Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.240
Filtrar
1.
Aust J Rural Health ; 2024 May 20.
Artigo em Inglês | MEDLINE | ID: mdl-38766684

RESUMO

OBJECTIVE: The objective of the research was to explore rural and remote pharmacists' experiences of encountering grey nomads with diabetes. DESIGN: A qualitative Interpretive Description design was used to explore and capture the experiences of rural and remote pharmacists interacting with grey nomads who had diabetes. Data from the interviews were analysed thematically. SETTING: The Pharmacy Guild of Australia was approached and through their membership rural and remote pharmacists were invited to participate in the research. PARTICIPANTS: Nine rural and remote pharmacists who had encounters and provided services to grey nomads with diabetes responded to be interviewed. RESULTS: The analysed findings established four major themes including: the influence of rural and remote locations on services; common problems encountered by the pharmacists; preparation for travel by grey nomads with diabetes; and pharmacists' preparedness to support grey nomads with diabetes. CONCLUSION: The findings of this study identified that pharmacists needed remuneration for services provided to grey nomads with diabetes. Also, further development of the My Health record and telehealth to include pharmacists would be advantageous for grey nomads who have diabetes. Pharmacists stated there was a need for further education and a continuing professional development module specifically designed for pharmacists on diabetes self-management that moved beyond medications. A pre-travel checklist for grey nomads with diabetes travelling in rural and remote Australia would benefit all stakeholders through better preparation of travellers with diabetes to self-manage, thereby reducing the demand for health services including pharmacies.

2.
Ecol Evol ; 14(5): e11378, 2024 May.
Artigo em Inglês | MEDLINE | ID: mdl-38774137

RESUMO

Alpine ecosystems harbour a rich and highly specialised biodiversity, which is particularly susceptible to anthropogenic disturbances such as habitat loss and fragmentation as well as to climate change. Combined with other forms of land-use conversion, construction and maintenance of ski resorts can have severe consequences on alpine biodiversity. In this study, we show how one amphibian and two reptile species, namely Rana temporaria, Zootoca vivipara and Vipera berus, respond to such impacts by means of a multi-season occupancy analysis. We found all three species both in and outside ski-runs, showing that these habitats do not necessarily preclude their occurrence. Contrarily, this is influenced more by microhabitat availability, such as ground vegetation, humid areas and rock cover, rather than by macro-characteristics like elevation or habitat type. Moreover, we found a climatic influence on the year-to-year occupancy change of the species, with activity-month conditions being more relevant than overwintering ones. Our results demonstrate how, in the specific case of reptiles and amphibians, ski resorts do not necessarily limit species' occurrence and that a mild series of management actions might secure the species' persistence in the area.

3.
Surgeon ; 2024 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-38749901

RESUMO

INTRODUCTION: Medical tourism refers to the process of patients travelling outside of their native country to undergo elective surgical procedures and is a rapidly expanding healthcare phenomenon [1-3]. Whilst a multitude of established Private Healthcare Providers (PHPs) offer cosmetic surgical procedures within the United Kingdom (UK), a growing number of patients are opting to travel outside of the UK to undergo cosmetic surgery. AIM: To assess the number of patients presenting to the Canniesburn Plastic Surgery Unit, with cosmetic surgery tourism complications, from outside of the UK, and the associated costs to NHS Scotland over a five-year period. METHODS: A retrospective case review of a prospectively maintained trauma database, which records all acute referrals, was undertaken analysing patients referred from January 1st 2019 to December 31st 2023 inclusive. RESULTS: 81 patients presented over five years with complications of cosmetic surgery tourism. The most common presenting complaints were wound dehiscence (49.4%) or wound infection (24.7%). The total cost to NHS Scotland was £755,559.68 with an average of £9327.90 per patient. CONCLUSION: This is the largest single centre cohort of cosmetic surgery tourism complications reported within the NHS to date; with rates on the rise, demand grows for increased patient information regarding healthcare tourism risks, a national consensus on the extent of NHS management and urgent international collaboration with policymakers is required to address this issue across borders.

4.
Heliyon ; 10(10): e31099, 2024 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-38778973

RESUMO

The escalating urgency to address environmental degradation and promote sustainable development globally has emphasized the critical role of Green Finance (GF) in fostering responsible practices across industries. The tourism sector has drawn significant attention due to its substantial environmental impact, necessitating the implementation of robust financial mechanisms to mitigate its ecological footprint. China, recognized as a key player in the global tourism arena, the convergence of rapid economic expansion and the imperative for environmental conservation presents a distinctive set of challenges and opportunities. The study employed the Fuzzy Analytic Hierarchy Process (AHP) and Fuzzy Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) methodologies to systematically evaluate the impact of GF. The findings of fuzzy AHP indicate the critical role of environmental sustainability measures (GF2) as the topmost impacting factor. This refers to the practice of utilizing financial mechanisms and instruments to support initiatives that promote environmental conservation, minimize ecological footprints, and foster sustainable development. While financial allocation and effectiveness (GF1) and policy and regulatory framework impact (GF4) also hold significant importance in shaping sustainable tourism development. Moreover, the results of fuzzy TOPSIS identified top strategies such as green bond innovation for ecosystem regeneration (S1) and circular economy integration (S4), which can play a significant role in promoting sustainable tourism practices by facilitating initiatives aimed at ecosystem regeneration and integrating circular economy principles into the tourism industry.

5.
Mediterr J Rheumatol ; 35(1): 73-82, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38736955

RESUMO

The Emirate of Abu Dhabi (AD) is the capital and largest emirate of the United Arab Emirates (UAE). The emirate's economic significance stems from non-oil and oil contributions to GDP. The 2022 GDP of Abu Dhabi was USD 230 billion. The government provides services to its residents through digital platforms such as official websites. The Abu Dhabi Health Insurance Law No. 23 of 2005 mandates that residents have access to necessary medical care and services. There is a paucity in the literature on the available rheumatology services in the Arab region. This review article aims to explore the status of rheumatology services in AD for both residents and visitors. It will include an overview of paediatric and adult rheumatology care, accessibility of diagnostic procedures, the integration of electronic medical records, access to medications, the status of postgraduate education, research, and suggestions on how to enhance rheumatology services in AD as a destination for medical tourism.

6.
Heliyon ; 10(9): e30282, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38707289

RESUMO

This study delves into the profound impact of mega-events on a destination's perception, focusing notably on Qatar's hosting experience during the FIFA World Cup 2022. Employing a qualitative longitudinal research approach, data is drawn from a variety of sources including Scopus articles, international studies, tourism records, newspapers, and interviews with diverse stakeholders such as visitors, tourism experts, executives, and government officials. Through an inductive content analysis of this extensive dataset, the authors identify key influencing factors. They meticulously examine a decade-long evolution using assessments from independent travel and tourism rating organizations alongside various metrics. The findings reveal a significant uptick in Qatar's allure and inbound tourism. Factors contributing to this surge are systematically categorized, with transportation and events infrastructure, hospitality and accommodation facilities, and media exposure emerging as consistent themes across host nations. Additionally, contextual factors like security/safety, culture/heritage, and diversity are highlighted for their pivotal role in shaping a destination's image. This research underscores how mega-events act as catalysts for reshaping Qatar's destination identity and attracting inbound tourism, as evidenced by a range of indicators contingent upon maintaining both universal and contextual factors. It emphasizes the importance of a strategic vision that nurtures these factors over time, aligning with the destination's life cycle to forge a lasting legacy. Furthermore, the study illuminates how mega-events can bolster soft power for small countries lacking significant natural or historical attractions, providing valuable insights for policymakers and marketers to devise effective strategies.

7.
Heliyon ; 10(9): e30227, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38707320

RESUMO

Tourism promotes the economic development of agro-cultural heritage sites while causing the problem of spatial alienation, so exploring the spatial alienation problems based on the integration of culture and tourism is of great significance for achieving the sustainable development of tourism in agro-cultural heritage sites. This study took the Yuanyang Hani Terrace agro-cultural heritage site as the research area, constructed the model of the spatial system of the agro-cultural heritage site based on the classical grounded theory, and analyzed the spatial characteristics of the agro-cultural heritage site. The results show that the spatial disorder of the agro-cultural heritage site is caused by the interaction of the imbalance of physical space, the fragmentation of cultural space and the complications of social space. Next, this study constructed the model for the spatial restructuring of the agro-cultural heritage site in the context of culture and tourism integration, with the integration of management systems as a guiding force, the integration of talent systems as a crucial force, the integration of agricultural, cultural and tourism resources as a core force, the integration of the cultural and tourism industries as a driving force, the integration of ecology and culture as a basic force, and the integration of digital scenes as an innovative force. This study expands and deepens the spatial theory of tourist destinations and the knowledge system of cultural heritage tourism, and provides a systematic implementation framework and management tools for the integration of culture and tourism and the high-quality development of agro-cultural heritage sites.

8.
Sci Rep ; 14(1): 10705, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38730047

RESUMO

This paper aims to propose a prediction method based on Deep Learning (DL) and Internet of Things (IoT) technology, focusing on the ecological security and tourist satisfaction of Ice-and-Snow Tourism (IST) to solve practical problems in this field. Accurate predictions of ecological security and tourist satisfaction in IST have been achieved by collecting and analyzing environment and tourist behavior data and combining with DL models, such as convolutional and recurrent neural networks. The experimental results show that the proposed method has significant advantages in performance indicators, such as accuracy, F1 score, Mean Squared Error (MSE), and correlation coefficient. Compared to other similar methods, the method proposed improves accuracy by 3.2%, F1 score by 0.03, MSE by 0.006, and correlation coefficient by 0.06. These results emphasize the important role of combining DL with IoT technology in predicting ecological security and tourist satisfaction in IST.

9.
Sci Rep ; 14(1): 10761, 2024 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-38730271

RESUMO

This study employs modified data envelopment analysis (DEA) models and spatial autocorrelation methods to analyze the characteristics of red tourism transformation efficiency and categorize them into efficiency zones. By utilizing geographic detector models, the interactive driving mechanisms behind spatial differentiation are revealed, providing valuable insights for the high-quality transformation and development of China's red tourism economy. The application of modified DEA models facilitates the evaluation of red tourism resource transformation efficiency by decomposing comprehensive efficiency into single-factor efficiency for individual input and output variables. The results indicate that: (1) Expansion of tourism factors is crucial for achieving red tourism resource transformation in China, with low efficiency in resource endowment investment acting as the primary constraint. (2) Local spatial correlation between production efficiency and resource transformation efficiency demonstrates a decreasing trend from east to west, leading to the classification of China's red tourism resources into five types of efficiency zones. (3) Endogenous ability factors predominantly affect red tourism resource transformation efficiency, with interaction between internal and external factors driving spatial differentiation.

10.
Int J Biometeorol ; 2024 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-38744706

RESUMO

Climate is a key resource for tourists and tourism providers. Varied approaches to quantifying climate resources for tourism have been developed in the last 40 years, computing indices from a range of meteorological variables to measure the comparative climatic suitability of different destinations through time. This study provides the first application of a tourism climate index in the tropical southwest Indian Ocean, applying the recently developed Holiday Climate Index (HCI) for Réunion Island. The suitability of this index is evaluated for the case of this French department, with a particular focus on air conditioning availability in tourism accommodation establishments as this index excludes night-time thermal comfort. Both iterations of the HCI (HCIBeach and HCIUrban) are computed with meteorological data from Roland Garros Airport for the period 1991-2020, exploring monthly, annual, and seasonal climatic suitability. Mean monthly HCI scores reveal considerable seasonality in climatic suitability for tourism on the island with scores ranging from 89.3 ('excellent') to 36.9 ('marginal') for the HCIBeach and 85.0 ('excellent') to 27.5 ('unacceptable') for the HCIUrban, with more favourable scores calculated for July and August, displaying a clear austral winter peak seasonal classification. Over the 30-year period, there is no statically significant change in mean annual climatic suitability, and at a monthly scale, only one month of the year for each index displays statistically significant trends. These results are important in informing tourism strategies for the island to maximise visitor satisfaction through targeting advertising more deliberately for peak touristic climate suitability during the winter months.

11.
Malays J Med Sci ; 31(2): 18-29, 2024 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-38694584

RESUMO

This study aimed to review the literature on healthcare facilities and medical tourism from a range of nations that have established medical tourism sectors and assess the effect of healthcare facilities on medical tourism. A bibliometric study of the Scopus database was carried out by using the search terms '(Facility AND of AND healthcare) AND TITLE-ABS-KEY (health AND tourism) AND medical tourism' for the years 2012-2022. A qualitative evaluation of the literature was then performed to find and locate 92 articles. VOSviewer and NVivo 12 Plus were employed for data analysis. The findings indicated that the following trending subject keywords were used during the period in question: health (rate 1.97), medicine (rate 1.91), tourism (rate 1.70), care (rate 0.83), facilities (rate 0.64) and healthcare (rate 0.61). Furthermore, this research identified four distinct clusters: i) medical tourism, ii) healthcare quality, iii) healthcare system and iv) health services. The study found that healthcare facilities, as actors that have a role in the development of medical tourism, have not been sufficiently explored, even though there is evidence that they play a role in the growth of the sector. This result is in line with Heung's argument, which makes the same point.

12.
Heliyon ; 10(9): e30479, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38711657

RESUMO

The recent exponential growth of medical tourism has illuminated the essential but relatively unexamined role of medical travel facilitators (MTFs). MTFs play a crucial role in the success of medical tourism by acting as a bridge between patients and healthcare providers. However, there is a lack of understanding and standardization of the competencies needed to excel in this profession. Therefore, this study aims to reveal and categorize the key MTF competencies through a professional competency model. The research methodology involved a combination of competency classification and thematic content analysis, leveraging insights from 30 healthcare experts. The study is processed through a computer-aided analysis to identify 14 distinct themes and 35 MTF competencies. These findings build up an innovative MTF competency model. This novel model extends the understanding of MTF competencies and is a practical tool for individuals aspiring for MTF roles, promoting their professional development. The findings also suggest a standard for delivering high-quality patient care and meeting the diverse needs of industry stakeholders. The research contributes to both theoretical advancements and practical improvements in the medical tourism industry, with an emphasis on enhancing patient satisfaction and upholding industry standards.

13.
Heliyon ; 10(9): e30477, 2024 May 15.
Artigo em Inglês | MEDLINE | ID: mdl-38726111

RESUMO

Due to a large consumer base owned by a dominant online travel agency(OTA), green hotels widely cooperate with the OTA to sell their products. This study develops a green tourism supply chain model involving an OTA and a green hotel. The study aims to provide valuable insights for the OTA and hotel in optimizing their decision-making process when they come to reach an agreement on cooperation formats among price-only, cost sharing, and revenue sharing. The findings indicate that cost sharing and revenue sharing formats are more effective than price-only format in incentivizing the hotel to improve its environmental efforts. Moreover, these two formats result in higher wholesale prices determined by the hotel compared to the wholesale price set in price-only format. This study also recommends the revenue sharing format as an optimal format, which could lead to a win-win outcome for both the OTA and hotel, achieving profit maximization under specific conditions. Overall, by effectively implementing cooperation formats, the OTA and hotel can work together to promote green tourism supply chain performances.

14.
Sci Rep ; 14(1): 10671, 2024 May 09.
Artigo em Inglês | MEDLINE | ID: mdl-38724657

RESUMO

Green innovation in the tourism industry is a sustainable development concept for resource conservation and environmental optimization. The effective measurement of green innovation efficiency in the tourism industry and an accurate understanding of its spatial relationship was significantly important for promoting its sustainable development. Using the SBM-undesirable model, kernel density estimation, and a spatial Markov chain, we explored the spatio-temporal evolution characteristics and influencing mechanisms of urban tourism green innovation efficiency (TGIE) in China between 2000 and 2020. We found that (1) the temporal and spatial changes of TGIE were generally at a lower than medium level and fluctuated throughout country, with a transition in the east, collapse in the middle, and stagnation in the northeast. (2) The dynamic evolution of TGIE always exhibited polarization, but regional coordination was gradually enhanced with strong stability, although it was difficult to achieve leap-forward development. The cities with spatial upward transfer were concentrated mainly in the central and western region and while there were few cities with a downward adjustment, there were obvious asymmetrical spatial spillover effects. (3) The driving factors of TGIE were the overall economic level, industrial structure, government regulation, and education level. These factors had a significant positive relationship with TGIE, while the degree of opening up to the outside world has no significant effect, but the degree of influence, mechanism, and conditions of each factor were strongly regional.

15.
J Educ Health Promot ; 13: 63, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38559480

RESUMO

Providing quality services, using modern technologies, having effective marketing, and providing services at an international level have led to the globalization of hospital services. This study aimed to identify the components of health services in developing countries that provide services to international patients. A comparative review was conducted by searching in PubMed, Scopus, Web of Science, Google Scholar, Google, and the websites of the World Medical Tourism Organization, the World Bank, and the Ministry of Health of the selected countries from 2000 to 2022. Iran, Turkey, Jordan, Costa Rica, the UAE, and Singapore were selected. The data were collected and analyzed using a comparative table. Different strategies were used to develop the medical tourism industry among the studied countries, but the main challenges in this field included the inappropriateness of the quality of the services provided or the provision of services that did not meet the needs of patients, the lack of expert human resource, not using medical facilitation companies, communication problems with patients, insufficient government support for medical tourism, and strict laws regarding business. The development of activities in the medical tourism industry requires planning in various dimensions. It seems that developing the medical marketing and activities of facilitator companies to facilitate patient admission, monitoring the quality of services provided, improving interdepartmental coordination, and considering a single trustee for this industry will improve the medical tourism status in Iran.

16.
Front Psychol ; 15: 1293050, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38566934

RESUMO

Introduction: Urban professionals often seek respite from their daily routines through restorative tourism, driven by a complex interplay of motivations that include both internal "push" factors and external "pull" factors. This study investigates the intricate relationship between the perceived environmental restorativeness of tourist destinations and the expectations of urban professionals engaging in restorative tourism. Furthermore, it examines how push and pull motivations mediate this relationship while also considering the moderating effect of destination attributes. Methods: The multiple regression analyses on the survey data collected from 221 urban professionals with restorative tourism experiences provided quantitative evidence regarding the hypothesized relationships among perceived environmental restorativeness, push and pull motivations, destination attributes, and tourism expectations. Results: The results showed that perceived environmental restorativeness has a positive effect on urban professionals' tourism expectations; urban professionals' pull motivation and push motivation each play a mediating role between perceived environmental restorativeness and tourist expectations; and restorative tourism destination attributes have a moderating effect between perceived environmental restorativeness and push motivation, as well as the relationship between perceived environmental restorativeness and pull motivation. Discussion: This study provides essential theoretical contributions to restorative tourism and practical implications when designing restorative tourism destinations that target urban professionals.

17.
Heliyon ; 10(8): e28740, 2024 Apr 30.
Artigo em Inglês | MEDLINE | ID: mdl-38628733

RESUMO

Research objective: To explore the spatial correlation network characteristics and formation mechanisms of tourism resource conversion efficiency, and provide reference for the collaborative improvement of tourism resource conversion efficiency at the provincial level in China. Research methods: Non parametric SBM efficiency measurement method and social network analysis method. Research hypothesis: The spatial network correlation characteristics of tourism resource conversion efficiency are obvious, and regional connections are close. Research findings: (i) during the research period, the spatial connection strength of China's tourism resource conversion efficiency continued to increase and the spatial network structure of tourism resource conversion efficiency tended to become more complex and significantly more stable. (ii) A spatially linked network with a stable tourism resource conversion efficiency structure formed in China. The number of network relations and density of the network fluctuated and increased, while the network efficiency continued to decrease; however, a strong small-world nature was observed. (iii) The economic development level difference matrix, tourism industry agglomeration difference matrix, human capital difference matrix, and marketization degree difference matrix significantly and positively affected spatial association relationship establishment, while the provincial adjacency matrix significantly and negatively affected such relationships.

18.
Health Serv Insights ; 17: 11786329241245231, 2024.
Artigo em Inglês | MEDLINE | ID: mdl-38601077

RESUMO

Nowadays, the global medical tourism market size has grown quite rapidly, with a projected increase of 21.1% between 2021 and 2028. This study aimed to explore barriers and potential strategies for the development of medical tourism in Indonesia. A qualitative case study design was employed, where 8 respondents were selected using an expert sampling method from various groups according to the helix framework, including academics, government, professional organizations, the private sector, and the media. Data was collected through document analysis and in-depth interviews, and was analyzed manually using an inductive thematic content analysis approach. Limitations to the development of Indonesian medical tourism are related to regulations concerning medical tourism, the number of health services, distribution, supporting resources, public trust, and competition. At the institutional level, the challenges comprise services and products, hospital facilities, supporting facilities, and marketing processes. Furthermore, at the micro level, the low competency of both health and non-health workers persist as an obstacle. The potential strategy at the macro level include the development of robust marketing and branding strategies, health infrastructure, and resources. At the institutional level, it was necessary to develop related products and services provided, improve quality, and focus on branding and marketing strategies. Additionally, improving human resource skills was needed at the micro level.

19.
Heliyon ; 10(7): e29039, 2024 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-38601608

RESUMO

Rural tourism is a powerful way to revitalize the countryside, and its spatial pattern is crucial for sustainable development. This paper analyzes the spatial distribution of rural tourism characteristic villages in Henan Province by taking 723 villages as the research object and using the nearest neighbor index, kernel density analysis, and spatial autocorrelation. It investigates the influencing factors utilizing the optimal parameters-based geographical detector (OPGD) model. The results show that, firstly, the overall spatial distribution of the rural tourism characteristic villages in Henan Province is characterized by aggregation and unbalanced distribution, and the overall spatial distribution density demonstrates the aggregation characteristics of "four cores and one belt". Secondly, the rural tourism characteristic villages can be divided into four primary categories, agricultural industry, rural culture, and featured villages and towns. The spatial distributions of the four main categories are all clustered. Thirdly, the primary factors affecting the differences in the spatial distribution of the rural tourism characteristic villages are the topographic features, economic development level, tourism market potential, traffic capacity, and relevant policies, among which the critical factor is the number of A-class scenic spots in the tourism market potential. To promote the optimisation of the spatial pattern of rural tourism, it is necessary to strengthen resource integration. Furthermore, it is important to conduct in-depth exploration of more factors in order to provide comprehensive guidance for the sustainable development of rural tourism.

20.
Ambio ; 2024 Apr 22.
Artigo em Inglês | MEDLINE | ID: mdl-38647618

RESUMO

Livelihood initiatives are common within marine protected areas (MPAs) aiming for poverty alleviation or higher income opportunities. However, results can be mixed in reality, as well as change over time. Furthermore, who benefits is a key consideration, as results can vary based on inequalities, including gender. Here, the monetary outcomes of different livelihood strategies were investigated across three MPA regions in Zanzibar, Tanzania. Using a quantitative approach, the results show that livelihoods have shifted in a six-year period, with livelihood strategies differing in poverty incidence and income. Livelihood initiatives, namely seaweed farming and tourism, did not provide significantly higher monetary returns compared to long-standing livelihoods, such as fisheries. Seaweed farming showed income stability but a high poverty incidence predominantly within women-headed households. During the study period, men primarily remained in fisheries, whilst women shifted to small-scale businesses and fisheries, largely exiting seaweed farming. This underscores a need for adaptive, gender sensitive management within fast changing coastal contexts.

SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA
...