Trải nghiệm du lịch y tế và hành vi truyền miệng của du khách: Nghiên cứu thực nghiệm tại Thành phố Hồ Chí Minh thông qua mô hình SOR
DOI:
https://doi.org/10.24311/jabes/2025.36.4.06Keywords:
Medical tourism experience, Tourist happiness, Place attachment, Word of mouthAbstract
Amid the growing prominence of medical tourism in emerging economies, this study investigates the effects of medical tourism experiences on tourists’ affective and behavioral responses, including happiness, perceived value, destination attachment, and word-of-mouth intentions. Drawing on the Stimulus–Organism–Response (SOR) framework, the study collected data from 454 domestic and international tourists in Ho Chi Minh City using structured questionnaires with five-point Likert scales. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed via SmartPLS 3 to test the hypothesized relationships. Findings reveal that positive medical tourism experiences significantly enhance tourists’ happiness and perceived value, which in turn promote destination attachment and word-of-mouth communication. The study contributes to tourism behavior theory by clarifying the emotional and cognitive pathways linking service experiences to post-consumption behaviors in the medical tourism context. Managerially, the results offer actionable implications for hospitals, tour operators, and wellness providers seeking to design emotionally engaging services that foster loyalty and organic promotion.
References
Carneiro, M. J., Eusébio, C., Caldeira, A., & Santos, A. C. (2019). The influence of eventscape on emotions, satisfaction and loyalty: The case of re-enactment events. International Journal of Hospitality Management, 82, 112-124.
Cham, T. H., Lim, Y. M., Sia, B. C., Cheah, J. H., & Ting, H. (2021). Medical tourism destination image and its relationship with the intention to revisit: A study of Chinese medical tourists in Malaysia. Journal of China Tourism Research, 17(2), 163-191.
Chaulagain, S., Pizam, A., & Wang, Y. (2022). An integrated behavioral model for international medical tourism. Rosen Research Review, 3(1). doi: 10.1177/0047287520907681
Cheah, J. H., Ting, H., Ramayah, T., Memon, M. A., Cham, T. H., & Ciavolino, E. (2019). A comparison of five reflective–formative estimation approaches: reconsideration and recommendations for tourism research. Quality & Quantity, 53, 1421-1458.
Cohen, J. (1988). Statistical Power Analysis for the Behavioral Sciences (2nd ed.). Hillsdale, NJ: Lawrence Erlbaum.
Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, 34, 1-13.
Crooks, V. A., Kingsbury, P., Snyder, J., & Johnston, R. (2010). What is known about the patient's experience of medical tourism? A scoping review. BMC Health Services Research, 10, 266.
Fard, M. H., Sanayei, A., & Ansari, A. (2021). Determinants of medical tourists’ revisit and recommend intention. International Journal of Hospitality & Tourism Administration, 22(4), 429-454.
Fetscherin, M., & Stephano, R. M. (2016). The medical tourism index: Scale development and validation. Tourism Management, 52, 539-556.
Filep, S., & Deery, M. (2010). Towards a picture of tourists' happiness. Tourism Analysis, 15(4), 399-410.
Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39-50.
Fredrickson, B. L. (2001). The role of positive emotions in positive psychology: The broaden-and-build theory of positive emotions. American Psychologist, 56(3), 218-226.
Ghosh, T., & Mandal, S. (2019). Medical tourism experience: Conceptualization, scale development, and validation. Journal of Travel Research, 58(8), 1288-1301.
Guleria, A., Joshi, R., & Adil, M. (2024). The impact of memorable tourism experiences on customer-based destination brand equity: the mediating role of destination attachment and overall satisfaction. Journal of Hospitality and Tourism Insights, 7(4), 1994-2013.
Habibi, A., Mousavi, M., Jamali, S. M., & Ale Ebrahim, N. (2022). A bibliometric study of medical tourism. Anatolia, 33(3), 415-425.
Han, H., & Hyun, S. S. (2015). Customer retention in the medical tourism industry: Impact of quality, satisfaction, trust, and price reasonableness. Tourism Management, 46, 20-29.
Hassan, M. M. (2025). The Future of Diabetes Management: A Patient-Centric Approach Via Digital Medical Tourism. In Revolutionizing Healthcare Experience with Digital Medical Tourism (pp. 383-424). IGI Global Scientific Publishing.
He, M., Liu, B., & Li, Y. (2022). Recovery experience of wellness tourism and place attachment: insights from feelings-as-information theory. International Journal of Contemporary Hospitality Management, 34(8), 2934-2952.
Henseler, J., Ringle, C. M., & Sarstedt, M. (2015). A new criterion for assessing discriminant validity in variance-based SEM. Journal of the Academy of Marketing Science, 43(1), 115-135.
Horowitz, M. D. (2007). Medical tourism-health care in the global economy. Physician Executive, 33(6), 24.
Jalali, K., Ahmadi M., M., Faghihi, S. A., Hayat, A. A., & Rezaee, R. (2025). Factors influencing the resilience of clinical education in general medicine in Iran: a qualitative content analysis study. BMC Medical Education, 25(1), 456. doi: 10.1186/s12909-025-07000-5
Jalilian, H., Khodayari‐Zarnaq, R., Rahmani, H., & Torkzadeh, L. (2024). Medical tourism attribute competitiveness: an importance–performance analysis. International Journal of Tourism Research, 26(5), e2770.
Kim, K. L., & Seo, B. R. (2023). Analyzing a new model of medical tourism policy: Target country-specific models and marketing strategies. Iranian Journal of Public Health, 52(10), 2090. doi: 10.18502/ijph.v52i10.13847
Kline, R. B. (2011). Principles and Practice of Structural Equation Modeling (3rd ed.). Guilford Press.
Kyle, G., Graefe, A., Manning, R., & Bacon, J. (2005). Effects of place attachment on users’ perceptions of social and environmental conditions in a natural setting. Journal of Environmental Psychology, 24(2), 213-225.
Lê Nhật Hạnh, & Hồ Xuân Hướng. (2019). Ý định quay trở lại của du khách quốc tế sau khi đến Việt Nam: Vai trò của nguồn lực điểm đến và giá trị cảm nhận. Tạp chí Nghiên cứu Kinh tế và Kinh doanh Châu Á, 30(7), 66-88.
Lohmöller, J. B., & Lohmöller, J. B. (1989). Predictive vs. structural modeling: Pls vs. ml. Latent Variable Path Modeling with Partial Least Squares (pp. 199-226). Springer.
Lovelock, B., & Lovelock, K. (2013). The Ethics of Tourism: Critical and Applied Perspectives. Routledge.
Lubowiecki-Vikuk, A., Budzanowska-Drzewiecka, M., Borzyszkowski, J., & Taheri, B. (2023). Critical reflection on VUCA in tourism and hospitality marketing activities. International Journal of Contemporary Hospitality Management, 35(8), 2983-3005.
Mehrabian, A., & Russell, J. A. (1974). An Approach to Environmental Psychology. The MIT Press.
Mowforth, M., & Munt, I. (2015). Tourism and Sustainability: Development, Globalisation and New Tourism in the Third World (4th ed.). Routledge. https://doi.org/10.4324/9781315795348
Parasuraman, A., Zeithaml, V. A., & Berry, L. S. (1988). A multiple–item scale for measuring consumer perceptions. Journal of Service Quality Retailing, 64, 12-40.
Peng, J., Yang, X., Fu, S., & Huan, T. C. T. (2023). Exploring the influence of tourists’ happiness on revisit intention in the context of traditional Chinese medicine cultural tourism. Tourism Management, 94, 104647.
Pine, B. J., & Gilmore, J. H. (2011). The Experience Economy. Harvard Business Press.
Prayag, G., Hosany, S., & Odeh, K. (2013). The role of tourists' emotional experiences and satisfaction in understanding behavioral intentions. Journal of Destination Marketing & Management, 2(2), 118-127.
Ringle, C. M., Wende, S., & Becker, J. M. (2015). SmartPLS 3. http://www.smartpls.com
Saiprasert, W., Xu, B., & Tavitiyaman, P. (2022). The relationships among perceived medical quality, well-being perception, and behavioral intention: A comparison between domestic and overseas medical destinations. Journal of Quality Assurance in Hospitality & Tourism, 23(4), 1011-1036.
Sarstedt, M., Cheah, J. H. Partial least squares structural equation modeling using SmartPLS: a software review. Journal of Market Analytics, 7, 196-202. https://doi.org/10.1057/s41270-019-00058-3
Sarstedt, M., Ringle, C. M., & Hair, J. F. (2021). Partial least squares structural equation modeling. In Handbook of Market Research (pp. 587-632). Cham: Springer International Publishing.
Sweeney, J. C., & Soutar, G. N. (2001). Consumer perceived value: The development of a multiple item scale. Journal of Retailing, 77(2), 203-220.
Tsai, F. M., & Bui, T. D. (2021). Impact of word of mouth via social media on consumer intention to purchase cruise travel products. Maritime Policy & Management, 48(2), 167-183.
Wang, T. L., Tran, P. T. K., & Tran, V. T. (2017). Destination perceived quality, tourist satisfaction and word-of-mouth. Tourism Review, 72(4), 392-410.
Wang, X. B., Chen, C. C., Ku, G. C. M., Chen, C. H., Hsu, C. H., & Lee, P. Y. (2022). Travel for survive! Identifying the antecedents of vaccine tourists' travel intention: using a stimulus-organism-response model. Frontiers in Public Health, 10, 850154.
Wetzels, M., Odekerken-Schröder, G., & Van Oppen, C. (2009). Using PLS path modeling for assessing hierarchical construct models: Guidelines and empirical illustration. MIS Quarterly, 33(1), 177-195.
Zeithaml, V. A. (1988). Consumer perceptions of price, quality, and value: a means-end model and synthesis of evidence. Journal of Marketing, 52(3), 2-22.
Zhu, N., Xu, H., Zhang, X., & Chen, L. (2025). A study on the influence of rural tourism’s perceived destination restorative qualities on loyalty based on SOR model. Frontiers in Psychology, 16, 1529686.
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