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

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tourism sector for the state as these are tourism products which attract visitors all the year round, it was also necessary to take steps to ensure the adequacy and reliability of the quality messages of Estonian spas both in the domestic and foreign markets. One important step in that direction was the process initiated by the Estonian Spa Association for the creation of a system for the classification and categorisation of spas. The categorisation criteria for medical spas, which have been implemented by now, were developed based on the experience of several countries and organisations, thorough research conducted in the course of the process, and results of several client satisfaction surveys conducted among earlier spa guests. By the beginning of 2010 the second survey has reached the final stage; categorisation criteria for spas and wellness spas are being prepared on the basis of its results to hopefully implement them in the course of 2010. Several shortcomings were found in the course of the surveys and pointed out in the report of the research project and also at the training days for spa staffs and at team meetings in the course of the project. Quality is no doubt one of the most important keywords and requirements of tourism today, including health tourism. We can state that without quality we cannot talk about healthy business and healthy tourists in the context of health, spa and wellness tourism. The categorisation system of Estonian medical, spa and wellness spa hotels is an important tool for the self-determination of Estonian spa hotels and in their efforts to be among the best of their category. References Alpine Wellness International turns into top tourism brand. www.alpinewellness.com/presse/?download=52 Accessed on 9.09.2009. BISA International Spa Accreditation. www.bisawaves.com Accessed on 12.03.2006. Casetrust for Spa & Wellness Business. www.casetrust.org.sg/accreditationschemes/... Accessed 10.01.2010. Categories of Spa hotels and classification. Estonian Spa Association. www.estonianspas.eu/en/classification-requirements Accessed 10.01.2010. Certified Excellence. The first international seal of approval for the standardised assessment of European spas and health resorts. EUROPESPA. www.europespa.eu. Assessed on 21.02.2010. DOSTWELL – Quality in Wellness. A quality-system for wellness-oriented enterprises. Centre of Employment and Education, Interreg IIIC, 2007. www.ntz.nta.si/files/dostwell_q_model_short_version.pdf Accessed on 11. 11. 2009. Eesti Riiklik Turismiarengukava 2007 – 2013. Tallinn: Riigikogu otsus, RTL, 01.12.2006, 53, 400. Eesti Spa Liidu spaahotellide kaardistamine. Pärnu: Eesti Spa Liit, 2006. Estonian Tourism Statistics. Tourism in Estonia in 2009. Estonian Tourist Board. www.visitestonia.com Accessed on 20.02.2010. European Spa Industry. www.visiteuropeanspas.com Accessed on 3.02.2010. European Wellness & Health Standard (EUWHS). European Economic Chamber of Trade, Commerce and Industry (EEIG) Brussels. www.european-economic-chamber-eeig.eu Accessed on 12.12.2009. EUROPESPA International certifications members` benefits. www.espa-ehv.com; www.europespa.eu Accessed on 5. 02. 2010. EUROPESPA wellness: International Quality and economical success for wellness & spa hotels. www.europespa.de/en Accessed on 4.02.2010.
Goebel, G., Kapfensteiner, C., Wenzel, M. The DOSTWELL Quality Model for Wellness Providers – a process oriented approach. Department of Medical Statistics, Informatics and Health Economics. Medical University of Innsbruck, 2007. www.ntz.nta.si/files/dostwell_q_model_for... Accessed on 15.01.2010. The Fáilte Ireland Spa and Wellness Categorisation Programme. www.ezine.failteireland.ie Accessed on 5.02.2010. Hall, D., Brown, F. Tourism and Welfare. Ethics, responsibility and sustained well-being. UK: CABI, 2006. Instructions for focus topic of Wellness holiday. “Introduce Estonia” sub-strategy of tourism. Tallinn: EAS 2009. http://tutvustaeestit.eas.ee Accessed on 2.02.2010. International seal of approval for European spas and health resorts. Europespa. www.europespa.ee Accessed on 6. 09. 2009. “Introduce Estonia” brand manual 2009. http://tutvustaeestit.eas.ee Accessed on 2.02.2010. Ministerial Announcement issued by the Ministry of Public Health on 21 April 2004. www.tatnews.org/emagazine/2608.asp Accessed on 5.02.2010 Nahrstedt, W. Wellness: A new perspective for leisure centers, health tourism, and spas in Europe on the global health market. In: Weiemair, K., Mathies, C. (eds) The Tourism and Leisure Industry. Shaping the Future. NY: The Haworth Hospitality Press. 2004, pp 181- 198. Pilzer, P. Z. The New Wellness Revolution. How to make a fortune in the next trillion dollar industry. 2d ed. NJ: John Wiley & Sons, Inc. 2007. Smith, M., Puczko, L. Health and Wellness Tourism. UK: Butterworth-Heinemann. 2009. Spaahotellide kategooriad ja järkude andmise kord. Pärnu: Eesti Spa Liit, 2006. Spas – s further step in market shift towards “total beauty” business. http:// www.diagonalreports(pdf/gsp07eu_pr.html Accessed on 22.12.2009. Wellness Europe Certificates. The European Audit Institute Wellness & Spa. www.wellnessaudit.eu 9.09.2009. HINY PACKAGE
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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
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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
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
Page 341 and 342: Surgical medical touristic market T
Page 343 and 344: • Seamless services: The professi
Page 345 and 346: of price-advantage segment. Due to
Page 347 and 348: Appendix 1. The characteristics of
Page 349 and 350: Appendix 2. The characteristics of
Page 351 and 352: Introduction Arguments for the need
Page 353 and 354: The DOSTWELL Wellness Quality Seal
Page 355 and 356: The statistics obtained from the su
Page 357: Table 1 Sample of the Classificatio
Page 361 and 362: interest activity and health and we
Page 363 and 364: performance calls for a unity of wi
Page 365 and 366: Table 2 - Learning Commitment Analy
Page 367 and 368: higher the tourists satisfaction in
Page 369 and 370: supporting factors and resources, d
Page 371 and 372: Sustainable Wellness Tourism Destin
Page 373 and 374: In tourism marketing Savonlinna has
Page 375 and 376: The role and actions of Savonlinna
Page 377 and 378: Haaga-Helia (2010). DP in Experienc
Page 379 and 380: Hall, M. (2003) Spa and Health Tour
Page 381 and 382: excellent capabilities. Despite of
Page 383 and 384: Australian Wellness Tourism Provide
Page 385 and 386: thrills and excitement which someti
Page 387 and 388: The actual responses were compared
Page 389 and 390: therapies such as Feldenkrais, acup
Page 391 and 392: Table 2: Average Number of Employee
Page 393 and 394: As expected, Day Spas and Beauty Sp
Page 395 and 396: Snoj & Mumel, 2002). Furthermore, r
Page 397 and 398: Cooper, C. P., Fletcher, J., Noble,
Page 399 and 400: The Exploration of the Perceived Tr
Page 401 and 402: The key question in market segmenta
Page 403 and 404: significantly from each other. Ther
Page 405 and 406: Table 3 Cross-table of Background o
Page 407 and 408: 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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