Paper Status Tracking
Contact us
[email protected]
Click here to send a message to me 3275638434
Paper Publishing WeChat

Article
Affiliation(s)

University of Molise, Campobasso, Italy
University of Sannio, Benevento, Italy

ABSTRACT

The aim of this paper is to analyze how some specific factors can impact on attitudes towards usage (ATU), and effect on behavioral intention (BI), when the potential medical tourist carries out the medical tourist destination information sourcing process. Specifically, we considered electronic word of mouth communication (eWOM), trust (TRT), perceived usefulness (PU), and perceived ease of use (PEOU). The data were collected from 698 experienced users participating in a tourism thematic Facebook group. The results state that being social media an effective channel to share contents among users, the more expert users are more influenced in the behavioural intention of choosing medical tourism destinations and trust is the variables with the strongest influence on attitude, which affects users’ behavioural intention towards the use of Facebook to find information on medical tourism destination. These results contribute to the scientific debate on users’ behavior in utilizing social media to find information for a medical tourism destination and provide support to the marketing and communication strategies of medical tourism practitioners.

KEYWORDS

eWOM, trust, behavioral intention, medical tourist destination

Cite this paper

Journal of Tourism and Hospitality Management, Jan.-Feb. 2020, Vol. 8, No. 1, 1-13 doi: 10.17265/2328-2169/2020.01.001

References

Abubakar, A. M., & Ilkan, M. (2013). More adverts or more e-WOM’s. Journal of Business Financial Affairs, 2(2), 129.

Abubakar, A. M., & Ilkan, M. (2014). The eWOM and the 3W’s: Who, why and what. Germany: Morebooks.

Abubakar, A. M., & Ilkan, M. (2016). Impact of online WOM on destination trust and intention to travel: A medical tourism perspective. Journal of Destination Marketing & Management, 5(3), 192-201.

Aiken, K. D., & Boush, D. M. (2006). Trust marks, objective-source ratings, and implied investments in advertising: Investigating online trust and the context-specific nature of Internet signals. Journal of the Academy of Marketing Science, 34(3), 308-323.

Al-Somali, S. A., Gholami, R., & Clegg, B. (2009). An investigation into the acceptance of online banking in Saudi Arabia, Technovation, 29(2), 130-141.

Artigas, E. M., Yrigoyen, C. C., Moraga, E. T., & Villalòn, C. B. (2017). Determinants of trust towards tourist destination. Journal of Destination Marketing & Management, 6(4), 327-334.

Aydin, G., & Karamehmet, B. (2017). Factors affecting health tourism and international healthcare facility choice. International Journal of Pharmaceutical and Healthcare Marketing, 11(1), 16-36.

Ayeh, J., Au, N., & Law, R. (2013). Do we believe in trip advisor? Examining credibility perceptions and online travelers’ attitude toward using user-generated content. Journal of Travel Research, 52(4).

Ba, S., & Pavlou, P. A. (2002). Evidence of the effect of trust building technology in electronic markets: Price premiums and buyer behavior. MIS Quarterly, 26(3), 243-268.

Bookman, M. Z., & Bookman, K. R. (2007). Medical tourism in developing countries. New York: Palgrave Macmillan.

Casaló, L., Flavián, C., & Guinalíu, M. (2011). Understanding the intention to follow the advice obtained in an online travel community. Computers in Human Behavior, 27(2), 622-633.

Casaló, L. V., Flavián, C., Guinalíu, M., & Ekinci, Y. (2015). Do online hotel rating schemes influence booking behaviors? International Journal of Hospitality Management, 1(49), 28-36.

Casalò, L. V., Flaviàn, C., & Guinlalìu, M. (2010). Determinants of the intention to participate in firm-hosted online travel communities and effects on consumer behavioural intentions. Tourism Management, 31, 898-911.

Chiu, C. M., Hsu, M. H., & Wang, E. T. G. (2006). Understanding knowledge sharing in virtual communities: An integration of social capital and social cognitive theories. Decision Support System, 42(3), 1872-1888.

Choi, B., & Lee, I. (2017). Trust in open versus closed social media: The relative influence of user- and marketer- generated content in social network services on customer trust. Telematic Information, 34(5), 550-559. Retrieved from http://dx.doi.org/10.1016/j.tele.2016.11.005

Chu, S. C., & Choi, S. M. (2011). Electronic word-of-mouth in social networking sites: A cross-cultural study of the United States and China. Journal Global Marketing, 24(3), 263-281.

Chu, S. C., & Kim, Y. (2011). Determinants of consumer engagement in electronic word-of-mouth (eWOM) in social networking sites. Journal International Journal of Advertising, 30(1), 47-75.

Chung, J. E., Park, N., Wang, H., Fulk, J., & McLaughlin, M. (2010). Age differences in perceptions of online community participation among non-users: An extension of the technology acceptance model. Computers in Human Behaviour, 26, 1674-1684.

Chung, N., & Koo, C. (2015). The use of social media in travel information search. Telematics and Informatics, 32, 215-229.

Connell, J. (2006). Medical tourism: Sea, sun, sand and surgery. Tourism Management, 27(6), 1093-1100.

Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, 34, 1-13.

Cronbach, L., & Shavelson, R. (2004). My current thoughts on coefficient alpha and successor procedures. Educational and Psychological Measurement, 64(3), 391-418.

Davis, F. D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. MIS Quarterly, 13(3), 319-340.

De Valck, K., van Bruggen, G., & Wierenga, G. (2009). Virtual communities: A marketing perspective. Decision Support Systems, 47(3), 185-203.

Dedeoglu, B. B. (2019). Are information quality and source credibility really important for shared content on social media: The moderating role of gender. International Journal of Contemporary Hospitality Management, 31(1), 513-534.

Dellarocas, C. (2003). The digitization of word of mouth, promise and challenges of online feedback mechanisms. Management Science, 49(10), 1407-1424.

Di Pietro, L., Di Virgilio, F., & Pantano, E. (2012). Social network for the choice of tourist destination: Attitude and behavioural intention. Journal of Hospitality and Tourism Technology, 3(9), 60-76.

Di Virgilio, F., Camillo, A. A., & Camillo, I. C. (2017). The impact of social network on Italian users’ behavioural intention for the choice of a medical tourist destination. International Journal of Tourism and Hospitality Management in the Digital Age, 1(1), 35-48.

Di Virgilio, F., & Antonelli, G. (2018). Consumer behavior, trust and electronic word-of-mouth communication: Toward a model of understanding of consumer’s purchase intentions online. In F. Di Virgilio (Ed.), Social media for knowledge management applications in modern organizations (pp. 58-80). Pennsylvania, USA: IGI Global.

Doong, H. S., Wang, H. C., & Foxall, G. R. (2011). An investigation of consumers’ web store shopping: A view of click and mortar company. International Journal of Information Management, 31(3), 210-216.

Dwivedi, M., Shibu, T. P., & Venkatesh, U. (2007). Social software practices on the Internet: Implications for the hotel industry. International Journal of Contemporary Hospitality Management, 19(5), 415-426.

Esiyok, B., Çakar, M., & Kurtulmuşoğlu, F. B. (2017). The effect of cultural distance on medical tourism. Journal of Destination Marketing & Management, 6(1), 66-75.

Featherman, M., & Hajli, M. N. (2016). Self-service technologies and e-services risks in social commerce era. Journal of Business Ethics, 139(2), 251-269.

Gefen, D., Straub, D., & Boudreau, M. (2000). Structural equation modelling and regression: Guidelines for research practice in Communications of AIS, 1-7 August, pp. 1-78. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.25.781&rep=rep1&type=pdf

Gretzel, U. (2006). Consumer generated content-trends and implications for branding. E-Review of Tourism Research, 4(3), 9-11.

Hajli, M. N., Featherman, M., & Peter, E. D. (2015). Credibility of information in online communities. Journal of Strategic Marketing, 23(3), 238-253.

Hogg, T. (2010). Inferring preference correlations from social networks. Electronic Commerce Research and Applications, 9(1), 29-37.

Hohm, C., & Snyder, J. (2015). It was the best decision of my life: A thematic content analysis of former medical tourists’ patient testimonials. BMC Medical Ethics, 16(8).

Huang, E., & Chang, C. C. A. (2012). Patient-oriented interactive e-health tools on US hospital web sites. Health Marketing Quarterly, 29(4), 329-345.

Hudson, S., & Thal, K. (2013). The impact of social media on the consumer decision process: Implications for tourism marketing. Journal of Travel & Tourism Marketing, 30(1-2), 156-160.

Isacsson, A., & Gretzel, U. (2011). Facebook as an edutainment medium to engage students in sustainability and tourism. Journal of Hospitality and Tourism Technology, 2(1), 81-90.

Jalilvand, M. R., & Samiei, N. (2012). The impact of electronic word of mouth on a tourism destination choice. Internet Research, 22(5), 591-612.

Jalilvand, M. R., Samiei, N., Dini, B., & Manzari, P. Y. (2012). Examining the structural relationships of electronic word of mouth, destination image, tourist attitude toward destination and travel intention: An integrated approach. Journal of Destination Marketing Management, 1(1), 134-143.

Jani, D., & Hwang, Y. H. (2011). User-generated destination image through weblogs: A comparison of pre and post visit images. Asia Pacific Journal of Tourism Research, 16(3), 339-356.

Jeong, E., & Jang, S. (2011). Restaurant experiences triggering positive electronic word-of-mouth (eWOM) motivations. International Journal of Hospitality Management, 30, 356-366.

Johnson, T. J., Youngquist, J. S., Garman, A. N., Hohmann, S., & Cieslak, P. R. (2015). Factors influencing medical travel into the United States. International Journal of Pharmaceutical and Healthcare Marketing, 9(2), 118-135.

Kim, B., & Han, I. (2011). The role of utilitarian and hedonic values and their antecedents in a mobile data service environment. Expert Systems with Applications, (38), 2311-2318.

Kim, J. U., Kim, W. J., & Park, S. C. (2010). Consumer perceptions of web advertisements and motivation factors to purchase in the online shopping. Computers in Human Behaviour, 26, 1208-1222.

Kim, S., & Park, H. (2013). Effects of various characteristics of social commerce (s-commerce) on consumers’ trust and trust performance. International Journal of Information Management, 33(2), 318-332.

Kim, T. G., Lee, J. H., & Law, R. (2008). An empirical examination of the acceptance behaviour of hotel front office systems: An extended technology acceptance model. Tourism Management, 29(3), 500-513.

Kozinets, R., de Valck, K., Wojnicki, A., & Wilner, S. (2010). Networked narratives: Understanding word-of-mouth marketing in online communities. Journal of Marketing, 74(2), 71-89.

Ladhari, R., & Michaud, M. (2015). EWOM effects on hotel booking intentions, attitudes, trust, and website perceptions. International Journal of Hospitality Management, 46(3), 36-45.

Lee, D. Y., & Ryu, H. (2013). Learner acceptance of a multimedia-based learning system. International Journal of Human-Computer Interaction, 29(6), 419-437.

Lee, J., & Kim, H. (2015). Success factors of health tourism: Cases of Asian tourism cities. International Journal of Tourism Cities, 1(3), 216-233.

Lee, M., Rodgers, S., & Kim, M. (2009). Effects of valence and extremity of eWOM on attitude toward the brand and website. Journal of Current Issues Research in Advertising, 31(2), 1-11.

Leung, D., Law, R., van Hoof, H., & Buhalis, D. (2013). Social media in tourism and hospitality: A literature review. Journal of Travel & Tourism Marketing, 30(1-2), 3-22.

Litvin, S. W., Goldsmith, R. E., & Pan, B. (2008). A retrospective view of electronic word-of-mouth in hospitality and tourism management. International Journal of Contemporary Hospitality Management, 30(1), 313-325.

Lunt, N., Hardey, M., & Mannion, R. (2010). Nip, tuck and click: Medical tourism and the emergence of web-based health information. The Open Medical Informatics Journal, 3, 77-87.

Maifredi, G., Orizio, G., Bressanelli, M., Domenighini, S., Gasparotti, C., & Perini, E. (2010). Italian hospitals on the web: A cross-sectional analysis of official websites. BMC Medical Informatics and Decision Making, 10(1), 17.

Misung, L., Heesup, H., & Tim, L. (2012). Medical tourism: Attracting Japanese tourists for medical tourism experience. Journal of Travel Tourism Marketing, 29(1), 69-86.

Moghavvemi, S., Ormond, M., Musa, G., Isa, C. R. M., Thirumoorthi, T., Mustapha, M. Z. B., Chandy, J. J. C. (2017). Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand. Tourism Management, 58, 154-163.

Moorman, C., Deshpande, R., & Zaltman, G. (1993). Factors affecting trust in market research relationships. Journal Marketing, 51(7), 81-101.

Papadimitriou, D., & Gibson, H. (2008). Benefits sought and realized by active mountain sport tourists in Epirus, Greece: Pre and post trip analysis. Journal of Sport Tourism, 13(1), 37-60.

Richard, S., Melisa, M. Á., & Rupa, C. (2011). Medical tourism: A review of the literature and analysis of a role for bilateral trade. Health Policy, 103(2-3), 276-282.

Ridings, C. M., Gefen, D., & Arinze, B. (2002). Some antecedents and effects of trust in virtual communities. Journal Strategic Information System, 11(3-4), 271-295.

Schurr, P. H., & Ozanne, J. L. (1985). Influence on exchange processes: Buyers’ perceptions of a seller’s trustworthiness and bargaining toughness. Journal Consumer Research, 11(4), 939-953.

Smith, A., & Anderson, M. (2018). Social media use in 2018. Pew Research Center, Internet & Technology. Retrieved from https://www.pewresearch.org/internet/2018/03/01/social-media-use-in-2018/

Skountridaki, L. (2017). Barriers to business relations between medical tourism facilitators and medical professionals. Tourism Management, 59, 254-266.

Sotiriadis, M. D. (2017). Sharing tourism experiences in social media: A literature review and a set of suggested business strategies. International Journal of Contemporary Hospitality Management, 29(1), 179-225.

Sparks, B. A., & Browning, V. (2011). The impact of online reviews on hotel booking intentions and perception of trust. Tourism Management, 32(6), 1310-1323.

Suh, B., & Han, I. (2003). The impact of customer trust and perception of security control on the acceptance of electronic commerce. International Journal of Electronic Commerce, 7(3), 135-161.

Tatsiopoulos, C., & Boutsinas, B. (2010). Automatic knowledge exchanging between tourists via mobile devices. Journal of Hospitality and Tourism Technology, 1(2), 163-173.

Turner, L. (2012). Canada’s turbulent medical tourism industry. Canadian Family Physicians, 58(2), 371-373.

Wang, L., Law, R., Hung, K., & Guillet, B. D. (2014). Consumer trust in tourism and hospitality: A review of the literature. Journal of Hospitality and Tourism Management, 21, 1-9.

Wang, T., Yeh, R. K. J., Chen, C., & Tsydypov, Z. (2016). What drives electronic word-of-mouth on social networking sites? Perspectives of social capital and self-determination. Telematics and Informatics, 33(4), 1034-1047.

Wu, C. S., Cheng, F. F., Yen, D. C. & Huang, Y. W. (2011). User acceptance of wireless technology in organizations: A comparison of alternative models. Computer Standards and Interfaces, 33, 50-58.

Yadav, M. S., & Varadarajan, R. (2005). Interactivity in the electronic marketplace: An exposition of the concept and implications for research. Journal of the Academy of Marketing Science, 33(4), 585-603.

Ye, Q., Law, R., Gu, B., & Chen, W. (2011). The influence of user-generated content on traveler behaviour: An empirical investigation on the effects of e-word-of mouth to hotel online booking. Computers in Human Behavior, 27(2), 634-639. 


About | Terms & Conditions | Issue | Privacy | Contact us
Copyright © 2001 - David Publishing Company All rights reserved, www.davidpublisher.com
3 Germay Dr., Unit 4 #4651, Wilmington DE 19804; Tel: 1-323-984-7526; Email: [email protected]