603
Views
25
CrossRef citations to date
0
Altmetric
Articles

Using Authenticity to Achieve Competitive Advantage in Medical Tourism in the English-speaking Caribbean

&
Pages 919-937 | Published online: 06 Jun 2008
 

Abstract

Medical tourism is a relatively recent global economic and political phenomenon which has assumed increasing importance for developing countries, particularly in Asia. It has been slower to develop within the context of the tourism industry in English-speaking Caribbean countries but there is evidence that the tourism policy makers in the region perceive medical tourism as a potentially lucrative niche market. However, while the potential of medical tourism has seemingly been embraced by the region's political directorate, there has been limited discussion of the extent to which this market niche can realistically provide competitive advantage for the region. The argument of this conceptual paper is that the English-speaking Caribbean cannot hope to compete successfully in the global medical tourism market with many developing world destinations in Asia, or even with other Caribbean countries such as Cuba, on factors such as low cost, staff expertise, medical technological capability, investment in healthcare facilities or even in terms of the natural resources of sun, sea and sand. Rather, in order to achieve competitive advantage the countries of the region should, on the one hand, identify and develop their unique resources and competences as they relate to medical tourism, while, on the other hand, they should exploit the demand of the postmodern tourist for authentic experiences. Both these supply and demand side issues, it is argued, can be addressed through the development of a medical tourism product that utilises the region's indigenous herbal remedies.

Notes

1 UN World Tourism Organization (unwto), World Tourism Barometer, 16 (1), 2008.

2 Ibid.

3 World Travel and Tourism Council (wttc), ‘Tourism satellite accounting research (Caribbean)’, 2007, at http://www.wttc.travel/eng/WTTC_Research/Tourism_Satellite_Accounting/TSA_Regional_Reports/Caribbean/index.php, accessed 22 February 2007.

4 Facts and figures available online from http://www.unwto.org/index.php, accessed 23 February 2008.

5 Cf Auliana Poon's extensive discussion of the characteristics of the ‘new tourist’. A Poon, Tourism, Technology and Competitive Strategies, Wallingford: cab International, 1993.

6 ‘Renewed call for health tourism’, Daily Gleaner (Jamaica), 9 January 2007.

7 While the focus of this paper is on medical tourism in developing countries, it is recognised that medical tourism is also a significant phenomenon in Eastern European countries such as Hungary and the Czech Republic.

8 Atlas, Medical Tourism: A Global Analysis, London: Tourism Research and Marketing, February 2006.

9 Ibid.

10 BY Newman, ‘Medical tourism’, Optometry: Journal of the American Optometric Association, 77 (12), 2006, p 581.

11 W Bies & L Zacharia, ‘Medical tourism: outsourcing surgery’, Mathematical and Computer Modelling, 46, 2007, pp 1144.

12 J Anderson & L O'Dowd, ‘Borders, border regions and territoriality: contradictory meanings, changing significance’, Regional Studies, 33 (7), 1999, p 597.

13 J Connell, ‘Medical tourism: sea, sun, sand and … surgery’, Tourism Management, 27, 2006, p 1094.

14 JC Henderson, ‘Healthcare tourism in Southeast Asia’, Tourism Review International, 7, 2004, pp 111–122.

15 Atlas, Medical Tourism, pp 10–11.

16 Atlas, Medical Tourism.

17 P Hirst & G Thompson, Globalisation in Question, Cambridge: Polity Press, 1995; and A Amin, ‘Placing globalisation’, Theory, Culture and Society, 14 (2), 1997, pp 123–137.

18 K Ohmae, The End of the Nation-state: The Rise of Regional Economies, New York: Free Press, 1995; TM Wilson & H Donnan, Border Identities: Nation and State at International Frontiers, Cambridge: Cambridge University Press, 1998; and M Huff-Rouselle, C Shephard, R Cushman, J Imrie & S Lalta, Prospects for Health Tourism Exports for the English-speaking Caribbean, Washington, DC: World Bank, 1995.

19 Ohmae, The End of the Nation-state; and R Robertson, Globalisation: Social Theory and Global Culture, London: Sage, 1992.

20 R O'Brien, Global Financial Integration: The End of Geography, London: Royal Institute of International Affairs, 1992; and L Cox, ‘Border lines: globalisation, de-territorialisation and the reconfiguration of national boundaries', Proceedings of Mobile Boundaries/Rigid Worlds Conference, Macquarie University, Australia, 2004.

21 Connell, ‘Medical tourism’.

22 A Garcia-Altes, ‘The development of health tourism services', Annals of Tourism Research, 32 (1), 2005, pp 262–266.

23 Atlas, Medical Tourism.

24 Connell, ‘Medical tourism’; Garcia-Altes, ‘The development of health tourism services'; and B Hutchinson, ‘Medical tourism growing worldwide’, U-Daily, University of Delaware, 25 July 2005, at www.ude/edu/pr/uDaily/2005/mar/tourism072505.html, accessed 7 January 2008.

25 Hutchinson, ‘Medical tourism growing worldwide’.

26 Huff-Rouselle et al, Prospects for Health Tourism Exports.

27 World Health Organisation (who), National Policy on Traditional Medicine and Regulation of Herbal Medicine, Geneva: who, May 2005, p 1.

28 L Williams, ‘Ethnomedicine’, West Indian Medical Journal, 55 (4), 2006, p 215.

29 N Wang, ‘Rethinking authenticity in tourism experience’, Annals of Tourism Research, 26 (2), 1999, pp 349–370.

30 Ibid.

31 D McCannell, ‘Staged authenticity: arrangements of social space in tourist settings', American Journal of Sociology, 79, 1973, pp 589–603; and McCannell, The Tourist: A New Theory of the Leisure Class, New York: Schocken Books, 1976.

32 JP Taylor, ‘Authenticity and sincerity in tourism’, Annals of Tourism Research, 28 (1), 2001, p 10.

33 E Goffman, The Presentation of Self in Everyday Life, London: Penguin, 1959.

34 Wockhardt Hospitals, ‘Wockhardt hospitals Mumbai gets jci accreditation, world's gold standard in health care delivery’, press release, 2005, at www.wockhardthospitals.net/general/jcinews5.asp, accessed 9 November 2007.

35 Wang, ‘Rethinking authenticity in tourism experience’, p 356.

36 G Waitt, ‘Consuming heritage: perceived historical authenticity’, Annals of Tourism Research, 27 (4), 2000, pp 835–862.

37 I Silver, ‘Marketing authenticity in Third World countries', Annals of Tourism Research, 20, 1993, pp 302–318.

38 Wang, ‘Rethinking authenticity in tourism experience’.

39 P Berger, ‘Sincerity and authenticity in modern society’, Public Interest, 31, 1973, pp 81–90.

40 Wang, ‘Rethinking authenticity in tourism experience’, p 358.

41 S Kelner, ‘Narrative construction of authenticity in pilgrimage touring’, paper presented at the 96th Annual Meeting of the American Sociological Association, Anaheim, CA, 19 August 2001.

42 D Boyle, Authenticity: Brands, Fakes and Spin and the Lust for Real Life, London: Harper Perennial, 2003.

43 A Beckett, ‘The quest for imperfection’, Guardian, 16 June 2004, at http://www.guardian.co.uk, accessed 18 August 2005.

44 Boyle, Authenticity.

45 Ibid, p 128.

46 Abraham Maslow developed a theory of human motivation in 1943 which has since been used as the foundation of studies in this area in a number of disciplines. According to Maslow, human beings have a hierarchy of needs moving from lower-order to higher-order needs in a sort of pyramid. Lower-order needs, which occupy the wide base of the pyramid, include basic requirements for food, shelter, clothing and sex. The highest order need at the narrow apex of the pyramid is that for self-actualisation but this can only be achieved once the lower-order needs have been satisfied.

47 D Lewis & D Bridger, The Soul of the New Consumer, London: Nicholas Brealey Publishing, 2001.

48 A Apostolakis, ‘The convergence process in heritage tourism’, Annals of Tourism Research, 30 (4), 2003, pp 795–812.

49 WHO, National Policy on Traditional Medicine and Regulation of Herbal Medicine; and T Alleyne, S Roache, C Thomas & A Shirley, ‘The control of hypertension by use of coconut water and mauby: two tropical food drinks', West Indian Medical Journal, 54 (1), 2005, pp 3–8.

50 Alleyne et al, ‘The control of hypertension by use of coconut water and mauby’.

51 M Elvin-Lewis, ‘Should we be concerned about herbal remedies?’, Journal of Ethnopharmacology, 75, 2001, p 141.

52 Elvin-Lewis, ‘Should we be concerned about herbal remedies?’.

53 Mintel International, Organics—UK, November 2007, emphasis added.

54 Elvin-Lewis, ‘Should we be concerned about herbal remedies?’.

55 M Gossell-Williams & SME West, ‘The past and present use of plants for medicines', West Indian Medical Journal, 55 (4), 2006, p 218.

56 Positive Tourism News Network, 2007, at www.caribbeanhealthtourism.com, accessed 7 January 2008.

57 Y Clement, J Morton-Gittens, L Basdeo et al, ‘Perceived efficacy of herbal remedies by users accessing primary healthcare in Trinidad’, bmc Complementary and Alternative Medicine, 2007, p 5, at www.biomedcentral.com/1472-6882/7/4, accessed 30 November 2007.

58 JM Gardner, D Grant, S Hutchinson & R Wilks, ‘The use of herbal teas and remedies in Jamaica’, West Indian Medical Journal, 49 (4), 2000, pp 331–335.

59 The mauby tree (scientifically from the Rhamuaceae family) grows in abundance in many Caribbean islands. In the English-speaking Caribbean mauby is the name given to the bitter liquid extracted from the bark of the tree and this is usually diluted with water and sweetened with sugar to provide a popular drink. Alleyne et al, ‘The control of hypertension by use of coconut water and mauby’.

60 Ibid, p 8.

61 CM Chariandy, CE Seaforth, RH Phelps, GV Pollard & BPS Khambay, ‘Screening of medicinal plants from Trinidad and Tobago for antimicrobial and insecticidal properties', Journal of Ethnopharmacology, 64, 1999, p 269.

62 SA Mitchell & MH Ahmad, ‘A review of medicinal plant research at the University of the West Indies, Jamaica, 1948–2001’, West Indian Medical Journal, 55 (4), 2006, pp 243–269.

63 Wordpress, International Health Travel: Possibilities for the Caribbean?, 6 July 2007, at http://caribbeancomment.wordpress.com, accessed 7 January 2008.

64 J Barnes, ‘Quality, efficacy and safety of complementary medicines: fashions, facts and the future. Part II: efficacy and safety’, British Journal of Clinical Pharmacology, 55, 2003, p 331.

65 Elvin-Lewis, ‘Should we be concerned about herbal remedies?’.

66 Huff-Rouselle et al, Prospects for Health Tourism Exports.

67 For more on this, see Connell, ‘Medical tourism’.

Reprints and Corporate Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

To request a reprint or corporate permissions for this article, please click on the relevant link below:

Academic Permissions

Please note: Selecting permissions does not provide access to the full text of the article, please see our help page How do I view content?

Obtain permissions instantly via Rightslink by clicking on the button below:

If you are unable to obtain permissions via Rightslink, please complete and submit this Permissions form. For more information, please visit our Permissions help page.