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Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness

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  • Han, Heesup
  • Hyun, Sunghyup Sean

Abstract

Repeat business is critical to the success of medical clinics in the competitive medical tourism market. This study develops a model explaining international medical travelers' intention formation by considering the impact of quality, satisfaction, trust, and price reasonableness. A field survey was conducted at medical clinics. Findings from structural analysis indicate a good fit for the proposed model; perceived quality, satisfaction, and trust in the staff and clinic have significant associations affecting intentions to revisit clinics and the destination country; and satisfaction and trust acted as significant mediators. In general, support for the hypothesized moderating impact of price reasonableness in the proposed theoretical model was evident in the results of the metric-invariance test. Implications for theory and practice are discussed.

Suggested Citation

  • Han, Heesup & Hyun, Sunghyup Sean, 2015. "Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness," Tourism Management, Elsevier, vol. 46(C), pages 20-29.
    • Handle: RePEc:eee:touman:v:46:y:2015:i:c:p:20-29
    DOI: 10.1016/j.tourman.2014.06.003
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    References listed on IDEAS

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    1. Heung, Vincent C.S. & Kucukusta, Deniz & Song, Haiyan, 2011. "Medical tourism development in Hong Kong: An assessment of the barriers," Tourism Management, Elsevier, vol. 32(5), pages 995-1005.
    2. Han, Heesup, 2013. "The healthcare hotel: Distinctive attributes for international medical travelers," Tourism Management, Elsevier, vol. 36(C), pages 257-268.
    3. Ajzen, Icek, 1991. "The theory of planned behavior," Organizational Behavior and Human Decision Processes, Elsevier, vol. 50(2), pages 179-211, December.
    4. Milica Z. Bookman & Karla R. Bookman, 2007. "Medical Tourism in Developing Countries," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-60565-7.
    5. Oliver, Richard L, 1993. "Cognitive, Affective, and Attribute BAses of the Satisfaction Response," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 20(3), pages 418-430, December.
    6. Connell, John, 2013. "Contemporary medical tourism: Conceptualisation, culture and commodification," Tourism Management, Elsevier, vol. 34(C), pages 1-13.
    7. Johnson, Michael D & Anderson, Eugene W & Fornell, Claes, 1995. "Rational and Adaptive Performance Expectations in a Customer Satisfaction Framework," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 21(4), pages 695-707, March.
    8. Steenkamp, Jan-Benedict E M & Baumgartner, Hans, 1998. "Assessing Measurement Invariance in Cross-National Consumer Research," Journal of Consumer Research, Journal of Consumer Research Inc., vol. 25(1), pages 78-90, June.
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