Comparison of Spa Choice between Wellness Tourists and Healthcare/Medical Tourists

Challenges of Spa Tourism in Andalusia: Experts' Proposed Solutions

Water is the common thread and attraction factor of the tourism facilities called "spas", which are part of health and beauty services. Spa use is currently experiencing a boom that reflects changes in populations, such as an increase in economic wellbeing and a desire to reunite with nature. This research's objectives were to understand spa tourism's structural and operational dimensions and to assess this sector's current situation by using the Delphi method with a panel of 22 experts. The results show that these experts believe that, in Andalusia, spas energize the area as a tourism destination through their natural resources and conservation of key elements. However, spa development policies are scarce, including a lack of autonomous community laws regarding these facilities.

Factors Associated with Spa Tourists’ Satisfaction

Most spas are surrounded by beautiful natural environments, so these facilities contribute to sustainable economic development and their guests are national and local tourists with a high average stay. This study has the objective of analyzing the factors associated with the level of satisfaction and the profile of spa tourists in Andalusia, southern Spain. The methodology used was a quantitative study based on a stratified cross-sectional survey. Each stratum was a spa, with a population of 53,231 users per year, whose final sample included 725 users. The results found were that the profile of Andalusian spa tourists is predominantly female, over 56 years old, and retired with average incomes below one thousand euros. The level of satisfaction of its users is above the average in the factors of accommodation, restaurants, spa, and public roads and natural environment and most of these clients would recommend it to others [92.4%] and express the intention to return [63.6%] which indicates that Andalusian spas show a very high level of customer loyalty. The study has the limitation of being cross-sectional quantitative research carried out in Andalusia that could be complemented in future research with a qualitative study with experts. The research presents contributions for companies since they could develop strategies to attract users with younger profiles with activities, prices, or spaces that are more appropriate to their needs and seek the conditions to increase the satisfaction of these segments. The study is original since this research is a quantitative study that shows the real profile of the Andalusian spa tourist and their high level of satisfaction with the spa and their loyalty. The surveys were conducted at each spa by a face-to-face researcher with a response rate of 98%.

Applying the UTAUT2 Model to a Non-Technological Service: The Case of Spa Tourism

Well-being tourism is a $639 billion market. Spa tourism is considered the most important segment within this market. The present study uses the Unified Theory of Acceptance and Use of Technology (UTAUT2) model to analyse tourists’ purchase intentions regarding a thermal suite. The model was originally designed to analyse users’ acceptance of new technologies. The original contribution of this paper is to apply it to a non-technological service. Specifically, data were collected through a questionnaire administered to a sample of 810 potential Spanish spa-goers. A consistent partial least squares (PLSc) SEM technique was used. The proposed model explains 53.3% of the variance in Purchase Intentions regarding the thermal suite. Performance expectancy is the variable that plays the greatest role in tourists’ purchase intentions, followed by hedonic motivation.

Covid-19 vaccines: A model of acceptance behavior in the healthcare sector

The emergence of Covid-19 has affected all aspects of human life across the globe. Lockdowns everywhere are having dramatic social and economic consequences. No therapy has yet been approved, and vaccines are a priority potential tool to control the pandemic and its impacts. Multiple vaccines are in the last stage of the development process, but part of the population is not willing to get vaccinated for Covid-19. Several studies have examined the percentage of the population willing to get vaccinated, but few have analyzed the reasons for their decision. In this context, researching the factors influencing individuals’ intention to use a potential Covid-19 vaccine will be important to public health strategies. This paper analyzes these factors with an adapted Cognitive-Affective-Normative (CAN) model. Perceived vaccine efficacy is used as a cognitive variable, fear of the vaccine and fear of Covid-19 are used as affective variables, and social influence is used as the normative variable. The proposed model strongly explains the intention to use the Covid-19 vaccine (R2 = 0.81). The results show that vaccine efficacy will be the most important determinant of Covid-19 vaccine acceptance, followed by social influence. The findings can be very helpful for public health policies aimed at achieving widespread vaccination, a must for vaccine success.