[Home ] [Archive]   [ فارسی ]  
:: Main :: About :: Current Issue :: Archive :: Search :: Submit :: Contact ::
:: Volume 10, Issue 1 (spring 2019) ::
j.health 2019, 10(1): 34-49 Back to browse issues page
The Effect of Perceived Value on the Destination Image, Satisfaction and Loyalty of Medical Tourists: A Case Study in Ardabil
B Asgarnezhad Nouri, V Nemati , N Abbasgholizadeh
Ardabil University of Medical Sciences
Abstract:   (942 Views)
Background & objectives: Perceived value is an essential element of competitive strategy and research. It has shown that there is a significant positive relationship between quality, value, satisfaction, and behavioral tendencies including customer loyalty, price, intention to repurchase, and word of mouth. The aim of this study is to examine the impact of the perceived value on destination image, satisfaction, and loyalty of medical tourists.
Methods: This applied research is a descriptive and correlational study. Convinient sampling method was employed to recruit the participants. For data collection, Wong's perceived value questionnaire (Wong, 2012), Wong's standardized destination image questionnaire (Wong, 2012), a standardized tourist satisfaction questionnaire (Elahi & Heydari, 2008), and a researcher-made loyalty questionnaire (Ghasemi, 2015) were used.
Results: The results showed that the perceived service quality and perceived medical quality, enjoyment, costs and risk affect the perceived value of medical tourists. The perceived value has impact on the destination image of medical tourists. The destination image also influences the satisfaction and loyalty of medical tourists. Finally, satisfaction could lead to the loyalty of medical tourists.
Conclusion: According to the results, investment in improving the quality of tourism services, as well as reducing the potential risks of tourism activities and increasing the efforts to reduce direct and indirect costs for medical tourists can improve their perceived value. It is also possible to provide standard services and build appropriate infrastructure for medical tourists in order to create a positive image, which will result in satisfaction and, ultimately, the loyalty of tourists could lead to the future visit and word of mouth by them.
Keywords: Perceived Value, Destination Image, Satisfaction, Loyalty, Medical Tourism
Full-Text [PDF 404 kb]   (339 Downloads)    
Type of Study: Research | Subject: Special
Received: 2019/03/7 | Accepted: 2019/03/7 | Published: 2019/03/7
1. Garcia-Altes A. the development of health tourism services. Annals of Tourism Research. 2013; 32: 262. [DOI:10.1016/j.annals.2004.05.007]
2. Beerli A, Martin JD. Factors influencing Destination Image. Annals of travel research. 2012; 31(3): 657-681. [DOI:10.1016/j.annals.2004.01.010]
3. Gallarza MG, Saura IG, Garcia HC. Destination image: Towards a conceptual framework. Annals of tourism research. 2010; 29 (1): 56-78. [DOI:10.1016/S0160-7383(01)00031-7]
4. Chen CF, Chen FS. Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists. Tourism Management. 2010; 31: 29-35. [DOI:10.1016/j.tourman.2009.02.008]
5. EbrahimPour H, HasanZade M, Nemati V. Organizational Citizenship behavior and Tourists loyalty, Journal Studies management. 2012; 7(18): 73-94.
6. Nazar Khan MS, Rasheed S, Islam F, Ahmad IA, Rizwan M. Corporate Branding, Emotional Attachment and Brand Loyalty: The Case of Luxury Fashion Branding. International Journal of Scientific and Research Publications. 2016; 6(5): 151- 159.
7. Lee TH, Shen YL. The Influence of Leisure Involvement and Place Attachment on Destination Loyalty: Evidence from Recreationists Walking Their Dogs Urban Parks. Journal of Environmental Psychology. 2013; 33: 76 - 85. [DOI:10.1016/j.jenvp.2012.11.002]
8. Haqiqi Kafash M, Ziaee M, Jafari M. Prioritize the factors related to the development of medical tourism. Journal of Tourism Studies. 2010; 11(12): 23-40.
9. Mohamad WN, Omar A, Haron MS. The Moderating Effect of Medical Travel Facilitation in Medical Tourism. Procedia - Social and Behavioral Sciences. 2012; 65: 358-363. [DOI:10.1016/j.sbspro.2012.11.134]
10. Bookma MZ, Bookman KR. Medical tourism in developing countries. New York: Palgrave Macmillan. 2007. [DOI:10.1057/9780230605657]
11. Youngman I. Medical tourism facts and figures. An independent report. Goel, S.L., & Kumar, R. Medical tourism and hospital services. New Delhi, India: Deep & Deep Publications PVT. Ltd. 2010.
12. Goel SL, Kumar R. Medical tourism and hospitalservices. New Delhi, India: Deep & Deep Publications PVT. Ltd. 2010.
13. Garcia CJA, Pagan R. Hardeman. Context matters: Where Would You be the Least worse off in the US if You Were Uninsured? Health Policy. 2010; 94(1): 76-83. [DOI:10.1016/j.healthpol.2009.08.010]
14. Turner L. First world health care at third world Prices': Globalization, bioethics and medical Tourism. biosocieties. 2007; 2: 303-325. [DOI:10.1017/S1745855207005765]
15. Awadzi W, Panda D. Medical Tourism: Globalization and the Marketing of Medical Services, the Consortium. Journal of Hospitality and Tourism. 2006; 11(1): 1-7.
16. Crooks VA, Kingsbury P, Snyder J, Johnston R. What is known about the Patient's Experience of Medical Tourism? A Scoping Review. BMC Health Services Research. 2010; 376: 1-12. [DOI:10.1186/1472-6963-10-266]
17. ArabshahiKarizi A, AryanFar M. Health Tourism and Medical - Treatment Tourism Capabilities of Iran. Journal of tourism space. 2013; 3(9): 133-152.
18. Connell J. Medical Tourism: Sea, Sun, Sand and … Surgery. Tourism Management. 2006; 27(6): 1093-1100 [DOI:10.1016/j.tourman.2005.11.005]
19. Ebrahimi A, Mansuri SH. The Effect of Service Quality, Perceived Value and Enjoyment of Sentiment Affect Consumer Behavior. Journal of Management. 2014; 10(32): 1-14.
20. Kazemi M, Pour S, SaadatYar FS, Bitaraf F. The Impact of Perceived Image Tourists on the Perceived Quality of the Caspian Sea Coastal Towns with an Emphasis on the Mediating. Journal of Research and Urban Planning. 2011; 2(6): 19-34.
21. Qudarzi M, Taghvaee M, ZanghiAbadi A. The Development of the Domestic Medical Tourism in Shiraz. Health information management. 2015; 11(4): 485-496.
22. HeydarZade K, JavanBakht A. The Effect of Consumer Environmental Perceptions buys on Emotion, and Desire to Understand the Behavior of Tourists. Journal of Marketing Management. 2015; 27: 1-16.
23. Petrick JF, Morais DD, Norman WC. An examination of the determinants of entertainment vacationers' intentions to revisit. Journal of Travel Research. 2013; 40, 8-41.
24. Mansuri Moayed F, Soleymani S, Marketing Tools and Tourists Destination Image. Journal of Tourism Studies. 2013; 7(18): 93-110.
25. Baloglu S, McCleary KW. A Model of Destination Image Formation. Annals of travel research. 2012; 26: 868-897. [DOI:10.1016/S0160-7383(99)00030-4]
26. Kanoknon S. Tourist Motivation to Use Homestays in Thailand and their Satisfaction based on the Destination's Cultural and Heritage based Attribute, Dissertations. Academic- University of MissouriColumbia. Prebensen. 2012.
27. Song H. The Hong Kong Tourist Satisfaction Index. Annals of Tourism Research. 2013.
28. Aqaee P, RAzavian MT, Saeedi Rad M, Kharaee M. Analysis of Factors Affecting Tourist Satisfaction (Case Study: Qorveh). Journal of tourism space. 2013; 4(21): 97-113.
29. EbrahimPour H, Seyyed Naqavi MA, Yaqubi NM. Factors Affecting the Satisfaction and Loyalty of Tourists in Ardabil Province (region tourism case study Sareyn), Journal Studies management. 2011; 14: 69-92.
30. Gim TT. Tourist Satisfaction, Image, and Loyalty from an Interregional Perspective: An Analysis of Neighboring Areas with Distinct Characteristics. Sustainability. 2018; 10: 1-18. [DOI:10.3390/su10041283]
31. Han SY, Park SJ, Lee HJ. The Study on the Structural Relations among the Visitor Satisfaction, its Antecedents and the Modification of Images of Korea Perceived by Chinese and Russian Tourists after Their Visits to Korea. J. Digit. Converg. 2014; 12: 115-125. [DOI:10.14400/JDPM.2014.12.1.115]
32. Lai F, Griffin M, Babin BJ. How Quality, Value, Image, and Satisfaction Create Loyalty at a Chinese Telecom. Journal of Business Research. 2009; 62(10): 980-986. [DOI:10.1016/j.jbusres.2008.10.015]
33. Bui HT, Le TA. Tourist Satisfaction and Destination Image of Vietnam's Ha Long Bay. Asia Pac. J. Tour. Res. 2016; 21: 795-810. [DOI:10.1080/10941665.2015.1075564]
34. Zhang H, Fu X, Cai LA, Lu L. Destination Image and Tourist Loyalty: A Meta-Analysis. Tour. Manag. 2014; 40:213-223. [DOI:10.1016/j.tourman.2013.06.006]
35. Assaker G, Vinzi VE, O'Connor P. Examining the Effect of Novelty Seeking, Satisfaction, and Destination Image on Tourists' Return Pattern: A Two Factor, Non-Linear Latent Growth Model. Tour. Manag. 2011; 32: 890-901. [DOI:10.1016/j.tourman.2010.08.004]
36. Goo YM, Yew XT, See SF. An investigation of tourists' destination image, satisfaction and destination loyalty: Batu Ferringghi Beach, Penang. In Proceedings of the 2nd Tourism and Hospitality International Conference, Langkawi, Malaysia. 5-6 November 2014.
37. Eusebio C, Vieira AL. Destination Attributes' Evaluation, Satisfaction and Behavioral Intentions: A Structural Modelling Approach. International Journal of Tourism Research. 2011; 15(1): 66-80. [DOI:10.1002/jtr.877]
38. Coban S. The Effects of the Image of Destination on Tourist Satisfaction and Loyalty: The Case of Cappadocia. European Journal of Social Science. 2012; 2(29): 222-232.
39. Carvajal-Trujillo E Sanz S. The Moderating Effects of Personal and Situational Characteristics on the Image, Satisfaction and Future Behavioral Intention with Ports of Calls. In: 2nd International Symposium on Partial Least Squares Path Modeling - The Conference for PLS Users. Seville, Spain.16 - 19 June 2015.
Send email to the article author

Add your comments about this article
Your username or Email:


XML   Persian Abstract   Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Asgarnezhad Nouri B, Nemati V, Abbasgholizadeh N. The Effect of Perceived Value on the Destination Image, Satisfaction and Loyalty of Medical Tourists: A Case Study in Ardabil. j.health. 2019; 10 (1) :34-49
URL: http://healthjournal.arums.ac.ir/article-1-1769-en.html

Volume 10, Issue 1 (spring 2019) Back to browse issues page
مجله سلامت و بهداشت Journal of Health
Persian site map - English site map - Created in 0.12 seconds with 31 queries by YEKTAWEB 3960