Document Type


Article Version


Publication Date



Even though American health care providers have incessantly raised their prices, medical insurers have managed to achieve (greater) profitability covering fewer services for a smaller number of clientele every year. Against this backdrop, there has been a sharp increase in the number of people seeking health care in foreign countries. Using prospect theory, this study finds medical tourism consideration to be driven by domestic medical costs, patient privacy concerns, medical restrictions, and foreign destination desirability. The latter is in turn influenced by tourist attractions and service quality assurance in addition to domestic medical costs. The findings and their implications and limitations are also discussed.


Copyright 2018 Taylor & Francis

“This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Hospitality Marketing & Management on 5 March 2018, available online:”

The author post-print has been archived here with permission from the copyright holder.

Publication Title

Journal of Hospitality Marketing & Management

Published Citation

Zolfagharian, Mohammadali, et al. "Determinants of medical tourism destination selection process." Journal of Hospitality Marketing & Management, 27, no. 7 (2018): 1-20. doi:10.1080/19368623.2018.1444527.



Peer Reviewed