Destination image as a mediator between hospital perceived value and revisit intention in medical tourism

dc.contributor.authorDemir, Yasar
dc.contributor.authorNal, Mustafa
dc.contributor.authorSevim, Ekrem
dc.contributor.authorDag, Erhan
dc.contributor.authorBasturk, Yusuf Alper
dc.contributor.authorBektas, Gulfer
dc.date.accessioned2026-01-24T12:31:22Z
dc.date.available2026-01-24T12:31:22Z
dc.date.issued2025
dc.departmentAlanya Alaaddin Keykubat Üniversitesi
dc.description.abstractThis study aims to examine the relationships between perceived hospital value, destination image, and revisit intention from the perspective of medical tourists. While the effects of perceived value and service quality on revisit intention have been investigated in the literature, the mediating role of destination image has not been systematically addressed, particularly in the Turkish context. Therefore, this research aims to fill an important theoretical gap. Data were collected from 306 international medical tourists who received treatment at institutions offering medical tourism services in Istanbul, Kocaeli, and Antalya between July 2024 and January 2025. The findings show positive and significant relationships between perceived hospital value and medical tourism destination image (r = 0.449; p < 0.001), perceived hospital value and revisit intention (r = 0.569; p < 0.001), and destination image and revisit intention (r = 0.422; p < 0.001). Furthermore, bootstrap mediation analysis results revealed that destination image played a partial mediating role in the relationship between perceived hospital value and revisit intention (beta = 0.037; p < 0.05). The study's findings offer groundbreaking empirical data validating the mediating function of destination image within the Turkish setting, therefore contributing uniquely to the existing literature. From a practical standpoint, it underscores that hospitals ought to enhance perceived value via care quality, communication, hospitality, and accreditation, whereas destination managers should bolster destination image through branding, safety assurances, and health-tourism integration. These techniques could make medical tourism more competitive, get more people to come back, and have long-term economic advantages.
dc.description.sponsorshipAcibadem Mehmet Ali Aydinlar University, Istanbul, Turkey
dc.description.sponsorshipWe thank the nurses who participated in the research.
dc.identifier.doi10.1038/s41598-025-20787-z
dc.identifier.issn2045-2322
dc.identifier.issue1
dc.identifier.pmid41125698
dc.identifier.scopus2-s2.0-105019592545
dc.identifier.scopusqualityQ1
dc.identifier.urihttps://doi.org/10.1038/s41598-025-20787-z
dc.identifier.urihttps://hdl.handle.net/20.500.12868/5831
dc.identifier.volume15
dc.identifier.wosWOS:001600059400001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNature Portfolio
dc.relation.ispartofScientific Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_WoS_20260121
dc.subjectMedical tourism
dc.subjectHospital perceived value
dc.subjectDestination image
dc.subjectRevisit intention
dc.subjectT & uuml;rkiye
dc.titleDestination image as a mediator between hospital perceived value and revisit intention in medical tourism
dc.typeArticle

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