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- Title
Institutional Types in Malaysian Medical Tourism Ecosystem.
- Authors
YUSOF, NORZAYANA; ROSNAN, HERWINA
- Abstract
As Malaysian medical tourism records an upward trend of medical travellers, the industry is challenged with low growth. This is manifested by the relatively small number of medical expenses from the total foreign tourist expenditure in Malaysia. Furthermore, literature review on medical tourism unveils that studies have mainly been conducted from the perspectives of medical travellers. This signifies the lack of insights from the supply-side stakeholders including private hospitals, medical doctors and medical tourism facilitators. Thus, mid-range theory of institutions and value co-creation from Service-Dominant (S-D) logic are adapted to assist in answering the problem by delineating the institutions that constrain the stakeholders from exchanging their services. This study conducted two direct observations. This was followed by a total of 13 semi-structured interviews with private hospitals, medical doctors and medical tourism facilitators from Malaysian medical tourism. Thematic analysis was done through ATLAS.ti version 8 by generating codes and group codes. Emerging themes were produced throughout the analysis. Findings are presented through cross-tabulation analysis to assist the researcher in tracing the sources of the codes. Hence, this study produced seven institutional types that constrain value co-creation in medical tourism ecosystem. This study emphasises on the level of collaboration and communication between stakeholders and how it could affect the co-creation of values in an ecosystem. The development of these institutions contributes to the mid-range theory of S-D logic, as they were empirically obtained from a medical tourism context. Nevertheless, this research lacks the perspectives of several stakeholders and the cross-sectional approach prevents the study from understanding the institutional trend. Thus, future research is suggested to embark on the institutions that encourage value co-creation and the work in creating, maintaining and disrupting the relevant institutions.
- Subjects
MALAYSIA; MEDICAL tourism; SOCIAL context; STAKEHOLDERS; COMMUNICATION
- Publication
Malaysian Journal of Qualitative Research, 2021, Vol 7, Issue 1, p15
- ISSN
1823-8521
- Publication type
Article