Identifying and Prioritizing Components of the Medical and Healthcare Tourism Entrepreneurship Ecosystem

Document Type : Original Article

Authors

1 Faculty of Social Sciences, Razi University, Kermanshah, Iran

2 Management School, Sheffield University, Sheffield, UK

Abstract

Introduction: One of the important factors that may affect the destination of development
is medical and healthcare tourism. The presence of experts in medical tourism and the
geographical location of Iran is one of the most important factors in the sustainable
development of Iran. This study aimed to identify and prioritize the components of the
medical and healthcare tourism entrepreneurship ecosystem (EE) in Iran with a structuralinterpretive
modeling approach.
Methods: This research is methodologically a mixed (qualitative-quantitative) exploratory
type, and its participants were health tourism experts and entrepreneurs. The method for
selecting the participants was Purposeful sampling.15 participants were interviewed based on
theoretical saturation. The data collection tools were interviews and questionnaires. Also, to
analyze the data in this research, we used two overlapping processes of open and axial coding
and structural-interpretive modeling.
Results: The results of data analysis showed that the components of the health tourism EE
were included in the seven main dimensions of law, regulations and governance factors,
financing and investment, the role of culture, influential institutions (universities and
Educational centers), influential regional market factors, the role of human capital, and
effective infrastructure.
Conclusion: Researchers examining entrepreneurial ecosystems have not studied the role
of a regional level of analysis. The results of qualitative analysis and Interpretive Structural
Modeling (ISM) showed that to create the entrepreneurial ecosystem of the medical and
healthcare tourism, the central factors resulting from qualitative research interacted with each
other at three different levels, and the set of factors at these levels caused the medical sciences
university to move towards creating an Entrepreneurial ecosystem drive in the university

Keywords


1. Mubarak MF, Yusoff WFW, Mubarik M, Tiwari S, Kaya KA. Nurturing Entrepreneurship Ecosystem in a Developing Economy: Myths and Realities. Journal of Technology Management and Business. 2019;6(1). doi: 10.30880/jtmb.2019.06.01.001.
2. Morant-Martinez O, Santandreu-Mascarell C, Canos-Daros L, Millet Roig J. Ecosystem Model Proposal in the Tourism Sector to Enhance Sustainable Competitiveness. Sustainability. 2019;11(23):6652. doi: 10.3390/su11236652.
3. Pankov S, Velamuri VK, Schneckenberg D. Towards sustainable entrepreneurial ecosystems: examining the effect of contextual factors on sustainable entrepreneurial activities in the sharing economy. Small Business Economics. 2019:1-23.
4. Spigel B. The relational organization of entrepreneurial ecosystems. Entrepreneurship Theory and Practice. 2017;41(1):49-72. doi: 10.1111/etap.12167.
5. Acs ZJ, Szerb L, Lloyd A. Mapping the Global Entrepreneurial Ecosystem. Global Entrepreneurship and Development Index 2017: Springer; 2017. p. 1-10. doi: 10.1007/978-3-319- 65903-9_1.
6. Milwood PA, Maxwell A. A boundary objects view of Entrepreneurial Ecosystems in tourism. Journal of Hospitality and Tourism Management. 2020;44:243-52. doi: 10.1016/j.jhtm.2020.06.008.
7. Daniel L, Medlin CJ, O’Connor A, Statsenko L, Vnuk R, Hancock G. Deconstructing the entrepreneurial ecosystem concept. Entrepreneurial Ecosystems: Springer; 2018. p. 23-44. doi: 10.1007/978-3-319-63531-6_2.
8. Van Caneghem T, Van Campenhout G. Quantity and quality of information and SME financial structure. Small Business Economics. 2012;39(2):341-58. doi: 10.1007/s11187-010-9306-3.
9. Cavallo A, Ghezzi A, Balocco R. Entrepreneurial ecosystem research: Present debates and future directions. International Entrepreneurship and Management Journal. 2019;15(4):1291-321. doi: 10.1007/s11365-018-0526-3.
10. Henderson JC. The meanings, marketing, and management of heritage tourism in Southeast Asia. Cultural heritage and tourism in the developing world: a regional perspective. 2009:73- 92.
11. Battilani P, Gordon BM, Furnée JH, James KJ, White R, Zuelow EG. Discussion: teaching tourism history. Journal of Tourism History. 2016;8(1):57- 84. doi: 10.1080/1755182X.2016.1168487.
12. Camilleri MA. The tourism industry: An overview. Travel marketing, tourism economics and the airline product. 2018:3-27. doi: 10.1007/978-3-319-49849-2_1.
13. Rogers T. Conferences and conventions 3rd edition: A global industry. Oxfordshire: Routledge; 2013. doi: 10.4324/9780203119402.
14. Hudson S, Li X. Domestic medical tourism: A neglected dimension of medical tourism research. Journal of Hospitality Marketing and Management. 2012;21(3):227-46. doi: 10.1080/19368623.2011.615018.
15. Loh CP, Nihalani K, Schnusenberg O. Measuring attitude toward social health insurance. Eur J Health Econ. 2012;13(6):707-22. doi: 10.1007/ s10198-011-0324-0.
16. Kazemi Z. Study of the effective factors for attracting medical tourism in Iran. 2008.
17. Nikraftar T, Falahati N. The process of developing an innovative medical tourism business in Iran. Iranian Journal of Economic Studies. 2020;8(2):335-48.
18. Isenberg D. The entrepreneurship ecosystem strategy as a new paradigm for economic policy: Principles for cultivating entrepreneurship Presentation at the Institute of International and European Affairs. 2011;1:13.
19. Isenberg DJ. How to start an entrepreneurial revolution. Harvard business review. 2010;88(6):40-50.
20. Wood MJ, Ross-Kerr J. Basic Steps in Planning Nursing Research: From Question to Proposal: From Question to Proposal: Jones & Bartlett Publishers; 2010.
21. Loh J. Inquiry into issues of trustworthiness and quality in narrative studies: A perspective. The qualitative report. 2013;18(33):1.