SAĞLIK TURİZMİNDE HASTA BEKLENTİ VE MEMNUNİYETİNİN BÖLGESEL GÜVEN ÜZERİNDEKİ ETKİSİ: ÖZEL HASTANE ÖRNEĞİ

Year 2024, , 1 - 12, 30.04.2024

Fatma Nuray Kuşcu , Mehmet Yorulmaz , Ali Göde

https://doi.org/10.48121/jihsam.1323199

Abstract

Bu çalışmada sağlık turistlerinin beklenti ve memnuniyetlerinin Türkiye'ye olan güven duyguları üzerindeki etkisi incelenmiştir. Araştırmanın amacı doğrultusunda sağlık hizmeti almak üzere kurumda yatan hastalar arasından basit tesadüfi örnekleme yöntemi ile yapısı belirlenen 178 hasta araştırmanın örneklemini oluşturmaktadır. Veriler SPSS programı ile analiz edildi. Araştırmaya katılan 178 turistin %52,8'i kadın, %47,2'si erkektir. Yaş değişkenine göre turistlerin %41,6'sı 18-30 yaş arası, %36,5'i 31-45 yaş arası ve %21,9'u 46 yaş ve üstü idi. Turistlerin eğitim durumu değişkeni incelendiğinde %42,7'sinin ilkokul, %14,6'sının lise, %33,1'inin üniversite, %9,6'sının yüksek lisans ve doktora mezunu olduğu belirlendi. Analiz sonucunda, katılan sağlık turistlerinin beklenti ve memnuniyetlerinin karşılanmasının Türkiye'deki güven duygusu üzerinde istatistiksel olarak anlamlı ve pozitif bir etkiye sahip olduğu tespit edilmiştir. Bu sonuçlar doğrultusunda hastaların beklentileri karşılandıkça ve memnuniyetleri arttıkça Türkiye'ye olan güvenleri de artmaktadır.

Keywords

Sağlık Turisti, Hizmet Memnuniyeti, Türkiye

THE EFFECT OF PATIENT EXPECTATIONS AND SATISFACTION ON REGIONAL TRUST IN HEALTH TOURISM: A PRIVATE HOSPITAL EXAMPLE

Abstract

In this study, the effect of health tourists' expectations and satisfaction on their sense of trust in Turkey was examined. In line with the purpose of the research, the sample of the study consists of 178 patients whose structure was determined by the simple random sampling method among the patients in the institution in order to receive health care services. The data were analyzed with the SPSS program. 52.8% of the 178 tourists participating in the research were female and 47.2% were male. In terms of the age variable, 41.6% of the tourists were between the ages of 18-30, 36.5% were between the ages of 31-45, and 21.9% were aged 46 and over. When the educational status variable of the tourists is examined, it was determined that 42.7% of them are primary school graduates, 14.6% were high school graduates, 33.1% were university graduates, and 9.6% were master's and doctorate degrees. As a result of the analysis, it has been determined that meeting the expectations and satisfaction of the participating health tourists has a statistically significant and positive effect on the sense of trust in Turkey. In line with these results, as the expectations of the patients are met and their satisfaction increases, their confidence in Turkey increases

Keywords

Health Tourist, Satisfaction With Service, Trust in Turkey

References

• Abubakar, A. (2016). eWOM: the Trusted Online Assistant? A Mediated Moderated Model. (Yayınlanmamış Doktora Tezi). Doğu Akdeniz Üniversitesi, İşletme Yönetimi, Gazimağusa.
• Al-Ansi, A., & Han, H. (2019). Role of halal-friendly destination performances, value, satisfaction, and trust in generating destination image and loyalty. Journal of Destination Marketing & Management, 13, 51–60. https://doi.org/10.1016/J.JDMM.2019.05.007
• Amoako, G. K., Neequaye, E. K., Kutu-Adu, S. G., Caesar, L. D., & Ofori, K. S. (2019). Relationship marketing and customer satisfaction in the Ghanaian hospitality industry: An empirical examination of trust and commitment. Journal of Hospitality and Tourism Insights, 2(4), 326–340. https://doi.org/10.1108/JHTI-07-2018-0039/FULL/PDF
• Anaya-Aguilar, R., Gemar, G., & Anaya-Aguilar, C. (2021). Challenges of Spa Tourism in Andalusia: Experts’ Proposed Solutions. International Journal of Environmental Research and Public Health, 18(4), 1829. https://doi.org/10.3390/IJERPH18041829
• Büyüközkan, G., Mukul, E., & Kongar, E. (2021). Health tourism strategy selection via SWOT analysis and integrated hesitant fuzzy linguistic AHP-MABAC approach. Socio-Economic Planning Sciences, 74, 1–14. https://doi.org/10.1016/J.SEPS.2020.100929
• Çakır, İ. (2019). Sağlık Turizminde Hasta Beklentileri ve Memnuniyetin Türkiye'de Özel Bir Hastane Grubu Örneği. (Yayınlanmamış Yüksek Lisans Tezi). Acıbadem Mehmet Ali Aydınlar Üniversitesi, Sağlık Bilimleri Enstitüsü, İstanbul.
• Çatı, K., & Yılmaz, A. (2002). Hastaların Hastane Hizmetlerinin Kalitesini Algılama Düzeylerinin Ölçümüne Yönelik Bir Araştırma. Pazarlama Dünyası, 16(4), 46–53.
• Çelik, A. (2009) Sağlık turizmi kapsamında termal işletmelerde sağlık hizmetleri pazarlaması ve algılanan hizmet kalitesi: Balçova termal İşletmesinde bir uygulama. (Yayınlanmamış Yüksek Lisans Tezi). Dokuz Eylül Üniversitesi, Sosyal Bilimler Enstitüsü, İzmir.
• Chang, K. C. (2014). Examining the effect of tour guide performance, tourist trust, tourist satisfaction, and flow experience on tourists’ shopping behavior. Asia Pacific Journal of Tourism Research, 19(2), 219–247. https://doi.org/10.1080/10941665.2012.739189
• Chaudhuri, A., & Holbrook, M. (2001). The chain of effects from brand trust and brand affect to brand performance: the role of brand loyalty. Journal of Marketing, 65(2), 81–93.
• Chih-Chung, C., Chang, C., Wei-Chun, L., & Yau-Nang, L. (2012). he effect of advertisement frequency on the advertisement attitude the controlled effects of brand image and spokesperson’s credibility. Procedia – Social and Behavioral Sciences, 57, 352–359.
• Coulter, K. S., & Coulter, R. A. (2002). Determinants of trust in a service provider: The moderating role of length of relationship. Journal of Services Marketing, 16(1), 35–50. https://doi.org/10.1108/08876040210419406/FULL/HTML
• Demirci, Ç. (2018). Sağlık turizminde algılanan değerin müşteri tatmini ve sadakatine etkisi: Sağlık turistlerine yönelik bir araştırma. (Yayınlanmamış Yüksek Lisans Tezi). Aydın Adnan Menderes Üniversitesi, Aydın.
• Devebakan, N., & Aksaraylı, M. (2003). Sağlık işletmelerinde algılanan hizmet kalitesinin ölçümünde SERVQUAL skorlarının kullanımı ve Özel Altınordu Hastanesi uygulaması. Dokuz Eylül Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 5(1), 38–54.
• Edinsel, S., & Adıgüzel, O. (2014). Türkiye’nin Sağlık Turizmi Açısından Son Beş Yıldaki Dünya Ülkeleri İçindeki Konumu ve Gelişmeleri. Journal of the Faculty of Economics and Administrative Sciences, 4(2), 167–190.
• Göde, A., Yorulmaz, M., & Aydoğdu, A. (2021). Sağlık Turizmi Yetki Belgesi Almaya Hak Kazanan Acentelerin Web Sitelerinin İncelenmesi. KMÜ Sosyal ve Ekonomik Araştırmalar Dergisi, 23(41), 208–224. Gounaris, S., & Stathakopoulos, V. (2004). Antecedents and consequences of brand loyalty: An empirical study. Journal of Brand Management, 11(4), 283–306.
• Han, H., & Hyun, S. S. (2015). Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness. Tourism Management, 46, 20–29. https://doi.org/10.1016/J.TOURMAN.2014.06.003
• Han, J., Zuo, Y., Law, R., Chen, S., & Zhang, M. (2021). Service Quality in Tourism Public Health: Trust, Satisfaction, and Loyalty. Frontiers in Psychology, 12, 3618. https://doi.org/10.3389/FPSYG.2021.731279/BIBTEX
• Hashemi, S. S., & Derakhsh, S. (2021). Identifying and prioritizing the individual components of female entrepreneur nurses in medical tourism using the structural modeling (ISM) method. Women in Development &Politics, 19(3), 455–476. https://doi.org/10.22059/JWDP.2021.322366.1008000
• İbiş, S., & Batman, O. (2018). Türkiye’ye Gelen Çinli Turistlerin Seyahat Motivasyonları Üzerine Bir Araştırma. Hitit Üniversitesi Sosyal Bilimler Enstitüsü Dergisi, 11(1), 455–476. https://doi.org/10.2017/Makale Iranmanesh, M., Moghavvemi, S., Zailani, S., Sunghyup, &, & Hyun, S. (2018). The role of trust and religious commitment in Islamic medical tourism. Taylor & Francis, 23(3), 245–259. https://doi.org/10.1080/10941665.2017.1421240
• Jeaheng, Y., Al-Ansi, A., & Han, H. (2020). Impacts of Halal-friendly services, facilities, and food and Beverages on Muslim travelers’ perceptions of service quality attributes, perceived price, satisfaction, trust, and loyalty. Journal of Hospitality Marketing & Management, 29(7), 787–811. https://doi.org/10.1080/19368623.2020.1715317
• Joseph, L. C., Soundararajan, V., & Parayitam, S. (2021). The relationship between attraction, perception of service, opportunities and tourist satisfaction in backwater tourism in Alappuzha district of Kerala in India: Tourism and Hospitality Research. https://doi.org/10.1177/14673584211044087
• Kalaycı, Ş. (2017). SPSS Uygulamalı Çok Değişkenli İstatistik Teknikleri. Dinamik Akademi Yayınları, Ankara. Kemp, E., Jillapalli, R., & Becerra, E. (2014). Healthcare branding: developing emotionally based consumer brand relationships. Journal of Services Marketing, 28(2), 126–137.
• Kılıçarslan, M. (2019). Swot Analysıs Of Health Tourısm In Turkey. Electronic Journal of Social Sciences, 18(71), 1135–1145.
• Kılınç, H., & Koçarslan, H. (2022). Sağlık Turizminde Elektronik Ağızdan Ağıza Pazarlamanın Bölgesel Güven Ve Seyahat Niyeti Üzerine Etkisi: Yabancı Hastalar Üzerine . Journal of Academic Perspective on Social Studies, 1(1), 43–65. https://doi.org/10.35344/japss.1065162
• Melián-Alzola, L., & Martín-Santana, J. D. (2020). Service quality in blood donation: satisfaction, trust and loyalty. Service Business, 14(1), 101–129. https://doi.org/10.1007/S11628-019-00411-7/TABLES/7
• Morgan, R. M., & Hunt, S. D. (1994). The Commitment-Trust Theory of Relationship Marketing. Journal of Marketing, 58(3), 20–38. https://doi.org/10.1177/002224299405800302
• Özsarı, S. H., & Karatana, Ö. (2013). Sağlık Turizmi Açısından Türkiye’nin Durumu. Journal of Kartal Training & Research Hospital, 24(2), 136–144.
• Power, J., Whelan, S., & Davies, G. (2008). The attractiveness and connectedness of ruthless brands: The role of trust. European Journal of Marketing, 42(5–6), 586–602. https://doi.org/10.1108/03090560810862525/FULL/HTML
• Puczkó, L., & Smith, M. K. (2022). Wellness Tourism. In Encyclopedia of Tourism Management and Marketing. Edward Elgar Publishing. https://doi.org/10.4337/9781800377486.medical.tourism
• Rahman, M. K., Sarker, M., & Hassan, A. (2021). Medical Tourism: The Islamic Perspective. Tourism Products and Services in Bangladesh, 87–99. https://doi.org/10.1007/978-981-33-4279-8_4
• Ridderstaat, J., Singh, D., & DeMicco, F. (2019). The impact of major tourist markets on health tourism spending in the United States. Journal of Destination Marketing & Management, 11, 270–280.
• Shehawy, Y. M. (2021). Current workplace issues and behaviours in tourism and hospitality: moderating role of empowering leadership. Current Issues in Tourism, 1–22. https://doi.org/10.1080/13683500.2021.1928612
• Tabachnick, B. G. & Fidell, L. S. (2013). Using Multivariate Statistics (6th ed.), Pearson, Boston.
• Thantry, A. K., Muktieh, A. P., Ramaswamy, C., Agarwal, G., Poddar, H., & Jose, M. M. (2006). “Integrated case study 1: using SERVQUAL scale: the Indian healthcare industry”, in Shanthi, N.M. (1st ed.). The ICFAI University Press, 81-107.
• Tontus, H. ., & Nebioglu, S. (2018). Turkey as a health tourism destination: Reviewing of 2015-2016 data. J Tourism Hospit, 7(336), 2167–0269.
• Turkish Statistical Institute. (2022). Sağlık turizmi istatistikleri. Turizm İstatistikleri, IV.Çeyrek: Ekim-Aralık ve Yıllık. (18.06.2022) https://data.tuik.gov.tr/Bulten/Index?p=Turizm-Istatistikleri-IV.Ceyrek:-Ekim-Aralik-ve-Yillik,-2022-49606.
• Ünal, A., & Demirel, G. (2011). Sağlık Turizmi İşletmelerinden Yararlanan Müşterilerin Beklentilerinin Belirlenmesine Yönelik Bolu İlinde Bir Araştırma. Ejovoc (Electronic Journal of Vocational Colleges), 1(1), 106–115.
• Utama, I., Rai, G. B., & Sukmana, I. W. K. (2021). Review Study on Health and Wellness Tourism. Technium Social Sciences Journal, 23, 643–648.
• Vega-Vázquez, M., Rodríguez-Serrano, M. Á., Castellanos-Verdugo, M., & Oviedo-García, M. Á. (2020). The impact of tourism on active and healthy ageing: health-related quality of life. Journal of Policy Research in Tourism, Leisure and Events, 13(3), 349–373. https://doi.org/10.1080/19407963.2020.1837844
• Wu, H. C., Li, T., & Li, M. Y. (2016). A Study of Behavioral Intentions, Patient Satisfaction, Perceived Value, Patient Trust and Experiential Quality for Medical Tourists. Journal of Quality Assurance in Hospitality & Tourism 2016, 17(2), 114-150. https://doi.org/10.1080/1528008X.2015.1042621
• Yavuz, M. C. (2018). Türkiye'de sağlık turizmi hizmetleri algısının hasta ve müşteri memnuniyeti üzerine etkisi: İç Anadolu bölgesi örneği. (Yayımlanmamış Yüksek Lisans Tezi). İstanbul Gelişim Üniversitesi, İstanbul.
• Yazıcıoğlu, F., & Erdoğan, S. (2004). SPSS applied scientific research methods. Detay Publishing, Ankara.
• Yılmaz, S., Sarıaydın, İ., & Sönal, T. (2020). İngiltere Özelinde Türkiye’nin Sağlık Turizmi Fırsatları. Avrasya Sosyal ve Ekonomi Araştırmaları Dergisi, 7(1), 74–85.
• Zekavati, F., & Naami, A. (2020). Explaining the factors ınfluencing health tourism by medicinal plants approach. Journal of Halal Research, 2(2), 65–76.
• Zhang, Q., Zhang, H., & Xu, H. (2021). Health tourism destinations as therapeutic landscapes: Understanding the health perceptions of senior seasonal migrants. Social Science & Medicine, 279, 113951 https://doi.org/10.1016/j.socscimed.2021.113951