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Research Article

Medical Tourism and Cognitive Dissonance: Exploring Tourist Choice Behavior, Post-Choice Pre-Outcome Regret, and Visit Intention

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Pages 514-544 | Published online: 18 Oct 2022
 

ABSTRACT

This study examines the underlying mechanism of cognitive dissonance in medical tourism and its impact on tourist behaviors, which is yet under-explored in the extant literature. Study 1 reveals how cognitive dissonance arises in medical tourism and presents key relationships among constructs. Study 2 empirically analyzes the data gathered online from 647 Chinese respondents. Findings show that the health conditions of tourists impact their medical tourism combination choice under the significant mediating impact of perceived medical treatment risk. Medical tourism combination choice impacts post-choice pre-outcome (PCPO) regret. Additionally, PCPO regret negatively impacts tourist visit intention. To fill the lacuna, this study employed the theory of cognitive dissonance to examine medical tourist behavior as a reflection of tourist health conditions, PCPO regret, and medical tourism combination choice, which remained mixed and fragmented in previous studies. Medical tourism strategies aimed at reducing tourist cognitive dissonance at the pre-purchase stage may fuel tourist cognitive comfort during the medical tourism decision-making process, potentially exerting a favorable impact on tourist visit intention.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Supplementary material

Supplemental data for this article can be accessed online at https://doi.org/10.1080/1528008X.2022.2135058

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