Search Results (87)

Objectives: This study aimed to describe the profile and identify the clinical and sociodemographic factors associated with emergency department (ED) use among patients aged ≥65 years. Methods: This was a retrospective cross-sectional study of patients aged ≥65 years who were seen in the emergency department of the Hospital de Mérida (Spain) in 2019, the year before the Coronavirus Disease 2019 (COVID-19) pandemic. Descriptive statistics were calculated for dependent variables such as hours of ED stay, total number of visits, reasons for discharge, and diagnostic specialty, disaggregated by gender, season, age group, day type (work or holiday), shift, and population area (rural or urban). Results: Significant differences in ED hours were found according to gender (p < 0.001), season (p = 0.024), age group (p < 0.001), attention shift (p < 0.001), and population area (p = 0.003). Discharge to home was the most common destination (63.5%), followed by hospital admission (25.7%). Admissions for gastrointestinal surgery and neurology were predominant in men, and admissions for internal medicine and trauma were predominant in women. Patients aged 65–79 years were admitted to internal medicine, and those over 80 years were admitted to cardiology. Among patients who presented to the hospital’s emergency department and required admission, 51.5% were men aged ≥ 75 years, rising to 53.3% among those aged 65 to 74 years. The clinical areas were related to cardiology (27.67%) and pneumology (20.63%). Conclusions: Demands for ED care in those over 65 years of age are associated with sociodemographic and clinical characteristics, which can be used to better plan and manage resources and improve user satisfaction. Full article

The Canary Islands have long been a major European destination for mass tourism, often associated with ‘sun-and-beach’ vacations. Critiques of mass tourism have intensified in recent years, as reflected in the 2024 protests in the Canary Islands, which linked mass tourism to economic inequalities and concerns about sustainability. Through the case example of Icelandic tourism to the Canary Islands, this research asks two questions: (a) why mass tourism destinations are appealing, and (b) how these reasons can be more fully understood within a broader geopolitical and structural context. The research methods include a survey conducted in Iceland in 2022 and an analysis of media coverage in Iceland related to the Canary Islands from 2017 to 2022. Survey data indicate that the islands are primarily perceived as an easily accessible, well-established holiday destination. Simultaneously, an analysis of media discussions reveals a limited discourse on the islands in Icelandic media, mainly focusing on tourism. The results illustrate how specific destinations become desirable by prioritizing infrastructure associated with mass tourism, where tourism’s impact on host communities, economies, and environments tends to be invisible. Full article

The COVID-19 pandemic altered the holiday plans of many people. Whether it was due to travel bans or the fear of contracting the infection, people modified, among other aspects, their chosen destination, travel transport, accommodations, length of stay, and activities to be undertaken during the stay. In this context, we aim to disentangle the effect of these changes on tourist satisfaction. Previous research on the effects of COVID-19 on the tourism sector has studied the shrinkage of tourism demand, changes in tourist behaviour and adaptation processes on the supply side. Nonetheless, few works have analysed changes in tourists’ plans. Two main hypotheses have been put forward. First, tourists might be dissatisfied given that they could not attain their holiday expectations. In contrast, the second hypothesis suggests that those individuals who changed their holiday plans might be more satisfied because they diminished their perceived risk of contagion. We have used data drawn from a survey of tourists (N = 2009) who visited Costa Daurada, a very popular Mediterranean coastal destination just after the end of the Spanish lockdown. Then, statistically significant differences in satisfaction levels between the groups that altered their plans and those who did not are assessed by means of Kruskal–Wallis and Wilcoxon Rank Sum tests. Results signal that tourists were not more dissatisfied when they had modified their initial holiday plans. Indeed, the overall satisfaction of those visitors who switched their initial destination to travel to Costa Daurada was slightly lower, and the difference was significant, compared to the ones who were planning to travel there from the very beginning. Satisfaction was not significantly lower for those who changed their holiday plans in the case of the rest of the items analysed (transportation, length of stay, accommodation, and overall activities). On the contrary, in the case of activities, changes apparently contributed to mitigate the risk perception and led to a better tourist experience. Results also suggest that tourists were willing to adapt to a new situation in order not to renounce their holidays. In terms of implications for destination management and stakeholders, the main conclusion is that continuous cooperation and mutual trust are key to adapting to turbulent environments in which risk perception becomes central. Full article

Eivissa/Ibiza, as per its names in its two official languages, Catalan and Spanish, is the third of the Balearic Islands in terms of extension and the second concerning population. It is also a well-known holiday destination in Europe. Numerous ethnobotanical prospections have been performed in the Balearic Islands, but to date, Ibiza lacks a monographic study on traditional knowledge related to plant biodiversity. In this paper, we present the results of the ethnobotanical investigation carried out in Ibiza from 2016 to 2023. A total amount of 95 interviews were conducted with 101 informants born between 1916 and 1983, with semi-structured interviews, participant observation and plant collection, identification and deposit in a public herbarium as basic methods. The total ethnoflora of the island is 254 taxa belonging to 71 botanical families. The most cited families are Solanaceae (1030 URs, 13.50%), followed by Fabaceae (770 URs, 10.09%), Lamiaceae (646 URs, 8.47%) and Rutaceae (578 URs, 7.57%). The most cited species are Vitis vinifera, Capsicum annuum, Solanum lycopersicum, Solanum tuberosum and Citrus sinensis. This study reveals that the local population still retains significant ethnobotanical knowledge. Further research in similar territories could help determine whether this pattern is consistent elsewhere. Full article

Rural tourism is closely linked to a local’s tradition, identity, and cultural heritage. When staying in a specific tourist destination, a modern tourist expects a complete experience of the destination. Experience is necessary in rural tourist accommodation where guests can feel the local culture, nature, gastronomy, environment, and heritage. However, what about the interior design of the accommodation facility and the furniture design that will provide a rural and at the same time modern atmosphere? The paper aims to explore the traditional heritage, culture, indigenous elements, and ornamentation of rural artifacts of Istria, a region in Croatia, to propose a conceptual design of functional contemporary furniture for furnishing the living room in tourist accommodation. The furniture collection, with visual and artistic elements, surface treatment, construction, and selected sustainable materials and ornamentation, aims to brand the indigenous rural Istrian heritage, while at the same time combines an innovative contemporary expression. The research is divided into two stages: the first stage was conducted during field research using photography, observation, and interview methods, and the collected data from this stage served as inspiration for designing a furniture collection in the second stage. The second stage uses the cyclical method of the creative process to design new sustainable furniture concept, consisting of a table, stool, chest of drawers, and coffee table, which form a collection in the tourist interior environment. This furniture design model that uses original heritage to brand the rural environment and increase the attractiveness of accommodation in rural areas could be applied to other locations so tourists can fully experience the rural area they visit and achieve experiential, relaxed holidays and amenities, thus supporting the sustainable development of rural tourist destinations. The practical implications of this research have yet to be confirmed. It is desirable to investigate the impact and satisfaction of users in such designed interiors and confirm such a concept. This will require the engagement of architects and designers and hotel accommodation owners, as well as and the support of economic entities, local authorities, and the government, who need to systematically change the ways of branding rural values to achieve a holistic approach to the tourism offer. Full article

The relationship between tourism and the environment is often studied through tourism’s impact on destinations, with limited focus on how eco-degradation affects tourism, including residential tourism, which remains the most loyal to specific destinations. This study examines whether a destination’s eco-degradation impacts the residential tourists’ satisfaction and their intention to revisit. Two studies were conducted on the Mar Menor destination (Spain) using two online questionnaires administered through social media. Study 1 (from October 2020 to December 2021, n = 822) explored tourists’ perceptions of the destination’s ecological situation. Study 2 (November 2022 and March 2023, n = 453) examined how the destination’s eco-degradation influences residential tourists’ intention to revisit, considering the mediating role of destination attachment and perceived value. We found that residential tourists’ perceptions and revisit intentions vary with accommodation type. Eco-degradation impacts holiday satisfaction but not revisit intentions. Second-home ownership compels visits despite dissatisfaction or a preference for alternative destinations. This research contributes to the scarce literature on residential tourism by showing that place attachment and the perceived value, satisfaction, and behavioural intentions can explain revisit intention even in contexts of eco-degradation of the destination. Full article

Coastal bathing waters are leading tourist destinations, mainly during holiday periods. Therefore, the quality of bathing waters is of key importance to tourists. In 2006, the European Union (EU) adopted the Bathing Water Directive (BWD). EU Member States are required to analyze the status of their bathing waters, the quality of which is determined by the presence or absence of microbial contaminants (Escherichia coli and enterococci). This study presents the quality of coastal bathing waters in Portugal and Poland during the 3-year period from 2020 to 2022. The difference in the bathing water quality of the two countries—excellent in Portugal versus worse in Poland—is caused by their contrasting management and sampling practices and differing geographical and environmental conditions (in Portugal, warm, open sea, and in Poland, a temperate, semi-enclosed sea that is almost surrounded by land and is exposed to urban wastewater discharge). Additionally, the results of a questionnaire showed that ecological awareness and responses are well developed in Portuguese and Polish students regardless of the different status of their bathing waters. To the best of the authors’ knowledge, this study is among the first to analyze the relationships between water pollution and students’ ecological awareness and opinions on tourism. The results provide valuable information that policymakers, tourist entities, and educational institutions can use to develop more efficient management strategies for the coastal bathing waters in both countries. Full article

Given the persistently high incidence of skin cancer, there is a need for prevention-focused information on the impact of long-term changes in ambient solar ultraviolet radiation (UVR) on human personal radiation exposure. The exposure categories of the UV Index linked to protection recommendations show long-term shifts in the frequency of occurrence with regional differences in direction and magnitude. The patterns of change for sites in the humid continental climate differ from those for sites in other climate zones such as the humid temperate or Mediterranean climate. The diversity of the individual exposures of indoor and outdoor workers can be described using probability models for personal erythema-effective UVR dose (UVD). For people who work indoors, the largest share of the total individual annual UVD is due to vacation, whereas for people who work outdoors, it is occupational exposure. The change in ambient UVDs at the residential locations is only partially reflected in the individual UVDs. For eight selected European sites between 38° and 60° northern latitude, the median of the individual annual total UVD (excluding travel) during the period 2009–2019 is 0.2 to 2.0% higher for indoor workers and 0.6 to 3.2% higher for outdoor workers compared to the period 1983–2008. Changes in the choice of an exemplary holiday destination offer both indoor and outdoor workers the potential to compensate for the observed long-term trend at their place of residence and work. Full article

Climate change is a major challenge for the global tourism sector, affecting destinations worldwide. Greece, known for its scenery and abundant cultural history, is particularly vulnerable to these impacts. Tourism is a key driver of Greece’s economy, yet climate change threatens both natural environments and cultural sites. To evaluate the impacts of climate change on different types of Greek tourism (beach, sightseeing, winter tourism in mountainous areas), the widely used Holiday Climate Index (beach and urban versions) alongside three additional climatic indices customized for Greek climatic conditions, namely the Urban Climate Comfort Index, the Beach Utility Index, and the Mountainous Winter Climate Index were utilized for top tourist destinations of Greece. The results indicate that urban tourism may face challenges during peak summer months due to rising temperatures, but the shoulder seasons (April–May and September–October) will offer improved conditions, potentially extending the tourist season. For beach tourism, favorable conditions are expected to increase from April to October, with significant gains in June and September. Winter tourism in mountainous areas, especially snow-dependent activities like skiing, is at risk due to the declining snow availability. Overall, the study highlights both the challenges and opportunities posed by climate change for Greece’s tourism sector. It emphasizes the importance of adaptation strategies, including infrastructural improvements and promoting alternative activities, to minimize negative impacts and enhance the future attractiveness of Greek tourism. Full article

Our study introduces an enhanced version of the Importance–Performance Analysis (IPA) method, a powerful tool that can be applied across various domains. This method plays a crucial role in our research, aiding in making well-informed decisions about smart tourism destination attributes. We achieved this by evaluating how 911 consumers from four different generations (Baby Boomers, Generation X, Millennials, and Generation Z) rated these attributes based on their most recent tourist destination visit. Unlike traditional methods that often rely on subjective opinions or complex statistical models, the Improved IPA (IIPA) method offers a clear approach to decision-making. It enables decision-makers to focus on the most crucial attributes that drive consumer interest, thereby optimizing resource allocation and marketing efforts. Specifically, to remain competitive, decision-makers for smart tourist destinations should focus on queuing-time forecast and applications, websites, and content accessible for travelers with disabilities for Baby Boomers; e-complaint handling for Generation X; smart emergency response system for Millennials; and tourist-flow forecast, real-time traffic broadcast, electronic-entrance guard systems, and accessible data about physical design features of accommodation, restaurants, and tourist attractions for Generation Z. Theoretically, this study advances the research on managerial decision-making by demonstrating the effectiveness of the IIPA as a clear and straightforward method for making optimal decisions about product or service attributes. In practice, the study provides decision-makers with valuable insights into the importance of different categories of smart attributes in shaping the overall holiday experience at a tourist destination for Baby Boomers, Generation X, Millennials, and Generation Z tourism consumers. Full article

Decarbonising holiday travel is crucial for climate change mitigation: policy interventions need to encourage less frequent trips, closer destinations, and travelling on the ground. To increase effectiveness, interventions should fit with the specific ways holidays are perceived and performed in each context. We explore the holiday behaviour of people living in a medium-sized city in Southern Switzerland (Lugano, 70,000 inhabitants), with the aim of identifying key intervention strategies for a future “community challenge” encouraging the population to take low-carbon holidays. We combine a literature review with n = 15 qualitative, semi-structured interviews that allow us to understand the reasons for taking a holiday, the favourite destination and activity types, and the transport mode choices. As Switzerland is characterised by high cultural and linguistic diversity providing the feeling of being abroad even at a short distance from home, it could be a valuable holiday destination for Swiss people themselves. Located at the centre of Europe, it is also well-connected by train with many holiday destinations abroad. Gaps between pro-environmental attitudes and holiday behaviour suggest leveraging digital carbon trackers showing how carbon emissions compare between holiday and everyday life. Also, interventions could leverage social norms via social networks, local influencers, and travel agencies. Full article

Due to advancements in information technology and growing eco-tourism demand, National Park Network Attention (NPNA) has emerged as a novel indicator of tourism appeal and ecological value recognition. Utilizing Baidu search index (accessed in 2023) data from 2013 to 2022, this study employs time series analysis, index analysis, and spatial statistics to measure and differentiate the spatial and temporal aspects of NPNA across 31 provinces, regions, and municipalities in mainland China, while systematically assessing the impact of various factors from both source and destination perspectives. Over the period of 2013 to 2022, NPNA has increased annually, peaking around holidays and during spring and autumn, demonstrating pronounced seasonality and precursor effects, while exhibiting volatility due to external events. Influenced by factors from both source and destination perspectives, the spatial distribution of NPNA displays a trend of being “high in the east and low in the west” and “high in the south and low in the north”, though regional disparities are diminishing. The population size in the source areas remains the dominant factor influencing NPNA, while the concept of national parks is not yet widely recognized. The destination’s tourism resource endowment, media publicity, accessibility, and level of informatization are significant influences. An effective integration of resources and marketing is essential for boosting NPNA. The findings provide valuable insights for optimizing the spatial layout of national parks, enhancing the tourism service system, innovating communication and promotional strategies, and improving national park governance effectiveness. Full article

Winter, snow, and mountains, epitomized by the world-renowned Rocky Mountain range, are an integral part of Canada’s sport-culture identity and international tourism brand, yet the climate change risk posed to this important ski tourism region remains uncertain. This study used the ski operations model SkiSim 2.0 to analyze the climate risk for the region’s ski industry (26 ski areas in the province of Alberta and 40 in British Columbia) with advanced snowmaking, including changes in key performance metrics of ski season length, snowmaking requirements, holiday operations, and lift and terrain capacity. If Paris Climate Agreement targets are met, average seasons across all ski areas decline 14–18% by mid-century, while required snowmaking increases 108–161%. Regional average operational terrain declined only 4–9% in mid-century, as the largest ski areas were generally more climate resilient. More pronounced impacts are projected under late-century, high-emission scenarios and in low latitudes and coastal British Columbia regions. When compared with continental and international ski tourism markets, Western Canada has relatively lower climate change impacts, which could improve its competitiveness. The results inform further research on demand-side as well as the winter sport-tourism industry and destination-scale climate change adaptation and mitigation strategies. Full article

The impacts of climate change and the extent of their consequences exhibit regional variability. The negative effects of climate change on the tourism industry require a comprehensive examination of the vulnerabilities of tourism–dependent countries. Considering that the tourism sector is an important source of income for these countries, it is imperative to evaluate the potential consequences of climate change. Its effects may lead to changes in the location and popularity of tourist destinations and the timing of the tourism season. If popular coastal destinations cannot respond effectively to the impacts of climate change, alternative tourism destinations need to be explored to reduce financial losses. This study aims to assess the potential of the Black Sea coasts as an alternative tourism destination. The evaluation was conducted using the Holiday Climate Index (HCI), a prominent indicator for determining human comfort. The research showed that Türkiye’s Black Sea coast may have the necessary comfort level for beach tourism in the summer season and may be attractive for more tourists considering the positive relationship between arrival and overnight stay and tourist comfort. Full article

The EU has set ambitious targets to combat climate change. Incorporating renewable energy technologies to reduce greenhouse gas emissions is a critical aspect of achieving the European Union’s (EU) 2030 climate goals. Similarly to all member countries of the EU, Greece shares the same climate goals. In order to achieve these goals, ensuring a consistent supply and the effective use of clean energy is pursued, as it has a significant impact on the sustainable development and growth of the country. As the Greek tourism sector is one of the most energy-consuming of the national economy and a major contributor to the country’s GDP, opportunities are presented for innovation and investment in sustainable practices. Such investments must focus on buildings and facilities, where the energy consumption is concentrated. One of the most popular holiday destinations in Greece is the island of Crete. Visitation patterns are seasonal, which means during the summer months, Crete is exceptionally popular and more demanding energy-wise. One of the highest energy-demanding types of tourism-based businesses is the hospitality industry. Energy demands in hotels are driven by factors such as heating, cooling, lighting, and hot water. Thus, such activities require thermal and electrical energy to function. Electrical energy is one of the most essential forms of energy for hotels, as it powers a wide range of critical systems and services throughout the establishment. Therefore, the hotels are highly susceptible to fluctuations in energy prices which can significantly impact the operational costs of hotels. This paper presents an analysis of the annual consumption for the year of 2022 of five hotels located in Crete. An algorithm is also implemented which strives to minimize the capital expenditure (CAPEX), while ensuring a sufficient percentage of self-sufficiency. Full article