خلاصة:
از آنجا که برای انجام یک سفر مطمئن برای درمان و یا پیشگیری از بیماری به حضور منبعی مطلع هم در زمینه درمان و هم در مورد مقصد مناسب، مانند تسهیلگران گردشگری سلامت و درمان نیاز میباشد، در این پژوهش سعی در ارائه چارچوبی برای نقشهای تسهیلگران گردشگری پزشکی که زیر شاخه گردشگری سلامت است، در مراحل قبل، حین و بعد از سفر بیمار شده است. پژوهش حاضر از نظر هدف کاربردی و روش جمعآوری دادههای پژوهش پیمایشی بوده است. جامعه آماری شامل فعالان حوزه گردشگری پزشکی شهر اصفهان بوده و تعداد نمونه 78 نفر از اساتید دانشگاهها، پزشکان، کارکنان سازمان گردشگری شهر اصفهان، آژانسهای گردشگری و هتلهای موجود در شهر اصفهان بوده که در نهایت 66 پرسشنامه جمعآوری گردیده است. به منظور جمعآوری دادهها، پرسشنامه محقق ساخته توزیع گردیده است. روایی با استفاده از تجربه خبرگان متخصص و پایایی پرسشنامه نیز با استفاده از آلفای کرونباخ مورد بررسی و تائید قرار گرفته است. تحلیل دادههای پژوهش با روشهای آمار توصیفی و استنباطی و به کمک نرم افزار spss و آزمونهای دوجملهای، علامت و آنتروپی شانون صورت گرفته و یافتهها نشان داد، نقشهای تسهیلگران گردشگری پزشکی قبل از سفر شامل برنامهریزی، مذاکره با ارائه دهندگان خدمات، راهنمایی قانونی و مشاوره با پزشک، هماهنگی مربوط به درمان، فعالیتهای ترویجی برای جذب بیمار، اتصال بیمار به کادر درمانی، کمک به یافتن مرکز درمانی، کمک به انجام سفر، رعایت حریم خصوصی، بررسی مشروعیت و اعتبار پزشکان و مراکز درمانی، کمک به انتخاب مقصد، برنامهریزی برای حمل و نقل، حذف لیست انتظار طولانی، دریافت ویزا و در حین سفر، شامل راهنمایی برای بهرهمندی از امکانات مقصد، امور پیش از درمان، کمک به گردش در مقصد، ملاقات با پزشک، برقراری روابط فرهنگی و اجتماعی، ایجاد محیط آرام نقاهت، مراقبت باکیفیت، بهصرفه و بهموقع، مترجمی، در مرحله بعد از سفر، مطرح کردن پیشنهاداتی برای بهداشت مبدا، برعهده گرفتن مسئولیت آسیبهای احتمالی پس از بازگشت به خانه، سازماندهی ادامه درمان در خانه، حل مشکلات بیمار در کشور مبدا، ارزیابی رضایت بیمار و کیفیت درمان بوده است.
Presenting a Three-steps Framework of Facilitators Role in Development of Health Tourism in the City of Isfahan .There is increasing evidence that medical tourists seek help from medical travel facilitators help and management medial tourism. In medical tourism, these facilitators play a significant role as moderator in engaging between the prospective patients in one country and medical facilities elsewhere around the world. To date, the literature in medical tourism has focused almost exclusively on patients and health care providers . However, little is known empirically with regard to the importance of medical travel facilitators and their contributions in the medical tourism industry. Hence, the moderating and programing role of medical travel facilitators needs to be explored due to the rising number of medical tourist. This paper discusses identify the roles of health tourism facilitators in framework. It is also categorized in three steps including pre-travel, on-travel, and post-travel.Because a safe travel needs reliable informational sources like to tourism facilitators, the present study aims to presenting a three-step framework of facilitators' role in development of medical tourism in the city of Isfahan. The present study is a practical research from goal perspective. It also is considered as a survey from research methodology view. The statistical population of this study includes managers of health tourism in the city of Isfahan. A sample of 87 managers have been selected from this population by using snow-ball sampling method. A researcher-developed questionnaire has been used for collecting the research data. Finally, 66 questionnaires have been collected from respondents, which have been used in the final statistical analyses. The questionnaire validity and reliability have already been investigated and confirmed by researcher. Binomial test and sign test are the main statistical tests that have been used for analyzing the research data in the SPSS. Based on the findings of this study, health tourism facilitators roles include 30 items that 16 items of them are done in the pre-travel step, 8 items of them are done in the pre-travel step , and 6 items of them are done in the pre-travel step. Based on another part of our results , pre-travel roles are the most important ones and post-travel roles are the least important ones. Also our results revealed that travel planning is the most important roles of facilitators . Results and Discussion Our findings revealed that the roles of health tourism facilitators can be categorized in three steps including pre-travel, on-travel , and post-travel . The pre-travel roles include travel planning, negotiation with service providers , political guidance and physician consulting , therapy coordination , patience promotional efforts, linking patient to therapy teams, helping tourist in findings hospitals, traveling help, privacy affairs, evaluation of physicians and hospitals, helping in destination choice, transportation planning, elimination of waiting lines, and visa affairs. The on-travel roles include helping in destination services uses, pre-therapy affairs, helping in tourism affairs, physician-patient relationships management, social and cultural relationships management, safe environment, qualified maintenance, timeliness and value of services, and translation services. The post-travel roles include post-travel suggestions, potential responsibilities of therapy, after-therapy efforts, solving patient problems in his/her country, evaluation of patient approbation, and therapy quality. Our findings revealed that the roles of health tourism facilitators can be categorized in three levels including pre-travel, on-travel, and post-travel. The pre-travel roles include travel planning, negotiation with service providers, political guidance and physician consulting, therapy coordination, patience promotional efforts, linking patient to therapy teams , helping tourist in findings hospitals, traveling help, privacy affairs, evaluation of physicians and hospitals, helping in destination choice , transportation planning , elimination of waiting lines, and visa affairs. The on-travel roles include helping in destination services uses, pre-therapy affairs, helping in tourism affairs, physician-patient relationships management, social and cultural relationships management, safe environment, qualified maintenance , timeliness and value of services, and translation services. The post-travel roles include post - travel suggestions , potential responsibilities of therapy, after-therapy efforts, solving patient problems in his /her country , evaluation of patient approbation , and therapy quality. health tourism facilitators roles include 30 items that 16 items of them are done in the pre-travel step, 8 items of them are done in the pre-travel step, and 6 items of them are done in the pre-travel step. Based on another part of our results, pre-travel roles are the most important ones and post-travel roles are the least important ones. Also our results revealed that travel planning is the most important role of facilitators. Key Words: Tourism, Health Tourism, Facilities of health tourism.