According to the push-pull model, “people travel because they are pushed into making travel decisions by internal forces, and pulled by external forces of the destination attributes” (Walker & Walker, 2010). In other words, push factors create a desire within an individual to go on a trip, while pull factors help that individual select an appropriate destination (Goossens, 2000). Using the push-pull model as a foundation, Fetscherin and Stephano (2016) developed a “medical tourism index.” The index is comprised of four factors: country environment, tourism destination, medical tourism costs, and medical facilities and services.
Also S. P. John and R. Larke (2016) published an article to analyse medical tourism researches which are focused on pull and push motivators
What is your opinion for pull & push motivators in medical tourism?
Yes.....push and pull play a decisive role in this regard.For example,various developing countries like India,may become a destination for medical tourism because of availability of quality treatment at reasonable cost.
I think push and pull motivations in medical tourism is a bit complex compared to leisure tourism. The quality of medication and costs plays a pivotal role, however other factors such as politics and economic systems would serve as a major pull factor. Geographical proximity, culture and superstructure of a country would also serve as a pull factor. When tourists select a destination they also aim for an alignment between they intrinsic motivations and the pull factors.
I think push factors are based on a need which is getting well after all, but this need usually affects by other factors such as budget, language, and being familiar with the medical system. In the other side pull factors work as appealing elements that are attractive to the person who wants to go to a destination for this purpose. The important pull factor among them is the destination. At first, destination might be attractive with good hospitality and its beauties but politics, specially, makes an important role in this magnetism. Democratic countries are more encouraging. The other features are medical facilities, physician's experience and skill, and finally the price that the person has to pay. In fact I am totally agree with Munei's opinion " When tourists select a destination they also aim for an alignment between they intrinsic motivations and the pull factors."
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