Search Results (132)

Health tourism represents a dynamic sector operating at the intersection of medical services, international patient mobility, and tourism development. Despite its growing prominence, the academic literature frequently conflates health tourism with medical and wellness tourism—a conceptual ambiguity that complicates the establishment of robust, sustainable legal frameworks. Addressing this gap, the present paper conceptualizes health tourism as an overarching framework that encompasses recovery, wellness, and medical sub-sectors. Within this comprehensive paradigm, we explore the contemporary landscape of health tourism in Northern Cyprus through a stakeholder-driven qualitative lens. Utilizing a qualitative case study design, data were gathered via semi-structured interviews with 40 key respondents representing healthcare, travel, public administration, academia, and related professional domains, and subsequently subjected to thematic analysis using NVivo 15 software. The findings reveal that the sector in Northern Cyprus is heavily skewed toward medical tourism, with a concentrated focus on in vitro fertilization (IVF), cosmetic surgery, dental care, and bariatric procedures. Conversely, wellness and rehabilitation tourism remain largely untapped strategic niches. The analysis further indicates that sectoral growth is constrained by structural bottlenecks, including fragmented governance, limited international recognition, transport and accessibility barriers, inadequate accreditation systems, lack of stakeholder synergy, and ethical concerns regarding advertising and patient safety. Moving beyond standard environmental sustainability, this research underscores that long-term destination resilience requires ethical governance, clinical quality controls, patient-rights advocacy, transparent legal frameworks, and community-level economic integration. Ultimately, this study proposes an integrated, stakeholder-centric paradigm tailored to the unique socio-political and structural realities of Northern Cyprus, offering actionable policy recommendations that enrich the discourse on sustainable medical tourism from a small-island perspective. Full article

Despite sustained interest in sustainable tourism, the gap between environmental concern and travel behavior is still often explained as an individual failing. This article develops an integrative conceptual review and synthesis of behavioral, discursive, organizational, household decision-making, environmental ethics, and political-economic studies to reframe this gap as a multilevel condition of environmental incoherence. The proposed model explains how values, household negotiations, platform-mediated choices, institutional incentives, and mobility regimes interact to produce and stabilize misalignment between environmental commitments and travel practices. Its main contribution is a diagnostic framework that distinguishes temporary inconsistency from structurally reproduced incoherence, identifies the mechanisms through which incoherence circulates across micro-, meso-, and macro-levels, and clarifies which institutional levers may strengthen alignment between sustainability discourse and material mobility practices. Full article

As digital transformation accelerates in tourism and hospitality, sustainability-related information on booking platforms has become increasingly relevant to consumer decision-making. However, prior research has not sufficiently explained how such information operates as part of digital choice architecture or how it becomes meaningful for sustainable consumption decisions. To address this gap, this study introduces sustainable informativeness as a sustainability-specific and platform-contextual construct reflecting the visibility, interpretability, usefulness, comparability, and decision-facilitating role of sustainability-related information. Drawing on digital choice architecture, value theory, and trust theory, this study examines the structural relationships among sustainable informativeness, sustainable functional value, ethical–emotional value, trust, and sustainable consumption behavior. Data were collected through an online survey of 304 Korean adult consumers with experience using digital accommodation booking platforms and analyzed using structural equation modeling. The results show that sustainable informativeness was positively associated with both value dimensions, and both value dimensions were positively associated with trust. Trust showed the strongest direct association with sustainable consumption behavior, whereas the direct association between sustainable informativeness and behavior was not significant. Significant indirect associations through value and trust suggest that sustainability-related information is more closely related to sustainable consumption behavior when it is useful, meaningful, and trustworthy. Practically, the findings suggest that platforms should design sustainability-related information to be not only visible but also comparable, interpretable, useful, and credible. Full article

Sustainable Community-Based Tourism (SCBT) has been predominantly assessed from residents’ perspectives, leaving unexplored how tourists perceive and validate community sustainability. This study analyzes the influence of three SCBT dimensions, authenticity and community empowerment, integral sustainability, and ethical co-design, on tourist experience. Using Partial Least Squares Structural Equation Modeling (PLS-SEM), we analyzed 341 responses from Mexican tourists with experience in indigenous community destinations in Oaxaca. Results show that integral sustainability is the strongest predictor of tourist experience, followed by ethical co-design. Notably, authenticity and community empowerment exhibit a significant inverse relationship, suggesting tensions between genuine local governance and visitor expectations. These findings position tourists as external validators of SCBT and challenge the linear authenticity–experience relationship assumed in classic literature, highlighting the need for heritage interpretation strategies that mediate this interaction. The study provides evidence from underrepresented Latin American indigenous contexts, addressing theoretical and geographical gaps in sustainable tourism research. Full article

Tourism and hospitality organisations in remote, highly seasonal Arctic and sub-Arctic destinations face persistent workforce instability, multicultural team dynamics, and well-being risks that threaten service reliability and organisational continuity. Previous research has focused mainly on destination- and community-level resilience, while giving less attention to how resilience is built within tourism organisations through everyday workforce-related practices. This study examines people-centred organisational resilience through a qualitative comparative design in two northern contexts: Iceland and Finnish Lapland. The empirical material comprised semi-structured interviews in Iceland and interviews, organisational documents, and field observations in Finnish Lapland, collected in autumn 2025. The data were analysed using thematic analysis. The findings identify four recurring resilience mechanisms: leadership under seasonal and environmental pressure; employee experience across employment phases; living conditions and belonging; and ethical governance. Here, “mechanisms” refers not simply to broad topics but to organisational processes through which recurring practices support resilience in remote, highly seasonal tourism settings. Together, these mechanisms show that resilience in remote tourism is built not only through operational flexibility or crisis response, but through people-centred organisational practices that support continuity, coordination, safety, and trust across seasons. The study contributes a workforce-centred extension of resilience theory in tourism and offers a comparative account of how these mechanisms operate across two northern tourism settings. Full article

Globalization refers to the increasing density of economic, social, and technological interconnections on a global scale. In the healthcare industry, it simultaneously accelerates innovation and increases systemic vulnerabilities. This study aims to review and conceptually synthesise the main channels of impact: (1) pharmaceuticals, clinical development, and regulation; (2) supply chains and resilience; (3) service mobility (health tourism); (4) human resources and competencies; (5) digitalization, artificial intelligence (AI), and data governance; (6) ethics, law, and public policy; and (7) sustainability and climate change. The COVID-19 pandemic highlighted the risks associated with global interdependencies, particularly in supply chains, while also demonstrating the innovation-accelerating effects of knowledge sharing and international cooperation. Particular attention is given to artificial intelligence and digital health, which open up new potential for efficiency and quality improvement from research and development through diagnostics to healthcare organization, while simultaneously intensifying concerns related to data protection, cyber security, and liability. Telemedicine, platform-based systems, and real-world data may contribute to addressing the care needs of ageing societies, but only when supported by appropriate competencies and sound data governance. As global data flows intensify, the importance of data protection, bias mitigation, transparency, and accountability correspondingly increases. Through the cultural channels of globalization, health-conscious lifestyles and complementary approaches are also spreading, which we address in a brief, separate subsection. The guidelines of international organizations foster standardization; however, due to differences in local capacities and institutional environments, the effects are not homogeneous. In conclusion, the study emphasises the dual nature of globalization; it expands access and accelerates innovation, while at the same time creating new vulnerabilities—in supply chains, labour mobility, and data security—and, together with climate-related risks, generating complex adaptive pressures for the healthcare industry. Full article

Urban tourism is frequently promoted as a driver of regeneration, competitiveness, and local economic growth. However, its expansion increasingly generates overtourism, environmental degradation, social inequality, gentrification pressures, and cultural commodification in densely populated cities. Although existing tourism research has examined these challenges from managerial, planning, and sustainability perspectives, less attention has been paid to their ethical foundations. This conceptual paper addresses that gap by developing an integrated ethical framework for sustainable urban tourism through a structured, theory-driven synthesis of literature in environmental ethics, social justice theory, virtue ethics, and urban tourism studies. The paper makes three main contributions: it reframes urban tourism growth as a moral and normative issue rather than merely an economic one; it organizes the key ethical dilemmas of urban tourism as interconnected outcomes of growth-oriented development; and it links ethical principles to stakeholder responsibilities and desired governance outcomes. The proposed framework positions tourists, businesses, and policymakers as moral agents and identifies ecological integrity, social equity, and cultural protection as core criteria for evaluating tourism development. As a conceptual study, however, the framework remains theoretical and requires future empirical application and testing across different urban contexts. Full article

The Camino de Santiago, a UNESCO-listed pilgrimage route, has experienced sustained growth in visitor numbers, challenging municipalities to preserve cultural integrity while ensuring service quality. This study reviews people-counting technologies and proposes a smart pilgrim management framework grounded in flux measurement systems to support data-driven and sustainable decision-making. Drawing on the smart tourism literature, the conceptual framework integrates infrared counters, mobile tracking solutions, and GPS/Wi-Fi data to generate real-time insights into pilgrim flows. A pilot simulation illustrates how these data can inform operational and strategic planning. The framework enables local authorities to monitor pedestrian movements, anticipate service demands (sanitation, accommodation, and safety), and detect overcrowding in sensitive heritage areas. By incorporating technological solutions into traditionally low-tech pilgrimage settings, municipalities can transition from reactive to proactive management approaches. The paper contributes a scalable and ethically grounded framework tailored to heritage pilgrimage routes, advancing smart tourism applications in culturally significant contexts. Full article

Rural heritage villages in China face compounding pressures from heritagisation policies, tourism marketisation, and digital platform logics, which together threaten the cultural integrity of lineage-based communities. While existing scholarship has shifted from treating authenticity as a fixed property to viewing it as a negotiated construct, a critical gap persists: the literature does not explain how local actors operationally manage the simultaneous demands of external governance compliance and internal cultural continuity. Drawing on multi-sited ethnography conducted across ritual spaces, tourism settings, and digital platforms in Huizhou lineage villages (March–August 2025)—including over 30 h of in-depth interviews with 18 cultural practitioners and two years of online community ethnography (2023–2025) within Huizhou traditional village cultural liaison groups—this study examines the micro-level strategies through which communities respond to Authorized Heritage Discourse (AHD). The study introduces the concept of Versioned Governance: a community-enacted mechanism through which cultural authenticity is strategically differentiated into ritual, performative, and pedagogical versions. Through spatial partitioning, temporal staggering, and linguistic encoding, lineage groups create cultural buffer zones that mediate between sacred practice and public display without compromising ethical coherence. This framework reframes authenticity not as an essential property nor as mere negotiated perception, but as a processual and political achievement—continuously produced through the interplay of structural discipline and local agency. The findings contribute to critical heritage studies and offer practical implications for cultural land-use and heritage governance policy in non-Western rural contexts. Full article

While Artificial Intelligence (AI) approaches date back more than 60 years, there is no doubt that in the last 4 years, we have entered the era of AI. The advanced capabilities of Generative AI (GenAI) and Large Language Models (LLMs) have noticeably reshaped multiple sectors, becoming a driving force in participatory environments. Recent developments in Machine/Deep Learning (ML/DL) and Natural Language Processing (NLP) have enabled the introduction of tools and applications integrated into various professional fields. Areas ranging from education and media to art, tourism, and food science incorporate AI technologies to optimize established workflows, facilitate change, enhance creativity, and foster interaction. The current Special Issue includes nineteen multidisciplinary research works exploring AI in participatory environments, primarily focusing on technologies, ethics, and literacy aspects. Employing diverse methodologies, the research identifies various uses of AI along with the critical ethical and legal risks and challenges they entail. Concerns about inaccuracy, algorithmic bias, data infringements, and the potential erosion of transparency and interpretability need to be addressed in every phase of the design and implementation of AI technologies. Co-creative human-in-the-loop processes and human judgment need to be further strengthened and supported through digital/AI literacy initiatives. In this regard, effective regulatory frameworks, inclusive institutional strategies, and targeted training programs can ensure responsible and trustworthy AI use with a balance between technological evolution and human oversight. Full article

The Spur-thighed tortoise (Testudo graeca) is a long-lived terrestrial reptile listed as ‘Vulnerable’ on the IUCN Red List and protected under CITES Appendix II. As an ecosystem engineer, it plays a vital role in Mediterranean landscapes, yet it frequently faces anthropogenic pressures in urban environments. This study provides an ecological and ethological assessment of a captive T. graeca population (n = 42) in the historical Münire Madrasa Handicrafts Bazaar in Kastamonu, Türkiye. The methodology integrated spatial carrying capacity modeling (Boullon model), systematic ethogram-based observations (120 h), and ethnozoological surveys (n = 200). Spatial analysis revealed that the population exceeds the corrected Real Carrying Capacity (RCC ≈ 10) by four times (Overcapacity Index: 4.2) within the 70 m² area. Ethological findings documented chronic stress, with stereotypic pacing (H1) occupying 32% of the time budget, alongside a significant loss of anti-predator mechanisms due to anthropogenic habituation (İ1). While stakeholders (100%, 95% CI: 98.1–100%) perceive the tortoises as cultural symbols of abundance, the biological reality indicates severe welfare risks, including potential metabolic bone disease from a monotonous anthropogenic diet and a disrupted Ca:P ratio. The site is categorized as a ‘High-Constraint Interaction Zone’. We propose a management transition toward a monitored ‘Urban Wildlife Education Station’ to align local cultural values with international animal welfare and conservation standards. Full article

Sustainability meanings in platform-mediated food tourism circulate through digital infrastructure, yet how they stabilize when sensory experience contradicts hedonic expectations remains theoretically underspecified. Expectation Disconfirmation Theory (EDT) predicts dissatisfaction when performance falls short of expectations, but this logic does not account for sustainability-driven consumption, where restraint is ethically valorized rather than treated as deficient. This study introduces the Ethical–Visual Feedback Loop (EVFL) as a process-level extension of EDT, explaining how ethical priming modifies satisfaction formation under conditions of sensory disconfirmation. Drawing on 900 multilingual reviews, 300 user-generated images, and expert interviews with institutional practitioners of Korean Buddhist Temple Food across Western, Korean, and Chinese visitor markets, the study integrates visual semiotic analysis, reflexive thematic analysis, and institutional triangulation. The findings reveal that sustainability meanings are mobile yet fragile: portable across platforms through visual aesthetics but culturally contingent at ethical appraisal. Western reviewers stabilize satisfaction through secular environmental narratives, Korean reviewers through somatic trust and sincerity, and Chinese reviewers through disciplined participation in moral economies. By specifying how ethical appraisal resolves disconfirmation across cultural contexts, the EVFL extends EDT’s appraisal logic into sustainability-oriented consumption and offers governance implications for sustaining ethical legitimacy and sufficiency-oriented tourism practices in platform-mediated heritage tourism. Full article

This study aims to systematically analyze scholarly research on virtual reality (VR), augmented reality (AR), and the metaverse in the tourism and hospitality sectors, offering insights into publication patterns, key contributors, thematic evolution, and potential research directions from 2016 to mid-2025. It maps how the literature evolved in response to technological maturation and changing tourism constraints. A systematic literature review and comprehensive bibliometric analysis were conducted using the Scopus database. The analysis encompassed bibliographic metrics, thematic clustering, and content analysis techniques to identify influential journals, authors, and evolving research themes. The results reveal a pronounced acceleration in research activity post-2020, reflecting heightened interest due to the COVID-19 pandemic’s push towards digital and immersive solutions. Core journals identified include Tourism Management, Current Issues in Tourism, and Journal of Travel Research. Influential contributors such as Timothy H. Jung, M. Claudia tom Dieck, and Dimitrios Buhalis significantly shaped the field. The thematic trajectory demonstrates a shift from initial exploration and application of VR and AR technologies toward comprehensive integration into metaverse ecosystems, with emerging themes such as digital twins, synthetic experiences, immersive storytelling, and growing emphasis on ethical and sustainability considerations. By synthesizing nearly a decade of research, this study provides valuable insights into immersive technologies’ evolution in tourism and hospitality, identifying critical areas for future investigation aligned with enterprise information management strategies. Full article

This research investigates the capacity of Artificial Intelligence (AI) to serve as a generative and interpretative framework for revitalizing Al-Qatt Al-Asiri art. By developing sustainable design solutions for temporary exhibitions, the study seeks to reinforce Saudi Arabia’s cultural and touristic identity through a synthesis of heritage and technology. The study adopts a descriptive–analytical and applied methodology to examine the potential of AI to support creative design processes that integrate authenticity and innovation while preserving local heritage and meeting environmental sustainability requirements. Utilizing this descriptive–analytical and applied methodology. the study evaluates the efficacy of AI in augmenting creative design processes. The primary objective is to reconcile cultural authenticity with modern innovation, ensuring the preservation of local heritage while adhering to rigorous environmental sustainability standards. A controlled design experiment was executed for a temporary heritage exhibition, employing AI applications to simulate the complex decorative motifs of Al-Qatt Al-Asiri art. These technologies were used to generate sustainable exhibition units constructed from reusable local materials, bridging the gap between the digital generation and physical sustainability. This study presents a theoretical framework, a review of previous studies, the research methodology, quantitative and qualitative evaluation results, and an expert panel assessment. It involved three expert reviewers who evaluated the proposed design models based on eight sustainability criteria. This study also utilized a structured evaluation tool and AI applications, including ChatGPT-5.2, OpenAI and Gemini 3 Pro—Nano Banana. The results of the exploratory study indicate that the use of AI contributes to achieving a balance between preserving traditional aesthetic identity and promoting sustainable design practices derived from the characteristics of Al-Qatt Al-Asiri art. It also enhances cultural and tourism engagement by integrating AI applications into artistic design processes. The findings also revealed no statistically significant differences among the experts’ evaluations regarding the sustainability criteria of the implemented models. This study recommends integrating AI technologies into art and design education programs at Saudi universities and developing ethical and technical guidelines that ensure the preservation of heritage and cultural identity when applying AI in design practices. Full article

Religious tourism is an evolving form of cultural and spiritual mobility that connects faith, community identity, and sustainable destination development. Despite its growing significance, few studies have examined service quality in pilgrimage contexts using the 4A framework (attraction, accessibility, amenities, and ancillary services), particularly in developing regions. This qualitative study explores how the 4A dimensions shape service experiences and sustainability practices in religious tourism across three Catholic pilgrimage sites in Labuan Bajo, Indonesia: Goa Maria Golo Koe, Goa Maria Golo Kaca, and Goa Maria Rekas. Data were gathered through semi-structured interviews conducted with ecclesiastical leaders, including a diocesan priest and the Archbishop; key informant interviews with government and tourism actors; focus group discussions with local communities; and non-participatory field observations. The findings show that spiritual attraction remains the primary driver of pilgrim motivation, reinforced by local traditions and collective devotion. However, accessibility, amenities, and ancillary services are constrained by inadequate infrastructure, fragmented governance, and limited service standards. Despite these challenges, community voluntarism and the Church’s moral leadership help preserve the sanctity and authenticity of visitor experiences. This study introduces a Sacred Service Framework that integrates faith-based ethics with the 4A model to support sustainable, inclusive, and spiritually grounded religious tourism management. Full article