研究生: |
蔣哲輝 |
---|---|
論文名稱: |
日本民眾對醫療觀光產品認知重要性考量因素與各國認知表現之比較研究 Japanese Perceived Importance of Medical Tourism Attributes and Perceived Performance of Different Countries |
指導教授: |
孫瑜華
Sun, Yu-Hua |
學位類別: |
碩士 Master |
系所名稱: |
人類發展與家庭學系 Department of Human Development and Family Studies |
論文出版年: | 2009 |
畢業學年度: | 97 |
語文別: | 中文 |
論文頁數: | 151 |
中文關鍵詞: | 醫療觀光 、重要性因素考量 、認知差異 |
英文關鍵詞: | Medical Tourism, Attribute Importance, Perceptional Differences |
論文種類: | 學術論文 |
相關次數: | 點閱:118 下載:0 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
醫療觀光為近年新興之產業,其結合醫療與觀光資源,讓旅客能於
海外旅遊的同時接受醫療照顧,而醫療行為包含健康檢查、美容整形、
關節置換、心血管等相關手術。促進民眾從事醫療觀光的主要因素包含
其本國醫療花費高昂、部分手術等待時間過長、國際交通之日益便利、
他國醫療資訊之透明化等,然而民眾在選定醫療觀光目的國時,考量的
因素互有差異,因此本研究選定台灣及周遭發展醫療觀光較成熟之三個
國家(南韓、新加坡及泰國)為醫療觀光目的國,針對日本民眾從事國際醫
療觀光時,所考量的因素重要性及其對上述四個國家的認知進行探討。
本研究以問卷調查方式,對於日本民眾進行問卷發放,回收有效問卷
為557份,有效問卷回收率85.7%。研究結果顯示,日本民眾至海外從事醫
療觀光時,其考量因素可歸類為「醫療院所考量」、「旅遊目的地考量」、
「旅遊與價值考量」、「資訊與知名度考量」及「國家整體形象考量」五
大因素。透過多變量變異數分析,發現日本民眾至海外從事醫療觀光時,
性別、職業及來台次數對於其考量因素之重要性認知皆造成顯著差異,而
考量因素之評定與消費意願亦具有顯著差異;另外,運用多元尺度法進行
認知定位分析,指出日本民眾對於台灣、南韓、泰國及新加坡四國之認知
定位的差異,並提出訴求、改善、放棄及改變重點此四個構面之策略分析
與建議。最後依據研究分析結果,提供相關單位具體建議,冀以在台灣發
展醫療觀光的同時,作為適當之市場定位、市場區隔與行銷策略擬定之參
考依據。
As an emerging industry in recent years, medical tourism (also called medical travel, health tourism or global healthcare) combines medical and tourism resources to let travelers from abroad receive medical procedures, including health examination, cosmetic surgeries, joint replacement, cardiac surgeries, etc. High costs, long waiting lists for certain procedures, the ease and affordability of international travel, and information transparency have all
played a major role and drawn much attention. However, the number and the extent of factors influencing travelers to decide their medical tourism destinations are behind the scope of above. This study focused on Japanese people to analyze factors considered important for medical tourism toward Taiwan as well as three surrounding countries with more mature medical tourism industries (South Korea, Singapore, and Thailand).
Questionnaires were used to obtain data from Japanese people by convenience sampling, with 557 valid responses and representing an effective response rate of 85.7 %. When it comes to medical tourism, there existed five major types of factors affecting Japanese decisions for medical tourism
destination, namely hospitals, tourism destinations, tourism value, information and reputation, and country images. By applying Multivariate analysis of Variance (MANOVA), the results indicated that there were significant differences among Japanese with different demographic
backgrounds (gender, occupation, and times of visiting Taiwan) in their perceived importance of different medical tourism attributes. Besides, with the use of multidimensional scaling (MDS), it revealed discrimination of Japanese perceptual positioning of South Korea, Taiwan, Singapore and Thailand, which in turns drove tactics analyses and advices about four dimensions: claim, improvement, change and withdrawal. Based on the research results of the current study, concrete suggestions were proposed to relative authorities in the hope to provide consultation for market positioning, market segmentation and marketing strategy as Taiwan developing medical
tourism industry.
一、中文文獻
工業技術研究院。(2006)。科技化服務業的新境界。台北:經濟部技術委託計畫。
王健全。(2007)。醫療服務國際化與兩岸醫療旅遊發展契機。發表於兩岸健康旅
遊休閒產業發展趨勢研討會,台灣大學,台北市。
交通部觀光局。(2004)。中華民國93 年來台民眾消費及動向調查報告。
交通部觀光局。(2005)。中華民國94 年來台民眾消費及動向調查報告。
交通部觀光局。(2006)。中華民國95 年來台民眾消費及動向調查報告。
交通部觀光局。(2007)。中華民國96 年來台民眾消費及動向調查報告。
行政院衛生署。(2006)。醫療服務國際化旗艦計畫。
江國揚。(2006)。我國健康觀光發展策略之研究-模糊理論之運用。未出版之碩士
論文,國立台北護理學院旅遊健康研究所,台北市。
朱永華。(1995)。醫院服務認知品質與病患滿意度之關係研究。未出版之碩士論
文,國立成功大學企業管理研究所,台南市。
林金燕。(1993)。來台觀光旅客消費行為與遊憩滿意度之研究。未出版之碩士論
文,國立中央大學統計研究所,桃園縣。
林俊昇、蘇筠雲、黃靜怡。2002。消費者對旅遊風險認知評估之分析。第四屆永
續發展管理研討會,國立屏東科技大學。
林淑媛。(2007.03.22)。推動醫療觀光我將增醫療簽證。經濟日報。
林靖。(2007)。探討兩岸醫療糾紛及保險效益。發表於兩岸健康旅遊休閒產業發
展趨勢研討會,台灣大學,台北市。
姜淑瑛。(2003)。Health Tourism 的理論與應用—韓國和日本的事例分析。第九屆
觀光相關學術研究論文集,32-49,財團法人亞洲太平洋交流中心。
徐錦興。(2006)。保健旅遊市場調查研究報告。
張瑞麟。(1993)。花蓮地區四家醫院形象地位之研究。未發表之碩士論文,國立
陽明醫學院醫務管理所,台北市。
許惠媚。(1995)。全民健保後內科病患選擇就醫層級意願之變化—以臺北士林、
北投醫療院所為例。未發表之碩士論文,國立陽明醫學院醫務管理所,台
北市。
127
128
張紫薇。(2006)。台灣觀光醫療產業策個評估-以價值創新為基礎。未發表之碩士
論文,國立臺灣大學管理學院高階公共管理組,台北市。
曾淑貞。(1986)。台北市某醫院中醫門診初診病人滿意度與相關因素之研究。未
發表之碩士論文,國立台灣師範大學衛生教育研究所,台北市。
曾麗蓉。(1988)。醫院門診服務品質之實證研究。未發表之碩士論文,國立政治
大學企業管理研究所,台北市。
黃月芬。(2006)。台灣發展醫療觀光之可行性研究。末發表之碩士論文,中國文
化大學觀光事業研究所,台北市。
游明鳳、簡筱蓉。(2006)。台灣發展保健旅遊之研究-以墾丁為例。發表於特殊旅
遊國際學術研討會,銘傳大學,台北市。
猪熊勉。(1997)。烏鴉變鳳凰-美容整型。台北:建宏出版社。
鄭正煜。(2006)。健康觀光參與者之行為意向探討-以參團赴日施打胎盤素者為
例。未發表之碩士論文,國立台北護理學院旅遊健康研究所,台北市。
蔡青姿。(1994)。醫學雷射美容消費意向模式建構之實證研究—結構方程式之應
用。未發表之碩士論文,國立中正大學企業管理研究所,嘉義縣。
魏美珠、楊美雪、吳聰慧。(1993)。臺南市居民醫療院所利用率及就醫障礙因素
之調查分析。公共衛生,19(4),345-351。
蘇斌光。(1989)。醫院行銷研究的應用——病患選擇醫院的因素分析。未發表之
碩士論文,中國醫藥學院醫務管理研究所,台中市。
鐘錦季。(2007)。勞動市場現況及健康醫療、旅遊產業就業市場分析。發表於兩
岸健康旅遊休閒產業發展趨勢研討會,台灣大學,台北市。
醫療旅遊白皮書。(2007)。摘錄台灣私立醫療院所協會網站
http://www.nhca.org.tw/DATA/(%ABp%A5%CD%B0%F2%AA%F7%B7%7C2008%A5X
%AA%A9)%A5x%C6W%A4j%A5%BC%A8%D3,%A5x%C6W%A8%AB%A5X%A5h;
%B0%EA%BB%DA%C2%E5%C0%F8(%A7d%A9%FA%AB%DB)xxx.doc
二、英文文獻
Jagdish, A., & Wagner, K. A. (1999). Country of Origin: A Competitive Advantage?
International Journal of Research in Marketing, 16(4), 255-267.
Anderson, F. (1986). Story of the spa. Architect Review, 184(1099), 50-54.
Baloglu, S., & Brinberg, D. (1997). Affective images of tourism destinations. Journal
of Travel Research, 35(4), 11-15
Baloglu, S. (1997). The relationship between destination images and
sociodemographic and trip characteristics of international travelers. Journal of
Vacation Marketing, 3, 221-233.
Bies, W. and L. Zacharia. (2007). Medical tourism: Outsourcing surgery.
Mathematical and Computer Modelling, 46(7-8), 1144 – 1159.
Boscarino, J., & Steiber, S. R. (1982). Hospital shopping and consumer choice.
Journal of Health Care Marketing, 2(2), pp15-24.
Bilkey, W. J., & E. Nes (1988). Country-of-Origin Effect on Product Evaluations.
Journal of International Business Studies, 13, 89-99.
Ciraola D. (2008), The Global nursing shortage, Medical Tourism, ISSUE 03, pp.
32-33
Cockerell, N. (1996). Market segments: Spas and health resorts in Europe. Travel and
tourism analysis, 1, 53-77.
Connell, J. (2006). Medical tourism: Sea, sun, sand and y surgery. Tourism
Management, 27, 1093-1100.
Dann, L.Y., D. Mayers, & R. J. Rabb(1977). Trading Rules, Large Blocks and the
Speed of Price Adjustment. The Journal of Financial Economics, 4, 3-22.
Darling, John R. (1981). The Competitive Marketplace Aborad, A comparative Study.
Columbia Journal of World Business, 53-61.
Edlin, G., & Golanty, E. (1985). Health and Wellness: A holistic approach (2nd ed.).
Boston: Jones and Bartlett.
Engel, J. F., Kollat, D. T., & Blackwell, R. D. (1978). Consumer Be-havior (3rd ed.).
New York: Holt, Rinehart and Winston, Inc.
Erickson G. M., Jahansson, J. K., & Chao, P. (1984). Image Variables in Multi
Attribute product Evalution: Country of Origin Effects. Journal of Consumer
129
Research, 11, 649-699.
Evan Kao (2008), The Medical tourism industry in Thailand,
http://www.isu.edu.tw/upload/83202/19/files/dept_19_lv_3_11854.pdf
Garvin, David A. (1983). Quality on Line. Harvard Business Review, 61, 235-253.
Gilbert, D. C., & Van De Weerdt, M. (1991). The Health Care Tourism Product in
western Europe. Revue de Tourisme, 46(2), 5-10.
Goodrich, J. N. (1993). Socialist Cuba: Study of Health Tourism Product in western
Eurpoe. Revue de Tourisme, 46(2), 5-10.
Han, Min C., & V. Terpstra (1988). Country-of-Origin Effect for Uni-National and
Bi-Natinol Products. Journal of International Business Studies. 19, 235-253.
Heslop, L., N. Papadopoulos, M. Dowdles, M. Wall, and D. Compeau(2004), Who
Controls the Purse Strings: A Study of Comsumers’ and Retail Buyers’
Reactions in an America’s FTA Environment. Journal of Business Research, 57,
pp1177-1188.
Heung, V. C. S., & Qu R. (2000). Important factors affecting Hong Kong consumers’
choice of a travel agency for all-inclusive package tours. Journal of Travel
Research, 39(1), 2-59.
Holbrook, Morris B., & Hirshman, Elizab C. (1982). The Experiential Aspects of
Consumption: Consumer Fantasies, Feelings, and Fun. The Journal of
Consumer Research, 9(2), 132-140.
Hu, Y., & Ritchie, J. R. B. (1993). Measuring destination attractiveness: A contextual
approach. Journal of Travel Research, 32(2), 25-34.
Jacoby, J., J. C. Olsen & R. A. Haddock (1971). Price, Brand Name and Product
Composition Characteristic as Determinants of Perceived Quality. Journal of
Applied Psychology. 56(6), 570-579.
Johansson & H. B. Thorelli (1985). International Product Positioning. Journal of
International Business Studies, 57-75.
Jonathan N. Goodrich & Grace E. Goodrich (1987), Health-Care tourism – an
exploratory study. Tourism Management,
Khoo, L. (2003), Trends in Foreign Patient Admission in Singapore, MOH
Information Paper 2003/1.
130
Kooyman, M. E. (1990). Stress busters. Business an Economic Review, 36(3), 7-9.
Kozak, M. (2001). Repeaters’ Behavior at Two Distinct Destinations. Annals of
Tourism Research, 28 (3), 784-807.
Lowenthal, D. (1962). Tourists and thermalists, Geographical Review, 52(1),
124-127.
McNeil, K. R. & Ragins, E. J. (2004). Staying in the Spa marketing game: Trends,
challenges, strategies and techniques. Journal of Vocation Marketing, 11(1),
31-39.
Meister B. (2007.12), The boomers are coming! IMTJ, pp 60-62.
Morgan, W. P. (1994). Physical activity, fitness and depression: Physical activity
fitness and health, international proceedings and consensus statement. Illinois:
Human Kinetics Champaign, 851-867.
Nagashima, A. (1970). A Compartive Made in Products Images Survey among
Japanses Businessmen. Journal of Marketing, 41(7), 95-199.
Nagashima, A. (1977). Aggreate Images of American and Japanese Products:
Implications on International Marketing. Columbia Journal of World Business,
16, 31-35.
Peterson, R. A., and A. J. P. Jolibert. (1995). Meta-Analysis of Country-of-Origin
Effects. Journal of International Business Studies, 26(4), 883-900.
Javalgi, R.G., Ran, S.R., and Thomas, E.G. (1991). Choosing a Hospital : Analysis of
Consumer Tradeoffs. Journal of Health Care Marketing, 11(1),12-22.
Rittichainuwat, B. N., Qu, H., & Mongknonvanit, C. (2002). A study of the impact of
travel satisfaction on the likelihood of travelers to revisit Thailand. Journal of
Travel & Tourism Marketing, 12(2/3), 19-43.
Rose, S., & Larwood, L. (1998). Charting women’s careers: culture issues and
research. New York: Praeger Publishing Co., 3-24.
Ross, K. (2001). Health tourism: An overview. New York: HSMAI.
Ross, K. (2001). Health Tourism:An overiew. HSMAI Marketing Review. Retrieved
October 12, 2005, from www.hospatality/net.org.
Rostow, M. (1991). The stages of economic growth. New York: Cambridge University
Press, 46-50.
131
132
Roth, M. S., & Romeo, J. B. (1992). Atching Product Category and Country Image
Perceptions: A Framework for Managing Country-of-Origin Effects. Journal of
International Business Studies, 64(3), 477-497.
Spivack, S. E. (1998). Health Spa Develop in the USA: A Burgeoning Component of
Sport Tourism. Journal of Vacation Marketing, 4(1), 65-77.
Stratmann, W.C. (1975). A study of consumer attitude about health care: The delivery
of ambulatory aervice. Medical Care, 13(7):537-548.
Sweeney, J.C. & Soutar, G.N. (2001). Consumer perceived value: The development of
a multiple item scale. Journal of Retailing, 77(2), 203-220.
Sun, Yu-Hua Christine (2008). Medical Tourism Destination Selection Factors: Scale
Development and Validation, Study I. 14th APTA Annual Conference/Tourism
and Hospitality in Asia Pacific. July 9-12, 2008. Imperial Queens Park Hotel,
Bangkok, Thailand.
Teh, I. & Chu, C. (2003). Supplementing growth with medical tourism. Synovate
Business Consulting, 9(8), 306-311.
Thoreli, H.B.(1986). Networks: Between Markets and Hierarchies. Strategic
Management Journal, 7.
Uysal, M., & Hagan, L. R. (1993). Motivation of pleasure to traveland tourism.
Encyclopedia of Hospitality and Tourism ,798–810.
Verlegh, P.W.J., & Steenkamp, J.E.M. (1999). A Review and Meta-Analysis of
Country-of-origin Research. Journal of Economic Psychology, 20, 521-546.
Wall, M., Liefeld, J., & Heslop, L. (1991). Impact of Country-of-Origin cues on
consumer judgments in multi-cue situations : a Covariance Analysis. Journal of
the Academy of Marketing Science, 19, 105-113.
Wightman,D., & Geoffery, W. (1985). The spa experience at radium hot springs.
Annuals of Tourism Research, 12(3), 393-416.
Wolinsky, F.D., & Kurz, P.S. (1984). How the public Chooses and views Hospitals.
Hospital and Health Services Administration, 29, 58-67.