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

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(Eesti Riiklik… 2006). In 2009, the marketing concept “Introduce Estonia” was developed on<br />

the initiative of Enterprise Estonia to establish the manner <strong>and</strong> ways in which Estonia is to be<br />

marketed. Presenting Estonia as a travel destination includes four main topics that are most<br />

important to the country: cultural holiday, city holiday, nature holiday <strong>and</strong> wellness holiday<br />

(“Introduce Estonia” br<strong>and</strong> manual 2009). Presenting Estonia as a wellness holiday<br />

destination – if there were a competition for selecting the spa kingdom of the world, Estonia<br />

could easily snatch that title (Instructions for focus topic of wellness holiday 2009). Estonia is<br />

a spa paradise – with an impressive number of spas considering its small territory <strong>and</strong><br />

population.<br />

Estonia has long traditions <strong>and</strong> experience from more than 170 years in the development of<br />

resort, health <strong>and</strong> spa tourism. The relatively favourite geographic position, the sea, beautiful<br />

natural s<strong>and</strong>y beaches <strong>and</strong> local natural resources, particularly curative mud but also mineral<br />

waters have been the main preconditions for the birth <strong>and</strong> development of resorts, particularly<br />

health resorts in Estonia. A number of new spa hotels were built in 2000–2008 in different<br />

regions of Estonia <strong>and</strong> these have been the main <strong>and</strong> significant tourism products outside<br />

Tallinn which have attracted visitors all the year round in Estonia.<br />

In 2009, 1.38 million foreign <strong>tourists</strong> stayed overnight at the accommodation establishments<br />

of Estonia (-3,9% compared to 2008). The number of nights spent was 2.74 million (-6,5%<br />

compared to 2008). Foreign overnights on both holiday <strong>and</strong> <strong>business</strong> trips decreased (by 5%<br />

<strong>and</strong> 4 %) , whereas overnights on other trips (incl. spa <strong>and</strong> health treatment trips) decreased<br />

by 13%. The economic crisis which started in 2008 has had a negative effect on all tourism<br />

sectors, including on spa tourism, <strong>and</strong> the quality of the services offered <strong>and</strong> communication<br />

of appropriate marketing messages to potential visitors have become much more important<br />

than earlier (Estonian <strong>Tourism</strong> Statistics…).<br />

Through different times, the objectives of the Estonian Spa Association have been to develop<br />

<strong>and</strong> provide high-quality health resort <strong>and</strong> rehabilitation treatment <strong>and</strong> spa services. In the<br />

course of that time the competition in the spa hotel market has dramatically increased <strong>and</strong><br />

therefore it has become increasingly important to communicate clear messages concerning the<br />

specific characteristics <strong>and</strong> quality st<strong>and</strong>ards of hotels. In 2006 the Estonian Spa Association<br />

adopted a decision to launch a project for the development of classification <strong>and</strong> categorisation<br />

criteria for Estonian spa hotels, <strong>and</strong> the Pärnu College of the University of Tartu is involved in<br />

the project as a partner.<br />

Research Design<br />

The objectives of the first survey were to obtain an objective overview of the current situation<br />

of the capacities, services, volumes <strong>and</strong> conditions of the spa hotels which are members of the<br />

Estonian Spa Association <strong>and</strong> of the situation in the market. As only medical spas belonged to<br />

the Estonian Spa Association during the planning <strong>and</strong> conduction of the survey, the objective<br />

was to use the results of the survey as a basis for the development of classification <strong>and</strong><br />

categorisation criteria for Estonian spa hotels according to international models bearing in<br />

mind medical spa hotels. A survey in the form of a questionnaire was used as the research<br />

method. The long questionnaire of the survey consisted of four parts: general characterisation<br />

of the organisation, infrastructure, clients <strong>and</strong> staff of spa hotels. Each part in its turn<br />

consisted of related questions <strong>and</strong> detailed subquestions. The sample of the survey consisted<br />

of all 15 spa hotels which belonged to the Estonian Spa Association in 2006. The survey was<br />

conducted in the period from 17 April to 27 May 2006 <strong>and</strong> responses were received from all<br />

spa hotels included in the sample.

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