Significant Trends in Asia’s Wellness Tourism and Research Agenda: A Systematic Literature Review Analysis

Year 2023, , 97 - 112, 30.12.2023

Sangeeta Tripathi , Foued Ben Said

https://doi.org/10.26650/jot.2023.9.2.1328064

Abstract

The research paper focused on the significant trends in the Wellness market, its demands and motivational factors, and the wellness tourism research agenda and policies that impact the Asian Wellness tourism industry in an Asian context. In a critical systematic literature review, the articles published on wellness topics in 143 Asian documents were selected from the Scopus and Web of Science databases published between 2003 and 2022. The performance analysis revealed that the theme’s production reached an average annual growth rate of 17.67%. The recent trend of wellness tourism in Asian countries is based on wellness retreats that included holistic packages of services such as yoga, meditation, ayurvedic healing, spas, traditional experiences, forest parks, nature sceneries, characteristics food, ancient villages, hot springs, and mental healing. However, the research agenda was usually mixed with health and medical tourism. Health, satisfaction, experiences, and wellness tourism were used the most in the literature. This research paper presents deep insights to help policymakers develop policies which organizes and promotes their country’s wellness tourism. It can be a reference document for further studies in wellness tourism in Asian countries.

Keywords

Wellness tourism, Trends, Asian countries, Wellness demand, Motivational factors, Wellness tourism structure, Science mapping, Knowledge structures

References

• Alberti, F. G., Giusti, J. D., Papa, F., & Pizzurno, E. (2014). Competitiveness policies for medical tourism clusters: government initiatives in Thailand. International journal of economic policy in emerging economies, 7(3), 281-309. google scholar
• Andreu, M. G. N. L., Font-Barnet, A., & Roca, M. E. (2021). Wellness tourism—new challenges and opportunities for tourism in Salou. Sustainability, 13(15), 8246. google scholar
• Aria, M., & Cuccurullo, C. (2017). bibliometrix: An R-tool for comprehensive science mapping analysis. Journal of informetrics, 11(4), 959-975. google scholar
• Alfarajat, L. (2022). Halal Food and Medical Tourism: Muslim Patients’ Experiences and Satisfaction in South Korea. Journal of Religion and Health, pp. 1-20. google scholar
• Asadi, R., & Daryaei, M. (2011). Strategies for development of Iran health tourism. European Journal of Social Sciences, 23(3), 329-344. google scholar
• Ashton, A. S. (2018). Spiritual retreat tourism development in the Asia Pacific region: Investigating the impact of tourist satisfaction and intention to revisit: A Chiang Mai, Thailand case study. Asia Pacific Journal of Tourism Research, 23(11), 1098-1114. google scholar
• Bezner, J. R. (2015). Promoting health and wellness: implications for physical therapist practice. Physical Therapy, 95(10), 1433-1444. google scholar
• Bowers, H., & Cheer, J. M. (2017). Yoga tourism: Commodification and Western embracement of Eastern spiritual practice. Tourism Management Perspectives, pp. 24, 208-216. google scholar
• Buzinde, C. N. (2020). Theoretical linkages between well-being and tourism: The case of self-determination theory and spiritual tourism. Annals of Tourism Research, 83, 102920. google scholar
• Bushell, R., & Sheldon, P. J. (2009). Wellness tourism and the future. In R. Bushell & P. J. Sheldon (Eds.), Wellness and Tourism: Mind, Body, Spirit, Place (pp. 218-230). google scholar
• Carlson, P., & Seppanen, M. (2000). Melioidosis presenting as urinary tract infection in a previously healthy tourist. Scandinavian journal of infectious diseases, 32(1), 92-93. google scholar
• Chen, C. (2004). Searching for intellectual turning points: Progressive knowledge domain visualization. Proceedings of the National Academy of Sciences, 101(suppl_1), 5303-5310. google scholar
• Chen, J. S., Prebensen, N., & Huan, T. C. (2008). Determining the motivation of wellness travelers. Anatolia, 19(1), 103-115. google scholar
• Choi, Y., Kim, J., Lee, C. K., & Hickerson, B. (2015). The role of functional and wellness values in visitors’ evaluation of spa experiences. Asia Pacific Journal of Tourism Research, 20(3), 263-279. google scholar
• Choksuchat, C., Ngamphak, S., Maneesaeng, B., Chiwpreechar, Y., & Chantrapornchai, C. (2014, May). Parallel health tourism information extraction and ontology storage. In 2014 11th International Joint Conference on Computer Science and Software Engineering (JCSSE) (pp. 236-241). IEEE. google scholar
• Csirmaz, E., & Peto, K. (2015). International trends in recreational and wellness tourism. Procedia economics andfinance, 32, 755-762. google scholar
• Cohen, E. C. E. (2008). Medical tourism in Thailand. AU-GSB e-journal, 1(1). google scholar
• Connell, J. (2006). Medical tourism: Sea, sun, sand, and surgery. Tourism Management, 27(6), 1093-1100. google scholar
• Connell, J. (2011). Medical tourism. Cabi. google scholar
• Connell, J. (2013). Contemporary medical tourism: Conceptualization, culture and commodification. Tourism management, pp. 34, 1-13. google scholar
• Chi, C. G. Q., Chi, O. H., & Ouyang, Z. (2020). Wellness Hotel: Conceptualization, scale development, and validation. International Journal of Hospitality Management, 89, 102404. google scholar
• Dunn, H. L. (1959). High-level wellness for man and society. American journal of public health and the nations health, 49(6), 786-792. google scholar
• Dillette, A. K., Douglas, A. C., & Andrzejewski, C. (2019). Yoga tourism-a catalyst for transformation? Annals of Leisure Research, 22(1), 22-41. google scholar
• Dillette, A. K., Douglas, A. C., & Andrzejewski, C. (2021). Dimensions of holistic wellness as a result of international wellness tourism experiences. Current Issues in Tourism, 24(6), 794-810. google scholar
• Douglas, N. (2001). "Travelling for health: spa and health resorts", in Douglas, N., Douglas, N. and Derrett, R. (Eds), Special Interest Tourism: Context and Cases, Wiley, Milton, pp. 260-82. Health, 49(6), 786-792. google scholar
• Fan, C., Zhou, L., Gai, Z., Shen, S., Liu, C., & Li, S. (2022). Multi-dimensional evaluation framework for the sustainable development of Forest health bases and site selection for application in China. Forests, 13(5), 799. google scholar
• Feng, C., Li, H., Feng, L., Yu, M., Zhang, H., Ma, Y., ... & Zhang, Z. (2021). Study on current status, problems and countermeasures of countryside health and wellness tourism in China. Open Journal of Social Sciences, 9(04), 212. google scholar
• Fengmin, Z., Baijun, W., Jiangtao, B., Li, L., & Patwary, A. K. (2022). Investigating revisit intention of medical tourists in China through nutritional knowledge, perceived medical quality, and trust in the physiologist: A recommendation on health tourism policy measures. Frontiers in Public Health, 10, 893497. google scholar
• Global Wellness Institute. (2017). Global Wellness Economy Monitor, January 2017. The Global Wellness Institute. Retrieved from https://www. globalwellnessinstitute.org/industry-research/ google scholar
• GWI. (2018). The global wellness tourism economy report - can be retrieved from < https://globalwellnessinstitute.org/industry-research/global-wellness-tourism-economy/> google scholar
• Global Wellness Tourism Economy, (2018c). Global Wellness Institute. November. google scholar
• sGlobal Wellness Institute. (2021). Global Wellness Economy Monitor, December 2021. The Global Wellness Institute. Retrieved from <https://globalwellnessinstitute.org/press-room/statistics-and-facts/> google scholar
• The Global Wellness Economy: Country Rankings FEBRUARY 2022 can be retrieved from < https://globalwellnessinstitute.org/wp-content/uploads/2022/02/GWI2022_GlobalWellnessEconomy_CountryRankings_Final.pdf> google scholar
• Gönen, I. (2011). HEALTH TOURISM IN TURKEY AND SOME EFFECTS FOR ACCREDITED HOSPITALS. International Multidisciplinary Scientific GeoConference: SGEM, pp. 3, 1081. google scholar
• Goodarzi, M., Haghtalab, N., & Shamshiry, E. (2016). Wellness tourism in Sareyn, Iran: resources, planning and development. Current Issues in Tourism, 19(11), 1071-1076. google scholar
• Gregoire, C. (2013). How yoga Became a $27 Billion Industry and Reinvented American Spirituality. Huffington Post, p. 16. google scholar
• Han, H., Kiatkawsin, K., Jung, H., & Kim, W. (2018). The role of wellness spa tourism performance in building destination loyalty: The case of Thailand. Journal of Travel & Tourism Marketing, 35(5), 595-610. google scholar
• Han, J. H., & An, K. S. (2022). Comparison of Perceptions of Wellness Tourism in Korea Before and After COVID-19: Results of Social Big Data Analysis. Global Business & Finance Review, 27(2), 1. google scholar
• Haq, F., & Jackson, J. (2009). Spiritual journey to Hajj: Australian and Pakistani experience and expectations. Journal of management, spirituality & religion, 6(2), 141-156. google scholar
• Haq, F., & Medhekar, A. (2022). The Economic Impact of COVID-19 on Religious Tourism to the Kartarpur Corridor. International Journal of Religious Tourism and Pilgrimage, 10(2), 6. google scholar
• Hermawan, B., Salim, U., Rohman, F., & Rahayu, M. (2019). Making Borobudur a Buddhist religious tourist destination: An effort to preserve Buddhist temples in Indonesia. International Review of Social Research, 9(1), 71-77. google scholar
• Heung, V. C., & Kucukusta, D. (2013). Wellness tourism in China: Resources, development, and marketing. International journal of tourism research, 15(4), 346-359. google scholar
• Holman, C. (2011). Surfing for a shaman: Analyzing an ayahuasca website. Annals of Tourism Research, 38(1), 90-109. google scholar
• Huang, L., & Xu, H. (2018). Therapeutic landscapes and longevity: Wellness tourism in Bama. Social Science & Medicine, 197, 24-32. google scholar
• Islam, M. M. (2021). The Satisfaction of Bangladeshi Pilgrims: Service gaps in spiritual tourism based on gender and expenditure. International Journal of Religious Tourism and Pilgrimage, 9(1), 10. google scholar
• Jaewoo, C., & Woonsun, K. (2014). Themes and trends in Korean educational technology research: A social network analysis of keywords. Procedia-Social and Behavioral Sciences, 131, 171-176. google scholar
• Jedeejit, P., Chernbumroong, S., & Tongpaeng, Y. (2018, November). The Exploration of Competency Situation in Wellness Tourism in Chiangmai Thailand. In 2018 Global Wireless Summit (GWS) (pp. 137-141). IEEE. google scholar
• Kahneman, D., & Krueger, A. B. (2006). Developments in the measurement of subjective well-being. Journal of Economic Perspectives, 20(1), 3-24. google scholar
• Kainthola, S., Chowdhary, N., Kaurav, R. P. S., & Tiwari, P. (2021). Motivations of urban millennials for spiritual travel in India. Tourism Recreation Research, pp. 1-16. google scholar
• Kim, S. S. (2017). Authenticity, brand culture, and Templestay in the digital era: The ambivalence and in-betweenness of Korean Buddhism. Journal of Korean Religions, pp. 117-146. google scholar
• Kim, S. Y. (2021). Trend Analysis and Policy Implications of Wellness Tourism Policy in Korea and Japan. Journal of the Korea Convergence Society, 12(6), 183-195. google scholar
• Kouchebagh, P. R., Shahri, M. H.-Z., & Alavifar, S. A. (2017). Effective Factors of Customer Satisfaction In Medical Tourism Based On SERVQUAL Model And Ranking Them By Applying The TOPSIS- can be retrieved from < http://ieomsociety.org/ieom2017/papers/49.pdf> google scholar
• Lee, J., & Kim, H. B. (2015). Success factors of health tourism: cases of Asian tourism cities. International Journal of Tourism Cities, 1(3), 216-233. google scholar
• Lee, Y., &Wu,W. (2012). Key factors in developing medical and wellness tourism-Asian consumers as an example. Healthmed, 6(12), 4267-4271. google scholar
• Lehto, X. Y., Brown, S., Chen, Y., & Morrison, A. M. (2006). Yoga tourism as a niche within the wellness tourism market. Tourism recreation research, 31(1), 25-35. google scholar
• Lehto, X., Kirillova, K., Li, H., & Wu, W. (2017). A cross-cultural validation of the perceived destination restorative qualities scale: The Chinese perspective. Asia Pacific Journal of Tourism Research, 22(3), 329-343. google scholar
• Li, L., Ragavan, N. A., Patwary, A. K., & Baijun, W. (2022). Measuring patients’ satisfaction toward health tourism in Malaysia through hospital environment, nutritional advice, and perceived value: A study on Chinese exchange students. Frontiers in public health, 10, 893439. google scholar
• Lim, Y. J., Kim, H. K., & Lee, T. J. (2016). Visitor motivational factors and level of satisfaction in wellness tourism: Comparison between first-time visitors and repeat visitors. Asia pacific journal of tourism research, 21(2), 137-156. google scholar
• Liu, Y., Shi, Y., Zhou, J., & Dong, E. (2020, March). “Tourism+ Yoga” Development Strategy Study from Perspective of Embodied Cognition. In 2020 6th International Conference on Information Management (ICIM) (pp. 78-82). IEEE. google scholar
• Maddox, C. B. (2015). Studying at the source: Ashtanga yoga tourism and the search for authenticity in Mysore, India. Journal of Tourism and Cultural Change, 13(4), 330-343. google scholar
• Majeed, S., Lu, C., Majeed, M., & Shahid, M. N. (2018). Health resorts and multi-textured perceptions of international health tourists. Sustainability, 10(4), 1063. google scholar
• Mak, A. H., Wong, K. K., & Chang, R. C. (2009). Health or self-indulgence? The motivations and characteristics of spa-goers. International Journal of Tourism Research, 11(2), 185-199. google scholar
• Martm-Martm, A., Orduna-Malea, E., & Delgado Lopez-Cozar, E. (2018). Coverage of highly-cited documents in Google Scholar, Web of Science, and Scopus: a multidisciplinary comparison. Scientometrics, 116(3), 2175-2188. google scholar
• Medical Tourism Index (2020-2021) retrieved from < https://www.statista.com/statistics/889983/top-medical-tourism-countries-of-destination-by-total-index-rating/> google scholar
• Moghadam, F. N., Masoudi Asl, I., Hessam, S., & Farahani, M. M. (2021). In search a medical tourism marketing pattern in Iran: The case of cultural sensitivities. International Journal of Healthcare Management, 14(4), 1081-1086. google scholar
• Mosammam, H. M., Sarrafi, M., & Nia, J. T. (2019). Measuring the competitiveness of Iran’s health tourism. International Journal of Tourism Policy, 9(3), 201-221. google scholar
• Moslehifar, M. A., Ibrahim, N. A., & Sandaran, C. (2019). Online Trust: Examining Identity on Health Related Tourism Websites in Southeast Asia. Indian Journal of Public Health Research & Development, 10(9). google scholar
• National Strategy and Roadmap for Medical and Wellness Tourism 2022- can be retrieved from https://tourism.gov.in/sites/default/files/2022-05/National%20Strategy%20and%20Roadmap%20for%20Medical%20and%20Wellness%20Tourism.pdf. google scholar
• Packer, T. L., Packer, T. L., Mckercher, B., & Yau, M. K. (2007). Understanding the complex interplay between tourism, disability, and environmental contexts. Disability and Rehabilitation, 29(4), 281-292. google scholar
• Palutturi, S., Zulkifli, A., & Syam, A. (2017). The Key Challenges and Recommendations for Healthy Cities Implementation of North Kolaka, Indonesia. Indian Journal of Public Health Research & Development, 8(2). google scholar
• Pan, X., & Moreira, J. P. (2018). Outbound medical tourists from China: An update on motivations, deterrents, and needs. International Journal of Healthcare Management, 11(3), 217-224. google scholar
• Parker, S. K. (2011). Lived cosmologies and objectified commodities: reinventing the traditional art of India in a world of cultural tourism. The Copenhagen Journal of Asian Studies, 29(1), 120-158. google scholar
• Pinthong, C., Pongwat, A., & Vivatvanit, V. (2021, March). Text Mining and Factor Analysis of Service Quality of Spa Business in Pattaya, Thailand. In 2021 Joint International Conference on Digital Arts, Media and Technology with ECTI Northern Section Conference on Electrical, Electronics, Computer and Telecommunication Engineering (pp. 307-312). IEEE. google scholar
• Pollock, A., Williams, P., Gartner, W. C., & Lime, D. W. (2000). Health tourism trends: closing the gap between health care and tourism. Trends in outdoor recreation, leisure and tourism, 165-173. google scholar
• Pu, B., Du, F., Zhang, L., & Qiu, Y. (2021). Subjective knowledge and health consciousness influences health tourism intention after the COVID-19 pandemic: A prospective study. Journal of Psychology in Africa, 31(2), 131-139. google scholar
• Ravichandran, S., & Suresh, S. (2010). Using wellness services to position and promote brand India. International Journal of Hospitality & Tourism Administration, 11(2), 200-217. google scholar
• Rawat, S. R. (2017). Understanding Challenges and Opportunities Before Wellness Tourism in India. Indian Journal of Public Health Research & Development, 8(4). google scholar
• Saki, K., Varzi, A. M., Momeni, K., Khodakaramifard, Z., Zouzani, M. A., Jalilian, H., & Vasokolaei, G. R. (2017). Tourists’ satisfaction of hospital services in Iran: A case study of Lorestan province. Shiraz E-Medical Journal, 18(6). google scholar
• Sato, R., Gui, P., Ito, K., Kohzuki, M., & Ebihara, S. (2016). Effect of short-term exposure to high particulate levels on cough reflex sensitivity in healthy tourists: a pilot study. The Open Respiratory Medicine Journal, 10, 96. google scholar
• Shalini, P. (2017). Bridging healthcare with wellness tourism in India. Indian Journal of Public Health, 8(4). google scholar
• Sharma, P., & Nayak, J. K. (2019). Understanding memorable tourism experiences as the determinants of tourists’ behaviour. International Journal of Tourism Research, 21(4), 504-518. google scholar
• Smith, M., & Puczko, L. (2010). Taking your life into your own hands? New trends in European health tourism. Tourism Recreation Research, 35(2), 161-172. google scholar
• Sirirat, P. (2019). Spiritual tourism as a tool for sustainability: A case study of Nakhon Phanom province, Thailand. International Journal of Religious Tourism and Pilgrimage, 7(3), 97-111. Scopus. google scholar
• Sivanandamoorthy, S. (2021). Exploring the impact of COVID-19 on the wellness tourism in Sri Lanka. International Journal of Spa and Wellness, 4(2-3), 160-172. google scholar
• Synnestvedt, M. B., Chen, C., & Holmes, J. H. (2005). CiteSpace II: Visualization and knowledge discovery in bibliographic databases. In AMIA annual symposium proceedings (Vol. 2005, p. 724). American Medical Informatics Association. google scholar
• UNWTO World Tourism Barometer. Madrid, Spain. January 2020b. https://www.eunwto.org/toc/wtobarometereng/18/1. google scholar
• Varatipromma, D., Chaigasem, T., Ongkhluap, S., & Ngowtanasuwan, G. (2020). The fadaet song yang ancient city, Kalasin Province, Thailand’s Swot analysis for wellness tourism development. google scholar
• Voigt, C. (2014). Towards a conceptualization of wellness tourism. Wellness tourism: A destination perspective, pp. 19-44. google scholar
• Williams, P. W., Andestad, G., Pollock, A., & Dossa, K. B. (1996). Health spa travel markets: Mexican long-haul pleasure travellers. Journal of Vacation Marketing, 3(1), 10-31. google scholar
• Wirawan, I. M. A., Putri, W. C. W. S., Kurniasari, N. M. D., Mulyawan, K. H., Hendrayana, M. A., & Suharlim, C. (2020). Geo-mapping of hazards, risks, and travel health services in Bali: Results from the first stage of the integrated travel health surveillance and information system at destination (TravHeSID) project. Travel Medicine and Infectious Disease, 37, 101698. google scholar
• Wirawan, I. M. A., Wirawan, D. N., Kurniasari, N. M. D., & Merati, K. T. P. (2020). Travel agent and tour guide perceptions on travel health promotion in Bali. Health Promotion International, 35(1), e43-e50. google scholar
• World Health Organization. (WHO, 2020). Constitution of the World Health Organization. Retrieved from https:// www.who.int/about/who-we-are/constitution. google scholar
• Xu, H., Lin, X., Liu, F., Wang, X., & Wang, M. (2022). Experiential Value, Place Attachment, and Environmentally Responsible Behavior of Forest Health Tourism—A Case of China. Forests, 13(11), 1855. google scholar
• Yan, X., & He, S. (2020). The co-evolution of therapeutic landscape and health tourism in bama longevity villages, China: An actor-network perspective. Health & Place, p. 66, 102448. google scholar
• Yan, Z., Mao, L., & Luo, W. (2014). Environmental problems in tourism resources development and countermeasures: Zhangye Danxia National Geological Park in Gansu Province. WIT Trans. Ecol. Environ., 189, 831-836. It can be retrieved from -https://www.researchgate.net/publication/271436249_Environmental_problems_in_tourism_resources_development_and_countermeasures Zhangye_Danxia_National_Geological_Park_in_Gansu_Province_as_an_example/citations. google scholar
• Yu, J. Y., & Ko, T. G. (2012). A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea. Tourism Management, 33(1), 80-88. google scholar
• Zarei, E.,& Jabbarzadeh, A. (2019). Knowledge management and social media: A scientometrics survey. International Journal of Data and Network Science, 3(4), 359-378. google scholar
• Zhang, Q., Zhang, H., & Xu, H. (2021). Health tourism destinations as therapeutic landscapes: Understanding the health perceptions of senior seasonal migrants. Social Science & Medicine, p. 279, 113951. google scholar