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Medical Tourism: An Application of Quality Function Deployment Model

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Flexibility, Resilience and Sustainability

Part of the book series: Flexible Systems Management ((FLEXSYS))

Abstract

Medical need is one such aspect that propels individuals to travel, despite enough constraints that one might be going through and this fuels Medical Tourism (MT). MT is growing rapidly, especially in developing countries, owing to the requirement for healthcare facilities and its cheaper availability. This paper identifies the major requirements of Medical Tourists through interviews and focused group discussions and models them using Complex System Model. Next best–worst method is applied weight the customer requirements based on their importance. Further, Quality Function Deployment is used to evaluate the fulfillment of customers’ requirements by country parameters. Finally, infrastructure development, skill availability, and medical standards are identified as important parameters that need to be developed for attracting Medical Tourists. Hospitals are also required to work on getting certifications and accreditations for proving quality standards.

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References

  • Abastante F, Lami IM (2012) Quality function deployment (QFD) and analytic network process (ANP): an application to analyze a cohousing intervention. J Appl Oper Res 4(1):14–27

    Google Scholar 

  • Ahani A, Nilashi M, Zogaan WA, Samad S, Aljehane NO, Alhargan A, Mohd S, Ahmadi H, Sanzogni L (2021). Evaluating medical travelers’ satisfaction through online review analysis. J Hospitality Tour Manag 48:519–537

    Google Scholar 

  • Asadi MM, Basoli M, Rasekhi MA (2020) Analytical investigation of Yazd health tourism infrastructure using cognitive mapping approach. Tour Manag Stud 15(50):227–297

    Google Scholar 

  • Awadzi W, Panda D (2006) Medical tourism: globalization and the marketing of medical services. J Hospitality Tour 11(1):75–81

    Google Scholar 

  • Basu RV, Nundy M (2008) Blurring of boundaries: public-private partnerships in health services in India. Econ Pol Wkly 43(4):62–71

    Google Scholar 

  • Beladi H, Chao C-C, Ee MS, Hollas D (2015) Medical tourism and health worker migration in developing countries. Econ Modell 46:391–396. https://doi.org/10.1016/j.econmod.2014.12.045

  • Bookman M (2007) Medical tourism in developing countries. Springer

    Book  Google Scholar 

  • Brailsford SC, Lattimer VA, Tarnaras P, Turnbull JC (2004) Emergency and on-demand health care: modelling a large complex system. J Oper Res Soc 55(1):34–42

    Article  Google Scholar 

  • Carrera PM (2006) Medical tourism. Health Aff 25(5):1453–1453

    Article  Google Scholar 

  • Census U (2013) Income, poverty, and health insurance coverage in the United States. Retrieved July 1 2015, from https://www.census.gov/hhes/www/hlthins/data/incpovhlth/2012/index.html

  • Chan KY, Kwong CK, Dillon TS (2012) An enhanced fuzzy AHP method with extent analysis for determining importance of customer requirements. Comput Intell Tech New Prod Des 79–93

    Google Scholar 

  • Chan LK, Wu ML (2005) A systematic approach to quality function deployment with a full illustrative example. Omega 33(2):119–139

    Article  Google Scholar 

  • Chaplin E, Terninko J (2000) Customer driven healthcare: QFD for process improvement and cost reduction. ASQ Quality Press, Milwaukee

    Google Scholar 

  • Chen X, Ding Y, Cory CA, Hu Y, Wu KJ, Feng X (2021) A decision support model for subcontractor selection using a hybrid approach of QFD and AHP-improved grey correlation analysis. Eng Constr Archit Manag 28(6):1780–1806

    Article  Google Scholar 

  • Chew YT, Koeshendro AD (2015) Identifying research gaps in medical tourism. In: Destination marketing: an international perspective. Routledge, pp 119–125

    Google Scholar 

  • Chinai R, Goswami R (2007) Medical visas mark growth of Indian medical tourism. Bull World Health Organ 85(3):164–165

    Article  Google Scholar 

  • Connell J (2006) Medical tourism: sea, sun, sand and… surgery. Tour Manage 27(6):1093–1100

    Article  Google Scholar 

  • Connell J (2013) Medical tourism in the Caribbean islands: a cure for economies in crisis? Island Stud J 8(1):115–130

    Article  Google Scholar 

  • Croes R, Ridderstaat J, Bąk M, Zientara P (2021) Tourism specialization, economic growth, human development and transition economies: the case of Poland. Tour Manage 82:104181

    Article  Google Scholar 

  • Crooks V, Kingsbury P, Snyder J, Johnston R (2010) What is known about the patient’s experience of medical tourism? A scoping review. BMC Health Serv Res 10:266. https://doi.org/10.1186/1472-6963-10-266

    Article  Google Scholar 

  • De la Hoz-Correa A, Muñoz-Leiva F, Bakucz M (2018) Past themes and future trends in medical tourism research: a co-word analysis. Tour Manage 65:200–211

    Article  Google Scholar 

  • Deloitte Access Economics (2011) Medical tourism in Australia: a scoping study. Department of resources, energy and tourism (Online). Available: http://www.deloitte.com/view/en_AU/au/

  • Deloitte (2008) Medical tourism: consumers in search of value. Deloitte Centre for Health Solutions, Washington

    Google Scholar 

  • Deloitte (2009) Medical tourism: update and implications. Deloitte Centre for Health Solutions, Washington

    Google Scholar 

  • Edelheit JS (2008) Defining medical tourism or not. Med Tour Mag 5(1):9–10

    Google Scholar 

  • Erbe B (2011) Maternity tourism’ in San Gabriel. Korea Times

    Google Scholar 

  • Fetcherin M, Stephano RM (2015) The medical tourism index: scale development and validation. Tour Manage 52:539–556. https://doi.org/10.1016/j.tourman.2015.08.010

    Article  Google Scholar 

  • Fetscherin M, Stephano RM (2016) The medical tourism index: scale development and validation. Tour Manage 52:539–556

    Article  Google Scholar 

  • Gan LL, Frederick JR (2011) Medical tourism facilitators: patterns of service differentiation. J Vacat Mark 17(3):165–183

    Article  Google Scholar 

  • Ganguli S, Ebrahim AH (2017) A qualitative analysis of Singapore’s medical tourism competitiveness. Tour Manag Perspect 21:74–84

    Google Scholar 

  • Gilmartin M, White A (2010) Interrogating medical tourism: Ireland, abortion and mobility rights. Signs 36:275e280

    Google Scholar 

  • Government of India (GOI) (2008) Eleventh five year plan 2007–12, volume11: social sector, New Delhi planning commission, Government of India (GOI). Oxford University Press, New Delhi

    Google Scholar 

  • Gupta A (2008) Medical tourism in India: winners and losers. Indian J Med Ethics 5(1)

    Google Scholar 

  • Hadinejad A, Noghan N, Moyle BD, Scott N, Kralj A (2021) Future research on visitors’ attitudes to tourism destinations. Tour Manage 83:104215

    Article  Google Scholar 

  • Han H, Hyun SS (2015) Customer retention in the medical tourism industry: impact of quality, satisfaction, trust, and price reasonableness. Tour Manag 46:20–29. https://doi.org/10.1016/j.tourman.2014.06.003

  • Hauser JR (1993) How Puritan-Bennett used the house of quality. Sloan Manag Rev 34(3):61–70

    Google Scholar 

  • Heung VC, Kucukusta D, Song H (2011) Medical tourism development in Hong Kong: an assessment of the barriers. Tour Manage 32(5):995–1005

    Article  Google Scholar 

  • The Hindu (2012) 941 foreigners avail VoA facility. The Hindu-Business line (Online). Available: www.thehindubusinessline.con/news/travel/article

  • Hopkins L, Labonte R, Runnels V, Packer C (2010) Medical tourism today: what is the state of existing knowledge? J Publ Health Policy 31(2):185e198. https://doi.org/10.1057/jphp.2010.10

  • International Healthcare Research Center (IHRC) (2016) 2017 Monitoring medical tourism trends. Retrieved from http://www.healthcareresearchcenter.org/medicaltourism-index/

  • JCI (2012) Joint commission international accreditation standards for hospitals, 4th edn. (Online). Available: http://www.jointcommissioninternational.org/

  • Jeong M, Oh H (1998) Quality function deployment: an extended framework for service quality and customer satisfaction in the hospitality industry. Int J Hosp Manag 17(4):375–390

    Article  Google Scholar 

  • Jones M (2011) Clinics of oblivion: makeover culture and cosmetic surgery tourism, portal. J Multi Int Stud 8(2):1e17

    Google Scholar 

  • Karsak EE, Sozer S, Alptekin SE (2003) Product planning in quality function deployment using a combined analytic network process and goal programming approach. Comput Ind Eng 44(1):171–190

    Article  Google Scholar 

  • Killen CP, Walker M, Hunt RA (2005) Strategic planning using QFD. Int J Qual Reliab Manag 22(1):17–29

    Google Scholar 

  • Kim YR, Williams AM, Park S, Chen JL (2021) Spatial spillovers of agglomeration economies and productivity in the tourism industry: the case of the UK. Tour Manage 82:104201

    Article  Google Scholar 

  • Kwong CK, Bai H (2002) A fuzzy AHP approach to the determination of importance weights of customer requirements in quality function deployment. J Intell Manuf 13(5):367–377

    Article  Google Scholar 

  • Laugesen M, Vargas-Bustamante A (2010) A patient mobility framework that travels: European and United-States Mexican comparisons. Health Policy 97:225e231

    Google Scholar 

  • Lautier M (2008) Export of health services from developing countries: the case of Tunisia. Soc Sci Med 67(1):101–110. https://doi.org/10.1016/j.socscimed.2008.01.057

    Article  Google Scholar 

  • Loosemore M, Cheung E (2015) Implementing systems thinking to manage risk in public private partnership projects. Int J Project Manage 33(6):1325–1334

    Article  Google Scholar 

  • Lunt N, Carrera P (2010) Medical tourism: assessing the evidence on treatment abroad. Maturitas 66:27e32

    Google Scholar 

  • Mai T, Smith C (2015) Addressing the threats to tourism sustainability using systems thinking: a case study of Cat Ba Island, Vietnam. J Sustain Tour 23(10):1504–1528

    Article  Google Scholar 

  • Market (2015) Global industry analysis, size, share, growth, trends and forecast, 2013–2019. Transparency market research, 2014. There is no corresponding record for this reference

    Google Scholar 

  • Mattoo A, Rathindran R (2006) How health insurance inhibits trade in health care. Health Aff 25(2):358–368

    Article  Google Scholar 

  • McGarvey B, Hannon B (2004) Dynamic modeling for business management: an introduction. Springer

    Google Scholar 

  • Medhekar A (2010) Growth of medical tourism in India and public-private partnerships. In: Paper in the proceedings of the 7th IIDS, international conference on development, pp 1–20

    Google Scholar 

  • Medhekar A (2017) Government policy initiatives for developing sustainable medical tourism industry. GSTF J Bus Rev 3(3)

    Google Scholar 

  • Meghani Z (2011) A robust, particularist ethical assessment of medical tourism. Dev World Bioeth 11(1):16e29. https://doi.org/10.1111/j.1471-8847.2010.00282.x

  • Ministry of Tourism (MOT) (2012) Incredible India theme brochures-Government of India (Online). Available: http://tourism.gov.in/Tourism

  • Ngamvichaikit A, Beise-Zee R (2014) Communication needs of medical tourists: an exploratory study in Thailand. Int J Pharm Healthc Mark 8:98e117. https://doi.org/10.1108/IJPHM-10-2012-0010

    Article  Google Scholar 

  • Radharamanan R, Godoy LP (1996) Quality function deployment as applied to a health care system. Comput Ind Eng 31(1–2):443–446

    Article  Google Scholar 

  • Rezaei J (2015) Best-worst multi-criteria decision-making method. Omega 53:49–57

    Article  Google Scholar 

  • RNCOS (2010) Booming medical tourism in India. Tourism industry research solutions. RNCOS EServices

    Google Scholar 

  • Saadatnia F, Mehregan MR (2014) Determining and prioritizing factors affecting to increase customer’s attraction of medical tourism from the perspective of Arabic countries. Int J Mark Stud 6(3):155

    Google Scholar 

  • Singh PK (2008) Medical tourism. Kanishka, India

    Google Scholar 

  • Singh N, Gill H (2011) Exploring the factors that affect the choice of destination for medical tourism. J Serv Sci Manag 4(03):315

    Google Scholar 

  • Smith R, Álvarez MM, Chanda R (2011) Medical tourism: a review of the literature and analysis of a role for bi-lateral trade. Health Policy 103(2–3):276–282

    Article  Google Scholar 

  • Song P (2010) Biotech pilgrims and the transnational quest for stem cell cures. Med Anthropol 29:384e402

    Google Scholar 

  • Sterman J (2000) Business dynamics. McGraw-Hill, Inc.

    Google Scholar 

  • Swagato C, Prasenjit M (2020). Traveler preferences from online reviews: role of travel goals, class and culture. Tour Manag 80

    Google Scholar 

  • Tan KC, Pawitra TA (2001) Integrating SERVQUAL and Kano’s model into QFD for service excellence development. Manag Serv Qual 11(6):418–430

    Google Scholar 

  • Tham A (2018) Sand, surgery and stakeholders: a multi-stakeholder involvement model of domestic medical tourism for Australia’s Sunshine Coast. Tour Manag Perspect 25:29–40

    Google Scholar 

  • Thompson C (2008) Medical tourism, stem cells, genomics: EASTS, transnational STS, and the contemporary life sciences, East Asian Science. Technol Soc 2:433e438

    Google Scholar 

  • Trappey CV et al (1996) A computerized quality function deployment approach for retail services. Comput Ind Eng 30(4):611–622

    Google Scholar 

  • Turner L (2010) Commercial organ transplantation in the Philippines. Cambridge Q Healthc Ethics 18:192e196

    Google Scholar 

  • UNESCAP (2008) Medical travel in Asia and the Pacific: challenges and opportunities Bangkok. United Nations Economic and Social Commission for Asia and the Pacific report

    Google Scholar 

  • Vanegas LV, Labib AW (2001) A fuzzy quality function deployment (FQFD) model for deriving optimum targets. Int J Prod Res 39(1):99–120

    Article  Google Scholar 

  • Voigt C, Laing JH (2010) Journey into parenthood: commodification of reproduction as a new tourism niche market. J Travel Tour Mark 27(3):252–268

    Article  Google Scholar 

  • Wang K, Xu H, Huang L (2020) Wellness tourism and spatial stigma: a case study of Bama, China. Tour Manag 78:104039

    Article  Google Scholar 

  • Wongkit M, McKercher B (2013) Toward a typology of medical tourists: a case study of Thailand. Tour Manag 38:4e12. https://doi.org/10.1016/j.tourman.2013.02.003

  • World Health Organisation (2001) Macroeconomics and health: investing in health for economic development. Report of the commission on macroeconomics and health Geneva

    Google Scholar 

  • Wu WY, Qomariyah A, Sa NTT, Liao Y (2018) The integration between service value and service recovery in the hospitality industry: an application of QFD and ANP. Int J Hosp Manag 75:48–57

    Article  Google Scholar 

  • Youngman I (2015) Medical tourism facts and figures 2015. Int Med Travel J. Retrieved October 20, 2017, from: https://www.imtj.com/sites/default/fles/asset/asset/Medical%20Tourism%20Facts%20and%20Figures%202015_0.pdf

  • Yu JY, Ko TG (2012) A cross-cultural study of perceptions of medical tourism among Chinese, Japanese and Korean tourists in Korea. Tour Manag 33(1):80–88. https://doi.org/10.1016/j.tourman.2011.02.002

  • Zavadskas EK, Turskis Z, Kildienė S (2014) State of art surveys of overviews on MCDM/MADM methods. Technol Econ Dev Econ 20(1):165–179

    Article  Google Scholar 

  • Zhang X, Song H, Huang GQ (2009) Tourism supply chain management: a new research agenda. Tour Manage 30(3):345–358

    Article  Google Scholar 

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Dhakate, N., Joshi, R. (2024). Medical Tourism: An Application of Quality Function Deployment Model. In: Sushil, Rani, N., Joshi, R. (eds) Flexibility, Resilience and Sustainability. Flexible Systems Management. Springer, Singapore. https://doi.org/10.1007/978-981-99-9550-9_9

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