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

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Martin, D.W. (1995). An Importance-Performance Analysis of Service Providers´, Perception of Quality Service in the Hotel Industry. Journal of Hospitality and Leisure Marketing, 3 (1), 5-17. Parasuraman, A., Zeithaml, V.A. & Berry, L. (1994). SERVQUAL: A Multiple-Item Scale for Measuring Consumer Perceptions of Service Quality. Journal of Retailing. 64:1, 12-40. Sampson, S. E. and Showalter, M. L. (1999). The Performance – Importance Response Function: Observation and Implications. The Service Industries Journal, Vol. 19(3), 1- 25. Slack, N. (1991). The Importance-Performance Matrix as a Determinant of Improvement Priority, International Journal of Operations & Pr
A Comparative Analysis of Spa Tourism in Japan and Hungary Tamara Rátz Kodolányi János University of Applied Sciences, Hungary tratz@uranos.kodolanyi.hu Abstract Health is an ancient travel and leisure motivation that has inspired people all around the world to leave their permanent residence and visit far-away destinations for thousand of years. Although globalisation trends in supply and demand also affect spa and health tourism which leads to the introduction of novel and exotic treatments and services, health-oriented leisure and tourism behaviour is still considerably culture-dependent on the one hand, and economically and environmentally influenced on the other hand. As a consequence of its richness in geothermal resources and its unique culture, Japan has been able develop a distinctive path in spa tourism development and wellness. Hungary is also in rich thermal springs and spa culture also developed for centuries, but the leisure and tourist supply and demand are highly different in the two countries, due to each countries’ unique cultural, economic and natural background. The paper analyses the similarities and differences between health-oriented leisure mobility and the development characteristics of health tourism in Japan and Hungary, and assesses the cultural and environmental factors that have shaped development in each country. Based on secondary literature research, personal observation at Japanese hot springs destinations and customer attitude analysis based on a mail survey carried out among 150 international visitors to Japanese spas, questions to be discussed also include health tourism marketing issues, the range and characteristics of facilities, as well as perceptions and attitudes of foreign and domestic visitors. In addition, the paper aims to identify the specific factors in Japanese and Hungarian spa tourism that may prove to be attractive for certain visitor segments in the respective countries. Introduction Japan and Hungary are both listed among the world’s five richest countries in terms of thermal and medicinal springs. However, this richness is explained by different natural factors: in Japan it is the widespread volcanic activity that makes the islands of the country one of the world’s greatest hot spring (onsen) destinations (Kojima and Kawamura 2006), while Hungary’s favourable position is due to the Carpathian basin’s particularly high geothermal gradient (Boldizsár 1973). This paper is based on field research in Japan in spring 2008 supported by the Japan Foundation Fellowship for Intellectual Research. The major objective of the research project was to explore and understand the social, economic and environmental aspects of healthoriented leisure mobility in Japan. The project had a theoretical as well as a practical approach. Despite the growing significance of Japan both as a country of origin and a destination of tourism, relatively little research has been undertaken to explore the sociocultural and economic aspects of Japanese tourists’ behaviour, although interest in the subject has been growing recently (e.g. Graburn 1983, Creighton 1997, Baláz and Mitsutake 1998, Hendry and Raveri 2002, Guichard-Anguis and Moon 2009).
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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
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1999/2000, Table 1. presents the me
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However, according to Table 1, it a
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Since the TSTAR database does not h
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the hundred happiest settlements re
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Managing Cost, Revenue and Yield in
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Method: A Case Study Approach The a
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methodologies, and educational trav
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and times the data was collected, F
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SALA RIES AN D W AGES 18.17% PROFES
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Table 11 Treatment and revenue rate
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Measurement of the Economic Impacts
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o The macro and micro environment r
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Employment impacts During our analy
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• The examined wellness hotels we
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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
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: Conclusions and Discussion In this
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
Page 311 and 312: Expectations of Health Tourists in
Page 313 and 314: 40%). Only those guests were includ
Page 315 and 316: accommodation, meals and health off
Page 317 and 318: Exploring The Relationship Between
Page 319 and 320: proposed at 1975 by Cskiszentmihaly
Page 321 and 322: Table 1 Participant information ana
Page 323 and 324: Table 3 Well-being analysis result
Page 325 and 326: Csikszentmihalyi, M.,(1990), Flow:
Page 327 and 328: evident in Ancient Greece and Rome.
Page 329 and 330: Resort spas - Sometimes called ‘a
Page 331 and 332: analytic model has several methodol
Page 333 and 334: From this survey, we selected sever
Page 335 and 336: Gulliver in the land of giants? The
Page 337 and 338: emergency cases. As the commonly kn
Page 339 and 340: 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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