). Medical Tourism: 2008 Survey of Health Care Consumers. [Online]. Available from: http://www.deloitte.com/dtt/article/0%2C1002%2Ccid%25253D192707%2C00.html [Accessed 9th February 2009]. Horowitz, M.D., Rosensweig, J.A., (2007) Medical Tourism – Health Care in the Global Economy. The Physician Executive, 33 (6), pp. 24-30. Medical Tourism Association (2008) Your Guide To Medical Tourism; Issue 2, [E-magazine] Florida, Medical Tourism Association Inc. Available from: http://www.medicaltravelauthority.com/Medical-Tourism-Magazine-Issue-2.pdf [Accessed 7th May 2009] Milstein, A., Smith M. (2007) Will the surgical world become flat? Health Affairs, 26 (1), pp. 137–141. Jobs4medical Ltd. (2009) Orthopaedics Job Search [Online] Available from: http://www.jobs4medical.co.uk/job-vacancies/Orthopaedics-Jobs [Accessed 4th May 2009] Jobs4medical Ltd. (2009) Anaesthesia/pain management jobs [Online] Available from: http://www.jobs4medical.co.uk/search.php?SEARCH_SPECIALITY%5B%5D=7&SEA RCH_COUNTRY%5B%5D=207&SEARCH_LOCATION%5B%5D=207.0&SEARCH_ START=Search&form_identifier=SEARCH&SEARCH_ID=&SEARCH_JOBFIELD=1
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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
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Table 1 Positive social impacts of
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The Acadians’ quest for pride and
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Ap, J., & Crompton, J. (1998). Deve
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and other characteristics of the ho
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Figure 1). Many of the hotels take
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Target groups As shown in Figure 2,
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to have an influence on these corre
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Purification 11 Application of alte
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Mueller H. and Lanz-Kaufmann E. (20
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The term multidimensional scaling (
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Figure 3 shows the split of bednigh
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Note: Objects: 32. Proximities: 496
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Group one account for 37% of the va
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Measurement of Tourism-oriented Asp
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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 and 230: Measurement of the Economic Impacts
Page 231 and 232: o The macro and micro environment r
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: that people willing to pay slightly
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
Page 281 and 282: emains an open question when the sh
Page 283 and 284: Most important criteria when bookin
Page 285 and 286: The study investigates the performa
Page 287 and 288: The survey was distributed to 400 u
Page 289 and 290: Conclusions and Discussion In this
Page 291 and 292: A Comparative Analysis of Spa Touri
Page 293 and 294: year-long Ottoman occupation: the T
Page 295 and 296: although unintentionally, represent
Page 297 and 298: separated and I don't like being st
Page 299 and 300: Creighton, M. (1997): Consuming Rur
Page 301 and 302: Does tourism really contribute to o
Page 303 and 304: Africa (mainly Cape Verde, Angola a
Page 305 and 306: The theoretical significance of und
Page 307 and 308: Veenhoven (2005:61) “quality-of-l
Page 309 and 310: 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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