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Factors Shaping Health Tourism Income in Türkiye: A Time Series Study on the Effects of Innovation, Safety and Hygiene

Year 2025, Volume: 10 Issue: 2, 176 - 198, 25.07.2025
https://doi.org/10.31201/ijhmt.1664935

Abstract

.

References

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  • Akamavi, R. K., Ibrahim, F., & Swaray, R. (2023). Tourism and Troubles: Effects of Security Threats on the Global Travel and Tourism Industry Performance. Journal of Travel Research, 62(8), 1755–1800. https://doi.org/10.1177/00472875221138792
  • Albayrak, Ö. K. (2021). Türkiye’nin Demiryolu Yük Taşımacılığı Talebinin Zaman Serisi Analizi ile Tahmini. Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 58, Article 58. https://doi.org/10.18070/erciyesiibd.753557
  • Alkier, R., Okicic, J. ve Milojica, V. (2022). Factors of Tourists’ Perceived Safety in the Post Covid Period: The Case of Opatija Riviera. https://doi.org/10.20867/thi.26.13
  • Ateş, A., ve Sunar, H. (2024). Comparison of Türkiye’s Medical Tourism Market with Existing and Potential Competitor Countries. Toplum Ekonomi ve Yönetim Dergisi, 5(2), Article 2. https://doi.org/10.58702/teyd.1419097
  • Barratt, A. S., Rich, K. M., Eze, J. I., Porphyre, T., Gunn, G. J. ve Stott, A. W. (2019). Framework for Estimating Indirect Costs in Animal Health Using Time Series Analysis. Frontiers in Veterinary Science, 6. https://doi.org/10.3389/fvets.2019.00190
  • Baumöhl, E. ve Lyócsa, Š. (2009). Stationarity of time series and the problem of spurious regression. MPRA Paper, Article 27926. https://ideas.repec.org//p/pra/mprapa/27926.html
  • Boguszewicz-Kreft, M., Kuczamer-Kłopotowska, S. ve Kozłowski, A. (2022). The role and importance of perceived risk in medical tourism. Applying the theory of planned behaviour. PLoS ONE, 17(1), e0262137. https://doi.org/10.1371/journal.pone.0262137
  • Çapar, H. (2018). Medikal turizmde destinasyon seçimini etkileyen faktörler: Yabancı medikal turistlerin Türkiye algısını ölçmeye yönelik bir çalışma [Yüksek Lisans, İstanbul Üniversitesi]. file:///Users/hasimcapar/Downloads/554841%20(6).pdf
  • Çapar, H. (2022). Sürdürülebilir Kalkınma Hedeflerinin Medikal Turizm Üzerindeki Etkisi: Bir Panel Veri Analizi [Doktora Tezi, Sağlık Bilimleri Üniversitesi]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
  • Çapar, H., ve Aslan, Ö. (2020). Factors Affecting Destination Choice in Medical Tourism. International Journal of Travel Medicine and Global Health, 8(2), 80–88. https://doi.org/10.34172/ijtmgh.2020.13
  • Çapar, H., ve İnan, K. (2024). Factors Determining the Impact of Medical Tourism on Sustainable Development Goals: Evidence from Multiple Medical Tourism Stakeholders. Eskişehir Osmangazi Üniversitesi Sosyal Bilimler Dergisi, 25(3), Article 3. https://doi.org/10.17494/ogusbd.1501534
  • Chandra, R., Supehia, S., Nath, B., Chhetri, C., Kumari, R., Joshi, K. D., Sharma, R., Chaudary, J., Joshi, K., Bhatta, R. ve Bhatt, C. R. (2022). Effects of sanitation and hygiene perceptions on international travelers’ health, travel plans and trip experiences in India. Frontiers in Public Health, 10, 1042880. https://doi.org/10.3389/fpubh.2022.1042880
  • Chen, L. H. ve Wilson, M. E. (2013). The Globalization of Healthcare: Implications of Medical Tourism for the Infectious Disease Clinician. Clinical Infectious Diseases, 57(12), 1752–1759. https://doi.org/10.1093/cid/cit540
  • Collins, A., Medhekar, A. ve Şanal, Z. G. (2022). A qualitative analysis of Turkish stakeholders perspective for improving medical tourism. International Journal of Tourism Research, 24(3), 487–500. https://doi.org/10.1002/jtr.2516
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  • Gür Omay, E. ve Cengiz, E. (2013). Health Tourism in Turkey: Opportunities and Threats. Mediterranean Journal of Social Sciences, 4. https://doi.org/10.5901/mjss.2013.v4n10p424
  • Godovykh, M., Fyall, A., Pizam, A., & Ridderstaat, J. (2022). Evaluating the Direct and Indirect Impacts of Tourism on the Health of Local Communities. Academica Turistica - Tourism and Innovation Journal, 15(1), 43–52. https://ideas.repec.org//a/prp/jattij/v15y2022i1p43-52.html
  • Han, J., Zuo, Y., Law, R., Chen, S. ve Zhang, M. (2021). Service Quality in Tourism Public Health: Trust, Satisfaction, and Loyalty. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.731279
  • Heymans, A., Van Heerden, C., Van Greunen, J. ve Van Vuuren, G. (2014). Diligence in determining the appropriate form of stationarity. https://repository.nwu.ac.za/handle/10394/16664
  • Ivascu, L., Sarfraz, M., Mohsin, M., Naseem, S. ve Ozturk, I. (2021). The Causes of Occupational Accidents and Injuries in Romanian Firms: An Application of the Johansen Cointegration and Granger Causality Test. International Journal of Environmental Research and Public Health, 18(14), Article 14. https://doi.org/10.3390/ijerph18147634
  • Jovanović, S., Janković–Milić, V. ve Ilić, I. (2015). Health and Hygiene Importance for the Improvement of Tourism Sector Competitiveness in Serbia and the South-eastern Europe Countries. Procedia Economics and Finance, 19, 373–382. https://doi.org/10.1016/S2212-5671(15)00038-6
  • Karanfil, M. ve Kılıç, C. (2015). Türkiye Ekonomisinde Üçüz Açık Hipotezinin Geçerliliği: Zaman Serisi Analizi. Uluslararası Yönetim İktisat ve İşletme Dergisi, 11(24), Article 24. https://doi.org/10.17130/ijmeb.2015.11.24.823
  • Khan, N., Gilliar, W., Bamrah, J. S. ve Dave, S. (2023). Post-COVID-19: Can digital solutions lead to a more equitable global healthcare workforce? BJPsych International, 20(1), 18–23. https://doi.org/10.1192/bji.2022.12
  • Konak, S. (2022). The impact of tourist’s hygiene-safety perception on their intention to travel during the Covid-19 pandemic in Turkey. Journal of Tourism Theory and Research, 8(1), Article 1. https://doi.org/10.24288/jttr.1021221
  • Kumar, J., Hussian, K. ve Taylor’s University. (2016). Factors affecting medical tourism destination selection: A Malaysian perspective. Journal of Global Business Insights, 1(1), 1–10. https://doi.org/10.5038/2640-6489.1.1.1000
  • Lee, T. J., Han, J.-S. ve Ko, T.-G. (2020). Health-Oriented Tourists and Sustainable Domestic Tourism. Sustainability, 12(12), Article 12. https://doi.org/10.3390/su12124988
  • Mataković, H., & Mataković, I. C. (2019). The impact of crime on security in tourism. 27(5). https://doi.org/10.35467/sdq/115539
  • Onafowora, O. A. ve Owoye, O. (2015). Structural Vector Auto Regression Analysis of the Dynamic Effects of Shocks in Renewable Electricity Generation on Economic Output and Carbon Dioxide Emissions: China, India and Japan. International Journal of Energy Economics and Policy, 5(4), Article 4.
  • Özer, Ö. ve Sonğur, C. (2013). Türkiye’nin Dünya Sağlık Turizmindeki Yeri ve Ekonomik Boyutu. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 4(7), Article 7.
  • Panasiuk, A. (2018). Theoretical aspects of innovation in health Tourism. European Journal of Service Management, 25(1), 213–220.
  • Perron, P. (1989). The Great Crash, the Oil Price Shock, and the Unit Root Hypothesis. Econometrica, 57(6), 1361–1401. https://doi.org/10.2307/1913712
  • Pirnar, I. A. (2024). Systematic Literature Review of Health Tourism Innovation. https://doi.org/10.25145/j.pasos.2024.22.026
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  • Ruiz, S., Viñals, M., Teruel, L. ve Segarra-Oña, M. (2021). Security and Safety as a Key Factor for Smart Tourism Destinations: New Management Challenges in Relation to Health Risks (pp. 511–522). https://doi.org/10.1007/978-3-030-72469-6_34
  • Ryndach, M., Sergeeva, E., Churilina, I., Chernenok, M., Khismatullina, E. ve Shostak, M. (2024). Innovations in medical tourism. BIO Web of Conferences, 113, 06012. https://doi.org/10.1051/bioconf/202411306012
  • Santana Gallego, M., Fourie, J. ve Rosselló, J. (2019). The effect of safety and security issues on international tourism. Annals of Tourism Research, 80. https://doi.org/10.1016/j.annals.2019.02.004
  • Serra, P. V. ve Seabra, C. (2023). Hygiene and Health in Tourism, in a Post-Pandemic Context: From Expected Requirement to Mandatory Criterion. In C. Seabra & M. E. Korstanje (Eds.), Safety and Tourism (pp. 195–215). Emerald Publishing Limited. https://doi.org/10.1108/978-1-80382-811-420231011
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  • Sosysal, A. (2017). Sağlık Turizmi: Tehdit ve Fırsatlar Bağlamında Türkiye Açısından Bir Durum Değerlendirmesi. Çatalhöyük Uluslararası Turizm ve Sosyal Araştırmalar Dergisi, 2, Article 2.
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Factors Shaping Health Tourism Income in Türkiye: A Time Series Study on the Effects of Innovation, Safety and Hygiene

Year 2025, Volume: 10 Issue: 2, 176 - 198, 25.07.2025
https://doi.org/10.31201/ijhmt.1664935

Abstract

Aim: The aim of this study is to examine the effects of global innovation index, safety and security level and health and hygiene level on health tourism income. Method: Time series analysis was applied with Türkiye's data for the years 2012-2023. After the stationarity of the series was analyzed with Philips-Perron (PP) unit root tests, short-term and long-term relationship was examined with Johanson Cointegration test. Then, shocks occurring in the short term were calculated by applying Error Correction Model and Impulse-Response Function. Results: While hygiene and health level (HH) positively affected health tourism income (EXP) (P<0.05), global innovation index affected it in a non-significant positive way (p>0.05). EXP variable is affected by shocks from GII, HH and SS. Therefore, health tourism income is significantly affected by indicators such as safety and security, innovative developments in tourism, hygiene and health level in the short term. Conclusion: As a result, it is recommended that Türkiye should make continuous efforts towards innovation, hygiene and security elements in order to realize its health tourism potential. The meticulous handling of these elements by stakeholders will strengthen the country's position in the field of health tourism and increase its health tourism income by ensuring that it assumes a more competitive role in the international market.

References

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  • Akamavi, R. K., Ibrahim, F., & Swaray, R. (2023). Tourism and Troubles: Effects of Security Threats on the Global Travel and Tourism Industry Performance. Journal of Travel Research, 62(8), 1755–1800. https://doi.org/10.1177/00472875221138792
  • Albayrak, Ö. K. (2021). Türkiye’nin Demiryolu Yük Taşımacılığı Talebinin Zaman Serisi Analizi ile Tahmini. Erciyes Üniversitesi İktisadi ve İdari Bilimler Fakültesi Dergisi, 58, Article 58. https://doi.org/10.18070/erciyesiibd.753557
  • Alkier, R., Okicic, J. ve Milojica, V. (2022). Factors of Tourists’ Perceived Safety in the Post Covid Period: The Case of Opatija Riviera. https://doi.org/10.20867/thi.26.13
  • Ateş, A., ve Sunar, H. (2024). Comparison of Türkiye’s Medical Tourism Market with Existing and Potential Competitor Countries. Toplum Ekonomi ve Yönetim Dergisi, 5(2), Article 2. https://doi.org/10.58702/teyd.1419097
  • Barratt, A. S., Rich, K. M., Eze, J. I., Porphyre, T., Gunn, G. J. ve Stott, A. W. (2019). Framework for Estimating Indirect Costs in Animal Health Using Time Series Analysis. Frontiers in Veterinary Science, 6. https://doi.org/10.3389/fvets.2019.00190
  • Baumöhl, E. ve Lyócsa, Š. (2009). Stationarity of time series and the problem of spurious regression. MPRA Paper, Article 27926. https://ideas.repec.org//p/pra/mprapa/27926.html
  • Boguszewicz-Kreft, M., Kuczamer-Kłopotowska, S. ve Kozłowski, A. (2022). The role and importance of perceived risk in medical tourism. Applying the theory of planned behaviour. PLoS ONE, 17(1), e0262137. https://doi.org/10.1371/journal.pone.0262137
  • Çapar, H. (2018). Medikal turizmde destinasyon seçimini etkileyen faktörler: Yabancı medikal turistlerin Türkiye algısını ölçmeye yönelik bir çalışma [Yüksek Lisans, İstanbul Üniversitesi]. file:///Users/hasimcapar/Downloads/554841%20(6).pdf
  • Çapar, H. (2022). Sürdürülebilir Kalkınma Hedeflerinin Medikal Turizm Üzerindeki Etkisi: Bir Panel Veri Analizi [Doktora Tezi, Sağlık Bilimleri Üniversitesi]. https://tez.yok.gov.tr/UlusalTezMerkezi/tezSorguSonucYeni.jsp
  • Çapar, H., ve Aslan, Ö. (2020). Factors Affecting Destination Choice in Medical Tourism. International Journal of Travel Medicine and Global Health, 8(2), 80–88. https://doi.org/10.34172/ijtmgh.2020.13
  • Çapar, H., ve İnan, K. (2024). Factors Determining the Impact of Medical Tourism on Sustainable Development Goals: Evidence from Multiple Medical Tourism Stakeholders. Eskişehir Osmangazi Üniversitesi Sosyal Bilimler Dergisi, 25(3), Article 3. https://doi.org/10.17494/ogusbd.1501534
  • Chandra, R., Supehia, S., Nath, B., Chhetri, C., Kumari, R., Joshi, K. D., Sharma, R., Chaudary, J., Joshi, K., Bhatta, R. ve Bhatt, C. R. (2022). Effects of sanitation and hygiene perceptions on international travelers’ health, travel plans and trip experiences in India. Frontiers in Public Health, 10, 1042880. https://doi.org/10.3389/fpubh.2022.1042880
  • Chen, L. H. ve Wilson, M. E. (2013). The Globalization of Healthcare: Implications of Medical Tourism for the Infectious Disease Clinician. Clinical Infectious Diseases, 57(12), 1752–1759. https://doi.org/10.1093/cid/cit540
  • Collins, A., Medhekar, A. ve Şanal, Z. G. (2022). A qualitative analysis of Turkish stakeholders perspective for improving medical tourism. International Journal of Tourism Research, 24(3), 487–500. https://doi.org/10.1002/jtr.2516
  • Connell, J. (2006). Medical tourism: Sea, sun, sand and … surgery. Tourism Management, 27(6), 1093–1100. https://doi.org/10.1016/j.tourman.2005.11.005
  • Dünya Ekonomik Forumu. (2021). Travel and Tourism Competeteivenes Report [Dernek]. https://www.weforum.org/search/
  • Erbayraktar, A., Koc, E. M. ve Pamuk, G. (2022). Evaluation of possible telehealth scenarios in Turkey by family medicine residents in Izmir. | EBSCOhost. 11(1), 280. https://doi.org/10.5455/medscience.2021.11.374
  • Gür Omay, E. ve Cengiz, E. (2013). Health Tourism in Turkey: Opportunities and Threats. Mediterranean Journal of Social Sciences, 4. https://doi.org/10.5901/mjss.2013.v4n10p424
  • Godovykh, M., Fyall, A., Pizam, A., & Ridderstaat, J. (2022). Evaluating the Direct and Indirect Impacts of Tourism on the Health of Local Communities. Academica Turistica - Tourism and Innovation Journal, 15(1), 43–52. https://ideas.repec.org//a/prp/jattij/v15y2022i1p43-52.html
  • Han, J., Zuo, Y., Law, R., Chen, S. ve Zhang, M. (2021). Service Quality in Tourism Public Health: Trust, Satisfaction, and Loyalty. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.731279
  • Heymans, A., Van Heerden, C., Van Greunen, J. ve Van Vuuren, G. (2014). Diligence in determining the appropriate form of stationarity. https://repository.nwu.ac.za/handle/10394/16664
  • Ivascu, L., Sarfraz, M., Mohsin, M., Naseem, S. ve Ozturk, I. (2021). The Causes of Occupational Accidents and Injuries in Romanian Firms: An Application of the Johansen Cointegration and Granger Causality Test. International Journal of Environmental Research and Public Health, 18(14), Article 14. https://doi.org/10.3390/ijerph18147634
  • Jovanović, S., Janković–Milić, V. ve Ilić, I. (2015). Health and Hygiene Importance for the Improvement of Tourism Sector Competitiveness in Serbia and the South-eastern Europe Countries. Procedia Economics and Finance, 19, 373–382. https://doi.org/10.1016/S2212-5671(15)00038-6
  • Karanfil, M. ve Kılıç, C. (2015). Türkiye Ekonomisinde Üçüz Açık Hipotezinin Geçerliliği: Zaman Serisi Analizi. Uluslararası Yönetim İktisat ve İşletme Dergisi, 11(24), Article 24. https://doi.org/10.17130/ijmeb.2015.11.24.823
  • Khan, N., Gilliar, W., Bamrah, J. S. ve Dave, S. (2023). Post-COVID-19: Can digital solutions lead to a more equitable global healthcare workforce? BJPsych International, 20(1), 18–23. https://doi.org/10.1192/bji.2022.12
  • Konak, S. (2022). The impact of tourist’s hygiene-safety perception on their intention to travel during the Covid-19 pandemic in Turkey. Journal of Tourism Theory and Research, 8(1), Article 1. https://doi.org/10.24288/jttr.1021221
  • Kumar, J., Hussian, K. ve Taylor’s University. (2016). Factors affecting medical tourism destination selection: A Malaysian perspective. Journal of Global Business Insights, 1(1), 1–10. https://doi.org/10.5038/2640-6489.1.1.1000
  • Lee, T. J., Han, J.-S. ve Ko, T.-G. (2020). Health-Oriented Tourists and Sustainable Domestic Tourism. Sustainability, 12(12), Article 12. https://doi.org/10.3390/su12124988
  • Mataković, H., & Mataković, I. C. (2019). The impact of crime on security in tourism. 27(5). https://doi.org/10.35467/sdq/115539
  • Onafowora, O. A. ve Owoye, O. (2015). Structural Vector Auto Regression Analysis of the Dynamic Effects of Shocks in Renewable Electricity Generation on Economic Output and Carbon Dioxide Emissions: China, India and Japan. International Journal of Energy Economics and Policy, 5(4), Article 4.
  • Özer, Ö. ve Sonğur, C. (2013). Türkiye’nin Dünya Sağlık Turizmindeki Yeri ve Ekonomik Boyutu. Mehmet Akif Ersoy University Journal of Social Sciences Institute, 4(7), Article 7.
  • Panasiuk, A. (2018). Theoretical aspects of innovation in health Tourism. European Journal of Service Management, 25(1), 213–220.
  • Perron, P. (1989). The Great Crash, the Oil Price Shock, and the Unit Root Hypothesis. Econometrica, 57(6), 1361–1401. https://doi.org/10.2307/1913712
  • Pirnar, I. A. (2024). Systematic Literature Review of Health Tourism Innovation. https://doi.org/10.25145/j.pasos.2024.22.026
  • Rasethuntsa, B. (2022). Health and hygiene strategies for tourism promotion: Guidelines for Africa. Journal of Tourism Leisure and Hospitality, 4(2), Article 2. https://doi.org/10.48119/toleho.1088463
  • Ruiz, S., Viñals, M., Teruel, L. ve Segarra-Oña, M. (2021). Security and Safety as a Key Factor for Smart Tourism Destinations: New Management Challenges in Relation to Health Risks (pp. 511–522). https://doi.org/10.1007/978-3-030-72469-6_34
  • Ryndach, M., Sergeeva, E., Churilina, I., Chernenok, M., Khismatullina, E. ve Shostak, M. (2024). Innovations in medical tourism. BIO Web of Conferences, 113, 06012. https://doi.org/10.1051/bioconf/202411306012
  • Santana Gallego, M., Fourie, J. ve Rosselló, J. (2019). The effect of safety and security issues on international tourism. Annals of Tourism Research, 80. https://doi.org/10.1016/j.annals.2019.02.004
  • Serra, P. V. ve Seabra, C. (2023). Hygiene and Health in Tourism, in a Post-Pandemic Context: From Expected Requirement to Mandatory Criterion. In C. Seabra & M. E. Korstanje (Eds.), Safety and Tourism (pp. 195–215). Emerald Publishing Limited. https://doi.org/10.1108/978-1-80382-811-420231011
  • Solanki, S., Inumula, K. M. ve Chitnis, A. (2020). Sectoral Contribution to Economic Development in India: A Time-Series Co-Integration Analysis. The Journal of Asian Finance, Economics and Business, 7(9), 191–200.
  • Sosysal, A. (2017). Sağlık Turizmi: Tehdit ve Fırsatlar Bağlamında Türkiye Açısından Bir Durum Değerlendirmesi. Çatalhöyük Uluslararası Turizm ve Sosyal Araştırmalar Dergisi, 2, Article 2.
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There are 54 citations in total.

Details

Primary Language English
Subjects Health Management, Consumer Behaviour
Journal Section Makaleler
Authors

Haşim Çapar 0000-0001-7056-7879

Taner Abiş 0000-0002-1627-4087

Early Pub Date July 23, 2025
Publication Date July 25, 2025
Submission Date March 25, 2025
Acceptance Date June 23, 2025
Published in Issue Year 2025 Volume: 10 Issue: 2

Cite

APA Çapar, H., & Abiş, T. (2025). Factors Shaping Health Tourism Income in Türkiye: A Time Series Study on the Effects of Innovation, Safety and Hygiene. International Journal of Health Management and Tourism, 10(2), 176-198. https://doi.org/10.31201/ijhmt.1664935