Motivation and loyalty of Indonesian medical tourists toward Malaysian health services

Abstract

This study aims to find out which factors, between the word of mouth (WoM) or marketing promotion programs (MPP), drive motivation (push and pull); to explore the influence of travel motivation toward satisfaction, and to investigate the satisfaction effect of medical tourists with loyalty. This study used a survey method by distributing questionnaires to medical tourists from Indonesia (N = 152) who have visited hospitals in Malaysia for medical care at least once. Data analysis was carried out using several statistical procedures. Firstly, a multivariate test was conducted to find out whether there is a statistically significant difference in the push and pull motives based on the influencers. Second, multiple linear regression is performed to find out the influence of push and pull variables on satisfaction. Finally, a simple linear regression is calculated to find out the influence of satisfaction on loyalty. The findings show that there is a statistically significant difference in the push and pull motives based on the influencers (WoM or MPP). The effect size of both push and pull is almost equal. The relationship between push or pull and satisfaction is also statistically significant as 41.3% of the variance in the satisfaction is explained by the push and 51.8% by pull factors. Finally, satisfaction is a significant predictor for loyalty while 90.2% of the variance in loyalty is explained by satisfaction.

Keywords: {'name': 'loyalty, medical tourists, hospitals, Indonesia, Malaysia'}

Authors & affiliations

Morissan Morissan
Affiliation not supplied

Gerald Goh Guan Gan
Affiliation not supplied

Deposited references

Supplied references, not a list of publications citing this article.

Attia, A. M., Aziz, N., & Friedman, B. A. (2012). The impact of social networks on behavioral change: a conceptual framework. World Review of Business Research, 2 (3), 91-108.

DOI: 10.35808/ersj/973

Blackwell, D. R., Miniard, W. P., & Engel, F. J. (2006). Consumer behaviour.South-western. Maso

DOI: 10.1177/002224299005400206

Carrera P, Bridges J (2006). Health and medical tourism: What they mean and imply for health care systems. Health and Ageing. Vol. 15. The Geneva Association.

DOI: 10.1108/eb058009

DOI: 10.1016/j.tourman.2005.11.005

DOI: 10.1016/0160-7383(79)90004-5

DOI: 10.1016/0160-7383(77)90037-8

DOI: 10.1509/jmkg.65.4.33.18386

DOI: 10.1177/0092070394222001

DOI: 10.1016/S0969-6989(99)00028-4

DOI: 10.1108/02634500010333316

Fielding, K., P. L. Pearce, and K. Hughes (1992) Climbing Ayers rock: relating visitor motivation, time, perception and enjoyment. Journal of Tourism Studies 3(2):49 - 57.

DOI: 10.1080/00222216.1981.11969498

DOI: 10.1016/0261-5177(87)90053-7

Grande, T (2015). Conducting a MANOVA in SPSS with Assumption Testing. YouTube. https://www.youtube.com/watch?v=rCgeWeXRtDs&t=181s

DOI: 10.1353/ken.0.0006

DOI: 10.1108/16605371111127198

Hair, J. F., Anderson, R. E., Tatham, R. L., & Black, W. C. (1998). Multivariate data analysis(5th edn).). New Jersey: Prentice Hall.

Handayani, I. (2019). 60% Pasien Asing di Malaysia Berasal Dari Indonesia. Retrieved December 11, 2019, from Investor Daily website: https://www.beritasatu.com/kesehatan/538106/60-pasien-asing-di-malaysia-berasal-dari-indonesia

Heskett, J. L., Sasser, W. E., & Schlesinger, L. A. (1997). The service pro?t chain. New York, NY: The Free Press.

Herrick, D. (2017). News - Mexico Is Attracting U.S. Medical Tourists | Heartland Institute. Retrieved December 11, 2019, from The Heartland Institute website: https://www.heartland.org/news-opinion/news/mexico-is-attracting-us-medical-tourists?source=policybot

Horowitz, M. D., & Rosensweig, J. A. (2007). Medical tourism--health care in the global economy. Physician Executive, 33(6), 24–26, 28–30. Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/18092615

DOI: 10.1177/1938965510363264

IUOTO (1973), Health Tourism, United Nations, Geneva.

Jais, A. S. (2017). The healthcare tourism: feasibility and future outlook for Malaysia. Retrieved from https://www.academia.edu/31672875/the_healthcare_tourism_feasibility_and_future_outlook_for_malaysia

DOI: 10.1016/S0278-4319(02)00008-7

DOI: 10.1016/S0278-4319(02)00011-7

DOI: 10.1016/S0738-3991(02)00193-3

DOI: 10.1111/apel.12132

DOI: 10.1080/01490400902837787

DOI: 10.1108/17410381311287463

DOI: 10.1016/0160-7383(87)90105-8

DOI: 10.17265/2328-2169/2017.02.002

Martovi?, M. (2017). Medical tourism in global market. Retrieved from https://www.academia.edu/35775591/medical_tourism_in_global_market

DOI: 10.1080/13683500.2011.626847

Nathan, L. (2018). Medical tourism expected to reach RM2.8b in revenue by 2020. Retrieved December 11, 2019, from The Malaysia Reserve website: https://themalaysianreserve.com/2018/09/04/medical-tourism-expected-to-reach-rm2-8b-in-revenue-by-2020/

DOI: 10.1016/S0019-8501(00)00112-7

Naz, F (2014). Word of Mouth and Its Impact on Marketing. International Journal of Scientific and Research Publications, 4 (1), 1 - 4

Nielsen (2015). Digital formats are among the most trusted advertising sources despite slow growth. Retrieved from

https://www.nielsen.com/us/en/insights/article/2015/digital-formats-are-among-the-most-trusted-advertising-sources-despite-slow-growth/

Oliver, R. (1999). Satisfaction: A Behavioral Perspective on the Consumer - Richard L. Oliver - Google Books. Retrieved from https://books.google.co.id/books/about/Satisfaction.html?id=IJ5846z99tIC&redir_esc=

DOI: 10.2307/1252099

Ormond, M. (2011). Medical tourism, medical exile: Responding to the cross-border pursuit of healthcare in Malaysia. In C. Minca & T. Oakes (Ed.), Real tourism: Representation, practice and the ‘material’ in contemporary travel (pp. 143–161). London: Routledge.

DOI: 10.2307/3150499

DOI: 10.1177/002224298905300202

DOI: 10.1007/978-1-4612-4964-1

DOI: 10.1108/03090560310454037

DOI: 10.1362/026725703770558268

DOI: 10.1509/jmkg.68.1.109.24030

DOI: 10.1023/A:1015834214570

DOI: 10.1177/0092070300281014

DOI: 10.1108/02656710210438122

DOI: 10.1108/09564239410074358

DOI: 10.1300/J071v01n02_04

Subramanian, K, R (2018). Social media and the word of mouth publicity. International Research Journal of Advanced Engineering and Science, 3 (2), 95-100.

DOI: 10.1080/15252019.2012.10722193

Thomas, J. (2019). Malaysia’s medical tourism on a high | The ASEAN Post. Retrieved December 11, 2019, from The Asean Post website: https://theaseanpost.com/article/malaysias-medical-tourism-high

UNESCAP. (2007). Patients without borders: An overview of the medical travel industry in Asia, its challenges and opportunities.

DOI: 10.1016/j.tourman.2003.08.016

Uysal, M., & Hagan, L. A. R. (1993). Motivation of pleasure travel and tourism. In M. O. M. Khan & & T. Var (Eds.), Encyclopaedia of hospitality and tourism (pp. 789–810). New York: Van Nostrand Reinhold.

DOI: 10.1016/0160-7383(94)90091-4