8
Quarterly
Research and Practice
Journal
UDC 338.48(4/9+497.11)=111
Čavlin Miroslav, Ignjatijević Svetlana
CHALLENGES AND PROSPECTS OF MEDICAL TOURISM
IN THE WORLD AND THE REPUBLIC OF SERBIA
The subject of this paper is an analysis of medical tourism,
in order to draw attention to contemporary trends and the factors
that influence its development. We have tried to define the
concept of medical tourism, the directions of movement of patients
– tourists and look at the factors that influence decisionmaking
in the choice of a particular destination.The results of this
research show that the number of medical tourists is increasing.
The analysis of the potential that Serbia has in the field of medical
tourism, we have concluded that large cities have the largest
private hospital complex. Even though the interest of patients
from abroad are great, so far reference hospitals do not participate
in organized medical tourism.Organized and synchronized
performance of travel agencies and medical institutions, as
well as adequate measures of the Government of Serbia would
helpSerbia to become a centre of medical tourism in Southeast
Europe.
Key words: medical tourism, patient, competitiveness
ISSN 2222-9345
Founder
FSBEI HPE
«Stavropol
State
Agrarian University»
Čavlin Miroslav –
Ph.D., Assistant professor,
FIMEK, CvećarskaStreet no. 2, 21000 Novi Sad, Serbia
Phone: +381 21 400 484
E-mail: cmiros@gmail.com
Ignjatijević Svetlana –
Ph.D., Assistant professor, FIMEK,
CvećarskaStreet no. 2, 21000 Novi Sad, Serbia,
Phone:+381 21 400 484
E-mail: ceca@fi mek.edu.rs
JEL:F00, F60, I11.
Editorial вoard:
Introduction
Provision of medical services is now increasingly
influenced by global trends in order to create a
global patient, staff and services. Health care at the
national level in recent years has become a serious
problem. The high price level, the long wait for the
execution of specific interventions made the patient
in this area acts as a finicky market-oriented
consumer. In order to solve their health problems,
patients become creators of an entirely new markets
and new services. Consumption in the sphere
of health care creates an unexpected connection,
the idea that consumers are quickly recognized
and accepted. Developing countries realizing the
importance of a new, creative thinking and are the
leading centres of medical tourism. Medical tourism
is developing rapidly in recent years, and its development
influences the development of the national
health system.
Defining the concept of medical tourism
Medical tourism is a collection of different services
that can be linked to the provision of treatment
services to foreign tourists or patients sent by local
health agencies through intergovernmental agreements
on the exchange of patients, but they can not
be considered as medical tourism.Medical tourism,
highlight by Carrera and Bridges (2006, p. 447) includes
tourists who voluntarily choose to pay for
certain health services in countries outside the EU,
although EU has secured health care.Contribution
in defining the concept is given by Crozier and Baylis
(2010) so medical tourism is perceived as an international
medical travel, where patients cross national
borders in order to purchase medical goods
and services.Doctors in their home countries, as
the author’s state, have the opportunity to inform
patients about the potential for their recovery in accordance
with ethical and moral principles. Jones
and Keith (2006) introduce a concept of “medical
outsourcing”. They indicate the legal and political
constraints faced by medical patients, the need to
adapt treatment protocol in an efficient and ethical
system. Doctors, lawyers and politicians are trying
to shape the field of medical tourism in line with
trends in modern medicine.
Status and trends of medical tourism in the
world
Medical tourism market in the world is recognized
as a highly lucrative and growing form of tourism
that entails a number of paradigms. According
to the study of health care consumers the United
States (Deloitte, 2009), which referred to specific
questions about medical tourism, 40% of respondents
showed interest in treatment abroad if
their doctor recommends it or if the cost of treatment
is lower by 50%.Studies show that more and
more Europeans are travelling for surgery intervention,
and in the last five years travelling for surgery
intervention is on the rise by 24%. And when you
take into account the information that in Europe
about 80 million people with disabilities or special
needs together with followers is around 133 million
people, then we see a huge potential of affordable
medical tourism. Based on the research of literature
and practice we have been observed following
trends and characteristics.
Estimated market growth of these services
from 20 to 25% per year due to the aging of the
world population, the value of medical tourism
market 2011 totalled over $ 120 billion, a 5% of all
BANNIKOVA N. V.
BUNCHIKOV O. N.
GAZALOV V. S.
DZHANDAROVA T. I.
DYAGTEREV V. P.
ESAULKO A. N.
ZLYDNEV N. Z.
KVOCHKO A. N.
KOSTYUKOVA E. I.
KOSTYAEV A. I.
KRASNOV I. N.
KRYLATYKH E. N.
KUSAKINA O. N.
LYSENKO I. O.
MAZLOEV V. Z.
MALIEV V. H.
MINAEV I. G.
MOLOCHNIKOV V. V.
MOROZ V. A.
MOROZOV V. Yu.
(vice-chairman
of editorial board)
NIKITENKO G. V.
OZHEREDOVA N. A.
PENCHUKOV V. M.
PETROVA L. N.
PETENKO A. I.
PROKHORENKO P. N.
RUDENKO N. E.
SANIN A. K.
SKLYAROV I. Yu.
SYCHYOV V. G.
TARASOVA S. I.
KHOKHLOVA E. V.
Doctor of Economics, Professor
Doctor of Economics, Professor
Doctor of Technical Sciences, Professor
Doctor of Biology, Professor
Doctor of Biology, Professor
Doctor of Agriculture, Professor
Doctor of Agriculture, Professor
Doctor of Biology, Professor
Doctor of Economics, Professor
Doctor of Economics, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Technical Sciences, Professor
Doctor of Economics, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Economics, Professor
Doctor of Biology, Docent
Doctor of Economics, Professor
Doctor of Technical Sciences, Professor
Ph. D. in Technical Sciences, Professor
Doctor of Biology, Professor,
Corresponding Member
of the Russian Academy of Agricultural Sciences
Doctor of Agriculture, Professor, Member
of the Russian Academy of Agricultural Sciences
Ph. D. in Veterinary Sciences, Docent
Doctor of Technical Sciences, Docent
Doctor of Veterinary Sciences, Docent
Doctor of Agriculture, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Agriculture, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Agriculture, Professor
Doctor of Agriculture, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Technical Sciences, Professor
Managing Director of Publishing Center «AGRUS»
Doctor of Economics, Professor
Doctor of Agriculture, Professor, Member
of the Russian Academy of Agricultural Sciences
Doctor of Pedagogic Sciences, Professor
Ph. D. in Pedagogic Sciences, Docent
Agricultural Bulletin of Stavropol Region is on the list of leading peer-reviewed journals and publications approved by the Ministry
of Education and Science of the Russian Federation and contains the main scientific results of doctoral and Ph.D. theses.
EDITORIAL BOARD
Chairman of editorial вoard
TRUKHACHEV V. I.
Rector
of Stavropol State Agrarian University,
Corresponding Member of RAAS,
Doctor in Agriculture,
Doctor in Economics, Professor
Agricultural
Agricultural
Subscription index 83308.
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Included in AGRIS abstract database
RESEARCH AND PRACTICE JOURNAL
Has been published since 2011, quarterly
№ 1(13)
Supplement,
2014
Стр.1
2
Quarterly
Research and Practice
Journal
СONTENTS
TOURISM
Áldorfai György
METHODOLOGY EXAMINATION
OF THE LOCAL ECONOMIC
DEVELOPMENT BASED
ON SUBJECTIVE FACTORS . . . . . . . . . . . . . . . . . 4
Čavlin Miroslav, Ignjatijević Svetlana
CHALLENGES AND PROSPECTS
OF MEDICAL TOURISM IN THE WORLD
AND THE REPUBLIC OF SERBIA . . . . . . . . . . . . . . 8
Cvijanović Drago, Vuković Predrag
CONDITION FOR SUSTAINABLE TOURIST
DEVELOPMENT IN AREA OF LOWER
DANUBE REGION, REPUBLIC OF SERBIA . . . . . . . . 12
Daubarienė Jurgita, Valukonienė Gitana
INNOVATION IN RURAL TOURISM:
A CASE STUDY OF UTENA REGION,
LITHUANIA . . . . . . . . . . . . . . . . . . . . . . . . . 16
Dragutinović Stefan, Jeločnik Marko, Zubović Jovan
BUILDING TOURISM CAPACITIES
IN BELGRADE
IN THE (POST) CRISIS PERIOD . . . . . . . . . . . . . . 20
Agricultural
Agricultural
№ 1(13) Supplement, 2014
Ivolga Anna
TOURISM IN RUSSIA AND EASTERN EUROPE
AS A CONTEMPORARY FACTOR
OF NATIONAL ECONOMIC DEVELOPMENT . . . . . . . 27
Kalugina Elena
ADVERTISING IN TOURISM:
LANGUAGE PARADIGM OF MANIPULATION . . . . . . . 32
Klímová Monika
ETHICAL SPECTRUM
OF SERVICES HALAL TOURISM
OF CZECH REPUBLIC IN RELATION
TO THE RUSSIAN-SPEAKING TOURISTS . . . . . . . . . 35
Molchanenko Svetlana
PRINCIPAL DIRECTIONS OF TOURISM MARKET
DEVELOPMENT IN RURAL REGION . . . . . . . . . . . 38
Nagy Adrienn, Virág Ágnes
DESTINATION MANAGEMENT IN HUNGARY . . . . . . 41
Narkūnienė Ramutė
THE TOURISM DESTINATION COMPETITIVENESS
FACTORS . . . . . . . . . . . . . . . . . . . . . . . . . . 45
economy – as a take-off element for the „Northern
Coast of the Danube Bend”. Concurring with the
opinion of the local actors, to revitalize the local
economy successful and sustainable operation,
the development of production and marketing
of the local products, the development of local
enterprises, and the reshaping of the population’s
and entrepreneurs’ approaches is needed.
Conclusion
Through the results of analyses, calculations and
surveys, I established that in the micro-region of the
„Northern Coast of the Danube Bend” a significant
part of the goals and tools of local economic
development (e.g.: tourism) have potential chance
References:
1. József K. (1998): Területi gazdaságtan,
Gödöllő, GATE
2. József K. (2001): Regionális gazdaságtan,
Gödöllő
Tourism
7
for materialisation, and its sustainable operation
considering the economic, social and environmental
endowments of the area. Therefore, a successful
local economic development program can be
carried out by the optimal utilization of tourism
potential.
The new methodology, applied in the selected
micro-region, is considered to be effective judging
by my knowledge of the place and the researches
carried out throughout the years. The deviced
indices can clearly show the role of space and
the subjective structure of the local economy,
furthermore, its application is advised despite
territorial differences.
3. Tamás T. – Balázs P. – Csaba P. (2006): Regionális
elemzések módszerei. Szent István
Egyetemi Kiadó, Gödöllő
ECONOMICS
Babiak Robert, Parlińska Maria
INFORMATION UNCERTAINTY
AND ITS IMPACT
ON ECONOMIC MODELING . . . . . . . . . . . . . . . . 48
Bogárdi Tunde, Molnár Melinda
THE BARRIERS TO ECONOMIC DEVELOPMENT
THROUGH THE EXAMPLE
OF A HUNGARIAN INTERNAL PERIPHERY . . . . . . . . 52
Chaplitskaya Anastasia
ACTUAL FACTORS AFFECTING
ON SUSTAINABLE DEVELOPMENT
OF AGRARIAN SECTOR
OF REGIONAL AGRO-INDUSTRIAL COMPLEX . . . . . 56
Elfimova Yulia, Chudnova Olga, Zorina Elena
PROSPECTS OF ECOLOGICAL
TOURISM IN RUSSIA . . . . . . . . . . . . . . . . . . . . 62
Malatinec Tomáš, Schultzová Eva
THROUGH THE LEGAL DYNAMICS
TO THE ENTREPRENEURIAL ENVIRONMENT
STABILITY IN CENTRAL EUROPE . . . . . . . . . . . . . 77
Erokhin Vasily
MAJOR PROVISIONS OF THE WTO AGREEMENT
ON AGRICULTURE AND PRACTICES
OF ITS IMPLEMENTATION IN DEVELOPED
AND DEVELOPING COUNTRIES . . . . . . . . . . . . . 65
Ivolga Ivan, Timofeeva Valeria
THE ANALYSISOF THE MAIN TENDENCIES
OF FOOD SECURITY
IN THE RUSSIAN FEDERATION . . . . . . . . . . . . . . 70
Jovanović Marijana, Bekić Bojana, Arsić Slavica
IMPORTANCE OF BIOREGIONS
IN SUSTAINABLE DEVELOPMENT . . . . . . . . . . . . 74
Стр.2
6
Quarterly
Research and Practice
Journal
– Subjective index of local products (HTI)
– Subjective index of the local economy (HGI)
(Table 1)
Agricultural
Source: based on own reasearch result, 2013.
Figure 1 – The summarized system of created indices
Results
It became clear from the tourism infrastructure
potential analysis that the attraction scope of Pest
County is very wide in the country. To investigate
this we chose a smaller area, a micro-region, which
lies between the agglomeration ring and a highly
underdeveloped region. During our investigation
aimed to analyse the economic potential of the
area, the indices clearly showed the economic
structure, success and development level of the
Northern Coast of the Danube Bend.
The results:
– according to the opinions of the local actors,
the development process is halted currently
(HFSI=49%)
– local economic development tools supported
by the locals could be rather successful
(HGSI=64%)
– implementations aiming to revitalize
the economy of the micro-region would
are needed and would be successful
(HGCI=78%)
– currently, the selling and buying frequency of
local products and services is not developed
well (HTGI értéke 39%)
– the quality of local products is above average
(HTMI=72%)
– factors influencing the consumption of
local products and services affect the
consumer habits in the micro-region greatly
(HBTI=65%)
– in the investigated area the support
of marketing activity is above average
(MTSI=71%)
– in the micro-region of the „Northern Coast
of the Danube Bend”, according to the
opinion of the local actors, the economic
development activity of the settlements can
bring success (HGFI=68%)
– on the „Northern Coast of the Danube Bend”
the consumption potential of local services
and goods is above average (HTI=62,3%)
Source: own edition based on own research, 2013.
Figure 2 – The improvement of quality
of the investigated five dimensions
The distribution of the respondents showed
that, despite the local actors see that the local
economy decreases, a significant part of them
sees the tourism – which is a part of the local
– the potential level of the local economy of
the „Northern Coast of the Danube Bend” is
currently above average (HGI=65,4%).
It can be established by the statistical and
subjective parts of the research that – because of
the missing natural resources from the „Northern
Coast of the Danube Bend” – the basic resources
and also the main factors to form its image are
the Danube, the landscape and the tourism.
According to the opinion of the local actors, the
basic determinant of the area is the Danube,
which is a resource, a basis and opportunity for
tourism, common image and supports the sense
of belonging. Also, they consider the B rzs ny, the
arable lands and the forests as local resources as
well. That is why the protection of the environment
is important in the area, because the sustainable
utilization of resources and the improvement of
quality can only be carried out this way.
Development does not only have a quantitative
side, but also a qualitative one, which cannot be
established only from the statistical data. Thus in
the questionnaire the representatives of all the
spheres were asked to give grades to the five
investigated dimensions (classes: decreased,
stagnated, increased, Figure 2.). Tourism was
highlighted from the economy, because it is the
most characteristic economic branch of the area,
furthermore, because it provides the largest
market for local products through the tourists,
beside the local inhabitants. It can be clearly
observed on Figure 2. that accourding to the
respondents, in the micro-region of the „Northern
Coast of the Danube Bend”, the development of
infrastructure, the society and the environment
stagnated. Local economy received the worst
grade, which shows obvious decrease. This
is understandable, because such jobs have
decreased which produced local products, and
people responded that they do not know much
about local economy and local products. This is
because the marketing of these products is not
efficient. The best grade was given to the tourism.
39% of the respondents said that its importance
had increased.
Agricultural
№ 1(13) Supplement, 2014
Nastić Lana, Ivanović Sanjin, Jeločnik Marko
MANAGEMENT CHALLENGES
ON FAMILY FARMS
IN REPUBLIC OF SERBIA . . . . . . . . . . . . . . . . . 81
Oliva Liudmila, Heijman Wim, Turyansky Alexander
MANURE PROBLEM IN AGRICULTURE
OF BELGOROD REGION, RUSSIA . . . . . . . . . . . . 85
Sredojević Zorica, Kljajić Nataša, Arsić Slavica
RESOURCES OF WATER
AND AGRICULTURAL POTENTIAL
IN FUNCTION OF SUSTAINABLE DEVELOPMENT
OF BELGRADE . . . . . . . . . . . . . . . . . . . . . . . 93
Trukhachev Vladimir, Leshcheva Marina
SUSTAINABLE DEVELOPMENT
OF AGRARIAN SECTOR
OF REGIONAL AGRO-INDUSTRIAL COMPLEX . . . . . 98
Zubović Jovan, Vuković Andrea, Jaćimović Sonja,
Jeločnik Marko, Reljić Marija
ANALYSING DEVELOPMENT
OF HRM PRACTICES IN SERBIA . . . . . . . . . . . . 103
Сontents
3
LIFE SCIENCES
Labenko Oleksandr
ENVIRONMENTAL PROTECTION EXPENDITURE:
EU AND UKRAINE . . . . . . . . . . . . . . . . . . . . 106
Lysenko Izolda, Esaulko Alexander, Serikov Svyatoslav,
Okrut Svetlana, Mandra Yulia
METHODOLOGY OF FORECASTING
AND PLANNING OF ENVIRONMENTAL ACTIVITIES
IN RURAL AREAS . . . . . . . . . . . . . . . . . . . . . 112
Podkolzin Oleg, Zhihareva Marina,
Odintsov Stanislav, Perov Alexander, Khalin Igor
PASSPORT OF THE EVALUATED AREA
AS A BASIS OF THE IMPROVEMENT
OF THE STATE EVALUATION
OF AGRICULTURAL LAND . . . . . . . . . . . . . . . . 116
Стр.3