چكيده لاتين
Today, the cross-border medical care phenomenon is proliferating, and most of the existing texts introduce this phenomenon as medical tourism, which means that tourism activities are combined with medical services. Globalization, economic development, demographic changes, transportation facilities, and, most notably, the development of technologies have led to changes in the supply and demand of healthcare. Many leaders of countries and local governments are interested in promoting and developing medical tourism for economic growth and strengthening local healthcare systems, creating jobs, increasing tax revenues, and generally increasing the quality of life of the residents of their communities. The high dependence of Iranʹs economy on the income from oil exports and its global price fluctuations over time have affected macroeconomic variables such as national production, gross investments, employment, and foreign exchange earnings. Medical tourism is of significant importance to diversify the sources of economic growth, earn foreign currency, and sustainably deal with international sanctions, and create various job opportunities. It can play a significant role in the prosperity of the urban economy, medical centers, and employment creation. Considering Iranʹs 46th and last rank among the countries active in this field, this fact shows Iran does not have a good global market share. The present thesis seeks to analyze the indicators of medical tourism and the development of tourism in the metropolis of Isfahan to evaluate the constructive effect on developing and solving the healthcare systemʹs problems related to the medical tourism sector. The research aimed to answer the following research questions: 1- What are the effective medical tourism indicators in the metropolis of Isfahan, in order of priority? 2- What is medical tourism indicatorsʹ capacity to attract medical tourists? 3-Which case does the optimal scenario include for coordinated and integrated management between the institutions in charge of medical tourism in Isfahan? 4- What are the optimal strategies for developing medical tourism in Isfahan? The applied study employed a descriptive-analytical research method and library and survey research (questionnaire) data collection techniques via an interactive/expert-driven approach. The study used mixed methods (quantitative-qualitative) research for data analysis. The research area covers the metropolis of Isfahan. The statistical population of this research consisted of 35 urban and medical tourism experts, specialists, and faculty members selected via a snowball sampling method. The population also included domestic and foreign medical tourists. The Real-time Delphi (RTD) method and SPSS, Smart-PLS, LISREL, SPSS, MicMac, Scenario Wizard, and Meta-SWOT software were used for data analysis. By explaining and analyzing the medical tourism development indicators in Isfahan metropolis, policymakers and urban decision-makers can achieve a correct understanding of the conditions. Also, urban managers and experts can understand the position of the effective factors in medical tourism development. Accordingly, they can take practical steps to solve the challenges and problems in the structural and executive body. Considering the importance of the subject, the application of this research can have a worthy contribution to the economic prosperity and tourism development of the metropolitan city of Isfahan. It can also be used as a road map for executive managers at the provincial and urban levels to plan for the sustainable development of urban tourism.