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            <front>

                <journal-meta>
                                                                <journal-id>jomat</journal-id>
            <journal-title-group>
                                                                                    <journal-title>Journal of Multidisciplinary Academic Tourism</journal-title>
            </journal-title-group>
                                        <issn pub-type="epub">2645-9078</issn>
                                                                                            <publisher>
                    <publisher-name>Yusuf KARAKUŞ</publisher-name>
                </publisher>
                    </journal-meta>
                <article-meta>
                                        <article-id pub-id-type="doi">10.31822/jomat.621874</article-id>
                                                                <article-categories>
                                            <subj-group  xml:lang="en">
                                                            <subject>Tourism (Other)</subject>
                                                    </subj-group>
                                            <subj-group  xml:lang="tr">
                                                            <subject>Turizm (Diğer)</subject>
                                                    </subj-group>
                                    </article-categories>
                                                                                                                                                        <title-group>
                                                                                                                                                            <article-title>Medical Tourism Motivations: The Driving Force</article-title>
                                                                                                    </title-group>
            
                                                    <contrib-group content-type="authors">
                                                                        <contrib contrib-type="author">
                                                                    <contrib-id contrib-id-type="orcid">
                                        https://orcid.org/0000-0002-0778-1132</contrib-id>
                                                                <name>
                                    <surname>Singh</surname>
                                    <given-names>Lakhvinder</given-names>
                                </name>
                                                                    <aff>Government College, Kaithal (Haryana)</aff>
                                                            </contrib>
                                                                                </contrib-group>
                        
                                        <pub-date pub-type="pub" iso-8601-date="20191215">
                    <day>12</day>
                    <month>15</month>
                    <year>2019</year>
                </pub-date>
                                        <volume>4</volume>
                                        <issue>2</issue>
                                        <fpage>77</fpage>
                                        <lpage>86</lpage>
                        
                        <history>
                                    <date date-type="received" iso-8601-date="20190919">
                        <day>09</day>
                        <month>19</month>
                        <year>2019</year>
                    </date>
                                                    <date date-type="accepted" iso-8601-date="20191120">
                        <day>11</day>
                        <month>20</month>
                        <year>2019</year>
                    </date>
                            </history>
                                        <permissions>
                    <copyright-statement>Copyright © 2016, Journal of Multidisciplinary Academic Tourism</copyright-statement>
                    <copyright-year>2016</copyright-year>
                    <copyright-holder>Journal of Multidisciplinary Academic Tourism</copyright-holder>
                </permissions>
            
                                                                                                                        <abstract><p>Medicaltourism industry has witnessed a tremendous growth in last few years especiallyin developing countries such as India, Malaysia, Singapore and Thailand.Although, there has been an increase in medical tourism traffic, there is a continuousneed to evaluate travel motivations among medical tourists. This study highlightsthe driving force in the field of medical tourism which motivates medicaltourists to travel overseas for treatment and wellbeing. The study adoptspull-push framework and discovers that among major pull motivations are lowcost, less waiting time, extensive treatment range &amp;amp; quality care,favorable socio-cultural factors, tourists’ attractions, technology andpersonalized services. Major push forces noticed as affordability, adjournment,unavailability of specific treatment, inferior health services, lack ofinsurance coverage, privacy concerns and legal liability associated withmedical tourism. From the case study of National Capital Region (NCR) in India.The main travel motivations among tourists to this region are quality &amp;amp;range of services, zero waiting time, eye catching treatment cost, technicaladvancement, large pool of health professionals, facilitation, touristattraction and language proficiency. The study recommended to develop productsand services and adopt appropriate marketing communications tools for thegrowth of medical tourism.</p></abstract>
                                                            
            
                                                                                        <kwd-group>
                                                    <kwd>Medical tourism</kwd>
                                                    <kwd>  motivation</kwd>
                                                    <kwd>  pull</kwd>
                                                    <kwd>  push</kwd>
                                            </kwd-group>
                            
                                                                                                                                                    </article-meta>
    </front>
    <back>
                            <ref-list>
                                    <ref id="ref1">
                        <label>1</label>
                        <mixed-citation publication-type="journal">Ackerman, S. L. (2010). Plastic Paradise: Transforming Bodies and Selves in Costa Rica&#039;s Cosmetic Surgery Tourism Industry. Medical Anthropology: Cross-Cultural Studies in Health and Illness, 29, 403 – 423.</mixed-citation>
                    </ref>
                                    <ref id="ref2">
                        <label>2</label>
                        <mixed-citation publication-type="journal">Altin, M., Singal, M. and Kara, D. (2011). Consumer decision components for medical tourism: a stakeholder approach. University of Massachusetts, 16th Graduate Students Research Conference in Hospitality and Tourism, 1-11.</mixed-citation>
                    </ref>
                                    <ref id="ref3">
                        <label>3</label>
                        <mixed-citation publication-type="journal">Begde, P. (2008). Opportunities and Challenges for Medical Tourism in India. Conference on Tourism in India-Challenges ahead, 15-17, May 2008, IIMK, pp. 336-356.</mixed-citation>
                    </ref>
                                    <ref id="ref4">
                        <label>4</label>
                        <mixed-citation publication-type="journal">Behrman, S. (2010). Issues in Medical tourism: Challenges, knowledge gaps, and future directions for research and policy development. Global Journal of Health Science, 2 (2), 80-90.</mixed-citation>
                    </ref>
                                    <ref id="ref5">
                        <label>5</label>
                        <mixed-citation publication-type="journal">Bennet, M., King, B., &amp; Milner, L. (2004). The health resort sector in Australia: A positioning study. Journal of Vacation Marketing, 10(2), 122-137.</mixed-citation>
                    </ref>
                                    <ref id="ref6">
                        <label>6</label>
                        <mixed-citation publication-type="journal">Bochaton, A. and Letebure, B. (2009). The Rebirth of the Hospital – Heterotropia and Medical Tourism in Asia’, Ed. Asia On Tour – Exploring the Rise of Asian Tourism, Edited by Winter, T., Teo, P. and Chang, T.C., Routledge Publishing Oxon, 97-108.</mixed-citation>
                    </ref>
                                    <ref id="ref7">
                        <label>7</label>
                        <mixed-citation publication-type="journal">Bookman, M. Z. and Bookman, K.R. (2007). Medical Tourism in Developing Countries, Palgrave Macmillan, New York.</mixed-citation>
                    </ref>
                                    <ref id="ref8">
                        <label>8</label>
                        <mixed-citation publication-type="journal">Carrera, P. M., &amp; Bridges, J. F. (2006). Globalization and healthcare: understanding health and medical tourism. Expert Review of Pharmacoeconomics and Outcomes Research Future Drugs, 7(1), 447-454.</mixed-citation>
                    </ref>
                                    <ref id="ref9">
                        <label>9</label>
                        <mixed-citation publication-type="journal">Chordas, L. (2009). Heading for Home. Best&#039;s Review, 110(5), 40-44.</mixed-citation>
                    </ref>
                                    <ref id="ref10">
                        <label>10</label>
                        <mixed-citation publication-type="journal">Christina, K. (2011). A survey of medical tourism service providers. Journal of Marketing development and competitiveness, 5(3), 117-126.</mixed-citation>
                    </ref>
                                    <ref id="ref11">
                        <label>11</label>
                        <mixed-citation publication-type="journal">Cohen, E. (2008). Medical tourism in Thailand. AU-GSB e-journal, 1(1), 24-37.</mixed-citation>
                    </ref>
                                    <ref id="ref12">
                        <label>12</label>
                        <mixed-citation publication-type="journal">Connell, J. (2006). Medical tourism: Sea, sun, sand and surgery. Tourism Management, 27(6), 1093-1100.</mixed-citation>
                    </ref>
                                    <ref id="ref13">
                        <label>13</label>
                        <mixed-citation publication-type="journal">Connell, J. (2013) Contemporary medical tourism: Conceptualization, culture and commoditization, Tourism Management, 34(1), 1−13.</mixed-citation>
                    </ref>
                                    <ref id="ref14">
                        <label>14</label>
                        <mixed-citation publication-type="journal">Connell. J. (2011). A new inequality/Privatization, urban bias and medical tourism. AsiaPacific Viewpoint, 52(3), 11-22.</mixed-citation>
                    </ref>
                                    <ref id="ref15">
                        <label>15</label>
                        <mixed-citation publication-type="journal">Deloitte. (2008). Medical Tourism—Consumers in Search of Value. Deloitte Center for Health Solutions, Washington, D.C.</mixed-citation>
                    </ref>
                                    <ref id="ref16">
                        <label>16</label>
                        <mixed-citation publication-type="journal">DeNavas, C., Proctor, B., and Smith, J. (2011). Income, Poverty, and Health Insurance Coverage in the United States: 2010, Current Population Reports, US Census Bureau.</mixed-citation>
                    </ref>
                                    <ref id="ref17">
                        <label>17</label>
                        <mixed-citation publication-type="journal">Ferrer, M. and Medhekar, A. (2012). Key operational drivers in the medical tourism industry. International Journal of Accounting Information Science &amp; Leadership, 5(2), 62-76.</mixed-citation>
                    </ref>
                                    <ref id="ref18">
                        <label>18</label>
                        <mixed-citation publication-type="journal">George, B.P. and Nadelea, (2009). Medical Tourism : An Analysis with Special Reference to its Current Practice in India, International Journal of Leisure and Tourism Marketing, 1(2), 27-35.</mixed-citation>
                    </ref>
                                    <ref id="ref19">
                        <label>19</label>
                        <mixed-citation publication-type="journal">Gill, H. and Singh, N. (2011). Exploring the factors that affect the choice of destination for medical tourism Journal of Service Science and Management, 04 (03), 315-324.</mixed-citation>
                    </ref>
                                    <ref id="ref20">
                        <label>20</label>
                        <mixed-citation publication-type="journal">Goodrich, J. N., and Goodrich, G. E. (1987). Health-care tourism—an exploratory study, Tourism Management, 8(3), 217-222.</mixed-citation>
                    </ref>
                                    <ref id="ref21">
                        <label>21</label>
                        <mixed-citation publication-type="journal">Hansen, F. (2008). A revolution in healthcare, Institute of Public Affairs Review, 59(4), 42-45.</mixed-citation>
                    </ref>
                                    <ref id="ref22">
                        <label>22</label>
                        <mixed-citation publication-type="journal">Helble, M. (2011). The movement of patients across borders: challenges and opportunities for public health. Bulletin of the World Health Organization, 89(1), 68-72.</mixed-citation>
                    </ref>
                                    <ref id="ref23">
                        <label>23</label>
                        <mixed-citation publication-type="journal">Henderson, J.C. (2004). Health Care Tourism in South East Asia, Tourism Review International, 7(3-4), 111-121.</mixed-citation>
                    </ref>
                                    <ref id="ref24">
                        <label>24</label>
                        <mixed-citation publication-type="journal">Horowitz M., and Rosensweig, J. (2008). Medical tourism vs. traditional international medical travel: a tale of two models. International Medical Travel Journal, 3, 30-33.</mixed-citation>
                    </ref>
                                    <ref id="ref25">
                        <label>25</label>
                        <mixed-citation publication-type="journal">Horowitz, M., and Rosenweig, J. (2007). Medical Tourism - Health Care in the Global Economy. Physician Executive, 33(6), 24-30.</mixed-citation>
                    </ref>
                                    <ref id="ref26">
                        <label>26</label>
                        <mixed-citation publication-type="journal">Hurley, T. (2004).  Managing Customer Retention in the Health and Fitness Industry : A Case of Neglect, Irish Marketing Review, 17(1), 23-28.</mixed-citation>
                    </ref>
                                    <ref id="ref27">
                        <label>27</label>
                        <mixed-citation publication-type="journal">Jotikasthira, N., and Cox, C. (2010). Understanding the motivations, information search needs and destination choice criteria of the medical tourist. In: 8th APacCHRIE conference: Integrating hospitality and tourism in Asia and Pacific, Phuket, Thailand.</mixed-citation>
                    </ref>
                                    <ref id="ref28">
                        <label>28</label>
                        <mixed-citation publication-type="journal">Lajevardi,M.(2016). A Comprehensive Perspective on Medical Tourism Context and Create a Conceptual Framework, Journal of Tourism, Hospitality and Sports-An International Peer-reviewed Journal, 20(1), 7-18.</mixed-citation>
                    </ref>
                                    <ref id="ref29">
                        <label>29</label>
                        <mixed-citation publication-type="journal">Lertwannawit, A. and  Gulid, N. (2011). International tourists’ service quality perception and behavioral loyalty toward medical tourism in Bangkok metropolitan area, Journal of Applied Business Research, 27(6), 1-12.</mixed-citation>
                    </ref>
                                    <ref id="ref30">
                        <label>30</label>
                        <mixed-citation publication-type="journal">Lunt, N., Horsfall, D. and Hanefeld,J.(2016). Medical tourism: A snapshot of evidence on treatment abroad. Maturitas, 88(1), 37−44.</mixed-citation>
                    </ref>
                                    <ref id="ref31">
                        <label>31</label>
                        <mixed-citation publication-type="journal">Moghimehfar, F. and Nasr-Esfahani, M. H. (2011). Decisive factors in medical tourism destination choice: A case study of Isfahan, Iran and fertility treatments, Tourism Management, 32(6), 1431-1434.</mixed-citation>
                    </ref>
                                    <ref id="ref32">
                        <label>32</label>
                        <mixed-citation publication-type="journal">Mohamed GA.(2008). Egypt&#039;s image as a tourist destination - a perspective of foreign tourists. Tourism, 3(1), 36-65.</mixed-citation>
                    </ref>
                                    <ref id="ref33">
                        <label>33</label>
                        <mixed-citation publication-type="journal">Mueller, H. and Kaufmann, E.L. (2001). Wellness Tourism : Market Analysis of a Special Health Tourism Segment and Implications for the Hotel Industry, Journal of Vacation marketing, 7(1), 5-17</mixed-citation>
                    </ref>
                                    <ref id="ref34">
                        <label>34</label>
                        <mixed-citation publication-type="journal">Musa, G.  Thirumoorthi, T. and Doshi, D. (2012). Travel behavior among inbound medical tourists in Kuala Lumpur. Current Issues in Tourism, 15(6), 525-543.</mixed-citation>
                    </ref>
                                    <ref id="ref35">
                        <label>35</label>
                        <mixed-citation publication-type="journal">Pollock, A. and Williams, P. (2000). Health Tourism Trends : Classify the Gap Between Health Care and Tourism (165-173), In W.C. Gartner and K.W. Lime (eds.). Trends in Outdoor Recreation, Leisure and Tourism, Wallingford CABI Publishing.</mixed-citation>
                    </ref>
                                    <ref id="ref36">
                        <label>36</label>
                        <mixed-citation publication-type="journal">Pradip K. D.(2011). Marketing of Health Tourism in India. ANVESHA: A Journal of IES Management College and Research Centre, 4(1), 0974-5467.</mixed-citation>
                    </ref>
                                    <ref id="ref37">
                        <label>37</label>
                        <mixed-citation publication-type="journal">Prayag, G., and Ryan, C. (2011). The relationship between the &#039;push&#039; and &#039;pull&#039; factors of a tourist destination: the role of nationality - an analytical qualitative research approach. Current Issues In Tourism, 14(2), 121-143.</mixed-citation>
                    </ref>
                                    <ref id="ref38">
                        <label>38</label>
                        <mixed-citation publication-type="journal">Saiprasert, W. (2011). An examination of the medical tourists motivational behavior and perception: A structural model (Doctoral dissertation, Oklahoma State University).</mixed-citation>
                    </ref>
                                    <ref id="ref39">
                        <label>39</label>
                        <mixed-citation publication-type="journal">Saiprasert, W. (2011). An examination of the medical tourists motivational behavior and perception: A structural model , (Doctoral dissertation, Oklahoma State University).</mixed-citation>
                    </ref>
                                    <ref id="ref40">
                        <label>40</label>
                        <mixed-citation publication-type="journal">Singh, N. (2013). Exploring the factors influencing the travel motivations of US medical tourists, Current Issues in Tourism, 16(5), 436-454</mixed-citation>
                    </ref>
                                    <ref id="ref41">
                        <label>41</label>
                        <mixed-citation publication-type="journal">Tontus, H . (2018). Promotion of Health Tourism and Evaluation of the Principles of Marketing of Health Services. Journal of Multidisciplinary Academic Tourism, 3 (1) , 67-88 . DOI: 10.31822/jomat.412322</mixed-citation>
                    </ref>
                                    <ref id="ref42">
                        <label>42</label>
                        <mixed-citation publication-type="journal">Tseng. H. (2013). Medical health care tourism: Why patients go overseas and what nurse practitioners need to know?.International Journal of Healthcare Management 6(2), 39-55.</mixed-citation>
                    </ref>
                                    <ref id="ref43">
                        <label>43</label>
                        <mixed-citation publication-type="journal">Turner, L. (2007). First world health care at third world prices’: globalization, bioethics and medical tourism. Bio Societies, 2(3), 303-325.</mixed-citation>
                    </ref>
                                    <ref id="ref44">
                        <label>44</label>
                        <mixed-citation publication-type="journal">Veerasoontorn, R. and Rian, B.Z. (2010). International hospital out shopping: A staged model of push and pull factors, International Journal of Pharmaceutical and Healthcare Marketing, 4(3), 247-264.</mixed-citation>
                    </ref>
                                    <ref id="ref45">
                        <label>45</label>
                        <mixed-citation publication-type="journal">Williams. G. (2013). Medical tourism: Becoming a standard operating procedure? Finweek, 18-19.</mixed-citation>
                    </ref>
                                    <ref id="ref46">
                        <label>46</label>
                        <mixed-citation publication-type="journal">Ye, B., Qiu, H. and Yuen, P. (2011). Motivations and experiences of Mainland Chinese medical tourists in Hong Kong, Tourism Management, 32(5), 1125-1127.</mixed-citation>
                    </ref>
                                    <ref id="ref47">
                        <label>47</label>
                        <mixed-citation publication-type="journal">Yeoman, I. (2008). Tomorrow’s Tourist: Scenarios and Trends. Netherlands: Elsevier.</mixed-citation>
                    </ref>
                                    <ref id="ref48">
                        <label>48</label>
                        <mixed-citation publication-type="journal">York, D. (2008). Medical tourism: The trend toward outsourcing medical procedures to foreign countries, Journal of Continuing Education in the Health Professions, 28(2), 99–102.</mixed-citation>
                    </ref>
                                    <ref id="ref49">
                        <label>49</label>
                        <mixed-citation publication-type="journal">Yu, J.Y. and 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.</mixed-citation>
                    </ref>
                                    <ref id="ref50">
                        <label>50</label>
                        <mixed-citation publication-type="journal">Zahra, K. (2007). Study of Effective Factors for Attracting Medical Tourism in Iran. Master Thesis Submitted to University of Isfahan.</mixed-citation>
                    </ref>
                            </ref-list>
                    </back>
    </article>
