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Brand and Competitiveness in Health and Wellness Tourism

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Tourism, Travel, and Hospitality in a Smart and Sustainable World (IACuDiT 2022)

Abstract

Health and wellness tourism is growing worldwide, triggering a resurgence of competition in this segment and a clear need for the supply to develop new products and services, increasingly creative and exclusive, capable of attracting tourists. Thermal waters in Portugal are considered very rich in terms of chemical composition, which makes their use highly important in various wellness and rejuvenating therapies like balneotherapy, thermalism, etc. This enables the country to pursue a differentiated wellness-related experience product, which is a key determinant of customer loyalty and can play an important role in regional development. Natural resources contribute to the strengths of territories and can be leveraged by marketing tools such as brands. This article intends to draw inferences about the effect of the brand on the competitiveness of the wellness tourism supply, across NUTS II regions of the continent, during the period of ten years, with a special focus on the recent period of the COVID-19 pandemic. With a sample of 10 spas in Portugal, retrieved from SABI database, we analyze the evolution of four competitiveness indicators: market share, productivity, return on investment and talent retention, for 2010–2020, by clusters of firms with and without brand. The correlation analysis between brand and competitiveness indicators suggests a strong positive and significant relationship between brand and market share, in the Centro and Lisbon regions, starting in 2017 and increasing over time. Finally, some recommendations on tourism management are made to improve the competitiveness of the supply.

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References

  • Al, S., Abdussakir, A., Djakfar, M., & Al, S. (2021). The effect of product knowledge and service quality on customer satisfaction. The Journal of Asian Finance, Economics and Business, 8(1), 927–938.

    Google Scholar 

  • Ali, B. J., & Anwar, G. (2021). Business strategy: The influence of strategic competitiveness on competitive advantage. International Journal of Electrical, Electronics and Computers, 6(2).

    Google Scholar 

  • Ali, B. J., Gardi, B., Othman, B. J., Ahmed, S. A., Ismael, N. B., Hamza, P. A., Aziz, H. M., Sabir, B. Y., Anwar, G. (2021). Hotel service quality: The impact of service quality on customer satisfaction in hospitality. International Journal of Engineering, Business and Management, 5(3), 14–28.

    Google Scholar 

  • Alves, G. M., Sousa, B. B., & Belino, M. (2021). Understanding the brand management and rebranding processes in specific contexts of medical tourism. In New Techniques for Brand Management in the Healthcare Sector (pp. 124–141). IGI Global.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Bočkus, D., Sulkinoja, E., Kolesnikova, N., & Komppula, R. (2021). Differences in the concept of wellness and its materialisation in service offering: a multiple case study from Eastern Finland, Russian Karelia, and Lithuania. Tourism Recreation Research, 1–16.

    Google Scholar 

  • Boga, T. C., & Weiermair, K. (2011). Branding new services in health tourism. Tourism Review.

    Google Scholar 

  • Buhalis, D., & Amaranggana, A. (2015). Smart tourism destinations enhancing tourism experience through personalisation of services. In Information and communication technologies in tourism 2015 (pp. 377–389). Cham: Springer.

    Google Scholar 

  • Buhalis, D., & Park, S. (2021). Brand management and cocreation lessons from tourism and hospitality: introduction to the special issue. Journal of Product & Brand Management.

    Google Scholar 

  • Dam, S. M., & Dam, T. C. (2021). Relationships between service quality, brand image, customer satisfaction, and customer loyalty. The Journal of Asian Finance, Economics and Business, 8(3), 585–593.

    Google Scholar 

  • de la Hoz, A., & Muñoz-, F. (2019). The role of information sources and image on the intention to visit a medical tourism destination: A cross-cultural analysis. Journal of Travel & Tourism Marketing, 36(2), 204–219.

    Article  Google Scholar 

  • Dieguez, T., & Conceição, O. (2020). Innovative destination branding:“Porto.”. In Advances in Tourism, Technology and Smart Systems (pp. 131–140). Singapore: Springer.

    Google Scholar 

  • Favero, L., & Belfiore, P. (2019). Data science for business and decision making. Academic Press.

    Google Scholar 

  • Fernandes, G., Daniel, A., & Almeida, H. (2021). Collaborative strategies and tourist competitiveness in medium mountain destinations: Study on the positioning of tourist actors in the Natural Park of Serra da Estrela. European Journal of Tourism, Hospitality and Recreation, 11(1), 121–134.

    Article  Google Scholar 

  • Ghasemi, P., Mehdiabadi, A., Spulbar, C., & Birau, R. (2021). Ranking of sustainable medical tourism destinations in Iran: An integrated approach using fuzzy Swara-Promethee. Sustainability, 13(2), 683.

    Article  Google Scholar 

  • Gonçalves, E. C. C., & Guerra, R. C. (2019). O Turismo De Saúde E Bem-Estar Como Fator De Desenvolvimento Local. Pasos Revista De Turismo y Patrimonio Cultural, 17(2), 453–472.

    Article  Google Scholar 

  • Kim, J. J., Han, H., & Ariza, A. (2021). The impact of hotel attributes, well-being perception, and attitudes on brand loyalty: Examining the moderating role of COVID-19 pandemic. Journal of Retailing and Consumer Services, 62, 102634.

    Article  Google Scholar 

  • Lee, C. F., & King, B. (2010). International competitiveness in hot springs tourism: An application of the analytical hierarchy process approach. Tourism Analysis, 15, 531–544.

    Article  Google Scholar 

  • Liu, H., Hasan, M., Cui, D., Yan, J., & Sun, G. (2022). Evaluation of tourism competitiveness and mechanisms of spatial differentiation in Xinjiang. China. Plos One, 17(2), e0263229.

    Article  Google Scholar 

  • Lubowiecki-Vikuk, A., & Sousa, B. (2021). Tourism business in a vuca world: Marketing and management implications. Journal of Environmental Management & Tourism, 12(4), 867–876.

    Article  Google Scholar 

  • Luederitz, C., Caniglia, G., Colbert, B., & Burch, S. (2021). How do small businesses pursue sustainability? The role of collective agency for integrating planned and emergent strategy making. Business Strategy and the Environment, 30(7), 3376–3393.

    Article  Google Scholar 

  • McDougall, N., Wagner, B., & MacBryde, J. (2021). Leveraging competitiveness from sustainable operations: frameworks to understand the dynamic capabilities needed to realise NRBV supply chain strategies. Supply Chain Management: An International Journal.

    Google Scholar 

  • Moore, E. M., Dau, L. A., & Mingo, S. (2021). The effects of trade integration on formal and informal entrepreneurship: The moderating role of economic development. Journal of International Business Studies, 52(4), 746–772.

    Article  Google Scholar 

  • Pessot, E., Spoladore, D., Zangiacomi, A., & Sacco, M. (2021). Natural resources in health tourism: A systematic literature review. Sustainability, 13(5), 2661.

    Article  Google Scholar 

  • Pilving, T., Kull, T., Suškevics, M., & Viira, A. H. (2021). Creating shared collaborative tourism identity in a post-communist environment. Scandinavian Journal of Hospitality and Tourism, 21(3), 313–340.

    Article  Google Scholar 

  • Pinos, A., Abarca-Álvarez, F. J., & Maroto-Martos, J. C. (2022). Perceptions and profiles of young people regarding spa tourism: A comparative study of students from Granada and Aachen Universities. International Journal of Environmental Research and Public Health, 19(5), 2580.

    Article  Google Scholar 

  • Quintela, J. A. F. D. S. (2021). Contribution of health and wellness tourism to happiness and quality of life: a comparative study between Portugal and Hungary. Doctoral dissertation, Universidade de Aveiro.

    Google Scholar 

  • 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.

    Article  Google Scholar 

  • Romão, J., Machino, K., & Nijkamp, P. (2018). Integrative diversification of wellness tourism services in rural areas–an operational framework model applied to east Hokkaido (Japan). Asia Pacific Journal of Tourism Research, 23(7), 734–746.

    Article  Google Scholar 

  • Santos, E. (2020). Promoting firms’ sustainability in tourism planning through employment. In Advances in Tourism, Technology and Smart Systems (pp. 345–355). Singapore: Springer.

    Google Scholar 

  • Santos, E. (2020). Do cultural tourism firms perform better than their rivals?. In Advances in Tourism, Technology and Smart Systems (pp. 383–393). Singapore: Springer.

    Google Scholar 

  • Santos, E., Lisboa, I., Crespo, C., Moreira, J., & Eugenio, T. (2022). Evaluating economic sustainability of nautical tourism through brand equity and corporate performance. In Transcending Borders in Tourism Through Innovation and Cultural Heritage (pp. 105–118). Cham: Springer.

    Google Scholar 

  • Santos, E., & Khan, S. (2018). Determinant factors of pecuniary externalities. The International Journal of Business & Management, 6(8), 180–198.

    Google Scholar 

  • Schalber, C., & Peters, M. (2012). Determinants of health tourism competitiveness: An Alpine case study. Tourism: An International Interdisciplinary Journal, 60(3), 307–323.

    Google Scholar 

  • Scheyvens, R., & Cheer, J. M. (2021). Tourism, the SDGs and partnerships. Journal of Sustainable Tourism, 1–11.

    Google Scholar 

  • Shablii, O. I. (2018). The main problems of healthcare and wellness tourism in Ukraine. J. Geol. Geol. Geoecol., 27, 337–345.

    Article  Google Scholar 

  • Singh, L. (2019). Medical tourism motivations: The driving force. Journal of Multidisciplinary Academic Tourism, 4(2), 77–86.

    Article  Google Scholar 

  • Untari, D. T., & Satria, B. (2019). Measuring website effectiveness in communicating tourism destinations in Jakarta, Indonesia. African Journal of Hospitality, Tourism and Leisure, 8(4), 1–16.

    Google Scholar 

  • van Zanten, J. A., & van Tulder, R. (2021). Improving companies’ impacts on sustainable development: A nexus approach to the SDGS. Business Strategy and the Environment, 30(8), 3703–3720.

    Article  Google Scholar 

  • Vujko, A., & Gajic, T. (2014). Opportunities for tourism development and cooperation in the region by improving the quality of tourism services–the ‘Danube Cycle Route’case study. Economic Research-Ekonomska Istraživanja, 27(1), 847–860.

    Article  Google Scholar 

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Acknowledgements

This paper is financed by National Funds of the FCT—Portuguese Foundation for Science and Technology within the project «UIDB/04928/2020»

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Correspondence to Eleonora Santos .

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Santos, E., Crespo, C., Moreira, J., Castanho, R.A. (2023). Brand and Competitiveness in Health and Wellness Tourism. In: Katsoni, V. (eds) Tourism, Travel, and Hospitality in a Smart and Sustainable World. IACuDiT 2022. Springer Proceedings in Business and Economics. Springer, Cham. https://doi.org/10.1007/978-3-031-26829-8_44

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