چكيده لاتين
Abstract
Developing a medical tourism destination brand as a strategic tool for the success of this industry can be effective in increasing the competitive advantage of the destination, attracting more tourists and income, and as a result, boosting the national economy. However, the study on the branding of medical tourism destinations is at the beginning of its journey. The factors that are effective in developing the brand of tourism destinations must be identified in advance and made available to planners in this field. Therefore, this research aims to identify and evaluate the effective components in developing the brand of medical tourism destinations in the city of Mashhad, with an emphasis on the Iraqi market. This research is applied in terms of its purpose and descriptive-analytical in terms of the method. First, the primary indicators were extracted by studying the background. Then, by surveying experts and using the fuzzy Delphi method in two stages, the indicators in the study area were localized and a research questionnaire was prepared. Finally, by estimating the importance-performance index, the existing situation and its comparison with the optimal situation of Mashhad city in terms of indicators affecting the medical tourism brand were examined. The conceptual model of the research was tested through the structural equation method using AMOS software. Research data was collected in 1402 through 20 expert questionnaires and 384 questionnaires from Iraqi medical tourists who had visited Mashhad.
Based on the studies and expertsʹ opinions, by conducting two rounds of fuzzy Delphi, 47 items directly affect the medical tourism brand, which were included in 5 main factors including awareness, quality, perceived value, destination image and loyalty. The situation of Mashhad in all 5 factors is above average and acceptable, but it is far from ideal. Based on the opinions of experts, the importance of the indicators and based on the opinions of tourists, the performance of Mashhad was determined, and finally, the indicators that had the most importance and the weakest performance were prioritized in planning. These indicators included, respectively, the medical touristʹs knowledge of the destination hospital, information about the specialties of the medical staff, appropriate advertising, the presence of a translator, the variety of treatments provided, follow-up care after treatment, the level of trust in the medical tourism destination, and the reputation of specialist doctors. The research findings showed that awareness, perceived value, and perceived quality through the destination brand image affect loyalty and, in this way, lead to the creation and improvement of the destination medical tourism brand. The highest total effect in the model was related to the brand image component and then perceived value, which indicates the appropriate performance of the indicators of these two components in the city of Mashhad. The least impact of the components in the research model is related to the awareness component. Therefore, in order to strengthen the mentioned component, the improvement of its related indicators should be prioritized in planning. The effect of perceived quality on the destination image is moderate, which should be improved in Mashhad.