Document Type : Original Article

Authors

Health Services Administration, Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran.

Abstract

Introduction: Policy makers and decision makers must identify the stakeholders in medical
tourism, who will be affected by and/or affect this industry, and determine their status
for partnership. The aim of this study was to identify the main stakeholders in Isfahan’s
medical tourism, analyze them, and provide strategies for developing this industry.
Materials and Methods: A qualitative study was conducted in 2011. At first, the key stakeholders
in medical tourism were identified in accordance with the experts’ idea and literature review.
Then we interviewed the key stakeholders. Data analysis was conducted using the stakeholders’
analyses, which helped in developing strategies. Results: The result showed that the key
stakeholders were made up of nine groups. They included the provincial governance of Isfahan,
the Cultural Heritage and Tourism Organization of Isfahan, the Chamber of Commerce, the
Medical Council, the Isfahan University of Medical Sciences, health service providers, tourism
services providers, investors, and the Tosea Saderat Bank. The rate of knowledge of the Cultural
Heritage and Tourism Organization of Isfahan, clinic and international relationship of Isfahan
University of Medical Sciences from government policy about medical tourism were very
much. Private Hospitals, the Medical Council, investors, and the University of Medical Sciences
had great power. Private hospitals, clinics, the Cultural Heritage and Tourism Organization of
Isfahan, and the University of Medical Sciences were in the supporter position. The effected
strategies were the included strategies, focused on increasing power; increasing support,
and on maintaining the position. Conclusion: There are different stakeholders in the medical
tourism industry. Thus, policy makers can plan, make a policy and decision, and use effective
strategies to develop medical tourism by designing a medical tourism stakeholders’ network,
a medical tourism provincial council, and clarify the roles and responsibilities of stakeholders.

Keywords

1. Yu JY, Ko TG. A cross‑cultural study of perceptions of medical
tourism among Chinese, Japanese and Korean tourists in Korea.
Tourism Manage 2011;33:80‑8.
2. Courtney L, Valverde L. Potential impacts of medical tourism on
health care in Costa Rica. Institute de investigations sociales.
Universiade de Costa Rica, Costa Rica; 2010. p. 1‑10.
3. Lunt N, Carrera P. Medical tourism: Assessing the evidence on
treatment abroad. Maturitas 2010;66:27‑32.
4. Connell J. Medical tourism: Sea, sun, sand and surgery. Tourism
Manage 2006;27:1093‑100.
5. Suthin K, Assenov I, Tirasatayapitak A, editors. Medical Tourism: Can
supply keep up with the demand. APac‑CHRIE and Asia PacificTourism
Association Joint Conference 2007. China, Beijing: 2007.
6. Hazarika I. Medical tourism: Its potential impact on the health
workforce and health systems in India. Health Policy Plan
2010;25:248‑51.
7. Bies W, Zacharia L. Medical tourism: Outsourcing surgery. Math
Comput Model 2007;46:1144‑59.
8. Sadr Momtaz N, Agharahimi Z. Medical tourism industry in Iran:
Strategies for development. Health Inf Manage 2011;7 (Special
Issue):524.
9. Crooks VA, Kingsbury P, Snyder J, Johnston R. What is known about
the patient’s experience of medical tourism? A scoping review. BMC
Health Serv Res 2010;10:266.
10. Cohen E. Medical tourism in Thailand. Department of Socioloy and
Anthropology. Mount: The Herbew University of Jerusalem; 2007.
p. 24‑37.
11. Gopal R, editor. The key issues and challenges in medical tourism
sector in India (A Hospital perspective), India, 2008.
12. Weiss EM, Spataro PF, Kodner IJ, Keune JD. Banding in Bangkok,
CABG in Calcutta: The United States physician and the growing
field of medical tourism. Surgery 2010;148:597‑601.
13. Piazolo M, Zanca N, editors. The economics of medical tourism a
case study for the USA and India. Óbuda University, Keleti Faculty
of Economics, India, 2010.
14. Kazemi Z. Study of the effective factors for attracting medical
tourist in Iran [thesis]. Netherlands: Uella University of Technology;
2007.
15. Ministry of Health. Terms of medical centers to attract medical
tourists. Available from: http://www.lawoffice.mohme.gov.ir. [Last
cited in 2008].
16. Byrd ET. Stakeholders in sustainable tourism development and
their roles: Applying stakeholder theory to sustainable tourism
development. Tourism Rev 2007;62:6‑13.
17. Freeman R. Strategic management: A stakeholder approach.
Cambridge Univ Pr, America; 2010.
18. Golder B. Stakeholder analysis. Washington: WWF US,
Sourcebook for WWF Standards. Foundations of Success.
Available from: https://www.intranet.panda.org/documents/folder.
cfm?uFolderID=60976. [Last cited in 2005].
19. Angelo P, Maria C. Analysing tourism stakeholders networks.
Tourism Rev 2010;65:17‑30.
20. Nagarajan G. Medical tourism in India: Strategy for its development.
Bangalore, India: Indian Institute of Management; 2004.
21. Jabbari A. Designing a model for Iran medical tourism [Disertation].
Tehran: Iran University of Medical Sciences; 2009.
22. Prasad VK, editor. Medical tourism industry‑advantage India.
Conference on Global Competition and Competitiveness of IndianCorporate. India: IIMK; 2008.
23. Caballero‑Danell S, Mugomba C. Medical tourism and its
entrepreneurial opportunities: A conceptual framework for entry
into the industry. Rapport nr: Master Thesis 2006: 91. 2007.
24. Semercioz F, Donmenz D, Dursun M. Relationships beetween
destination management organizations and destination satakeholders,
a research in regions of Marmara, Aegean and Mediterrannean in
Turkey. J Commer Tourism Educ Fac 2008;1:87‑101.
25. Sheehan LR, Ritchie B. Destination stakeholders exploring identity
and salience. Ann Tourism Res 2005;32:711-734