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Sustainable Governance on the Intention of Medical Tourism in Uzbekistan


  • Yongrok Choi

    (Program in Global e-Governance, Inha University, 100 Inha-ro, Michuhol-gu, Incheon 22212, Korea)

  • Zamira Ashurova

    (Program in Global e-Governance, Inha University, 100 Inha-ro, Michuhol-gu, Incheon 22212, Korea)

  • Hyoungsuk Lee

    (Business School, Shandong University, Weihai 264209, China)


Medical tourism is a growing niche market with huge potential as the 6th industry of medical services, including an unforgettable trip. Due to these advantages, Uzbekistan hopes to be a leader in central Asia concerning medical tourism. Contrary to this ambitious goal, Uzbekistan patients still prefer going abroad for medical services. Therefore, in order for Uzbekistan to be a hub for medical tourism, the sustainable governance factors of medical tourism need to be found for local patients going overseas. Under this research motivation, this study evaluates how the medical, tourism, and information sharing factors influence behavioral intention based on the structural equation model (SEM) with a random sample of 498 residents in Uzbekistan. Perceived value and behavioral intention are used as a mediating variable and a dependent variable, respectively. The main findings are summarized as follows. First, the medical factor and information sharing are very important factors for behavioral intention, with high coefficient values of 0.399 and 0.516, respectively, while the tourism factor is not influential on the behavioral intention statistically. This implies that Uzbekistani patients do not consider tourism factors as a core condition, instead focusing on the service quality of the medical operation and convenience for foreign patients. Second, in the indirect model, we found that perceived value takes a fully mediating role between medical factors and behavioral intention, while it takes a partially mediating role between information sharing and behavioral intention, implying that strong promotion policies are required for the advantages of tourism and enhanced access to information.

Suggested Citation

  • Yongrok Choi & Zamira Ashurova & Hyoungsuk Lee, 2021. "Sustainable Governance on the Intention of Medical Tourism in Uzbekistan," Sustainability, MDPI, vol. 13(12), pages 1-18, June.
  • Handle: RePEc:gam:jsusta:v:13:y:2021:i:12:p:6915-:d:577705

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    References listed on IDEAS

    1. Yongrok Choi & Yanni Yu, 2014. "The Influence of Perceived Corporate Sustainability Practices on Employees and Organizational Performance," Sustainability, MDPI, vol. 6(1), pages 1-17, January.
    2. Tang, John C. S. & Rochananond, Narisara, 1990. "Attractiveness as a tourist destination: A comparative study of Thailand and selected countries," Socio-Economic Planning Sciences, Elsevier, vol. 24(3), pages 229-236.
    3. 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.
    4. Jaapar, Mustaffa & Musa, Ghazali & Moghavvemi, Sedigheh & Saub, Roslan, 2017. "Dental tourism: Examining tourist profiles, motivation and satisfaction," Tourism Management, Elsevier, vol. 61(C), pages 538-552.
    5. Milica Z. Bookman & Karla R. Bookman, 2007. "Medical Tourism in Developing Countries," Palgrave Macmillan Books, Palgrave Macmillan, number 978-0-230-60565-7, September.
    6. Fetscherin, Marc & Stephano, Renee-Marie, 2016. "The medical tourism index: Scale development and validation," Tourism Management, Elsevier, vol. 52(C), pages 539-556.
    7. Connell, John, 2013. "Contemporary medical tourism: Conceptualisation, culture and commodification," Tourism Management, Elsevier, vol. 34(C), pages 1-13.
    8. Yongrok Choi, 2018. "Regional Cooperation for the Sustainable Development and Management in Northeast Asia," Sustainability, MDPI, vol. 10(2), pages 1-8, February.
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    Cited by:

    1. Yongrok Choi, 2021. "Energy Efficiency and Urban Climate Adaption," Sustainability, MDPI, vol. 13(14), pages 1-7, July.

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