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DETERMINING THE EFFECT OF HEALTH SERVICE QUALITY IN THERMAL HEALTH CENTERS ON DESTINATION MARKETING IMAGE: THE SAMPLE OF PAMUKKALE

Year 2021, Volume: 20 Issue: 78, 780 - 795, 01.04.2021

Abstract

The purpose of this study is to investigate the effect of health service quality on destination marketing image. The population of the research are people/patients who receive health services from thermal health centres for treatment in the Pamukkale region. The quantitative research method was used and the data was collected from 390 people by face-to-face questionnaire technique. The samples were determined with the convenience sampling method. With the help of SPSS package program, descriptive statistics, exploratory factor analysis (EFA) and multivariate regression analysis techniques had been implemented to analyze the research data. According to the results of the research, it has been observed that "Trust" has the highest average among the factors of health service quality. Similarly, it has been observed that the "Emotional Image" variable has the highest average among the destination marketing image factors. It has also been determined that health service quality has a statistically significant effect on the destination marketing image. This study was limited to domestic customers receiving treatment service from thermal health centres in the Pamukkale region, and foreign customers were not considered within the scope of the study. The proposed framework and research findings would help stakeholders to recognize and understand the versatile association in the thermal health tourism industry. Moreover, the findings of this research will make an important contribution to the knowledge that is compatible with this field, especially for visitors who prefer thermal health tourism centres. This study on the health treatment centres in the Pamukkale region evaluates and contributes to the literature and the professionals in the field based on confirmed knowledge obtained via the valid and reliable scales that were developed for different cultures and sectors.

References

  • Ahmed, ZU (1991). The Influence of the Components of a State's Tourist Image on Product Positioning Strategy. Tourism Management, 12 (1), 331--340.
  • Alexandris, K., Douka, S., Papadopoulos, P. & Kaltsatou, A. (2008), “Testing the role of service quality on the development of brand associations and brand loyalty”, Managing Service Quality, 18 (3), 239-254.
  • Armstrong, RW, Mok, C., Go, FM & Chan, A. (1997), “The importance of cross-cultural expectations in the measurement of service quality perceptions in the hotel industry”, International Journal of Hospitality Management, 16 (2), 181-190.
  • Baloglu, S. & Mangaloglu, M. (2001). Tourism Destination Images of Turkey, Egypt, Greece, and Italy as Perceived by US-Based Tour Operators and Travel Agents. Tourism Management, 22, 1-9.
  • Beerli, A., & Martin, J. D. (2004). Tourists' characteristics and the perceived image of tourist destinations: A quantitative analysis - A case study of Lanzarote, Spain. Tourism Management, 25, 623-636.
  • Bitner, MJ & Hubbert, AR (1994). “Encounter satisfaction versus overall satisfaction versus service quality: the consumer's voice”, in Rust, RT and Oliver, RL (Eds), Service Quality: New Directions in Theory and Practice, Sage Publications, Thousand Oaks, CA.
  • Bonn, MA, Joseph, S. M., & Dai, M. (2005). International versus domestic visitors: An examination of destination image perceptions. Journal of Travel Research, 43 (3), 294--301.
  • Boyer, K. K., & Hul t, G. T. (2005). Customer behavior in an online ordering application: A decision scoring model. Decision Sciences, 36, 569-598.
  • Çelik, A. (2009). Event Tourism as a Destination Marketing Element and Its Effects - The Case of Istanbul. Unpublished Master Thesis, Gazi University Institute of Educational Sciences, Ankara.
  • Chen, C. & Tsai, D. (2007). How Destination Image and Evaluative Factors Affect Behavioral Intentions? Tourism Management, 28, 1115- 1122.
  • Choi, TY & Chu, RKS (1998), “Consumer perceptions of the quality of services in three hotel categories in Hong Kong”, Journal of Vacation Marketing, 5 (2), 176-189.
  • Chon, K. (1990). The role of destination image in tourism: A review and discussion. Revue du Tourisme, 45 (2), 2–9.
  • Cronin, J. & Taylor, S. (1992), “Measuring service quality: a re-examination and extension”, Journal of Marketing, 56 (3), 55-68.
  • Crosby, LB, DeVito, R., & Pearson, J. M. (2003). Manage your customers' perception of quality. Review of Business, 24, 18–38.
  • Dedeoğlu, B. B., Küçükerg in, K. G., & Balıkçıoğlu, S. (2015). Understanding the relationships of services, value, image, pleasure, and behavioral intentions among hotel customers. Journal of Travel & Tourism Marketing, 1-20.
  • Fakeye, PC & Crompton, JL (1991). Image differences between prospective, first-time, and repeat visitors to the Lower Rio Grande Valley. J. Travel Res., 30, 10–16.
  • Gnoth, J., Bigné, J. E. & Andreu, L. (2006). Waiting Time Effects on the Leisure Experience and Visitor Emotions. Metin Kozak and Luisa Andreu (Ed.). Progress in Tourism Marketing, Oxford: Elsevier.
  • Grönroos, C. (1984). A service quality model and its marketing implications. European Journal of Marketing, 18 (4), 36-44.
  • Gronroos, C. (1990), “Service management: a management focus for service competition”, International Journal of Service Industry Management, 1 (1), 6-14.
  • Gupta, A. & Chen, I. (1995), “Service quality: implications for management development”, International Journal of Quality & Reliability Management, 12 (7), 28-35.
  • Huei, C. T., & Easvaralingam, Y. (2011). Perceptions of service quality, corporate image, and customer loyalty in the hotel industry of Malaysia. The 2nd international research symposium in service management, Yogyakarta, Indonesia.
  • Ilban, M.O. (2007). Brand Image in Destination Marketing and A Research in Travel Agencies. Unpublished Doctorate Thesis, Balıkesir University Institute of Social Sciences, Balıkesir.
  • Kandampully, J., Juwaheer, T. D., & Hu, H.-H. (2011). The influence of a hotel fi rm's quality of service and image and its effect on tourism customer loyalty. International Journal of Hospitality & Tourism Administration, 12 (1), 21--42.
  • Kim, H. ve Richardson, S.L. (2003). Motion Picture Impacts on Destination Images. Annals of Tourism Research, 30(1), 216–237.
  • Kotler, P. ve Gertner, D. (2002). Country as Brand, Product and Beyond: A Place Marketing and Brand Management Perspective. Journal of Brand Management, 9(4/5), 249-261.
  • Kotler, P., & Armstrong, G. (2002). Dasar-Dasar Pemasaran, Edisi Kesembilan. Jakarta: Index.
  • Kozak, M. (2001). Repeaters' behavior at two distinct destinations. Annals of Tourism Research, 28, 784–807.
  • McDougall, HG & Levesque, TJ (1994), “Bene fi t segmentation using service quality dimensions: an investigation in retail banking”, International Journal of Bank Marketing, 2 (1), 15-23.
  • McKerchera, B. & Prideauxb, B. (2011), “Are tourism impacts low on personal environmental agendas?”, Journal of Sustainable Tourism, 19 (3), 325-345.
  • Moon, K., Kim, M., Ko, Y., Connaughton, D. & Lee, J. (2011), “The influence of consumer's event quality perception on destination image”, Managing Service Quality, 21 (3), 287-303.
  • Parasuraman, A., Zeithaml, V.A. and Berry, L.L. (1988). ‘SERVQUAL: a multi-item scale for measuring consumer perceptions of service quality’, Journal of Retailing, 64(1), pp. 12-40.
  • Parasuraman, A., Zeithaml, VA, & Berry, LL (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49 (4), 41-50.
  • Parasuraman, A., Zeithaml, VA, & Berry, LL (1994). Reassessment of Expectations as a Comparison Standard in Measuring Service Quality: Implications for Further Research. Journal of Marketing, 58, 111--124.
  • Plamer, A., & O'Neill, M. (2003). The effects of perceptual processes on the measurement of service quality. Journal of Services Marketing, 17, 254--274.
  • Quintal, V., & Polczynski, A. (2010). Factors influencing tourists' revisit intentions. Asia Pacific Journal of Marketing and Logistics, 22, 554–578.
  • Schmitt, B. H. (1999). Experiential Marketing: How to Get Customers to Sense, Feel, Think, Act, Relate to Your Company and Brands. New York: The Free Press.
  • Sencan, H. (2005). Reliability and Validity. Ankara: Seçkin Publications. Stevens, BF (1992). Price Value Perceptions of Travelers. Journal of Travel Research, 31 (1), 44-48.
  • Vinh, N. & Long, N. (2013), “The relationship among expectation, satisfaction and loyalty of international visitor to Hanoi, Vietnam”, Journal of Global Management, 5 (1), 30-43.
  • Yiamjanya, S. & Wongleedee, K. (2014). International Tourists' Travel Motivation by PushPull Factors and the Decision-Making for Selecting Thailand’s Destination Choice. World of Academy Science, Engineering and Technology, 8 (5), 1315-20.
  • Yuksek, G. (2014). Tourism Destinations, Ankara: Detay Publishing. Zeithaml, V.A., Parasuraman, A. and Berry, L.L. (1990). Delivering Quality Service: Balancing Customer Perceptions and Expectations. The Free Press, New York.

DETERMINING THE EFFECT OF HEALTH SERVICE QUALITY IN THERMAL HEALTH CENTERS ON DESTINATION MARKETING IMAGE: THE SAMPLE OF PAMUKKALE

Year 2021, Volume: 20 Issue: 78, 780 - 795, 01.04.2021

Abstract

Bu çalışmanın amacı, sağlık hizmeti kalitesinin destinasyon pazarlama imajına etkisini araştırmaktır. Araştırmanın ana kütlesini Pamukkale ve çevresinde tedavi amaçlı termal sağlık merkezlerinden sağlık hizmeti alan kişi / hastalardır. Nicel araştırma yöntemi kullanılmış ve veriler yüz yüze anket tekniği ile 390 kişiden toplanmıştır. Örnekler, kolayda örnekleme yöntemi ile belirlenmiştir. Araştırma verilerini analiz etmek için SPSS paket programı yardımıyla tanımlayıcı istatistikler, Betimleyici faktör analizi (BFA) ve çok değişkenli regresyon analizi teknikleri uygulanmıştır. Araştırma sonuçlarına göre sağlık hizmet kalitesi faktörleri arasında en yüksek ortalamanın "Güven" olduğu görülmüştür. Benzer şekilde, destinasyon pazarlama imaj faktörleri arasında "Duygusal İmaj" değişkeninin en yüksek ortalamaya sahip olduğu görülmüştür. Sağlık hizmeti kalitesinin destinasyon pazarlama imajı üzerinde istatistiksel olarak anlamlı bir etkiye sahip olduğu da tespit edilmiştir. Bu çalışma Pamukkale ve çevresindeki termal sağlık merkezlerinden tedavi hizmeti alan yerli müşterilerle sınırlı tutulmuş olup, yabancı müşteriler çalışma kapsamında değerlendirilmemiştir. Önerilen çerçeve ve araştırma bulguları, sektördeki paydaşların termal sağlık turizmi endüstrisindeki çok yönlü ilişkiyi tanımasına ve anlamasına yardımcı olacaktır. Ayrıca bu araştırmanın bulguları, özellikle termal sağlık turizmi merkezlerini tercih eden ziyaretçiler için bu alanla uyumlu bilgi birikimine önemli katkı sağlayacaktır. Türkiye’deki sağlık tedavi merkezleri üzerine yapılan bu çalışma, farklı kültürler ve sektörler için geliştirilmiş geçerli ve güvenilir ölçekler kullanılarak elde edilmiş bilgilere dayalı bir şekilde literatürü değerlendirmekte ve hem uygulayıcılara hem de literatüre katkı sağlamaktadır.

References

  • Ahmed, ZU (1991). The Influence of the Components of a State's Tourist Image on Product Positioning Strategy. Tourism Management, 12 (1), 331--340.
  • Alexandris, K., Douka, S., Papadopoulos, P. & Kaltsatou, A. (2008), “Testing the role of service quality on the development of brand associations and brand loyalty”, Managing Service Quality, 18 (3), 239-254.
  • Armstrong, RW, Mok, C., Go, FM & Chan, A. (1997), “The importance of cross-cultural expectations in the measurement of service quality perceptions in the hotel industry”, International Journal of Hospitality Management, 16 (2), 181-190.
  • Baloglu, S. & Mangaloglu, M. (2001). Tourism Destination Images of Turkey, Egypt, Greece, and Italy as Perceived by US-Based Tour Operators and Travel Agents. Tourism Management, 22, 1-9.
  • Beerli, A., & Martin, J. D. (2004). Tourists' characteristics and the perceived image of tourist destinations: A quantitative analysis - A case study of Lanzarote, Spain. Tourism Management, 25, 623-636.
  • Bitner, MJ & Hubbert, AR (1994). “Encounter satisfaction versus overall satisfaction versus service quality: the consumer's voice”, in Rust, RT and Oliver, RL (Eds), Service Quality: New Directions in Theory and Practice, Sage Publications, Thousand Oaks, CA.
  • Bonn, MA, Joseph, S. M., & Dai, M. (2005). International versus domestic visitors: An examination of destination image perceptions. Journal of Travel Research, 43 (3), 294--301.
  • Boyer, K. K., & Hul t, G. T. (2005). Customer behavior in an online ordering application: A decision scoring model. Decision Sciences, 36, 569-598.
  • Çelik, A. (2009). Event Tourism as a Destination Marketing Element and Its Effects - The Case of Istanbul. Unpublished Master Thesis, Gazi University Institute of Educational Sciences, Ankara.
  • Chen, C. & Tsai, D. (2007). How Destination Image and Evaluative Factors Affect Behavioral Intentions? Tourism Management, 28, 1115- 1122.
  • Choi, TY & Chu, RKS (1998), “Consumer perceptions of the quality of services in three hotel categories in Hong Kong”, Journal of Vacation Marketing, 5 (2), 176-189.
  • Chon, K. (1990). The role of destination image in tourism: A review and discussion. Revue du Tourisme, 45 (2), 2–9.
  • Cronin, J. & Taylor, S. (1992), “Measuring service quality: a re-examination and extension”, Journal of Marketing, 56 (3), 55-68.
  • Crosby, LB, DeVito, R., & Pearson, J. M. (2003). Manage your customers' perception of quality. Review of Business, 24, 18–38.
  • Dedeoğlu, B. B., Küçükerg in, K. G., & Balıkçıoğlu, S. (2015). Understanding the relationships of services, value, image, pleasure, and behavioral intentions among hotel customers. Journal of Travel & Tourism Marketing, 1-20.
  • Fakeye, PC & Crompton, JL (1991). Image differences between prospective, first-time, and repeat visitors to the Lower Rio Grande Valley. J. Travel Res., 30, 10–16.
  • Gnoth, J., Bigné, J. E. & Andreu, L. (2006). Waiting Time Effects on the Leisure Experience and Visitor Emotions. Metin Kozak and Luisa Andreu (Ed.). Progress in Tourism Marketing, Oxford: Elsevier.
  • Grönroos, C. (1984). A service quality model and its marketing implications. European Journal of Marketing, 18 (4), 36-44.
  • Gronroos, C. (1990), “Service management: a management focus for service competition”, International Journal of Service Industry Management, 1 (1), 6-14.
  • Gupta, A. & Chen, I. (1995), “Service quality: implications for management development”, International Journal of Quality & Reliability Management, 12 (7), 28-35.
  • Huei, C. T., & Easvaralingam, Y. (2011). Perceptions of service quality, corporate image, and customer loyalty in the hotel industry of Malaysia. The 2nd international research symposium in service management, Yogyakarta, Indonesia.
  • Ilban, M.O. (2007). Brand Image in Destination Marketing and A Research in Travel Agencies. Unpublished Doctorate Thesis, Balıkesir University Institute of Social Sciences, Balıkesir.
  • Kandampully, J., Juwaheer, T. D., & Hu, H.-H. (2011). The influence of a hotel fi rm's quality of service and image and its effect on tourism customer loyalty. International Journal of Hospitality & Tourism Administration, 12 (1), 21--42.
  • Kim, H. ve Richardson, S.L. (2003). Motion Picture Impacts on Destination Images. Annals of Tourism Research, 30(1), 216–237.
  • Kotler, P. ve Gertner, D. (2002). Country as Brand, Product and Beyond: A Place Marketing and Brand Management Perspective. Journal of Brand Management, 9(4/5), 249-261.
  • Kotler, P., & Armstrong, G. (2002). Dasar-Dasar Pemasaran, Edisi Kesembilan. Jakarta: Index.
  • Kozak, M. (2001). Repeaters' behavior at two distinct destinations. Annals of Tourism Research, 28, 784–807.
  • McDougall, HG & Levesque, TJ (1994), “Bene fi t segmentation using service quality dimensions: an investigation in retail banking”, International Journal of Bank Marketing, 2 (1), 15-23.
  • McKerchera, B. & Prideauxb, B. (2011), “Are tourism impacts low on personal environmental agendas?”, Journal of Sustainable Tourism, 19 (3), 325-345.
  • Moon, K., Kim, M., Ko, Y., Connaughton, D. & Lee, J. (2011), “The influence of consumer's event quality perception on destination image”, Managing Service Quality, 21 (3), 287-303.
  • Parasuraman, A., Zeithaml, V.A. and Berry, L.L. (1988). ‘SERVQUAL: a multi-item scale for measuring consumer perceptions of service quality’, Journal of Retailing, 64(1), pp. 12-40.
  • Parasuraman, A., Zeithaml, VA, & Berry, LL (1985). A Conceptual Model of Service Quality and Its Implications for Future Research. Journal of Marketing, 49 (4), 41-50.
  • Parasuraman, A., Zeithaml, VA, & Berry, LL (1994). Reassessment of Expectations as a Comparison Standard in Measuring Service Quality: Implications for Further Research. Journal of Marketing, 58, 111--124.
  • Plamer, A., & O'Neill, M. (2003). The effects of perceptual processes on the measurement of service quality. Journal of Services Marketing, 17, 254--274.
  • Quintal, V., & Polczynski, A. (2010). Factors influencing tourists' revisit intentions. Asia Pacific Journal of Marketing and Logistics, 22, 554–578.
  • Schmitt, B. H. (1999). Experiential Marketing: How to Get Customers to Sense, Feel, Think, Act, Relate to Your Company and Brands. New York: The Free Press.
  • Sencan, H. (2005). Reliability and Validity. Ankara: Seçkin Publications. Stevens, BF (1992). Price Value Perceptions of Travelers. Journal of Travel Research, 31 (1), 44-48.
  • Vinh, N. & Long, N. (2013), “The relationship among expectation, satisfaction and loyalty of international visitor to Hanoi, Vietnam”, Journal of Global Management, 5 (1), 30-43.
  • Yiamjanya, S. & Wongleedee, K. (2014). International Tourists' Travel Motivation by PushPull Factors and the Decision-Making for Selecting Thailand’s Destination Choice. World of Academy Science, Engineering and Technology, 8 (5), 1315-20.
  • Yuksek, G. (2014). Tourism Destinations, Ankara: Detay Publishing. Zeithaml, V.A., Parasuraman, A. and Berry, L.L. (1990). Delivering Quality Service: Balancing Customer Perceptions and Expectations. The Free Press, New York.
There are 40 citations in total.

Details

Primary Language English
Subjects Tourism (Other)
Journal Section Research Article
Authors

Murat Bayat 0000-0003-0029-948X

Publication Date April 1, 2021
Submission Date December 24, 2020
Published in Issue Year 2021 Volume: 20 Issue: 78

Cite

APA Bayat, M. (2021). DETERMINING THE EFFECT OF HEALTH SERVICE QUALITY IN THERMAL HEALTH CENTERS ON DESTINATION MARKETING IMAGE: THE SAMPLE OF PAMUKKALE. Elektronik Sosyal Bilimler Dergisi, 20(78), 780-795.

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