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

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The Chair of the Conference and the Organising Commitee: László Puczkó (PhD CMC MA MSc) is a managing director and head of tourism section at 2q Tourist Research Partnership and Xellum management consulting company; and Acting Head of the Tourism Competence Centre at Corvinus University Budapest (Hungary). He has been a lecturer at several colleges and universities. He is a coauthor of professional books on health and wellness tourism, the impacts of tourism, visitor management and tourism management in historic cities. He is member of the TTRA European Chapter Board and President of the Hungarian Association of Tourism Consultants. Short Introduction to the Conference Although travel has always contributed to health and wellbeing, it has often been in indirect or passive ways (e.g. relaxation and escapism). However, many tourists are increasingly choosing to go on trips which have the direct aim of improving their sense of wellness. On the other hand, some destinations are now positioning themselves as market leaders in health/medical tourism. The effects can even be long-lasting for tourists (and destinations) and not just confined to the duration of the holiday. This can include spa tourism, which can be medical or leisure-based; social tourism, where medical treatments are state-funded; sports and adventure tourism, which increase physical health and fitness; occupational wellness trips, which address work-related issues such as stress-management; and holistic or spiritual retreats, which can balance body, mind and soul. Many of these forms of tourism are based on changing leisure and lifestyle trends, such as healthier nutrition, fitness regimes, or the quest for alternative spirituality. There are also shifts in many societies from curative to preventative healthcare, which requires greater knowledge and self-responsibility. The mainstream tourism industry is also investing heavily in wellness products – for example the cruise industry – possibly to give a healthy ‘feel’ to a product traditionally associated with eating too much. How can these contrasting aims be integrated? The tourism industry is consequently responding to society’s need for holidays, which enhance quality of life and fulfil all domains of wellness (e.g. physical, emotional, spiritual, psychological and intellectual). Furthermore, the link between leisure and tourism seems to be getting stronger, since wellness and healthy/healthier lifestyle oriented customers tend to go on health(ier) trips, too. The conference explored the relationship between health, wellness and tourism: • Changing activities in leisure, lifestyle and travel which improve wellness and quality of life • Developments in medical tourism and the shift from traditional curative towards complementary and preventative activities, or even hedonistic aspirations • The role of well-established forms of tourism (e.g. spa, sports, social, cruise) and newer forms of tourism (e.g. holistic, occupational, adventure) in the development of health and wellness • The special characteristics of investment and return in health and wellness tourism • The special characteristics of planning, management and marketing of health and wellness tourism
Acknowledgements TTRA Europe would like to extend their sincere appreciation to the conference organizers, conference chairs and keynote speakers, the dinner speaker, and the panel members and their facilitator: Conference Organizers: László Puczkó, 2q Tourist Research Partnership & Conference Secretariat Weco Travel Ltd- Chemol Travel Conference Chair: László Puczkó, 2q Tourist Research Partnership Dinner Speaker: Dee Ann McKinney TTRA Europe gratefully acknowledges the support of the conference: GOLD SPONSOR: SILVER SPONSORS: www.hungary.com www.kjf.hu www.budapestinfo.hu
Page 1: Health, Wellness and Tourism: healt
Page 5 and 6: Kai Illing, Professor, Joanneum, Au
Page 7 and 8: ELISABETH IXMEIER Elisabeth Ixmeier
Page 9 and 10: Health and Spa Tourism Business: To
Page 11 and 12: Literature Review Health and Spa To
Page 13 and 14: Yoon & Uysal (2005) stated that pus
Page 15 and 16: Push factors Internal motives - phy
Page 17 and 18: Respondents were the international
Page 19 and 20: Perceptions, learning and attitudes
Page 21 and 22: Table 2 Themes of Motivation Factor
Page 23 and 24: elaxation as this is generally the
Page 25 and 26: Oh, H. C., Uysal, M. and Weaver, P.
Page 27 and 28: According to Ajzen, “persuasive c
Page 29 and 30: Behavioural Control: Workload Lack
Page 31 and 32: A Case Study of Innovative Wellness
Page 33 and 34: RP Care is an innovative modular ex
Page 35 and 36: The introduction of its modular bus
Page 37 and 38: UNDERSTANDING THE IMPACT OF LEISURE
Page 39 and 40: development but, three years later,
Page 41 and 42: Hamer, D., & Connor, B. (2004).Trav
Page 43 and 44: URBAN ZEN - AND HOW TO EXPLORE THIS
Page 45 and 46: Health Tourism - The SPA Goers in P
Page 47 and 48: Whether we opt for more realistic s
Page 49 and 50: focused on the paradigm of wellness
Page 51 and 52: 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
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• Our analysis showed that new jo
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City of Budapest is seen as a touri
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of the area will also grow by marke
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of the case studies will be present
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The water is radio-active and conta
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Conclusions In our changing environ
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no exception. Already, patients are
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Data regarding levels of training o
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Figure 2 - Graph showing price will
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Table 13 - Typical hospital costs f
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that people willing to pay slightly
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Continue follow-up care in the UK F
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HEALTH TOURISM IN IZMIR: POTENTIAL,
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• Service provided within the ins
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Table 2 - SWOT Analysis of Health T
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16. Increasing interest in alternat
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APPENDIX 1 Interview Questions 1. M
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point of view it means wholeness as
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Men Women International Playboy, Me
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elderly wanted to look like, to act
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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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