Document Type : Research Paper

Authors

1 Department of management, Karaj Branch, Islamic Azad University, Karaj, Iran.

2 Department of industrial management, Karaj Branch, Islamic Azad University, Karaj, Iran.

3 Department of Industrial Management, Karaj Branch, Islamic Azad University, Karaj, Iran

Abstract

Given the profound disruptions caused by the COVID-19 pandemic in global travel and healthcare systems, there is an urgent need to reassess health tourism frameworks to align with the emergent needs, challenges, and opportunities in the post-corona landscape. The aim of this research was to present a service innovation model in the health tourism industry, focusing on the post-corona era. The study employed a mixed-methods approach, utilizing thematic analysis to identify key factors influencing service innovation in the health tourism industry, particularly in the post-corona era. Subsequently, through the Delphi method and quantitative analysis using structural equation modeling with the SMART PLS software, specific factors were identified and validated. The findings revealed 46 indicators across 6 dimensions in order of importance, including Sensitivity and Cultural Diversity in Health Tourism, Patient-Centered Services, Technological Innovations, Post-Corona Safety Measures, Regulatory Framework, and Environmentally Responsible Initiatives in Health Tourism.

Keywords

Main Subjects

  1. Abdullah, F. A., Nik Muhammad, N. M., Redzuan, R., & Hong, L. M. (2022). Malaysia health tourism SME’s innovation performance in the relationship with innovation capability and competency. In International Conference on Entrepreneurship, Business and Technology(pp. 449-458). Singapore: Springer Nature Singapore. http://dx.doi.org/10.1007/978-981-99-2337-3_39
  2. Alreahi, M., Bujdosó, Z., Lakner, Z., Pataki, L., Zhu, K., Dávid, L. , & Kabil, M. (2023). Sustainable tourism in the post-COVID-19 era: Investigating the effect of green practices on hotels attributes and customer preferences in Budapest, Hungary. Sustainability15(15), 11859. http://dx.doi.org/10.3390/su151511859
  3. Arief, M., Hamsal, M., & Abdinagoro, S. B. (2023). A decade of medical tourism research: Looking back to moving forward. Journal of Hospitality and Tourism Insights6(5), 2158-2172. https://doi.org/10.1108/jhti-06-2022-0250
  4. Bagdoniene, L. (2021). Resource scarcity and co-creation of service innovation from co-location perspective: The case of Lithuanian Resort Birstonas. Lex Localis19(3), 461-483. https://doi.org/10.4335/19.3.461-483
  5. Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa
  6. Buhalis, D., Harwood, T., Bogicevic, V., Viglia, G., Beldona, S., & Hofacker, C. (2019). Technological disruptions in services: lessons from tourism and hospitality. Journal of Service Management30(4), 484-506. http://dx.doi.org/10.1108/JOSM-12-2018-0398
  7. Chongsitjiphol, S., & Wongmonta, S. (2021). Potential of wellness spa business in the Eastern Region of Thailand to be a hub of health tourism. Nimitmai Review Journal4(1), 1–18. https://so04.tci-thaijo.org/index.php/nmrj/article/view/249697
  8. Dalkıran, G. B. (2023). Health tourism components and intermediary institutions as supplier businesses in the context of health 4.0. In Health 4.0 and Medical Supply Chain (pp. 147-162). Singapore: Springer Nature Singapore. https://doi.org/10.1007/978-981-99-1818-8_12
  9. Das, S., Rao, N. J., Mishra, D., & Bansal, R. (2024). A review of the pre-and post-COVID-19 effects on the tourism and entertainment industries: Innovative methods and predicted challenges. Utilizing Smart Technology and AI in Hybrid Tourism and Hospitality, 98-117. http://dx.doi.org/10.4018/979-8-3693-1978-9.ch005
  10. Edgar, G., Kharazmi, A., Behzadi, S., & Kharazmi, O. A. (in press). Effect of knowledge resources on innovation and the mediating role of dynamic capabilities: case of medical tourism sector in Iran. European Journal of Innovation Management. http://dx.doi.org/10.1108/EJIM-05-2022-0238
  11. Ekka, P. M. (2024). Halal tourism beyond 2020: concepts, opportunities and future research directions. Journal of Islamic Marketing15(1), 42-58. http://dx.doi.org/10.1108/JIMA-09-2022-0260
  12. Hair, J. F., Black, W. C., Babin, B. J., Anderson, R. E., & Tatham, R. L. (2006). Multivariate Data Analysis (6th Ed.). Pearson Education.
  13. Halkiopoulos, C., Dimou, E., Kompothrekas, A., Telonis, G., & Boutsinas, B. (2021). The E-tour facilitator platform supporting an innovative health tourism marketing strategy. In Culture and Tourism in a Smart, Globalized, and Sustainable World: 7th International Conference of IACuDiT, Hydra, Greece, 2020 (pp. 609-623). Cham: Springer International Publishing. http://dx.doi.org/10.1007/978-3-030-72469-6_39
  14. Hartman, S. (2023). Destination governance in times of change: a complex adaptive systems perspective to improve tourism destination development. Journal of Tourism Futures9(2), 267-278. https://doi.org/10.1108/JTF-11-2020-0213
  15. Herstatt, C., & Tiwari, R. (2020). Opportunities of frugality in the post-corona era. International Journal of Technology Management, 83(1-3), 15-33. https://doi.org/10.1504/IJTM.2020.109276
  16. Isdarmanto, S., & Kiswantoro, A. (2020). Tourism branding: A strategy of regional tourism sustainability post COVID-19 in Yogyakarta. In IOP Conference Series: Earth and Environmental Science, (Vol. 704, No. 1, p. o12003), IOP publishing. https://doi.org/10.1088/1755-1315/704/1/012003
  17. Jiang, Z., & Zhang, J. (2018). Strategy research on health tourism of traditional Chinese medicine. In2018 4th International Conference on Education Technology, Management and Humanities Science (ETMHS 2018) (pp. 64-66). Atlantis Press. http://dx.doi.org/10.2991/etmhs-18.2018.15
  18. Kose, G., & Colakoglu, O. E. (2023). Health tTourism with data mining: Present state and future potentials. IJICTDC8(1), 23-33.
  19. Kumar, M.Mamgain, P.Pasumarti, S. S., & Singh, P. K.(in press). Organizational IT support and knowledge sharing behaviour affecting service innovation performance: empirical evidence from the hospitality industry. VINE Journal of Information and Knowledge Management Systems, (ahead-of-print). https://doi.org/10.1108/VJIKMS-07-2021-0124
  20. Li, Z., Wang, D., Abbas, J., Hassan, S., & Mubeen, R. (2022). Tourists’ health risk threats amid COVID-19 era: role of technology innovation, Transformation, and recovery implications for sustainable tourism. Frontiers in Psychology12, 769175. http://dx.doi.org/10.3389/fpsyg.2021.769175
  21. Lohmann, P., Brandão, F., Rodrigues, C., & Zouain, D. (2023). The quadruple helix as a tool for innovation in tourism: a study in the city of Rio de Janeiro in the post-Olympic period. Tourism Planning & Development,20(1), 62-85. http://dx.doi.org/10.1080/21568316.2021.1984287
  22. Lukjanova, J., & Odinokova, T. (2020). Innovations as the main challenge in the field of health tourism in Latvia. In Access to Science, Business, Innovation in Digital Economy (pp. 39-52). https://doi.org/10.46656/access.2020.1.1(3)
  23. Mathew, P. V. (2022). Sustainable tourism development: discerning the impact of responsible tourism on community well-being. Journal of Hospitality and Tourism Insights5(5), 987-1001. https://doi.org/10.1108/JHTI-02-2021-0052
  24. Nenad, M., & Pessot, E. (2022). Innovation practices and techniques for nature-based health tourism competitiveness. In Digital and Strategic Innovation for Alpine Health Tourism: Natural Resources, Digital Tools and Innovation Practices from HEALPS 2 Project(pp. 99-116). Cham: Springer International Publishing. http://dx.doi.org/10.1007/978-3-031-15457-7_7
  25. Novelli, M. (2024). Building tourism ecosystems for sector sustainability and resilience through peer-to-peer collaboration and open innovation. Current Issues in Tourism27(7), 1003-1007. http://dx.doi.org/10.1080/13683500.2023.2191837
  26. Nunes, S., & Cooke, P. (2021). New global tourism innovation in a post-coronavirus era. European Planning Studies,29(1), 1-19. http://dx.doi.org/10.13140/RG.2.2.13248.15363
  27. Panasiuk, A. (2018). Theoretical aspects of innovation in health tourism. European Journal of Service Management25(1), 213-220. http://dx.doi.org/10.18276/ejsm.2018.25-26
  28. Phanpanya, K., Leelapattana, W., Thongma, W., & Waiapha, Y. (2020). Tourism service factors affecting health tourism service innovation in Mae Hong Son Province. International Journal of Innovation, Creativity and Change11(7). https://doi.org/10.1007/978-981-99-2337-3_39
  29. Roman, M., Roman, M., & Wojcieszak, M. (2022). Health tourism—Subject of scientific research: A literature review and cluster analysis. International Journal of Environmental Research and Public Health, 20, 480. https://doi.org/10.3390/ijerph20010480
  30. Sampaio, C., Farinha, L., Sebastião, J. R., & Fernandes, A. (2023). Tourism industry at times of crisis: a bibliometric approach and research agenda. Journal of Hospitality and Tourism Insights, 6(4), 1464-1484. http://dx.doi.org/10.1108/JHTI-08-2021-0223
  31. Sharpley, R. (2023). Sustainable tourism governance: local or global? Tourism Recreation Research48(5), 809-812. http://dx.doi.org/10.1080/02508281.2022.2040295
  32. Sneha, N. (2021). Post-pandemic travel: Decoding the trends and challenges for Indian Travellers. Atna Journal of Tourism Studies16(1). https://doi.org/10.12727/ajts.25.4
  33. Spoladore, D., Pessot, E., & Sacco, M. (2023). Digital and strategic Innovation for Alpine health tourism: Natural resources, digital tools and innovation practices from HEALPS 2 project. Springer Nature. http://dx.doi.org/10.1007/978-3-031-15457-7
  34. Sultana, N., Turkina, E., & Cohendet, P. (2023). Innovation Environment for Sustainable Medical Tourism in a Country. In Handbook of Research on Sustainable Tourism and Hotel Operations in Global Hypercompetition (pp. 137-162). IGI Global. https://doi.org/10.4018/978-1-6684-4645-4.ch007
  35. Szymańska, E., & Panfiluk, E. (2020). Determinants of technological innovations in health tourism enterprises. Business: Theory and practice21(1), 348-359. http://dx.doi.org/10.3846/btp.2020.11104
  36. Tajeddini, K., Martin, E., & Altinay, L. (2020). The importance of human-related factors on service innovation and performance. International Journal of Hospitality Management85, 102431. http://dx.doi.org/10.1016/j.ijhm.2019.102431
  37. Trandberg Jensen, M. (2021). Partigraphy: A new ethnographic approach to study pandemics in tourism. Current Issues in Tourism, 24(14), 1941-1944, https://doi.org/1080/13683500.2020.1800604
  38. Trip, D. T., Simut, R., & Badulescu, D. (2023). Do size and ownership determine the willingness for sustainable innovations in spa and health tourism? A case study on Baile Felix Spa Resort, Romania. Sustainability15(19), 14501. https://doi.org/10.3390/su151914501
  39. Van, N. T. T., Vrana, V., Duy, N. T., Minh, D. X. H., Dzung, P. T., Mondal, S. R., & Das, S. (2020). The role of human–machine interactive devices for post-COVID-19 innovative sustainable tourism in Ho Chi Minh City, Vietnam. Sustainability12(22), 9523. http://dx.doi.org/10.3390/su12229523
  40. Wong, A. F., Kim, S., Liu, Y. Y., & Grace Baah, N. (2023). COVID-19 research in hospitality and tourism: Critical analysis, reflection, and lessons learned. Journal of Hospitality & Tourism Research. 10963480231156079. https://doi.org/10.1177/10963480231156079. PMCID: PMC10009010
  41. Yang, C. , Hsu, W., & Wu, Y. L. (2022). A hybrid multiple-criteria decision portfolio with the resource constraints model of a smart healthcare management system for public medical centers. Socio-Economic Planning Sciences, 80, 101073. http://dx.doi.org/10.1016/j.seps.2021.101073
  42. Yeh, T. , Chen, S. H., & Chen, T. F. (2019). The relationships among experiential marketing, service innovation, and customer satisfaction—A case study of tourism factories in Taiwan. Sustainability, 11(4), 1041. http://dx.doi.org/10.3390/su11041041
  43. Žerajić, A. (2022). The future of tour guiding and its trends in the post COVID-19 society. Tourism International Scientific Conference Vrnjačka Banja - TISC, 7(1), 95-111. https://doi.org/10.52370/TISC2295AZ
  44. Zhang, L. (2019). Discussion on development mode of health care tourism. Journal of Service Science and Management, 12(07), 821. https://doi.org/10.4236/jssm.2019.127056
  45. Akbari, M., & Ansari, M. (2020). The recognition of stimuli affecting the competitiveness of travel and tourism for the post-COVID era (Case study: Iran). Tourism Management Studies, 15(0), 253-284. https://doi.org/10.22054/tms.2020.55632.2409. [In Persian]
  46. Dehghan, R., Reshadatjoo, H., Talebi, K., & Dargahi, H. (2021). Iran health tourism’ strategic analysis in Corona situation. Payavard, 14(6), 519-534. http://payavard.tums.ac.ir/article-1-7051-fa.html. [In Persian]
  47. Jahandideh, A., & Asgharizadeh, E. (2023). Designing a model for sustainability of the supply chain of Iran’s tourism industry with an emphasis on the pandemic conditions of the Corona Virus. Tourism Management Studies, 18(64), 103-144. https://doi.org/10.22054/tms.2023.74975.2862. [In Persian]
  48. Kiakojuri, H., nasimi, M. A., Taghi Pourian, M. J., & Ghanbarzadeh, Q. (2021). Provide a competitive advantage model for the health tourism business in post-Corona by using meta-combination technique. Journal of International Business Administration, 3(4), 45-66. https://doi.org/10.22034/jiba.2020.40311.1460. [In Persian]
  49. Loghman, S. S., Hakim, A. (2023). Providing a strategic model for the development of medical tourism in the country in the post-corona era. Medicine and Spiritual Cultivation, 32(1), 58-72. https://dorl.net/dor/20.1001.1.16082397.1402.32.1.5.9. [In Persian]
  50. Lovafan, A. (2021). Investigating the evolution of the tourism industry along with technological changes, innovation and creativity. 2nd International Conference on Management, Tourism and Technology. [In Persian]
  51. Mahmoudzadeh, S. , Izadi Yazdanabadi, F., Ashtiani, T., & Heydari, A. (2023). Investigating the effect of digital revolution on tourism business trends.  Journal of Social Studies in Tourism, 11(22), 201-230. https://doi.org/10.61186/journalitor.36111.11.22.201. [In Persian]
  52. Naderi Doost, M., & Arab Ahmadi, H. (2022). Tourism marketing drivers towards innovation (A case study of Mazandaran Province). 1st National Conference on Transformation in Management, [In Persian]
  53. Nasiri Abtahi, S. N., Maleki, M. H., Bayat, B., & Ghobadi, T. (2023). A Future study of business intelligence in the tourism industry. Journal of Social Studies in Tourism, 11(22), 133-172. https://doi.org/10.61186/journalitor.36223.11.22.133. [In Persian]