In Malaysia, a country that ranks among the world's most recognised medical tourism destinations, medical tourism is identified as a potential economic growth engine for both medical and non-medical sectors. A state-level analysis of economic impacts is important, given differences between states in economic profiles and numbers, origins, and expenditure of medical tourists. We applied input-output (I-O) analysis, based on state-specific I-O data and disaggregated foreign patient data. The analysis includes nine of Malaysia's states. In 2007, these states were visited by 341,288 foreign patients, who generated MYR1,313.4m ($372.3m) output, MYR468.6m ($132.8m) in value added, and over 19,000 jobs. Impacts related to non-medical expenditure are more substantial than impacts related to medical expenditure, and indirect impacts are a substantial part of total impacts. We discuss management and policy responses and formulate recommendations for data collection.
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Relatively little empirical research has been conducted on impacts of volunteer tourism in local communities. This paper therefore focuses on the local consequences of volunteer tourism for two projects in Tamale, Ghana: Zion Primary School and Tamale Children's Home. A practice approach provides a useful theoretical framework to investigate how volunteers and local actors interact in these projects. In a practice approach, interactions become central to the analysis, highlighting the ways in which volunteers, local people and the local context mutually influence one another. Observations and interviews with volunteers and local actors were used to identify positive and negative consequences of their interactions, which are strongly interlinked and depend on routines, backgrounds and positions of the actors, and contextual conditions. The consequences of volunteer practices are also linked to other current and future practices. A practice approach provides insights into complex situations and may be more suited to analysing the impacts of volunteer tourism than a traditional mono-disciplinary focus.
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This paper seeks to highlight underlying issues of the tourism system that have led to tourism extremes of too much or too little tourism. Five phases are recognized that reflect different ways of dealing with too much tourism over time, after which the impact of a sudden lack of tourism is investigated in light of future renewal processes. This discussion highlights the remarkable capacity of the tourism industry to adjust to rapidly changing circumstances and crises, even when these cause anguish to individuals and within societies at large. The paper thus seeks to contextualize the current discussions regarding the transformation of tourism post COVID-19. It highlights the complexity of changing a tourism that multiple stakeholders depend on or have grown accustomed to. To come to a more balanced tourism, it is necessary to not only come up with alternative visions and strategies, but also to engage with the political economy nature of tourism development. A future research agenda should therefore also discuss facets of entangled power, social exclusion, inequalities and class differences to come to new reference points of what actually constitutes a more inclusive tourism success.
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This research aims to investigate the impacts of Covid -19 on Bethlehem and examine the potential recovery strategies for the tourism sector during and after the pandemic. This research contributes in fulfilling intriguing gaps in literature on the impacts of Covid-19 on Bethlehem. All data collected were in the period of August and September 2020. This study is exploratory in nature applying qualitative and quantitative methods. Open-ended questions used in the interviews and the interviews were analysed. In addition, open and closed-ended questions carried out with fifty-two respondents from tourism business owners and key player stakeholders in Bethlehem’s tourism sector. The findings show that the COVID-19 pandemic resulted in that all Bethlehem’s tourism sector and sub-sectors suffered from the COVID-19 pandemic, however, the worst affected sub-sectors are souvenir stores and accommodation, while the least affected industry in the tourist restaurants sub-sector. The pandemic has resulted in massive job losses in Bethlehem. Bethlehem’s tourism sector has implemented pay cuts and laying off workers as a way of mitigating loss of revenue resulting from the outbreak of the COVID-19 pandemic. Finally, this research provides academic as well as managerial implications.
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The following paper explores socio-cultural impacts of large-scale cruise liner tourism on the traditional bazaar (souq) in the district of Mutrah. The souq is located opposite the port in the Omani capital Muscat. Large-scale cruise tourism in Muscat started only in 2004 and has increased in scale and numbers in the past years. 24 cruise vessels with around 7600 passengers arrived in Muscat in 2005. Seven years later 135 cruise liners carrying 257,000 tourists docked in Muscat. Due to this dramatic rise of international cruise ships, the socio-cultural impacts have increased for local residents, shop vendors/owners and tourists alike. To capture those socio-cultural impacts on Souq Mutrah, a survey of cruise tourists was conducted by a questionnaire. In addition, the researcher used participatory observation, counting, and in-depth interviews with different stakeholders of the local community and different types of tourists during the cruise seasons 2012/13 and 2013/14. Moreover, content analysis of statistics and local media publications were used. Results indicate that the souq has become "the core of a tourist bubble", where crowding is a major problem and local residents avoid the place. The social carrying capacity of the souq has been reached. Omani vendors are leaving their businesses and renting their shops out to expatriates. Since contemporary cruise tourists are low spenders, expatriate shop sellers have become more aggressive.
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This paper examines how a serious game approach could support a participatory planning process by bringing stakeholders together to discuss interventions that assist the development of sustainable urban tourism. A serious policy game was designed and played in six European cities by a total of 73 participants, reflecting a diverse array of tourism stakeholders. By observing in-game experiences, a pre- and post -game survey and short interviews six months after playing the game, the process and impact of the game was investigated. While it proved difficult to evaluate the value of a serious game approach, results demonstrate that enacting real-life policymaking in a serious game setting can enable stakeholders to come together, and become more aware of the issues and complexities involved with urban tourism planning. This suggests a serious game can be used to stimulate the uptake of academic insights in a playful manner. However, it should be remembered that a game is a tool and does not, in itself, lead to inclusive participatory policymaking and more sustainable urban tourism planning. Consequently, care needs to be taken to ensure inclusiveness and prevent marginalization or disempowerment both within game-design and the political formation of a wider participatory planning approach.
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This chapter discusses tourism’s impacts on global environmental change. Tourism affects four key Earth-system processes under threat: biodiversity loss, freshwater availability, land-use change, and climate change. On a global scale, tourism impacts on climate change are most significant. However, on a local or regional scale, tourism can be a considerable driver of change in the other processes, sometimes to an extent of global proportions. The various components of tourism act differently in these processes. Tourism mobility as a whole is generally the most problematic. The causes of tourism impacts are explored per system process and mitigation priorities are addressed. Mitigation of impacts is essential, also for the sustainable development of tourism. Strategy development needs an integrated approach, as measures to solve one issue can be counterproductive for other processes and goals.
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The general aim of this research project has been to examine this phenomenon of tourism flow switching and consider the factors driving the geopolitical instability that can compromise destination security. On a more practical level the research has also examined what the reactions of Dutch tourists are to security threats affecting their tourism decisions and looked at the development of preventive measures against attacks by destinations and travel organisations. Finally, the research on the regional geopolitics of the MENA and European areas have together with the attitudes of Dutch tourists towards destination security been used as inputs into a scenario planning process involving the steering group of tour operators who originally commissioned this research, as participants. This process has focussed on macro environmental analysis, identification of key uncertainties, and the development of resilient strategies for the future.
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In a matter of weeks last year, discussions regarding tourism in cities changed from how to deal with overtourism to how to deal with ‘no tourism’. Shortly thereafter, a great number of posts on LinkedIn, websites, and blogs highlighted how the tourism crisis that resulted from the COVID-19 pandemic could help reinvent tourism, into something more equal, inclusive, and sustainable. And so, online – at leastin mypersonalonlinebubble – there seemedtobe a real momentum for proper, transformative changes in (urban) tourism. How can we rebuild urban tourism in a sustainable and resilient way?
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