Strategies to Increase Health Tourism Attraction from Iraq with Emphasis on Financial Investment and Smart Marketing in Ilam Province

Document Type : Original Article

Authors

1 Department of Management, Payame Noor University; Tehran; Iran

2 Assistant Professor of Regional Studies, Faculty of Literature and Humanities, Ilam University, Ilam, Iran

3 PhD Student in Information Technology Management, Science and Research Branch, Islamic Azad University, Tehran, Iran

4 Department of Industrial Engineering, Payame Noor University, Tehran, Iran.

Abstract

Introduction: Medical tourism in Ilam Province has significant potential but remains
underutilized, particularly among Iraqi patients. This study examines effective strategies
for developing medical tourism, focusing on financial investment and smart marketing to
enhance competitiveness.
Methods: A mixed-methods approach was applied. The qualitative phase used thematic
analysis via MAXQDA 2020, analyzing semi-structured interviews with 18 experts (6 hospital
managers, 5 university professors, and 7 private sector professionals’ data were collected in
2025). The screening phase involved 12 specialists (4 senior executives, 5 academic researchers,
and 3 marketing consultants). The quantitative phase collected 128 questionnaires from
employees of Ilam’s Cultural Heritage and Tourism Organization, analyzed using SPSS 21.
Results: In the qualitative phase, a total of 38 strategies were identified within two main
subthemes—19 strategies related to financial investment attraction and 19 to smart
marketing—which were confirmed by expert consensus through the fuzzy Delphi method.
In the quantitative phase, using Friedman’s test, financial strategies received a higher
average ranking (mean rank: 18.65) compared to marketing strategies (12.39). The topranked
items overall included the health economic zone, five-year tax exemptions, and a
loan guarantee fund.
Conclusion: Advancing medical tourism in Ilam requires the simultaneous prioritization
of financial incentives (such as special economic zones and tax exemptions) and innovative
digital marketing. Streamlining investment procedures, developing multilingual digital
platforms, and strengthening public-private partnerships are essential steps to increase
foreign patient attraction. These integrated strategies will help position Ilam as a competitive
destination in the regional health tourism market.

Highlights

Nabi Omidi (Google Scholar)

Mohammad Reza Omidi (Google Scholar)

Keywords

Main Subjects


1. Wong AKE, Vongvisitsin TB, Li P, Pan Y, Ryan C. Revisiting medical tourism research: Critical reviews and implications for destination management and marketing. Journal of Destination Marketing & Management. 2024;33:100924. doi: 10.1016/j.jdmm.2024.100924.
2. Momeni K, Janati A, Imani A, Khodayari-Zarnaq R. Barriers to the development of medical tourism in East Azerbaijan province, Iran: A qualitative study. Tourism Management. 2018;69:307-16. doi: 10.1016/j.tourman.2018.05.007.
3. Moghaddam P, Franch DB, Ferrer-Roca N. Management self-perception of Iranian women managers in tourism amidst social change. Tourism Management Perspectives. 2025;55:101335. doi: 10.1016/j.tmp.2024.101335.
4. Attarzadeh M. Future studies of the necessity of strengthening the sense of security in choosing Ilam province as a tourist destination. Journal of Geography and Regional Future Studies. 2024;2 (3):67-86.
5. Shoara Z, Sadeghifar J, Momeni K, Bazyar M, Khodayari R, Heydari M. Assessment of Readiness Components for Attracting Medical Tourists in the Hospital Industry: A Survey Study in Western Iran. Health Technology Assessment in Action. 2025;9 (1).
6. Eberts CE, LaFree A. Complications from bariatric medical tourism: Lessons for the emergency physician from selected case reports. Am J Emerg Med. 2025;90:252 e1-e5. doi: 10.1016/j.ajem.2024.11.012.
7. Ozkan O, Popescu IA, Destek MA, Balsalobre-Lorente D. Time-quantile impact of foreign direct investment, financial development, and financial globalisation on green growth in BRICS economies. J Environ Manage. 2024;37:123145. doi: 10.1016/j.jenvman.2024.123145.
8. Fauzi MA, Mohd Aripin N, Alimin NSN, Ting IWK, Wider W, Maidin SS, et al. Medical tourism in South East Asia: science mapping of present and future trends. Asian Education and Development Studies. 2024;13 (5):393-411. doi: 10.1108/AEDS-04-2024-0093.
9. Castilho D, Fuinhas JA. How do tourism investments affect each pillar of decent work? Evidence from European Union countries. Safety Science. 2025;189:106896. doi: 10.1016/j.ssci.2025.106896.
10. Gaur S, Kumar R, Gillespie SM, Jump RLP. Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic. J Am Med Dir Assoc. 2022;23 (2):241-6. doi: 10.1016/j.jamda.2021.12.017.
11. Raven RB, 3rd, Merrell G. Marketing and Strategy: How to Build Your Practice. Hand Clin. 2024;40 (4):I-XII. doi: 10.1016/j.hcl.2024.06.005.
12. Shahbaz M, Yuksel S, Eti S, Dincer H, Khamdamov SJ. A fuzzy decision-making model for enhancing sustainable tourism investments in climate-vulnerable destinations. J Environ Manage. 2025;380:125151. doi: 10.1016/j.jenvman.2025.125151.
13. Choe Y, Baek J, Kim H. Heterogeneity in consumer preference toward mega-sport event travel packages: Implications for smart tourism marketing strategy. Information Processing & Management. 2023;60 (3):103302 doi: 10.1016/j.ipm.2023.103302.
14. Jahani Dolatabad E, Mohammadi C. Investigating the status of the cities of Ilam province in terms of tourism development indicators. Journal of Environmental Science Studies. 2023;8 (3):7073-9.
15. Sag I, Zengul FD. Why medical tourists choose Turkey as a medical tourism destination? Journal of Hospitality and Tourism Insights. 2019;2 (3):296-306.doi: 10.1108/JHTT-05-2018-0031.
16. Jia X. Digital marketing and brand competitiveness: The mediating role of marketing capability and operational capability. Journal of Retailing and Consumer Services. 2025;87:104429.doi: 10.1016/j.jretconser.2025.104429.
17. Michael N, Reisinger Y, Hayes JP. The UAE’s tourism competitiveness: A business perspective. Tourism Management Perspectives. 2019;30:53-64. doi: 10.1016/j.tmp.2019.02.002.
18. Wong AKF, Li P, Pan Y, Xu JB, Deng J. Investigating resident perceptions of medical tourism in Hainan: An integrative analytical approach. Tourism Management Perspectives. 2024;54:101305. doi: 10.1016/j.tmp.2024.101305.
19. Capar H, Arslanoglu A. The Impact of Sustainable Development Goals as a Driving Force in the Development of Medical Tourism. Eval Program Plann. 2025;111:102587. doi: 10.1016/j.evalprogplan.2025.102587.
20. Pizakova L. Evaluation of investments in the tourism sector with a local focus. Eval Program Plann. 2022;94:102151. doi: 10.1016/j.evalprogplan.2022.102151.
21. Cao Y, Du K. Outbound tourism and outward foreign direct investment. Annals of Tourism Research. 2024;105:103713. doi: 10.1016/j.annals.2023.103713.
22. Torabi ZA, Rezvani MR, Hall CM, Allam Z. On the post-pandemic travel boom: How capacity building and smart tourism technologies in rural areas can help - evidence from Iran. Technol Forecast Soc Change. 2023;193:122633. doi: 10.1016/j.techfore.2023.122633.
23. Ozdemir O, Han W, Erkmen E, Madanoglu M. Firm-level political risk and corporate investments in the hospitality and tourism industry: The moderating role of asset tangibility and corporate governance quality. Tourism Management Perspectives. 2024;53:101290. doi: 10.1016/j.tmp.2024.101290.
24. Law A, Pyke J, De Lacy T, McGrath GM. Towards a community sensitivity index for tourism investment: A case study of regional Australia. Journal of Hospitality and Tourism Management. 2022;50:412-20. doi: 10.1016/j.jhtm.2021.12.009.
25. Hayati R, Ansarizadeh M, Yousefi M, Moein H, Alinejad N, Jasour A, et al. Effects of medical tourism on hospital waste as an important criteria of the green hospital. Case Studies in Chemical and Environmental Engineering. 2025;11:101051. doi: 10.1016/j.cscce.2024.101051.