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

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The table below recapitulates the main findings.<br />

Value Medical tourism service Internet<br />

Functional -cost differential<br />

-abilities of surgeon <strong>and</strong> nursing<br />

staff<br />

-equipment quality<br />

-quality of care<br />

-importance of the recovery period<br />

-assets of the Tunisian offer<br />

(cultural similarity, geographical<br />

proximity, reputation)<br />

Social -turning to a well-known service<br />

provider<br />

-enhancing self-image<br />

-Maintaining remote communication<br />

through e-mails (making the steps<br />

prior to the service contract easier,<br />

<strong>and</strong> facilitating post-operative<br />

follow-up)<br />

-easy <strong>and</strong> quick information<br />

gathering<br />

-sharing experiences<br />

-formation of groups <strong>and</strong> social<br />

connections<br />

Emotional -positive <strong>and</strong>/or negative feelings<br />

resulting from the experience<br />

Epistemic -information search tool regarding<br />

service providers, costs, treatment<br />

(before <strong>and</strong> after the operation)<br />

Conditional -high costs in France<br />

-long waiting lists in teaching<br />

hospitals<br />

-no coverage for cosmetic surgery<br />

Summary of the dimensions of perceived value in the context of medical tourism<br />

Conclusion<br />

This research shows that the medical tourism experience <strong>and</strong> the use of the Internet in this<br />

context include a set of value dimensions. Knowing the contribution of each value dimension<br />

to consumers’ choice, <strong>and</strong> in our case to the choice of medical <strong>tourists</strong>, gives valuable<br />

information to managers (Williams <strong>and</strong> Soutar, 2000), enabling them to better underst<strong>and</strong> the<br />

concerns <strong>and</strong> expectations of medical <strong>tourists</strong>. Like in other studies, it thus seems obvious that<br />

the contribution of functional value is highly significant in the perceived value (Cengiz <strong>and</strong><br />

Kirkbir, 2007), especially as regards costs. It is also interesting to note that despite the<br />

importance of costs, medical <strong>tourists</strong> would not be able to overcome their apprehension if<br />

services were of poor quality; which explains the importance of other aspects of functional<br />

value, such as the surgeon’s skills, the quality of care <strong>and</strong> the modernity of the equipment. It<br />

is therefore essential that health establishments undergo certification <strong>and</strong> accreditation to<br />

enhance their reputation.<br />

The functional value of the Internet tool lies in its ability to guarantee a permanent contact. It<br />

is thus essential to optimize the potentialities of the tool. However, <strong>and</strong> in conjunction with<br />

other studies (Williams <strong>and</strong> Soutar, 2000, Sanchez et al. 2006), the importance of the<br />

functional dimension in the perception of value should not make us forget the contribution of<br />

other aspects.<br />

Medical <strong>tourists</strong> see in the Internet tool, <strong>and</strong> particularly in forums, an effective means of<br />

sharing experience, finding positive stimulation, <strong>and</strong> especially of finding information on the

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