Iran’s Medical Tourism Development Model in Cardiac Surgery

Document Type: Original Article

Authors

Faculty of Systems and Industrial Engineering, Tarbiat Modares University, Tehran, IR Iran

Abstract

Introduction: Since medical tourism is considered as an incremental activity in this sector and proper infrastructures in country to make medical tourism are lacking, announcement by authorities to provide perquisites of medical tourism to make the first clinic hotel and health town are necessary for the purpose of developing medical tourism in Iran, all of these side issues should be investigated.
Methods: Cardiovascular diseases are very common because of pollution and industrial development. In this research, by extracting related studies on medical tourism and its localization, using hospitals data bank and questionnaire of 640 medical tourists, only 528 of them were approved and finally by using IBM SPSS modular 14.1 software decision tree in data algorithm, efficiency and purity level were obtained. The method for data preprocess step is utilized to extract the best model. Two preprocess steps are deleting useless and correlated features, because data should be prepared until model has the least error.
Results: Among the examined algorithm including C&RT, CHAID and Multiple Linear Regression, it was shown that C&RT has the optimal results. The results obtained from this research indicate that C&RT binary decision tree has the smallest error value (0.078) and the greatest accuracy value (0.922).
Conclusion: In this research, first effective factors on heart medical tourism were investigated with the help of experts in this field, then C&RT and CHASID models using Clementine software and multiple linear regression variables were compared and ranked. With respect to this algorithm, personnel behavior, social security and communication variables are respectively the most important factors for medical tourist attraction.

Keywords


  1. Ghanbari S, Hajinejad A, Rahmani P. Formulating strategic plan of medical tourism development. Int J Travel Med Glob Health. 2014;2(4):149-54.
  2. Ayoubian A, Tourani S, Dehaghi ZH. Medical tourism attraction of Tehran hospitals. Int J Travel Med Glob Health. 2014;1(2):95-8.
  3. Hosseini SM, Maher A, Ayoubian A, Tehrani DS, Amini-Anabad H, Dehaghi ZH. Development strategy of health tourism in Iran. Int J Travel Med Glob Health. 2015;3(4).
  4. Izadi M, Ayoobian A, Nasiri T, Joneidi N, Fazel M, Hosseinpourfard M. Situation of health tourism in Iran; opportunity or threat. Mil Med J. 2012;14(2):69-75.
  5. Jafari M, Bahador M, Ravangard R. Health tourism: opportunities, constraints, obstacles and solutions. Int J Travel Med Glob Health. 2016;4(1):37-8. doi: 10.20286/ijtmgh-040137
  6. Pan T-J, Chen W-C. Chinese medical tourists–Their perceptions of Taiwan. Tourism Manag. 2014;44:108-12. doi: 10.1016/j.tourman.2014.02.008
  7. Delgoshaei B, Ravaghi H, Abolhassani N. Importance-performance analysis of medical tourism in Iran from medical tourists and medical services provider's perspective: 2011. Middle East J Sci Res. 2012;12(11):1541-7.
  8. Izadi M, Saadat SH, Ayoubian A, Dehaghi ZH, Karbasi MR, Jalali AR. Health tourism in Iran; identifying obstacles for development of this industry. Int J Travel Med Glob Health. 2014;1(2):89-94.
  9. Goeldner CR, Ritchie JB. Tourism: Principles, practices, philosophies: John Wiley & Sons; 2006.
  10. Kass GV. An exploratory technique for investigating large quantities of categorical data. Appl Stat. 1980:119-27. doi: 10.2307/2986296
  11. Pourkhaghan Z, Faez SEP, Pourkhaghan S, Ghahrieh S. Interaction of economic indicators and medical tourism industry. Int J Travel Med Glob Health. 2014;1(3):133-9.
  12. Memish ZA, Al-Tawfiq JA, Assiri A, Mohammed M, Bamgboye EA, Alhakeem R. Epidemiology of mumps and rubella in the Kingdom of Saudi Arabia: 2009–2011–Implications for immigration and travel. Travel Med Infect Dis. 2015;13(3):261-2. doi: 10.1016/j.tmaid.2015.04.002
  13. Al-Abri SS, Abdel-Hady DM, Al-Abaidani IS. Knowledge, attitudes, and practices regarding travel health among Muscat International Airport travelers in Oman: Identifying the gaps and addressing the challenges. J Epidemiol Glob Health. 2016;6(2):67-75. doi: 10.1016/j.jegh.2016.02.003
  14. Anari PY, Vaghefi M, Sepehri M, Tehrani DS, Habibi M. Travel medicine: a systematic review. Int J Travel Med Glob Health. 2015;3(3):109-11. doi: 10.20286/ijtmgh-0303109
  15. Han H, Hyun SS. Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness. Tourism Manag. 2015;46:20-9. doi: 10.1016/j.tourman.2014.06.003
  16. Jabbari A, Agharahimi Z, Moradi Zohreh S, Ferdosi M. Potentials of cosmetic surgery tourism in Isfahan: a qualitative study. Health Inf Manag. 2012;9(5):686-96.
  17. Tourani S, Tabibi SJ, Tofighi S, Shaarbafchi Zadeh N. Medical tourism in Iran: analysis of opportunities and challenges with MADM approach. Res J Biol Sci. 2010;5(3):251-57. doi: 10.3923/rjbsci.2010.251.257
  18. Akdag H, Kalaycı T, Karagöz S, Zülfikar H, Giz D. The evaluation of hospital service quality by fuzzy MCDM. Appl Soft Comput. 2014;23:239-48. doi: 10.1016/j.asoc.2014.06.033