The Attractiveness of Poland as a Medical Tourism Destination from the Perspective of German and British Consumers



Objective: The aim of the article is an assessment of the attractiveness of Poland as
a medical tourism destination (MTD).

Research Design & Methods: Survey data were collected from 282 German and British tourists, using a self-administered questionnaire. The Computer-Assisted Web Interviewing method was used to conduct the survey. Subsequently, the responses were analysed using advanced statistical tools (McNemar’s exact test, Cochran’s Q test snd Chi-square test).

Findings: The results indicated that tourists from Western Europe are currently more interested in using medical services in Central and Eastern Europe countries (CEEC) than in the past. Out of CEEC, Poland was the most frequently chosen MTD. Associations with Poland as a MTD were affected by such socio-demographic factors as age and nationality.

Implications & Recommendations: Identification of the growing importance of Poland as a MTD, as well as socio-demographic factors affecting the choice of Poland as a MTD have important implications for scholars, allowing them to understand how medical tourists evaluate the attractiveness of MTDs in Poland, and can be a useful tool for marketing planners, destination managers and marketers to create an effective marketing policy of MTDs in Poland.

Contribution & Value Added: The study fills an important gap regarding the lack of empirical content allowing for the exploration of the attractiveness of MTDs in Poland.



Poland; tourism destination attractiveness; medical tourism; medical services

Abubakar, A.M., & Ilkan, M. (2016). Impact of online WOM on destination trust and intention to travel: A medical tourism perspective. Journal of Destination Marketing & Management, 5(3), 192-201.

Beladi, H., Chao, C.-C., Ee, M.S., & Hollas, D. (2015). Medical tourism and health worker

migration in developing countries. Economic Modelling, 46, 391-396.

Benjamini, Y., & Hochberg, Y. (1995). Controlling the false discovery rate: A practical and powerful approach to multiple testing. Journal of the Royal Statistical Society, Series B, 57(1), 289-300.

Bilder, C.R., & Loughin, T.M. (2004). Testing for marginal independence between two categorical variables with multiple responses. Biometrics, 60(1), 241-248.

Bonferroni, C.E. (1936). Teoria statistica delle classi e calcolo delle probabilità. Pubblicazioni del R Istituto Superiore di Scienze Economiche e Commerciali di Firenze, 8, 3-62.

Borek, E. (2013). Medical tourism in Europe and in Poland – present status, development bariers, perspectives and recemendations concerning the development of medical tourism in Poland. Public Health and Governance. Scientific Issues of Health Protection, 11, 333-348.

Breitrück, V., & Nunn, E. (2011). Health & medical tourism. in A. Papathanassis, (Ed.). The long tail of tourism: holiday niches and their impact on mainstream tourism (pp. 57-67). Wiesbaden: Gabler Verlag.

Buhalis, D. (2000). Marketing the competitive destination of the future. Tourism Management, 21(1), 97-116.

Cameron, K., Crooks, V.A., Chouinard, V., Snyder, J., Johnston, R., & Casey, V. (2014). Motivation, justification, normalization: Talk strategies used by Canadian medical tourists regarding their choices to go abroad for hip and knee surgeries. Social Science & Medicine, 106, 93-100.

Casey, V., Crooks, V.A., Snyder, J., & Turner, L. (2013). Knowledge brokers, companions, and navi-gators: a qualitative examination of informal caregivers’ roles in medical tourism. International Journal for Equity in Health, 12, 94.

Chew, Y.T., & Koeshendro, A.D. (2015). Identifying research gaps in medical tourism. In M. Kozak, N. & Kozak (Eds.). Destination marketing: An international perspective (pp. 119-125). London: Taylor & Francis.

Choi, H. (2016). Medical tourism. In J. Jafari & H. Xiao (Eds.). Encyclopedia of tourism (pp. 602-603). Switzerland: Springer International Publishing.

Cochran W.G. (1950). The comparison of percentages in matched samples. Biometrika, 37(3-4), 256-266.

Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodifica-tion. Tourism Management, 34, 1-13.

Connell, J. (2016). Reducing the scale? From global images to border crossings in medical tourism. Global Networks, 16(4), 531-550.

Crooks, V.A., Turner, L., Snyder, J., Johnston, R., & Kingsbury, P. (2011). Promoting medical tourism to India: Messages, images, and the marketing of international patient travel. Social Science & Medicine, 72(5), 726-732.

de la Hoz-Correa, A., Muñoz-Leiva, F., & Bakucz, M. (2018). Past themes and future trends in

medical tourism research: A co-word analysis. Tourism Management, 65, 200-211.

Dryglas, D. (2018). Designing a health tourism product structure model in the process of marketing management. Warsaw: PWN.

Dryglas, D., & Salamaga, M. (2017). Applying destination attribute segmentation to health tourists: A case study of Polish spa resorts. Journal of Travel & Tourism Marketing, 34(4), 503-514.

Dryglas, D., & Salamaga, M. (2018). Segmentation by push motives in health tourism destinations:

A case study of Polish spa resorts. Journal of Destination Marketing & Management, 9, 234-246.

Ebrahim, A.H., & Ganguli, S. (2017). Strategic priorities for exploiting Bahrain’s medical tourism potential. Journal of Place Management and Development, 10(1), 45-60.

Euromonitor International (2014). Health and wellness tourism in Poland. Retrieved on January 5, 2019 from

Fetscherin, M., & Stephano, R.M. (2016). The medical tourism index: Scale development and validation. Tourism Management, 52, 539-556.

Freyer, W., & Kim, B.S. (2014). Medizintourismus und Medizinreisen - eine inter-disziplinäre Be-trachtung. Gesundheitswesen, 76(1), 65-68.

Gallarza, M.G., Saura, I.G., & Garcia, H.C. (2002). Destination image: Toward a conceptual framework. Annals of Tourism Research, 29(1), 56-78.

Ganguli, S., & Ebrahim, A.H. (2017). A qualitative analysis of Singapore’s medical tourism competitiveness. Tourism Management Perspectives, 21, 74-84.

Ghanbari, S., Hajinejad, A., & Rahmani, P. (2014). Formulating strategic plan of medical tourism development. International Journal of Travel Medicine and Global Health, 2(4), 149-154.

Guiry, M., & Veguist, D.G. (2015). South Korea’s medical tourism destination brand personality and the influence of personal values. Asia Pacific Journal of Tourism Research, 20(5), 563-584.

Gupte, G., & Panjamapirom, A. (2014). Understanding medical tourism. In A.I. Culyer (Ed.), Encyclopedia of Health Economics (pp. 404-410). York, UK: Elsevier.

Hanefeld, J., Smith, R., & Noree, T. (2016). Medical tourism. In R.M. Scheffler. (Ed.), World scientific handbook of global health economics and public policy (pp. 333-350). London: World Scientific Publishing Co.

Hemdi, M.A., Hassan, N.A., Aminuddin, N., & Adanan, A. (2016). Medical tourism destination choice: A proposition and research agenda. In S.A. Jamal, S.M.Radzi,., N. Sumarjan, C.T, Chik, & M.F.S. Bakhtiar,. (Eds.), Innovation and best practices in hospitality and tourism research (pp. 185-188). London: Taylor & Francis Group.

Heung, V.C.S., Kucukusta, D., & Song, H. (2010). A conceptual model of medical tourism: Implica-tions for future research. Journal of Travel & Tourism Marketing, 27(3), 236-251.

Hopkins, L., Labonte, R., Runnels, V., & Packer, C. (2010). Medical tourism today: What is the state of existing knowledge?. Journal of Public Health Policy, 31(2), 185-198.

Idrus, S., Musa, R., Naziman, Y.H.N.M., Aznan, N.F.M., Othman, A.Y., & Pauzi, N.M. (2012). Medical tourism destination brand positioning model. In A. Zainal, S.M. Radzi, R., Hashim, C.T. Chik, & R. Abu, (Eds.), Current issues in hospitality and tourism research and innovations. Proceedings of the International Hospitality and Tourism Conference, IHTC 2012 (pp. 515-518). Boca Raton: CRC Press, Taylor & Francis Group.

Iordache, C., Ciochină, I., & Popa, R. (2013). Medical tourism – between the content and socio-economic development goals. Development strategies. Romanian Journal of Marketing, 1, 31-42.

Johnston, R., Crooks, V.A., Snyder, J., & Kingsbury, P. (2010). What is known about the effects of medical tourism in destination and departure countries? A scoping review. International Jour-nal for Equity in Health, 9, 24.

Jónás-Berki, M., Csapó, J., Pálfi, A., & Aubert, A. (2015). A market and spatial perspective of health tourism destinations: The Hungarian experience. International Journal of Tourism Research, 17, 602-612.

Junio, M.M.V., Kim, J.H., & Lee, T.J. (2017). Competitiveness attributes of a medical tourism desti-nation: The case of South Korea with importance-performance analysis. Journal of Travel & Tourism Marketing, 34(4), 444-460.

Kiryluk, H., & Glińska, E. (2015). Creation and evaluation of the tourist image of a country – The example of Poland. Procedia - Social and Behavioral Sciences, 213, 671-676.

Kiss, K. (2015). The challenges of developing health tourism in the Balkans. Tourism, 63(1), 97-110.

Koggalage, P.D., Gunawardena, N.S., & de Silva, A.H. (2017). Medical travellers’ perspectives in selecting in-patient services at selected private hospitals in Sri Lanka. Asia Pacific Journal of Tourism Research, 22(7), 747-757.

Kowalska-Bobko, I., Mokrzycka, A., Sagan, A., Włodarczyk, W.C., & Zabdyr-Jamróz, M. (2016). Implementation of the cross-border healthcare directive in Poland: How not to encourage pa-tients to seek care abroad?. Health Policy, 120(11), 1233-1239.

Lu, H.Y., & Wu, W.Y. (2018). Factors associated with medical travel behaviours: The

input-process-output perspective. Current Issues in Tourism, 21(3), 243-258.

Lubowiecki-Vikuk, A. (2018). Consumption of dental services: Medical tourism in CEE. European Journal of Service Management, 27/1(3), 135-142.

Lubowiecki-Vikuk, A., & Gnusowski, M. (2016). The role of inter-cultural competence on the medi-cal tourism market in Poland. Hygeia Public Health, 51(3), 255-261.

Lubowiecki-Vikuk, A., & Kurkowiak, J. (2017). Medical tourism potential of Central and Eastern Europe: Attempt at classification. CBU International Conference Proceedings, 5, 286-293.

Lubowiecki-Vikuk, A., & Mucha, D. (2015). Pharmaceutical tourism development prospects in the region of Southern Poland. Scientific Treatises of University School of Physical Education in Wrocław, 49, 147-156.

Lubowiecki-Vikuk, A., & Rab-Przybyłowicz, J. (2015). Selected aspect of functioning medical tourism market in Poland. Folia Turistica, 34, 85-107.

Lunt, N., Smith, R.D., Mannion, R., Green, S.T., Exworthy, M., Hanefeld, J., & et al. (2014). Implications for the NHS of inward and outward medical tourism: A policy and economic analysis using literature review and mixed-methods approaches. Health Services and Delivery Research, 2(2), 1-234.

Mahendradhata, Y. (2019). Proceed with caution: Potential challenges and risks of developing healthcare tourism in Indonesia. Global Public Health, 14(3), 340-350.

Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., & Peeters, P. (2017). Research for TRAN Committee – Health tourism in the EU: a general investigation. Brussels: European Parliament, Policy De-partment for Structural and Cohesion Policies.

Mayo, E., & Jarvis, L. (1981). Psychology of leisure travel. Boston: CABI Publishing.

MTA (2015). MTA members in Europe. Retrieved from: en/mta-members-in-europe.html

OECD (2014). Health at a glance: Europe 2014. OECD Publishing.

Ormond, M., & Kaspar, H. (2019). Medical travel/tourism and the city. In I.Vojnovic, A.L. Pearson,

A. Gershim, G. DeVerteuil & A. Allen (Eds.), Handbook of Global Urban Health (pp. 1-21). Ab-ingdon: Routledge.

Ormond, M. (2011). Shifting subjects of health-care: Placing ‘medical tourism’ in the context of Malaysian domestic health-care reform. Asia Pacific Viewpoint, 52(3), 247-259.

Ormond, M., & Sulianti, D. (2017). More than medical tourism: lessons from Indonesia and Malay-sia on South-South intra-regional medical travel. Current Issues in Tourism, 20(1), 94-110.

Ormond, M., Wong, K.M., & Chan, C.K. (2014). Medical tourism in Malaysia: how can we better identify and manage its advantages and disadvantages?. Global Health Action, 7, 96-99.

Pollard, K. (2012). How can we measure a destination’s attractiveness?. Retrieved from on January 5, 2019.

Prebensen, N.K. (2007). Exploring tourists’ images of a distant destination. Tourism Management, 28(3), 747-756.

PTO. (2015). A tourism service consumer survey, assessing the level of satisfaction with tourism services used by national and foreign tourists during their travel and stay in Poland in 2014. Retrieved from on January 5, 2019.

PTO. (2016). Market analysis - health service promotion. Retrieved from on January 5, 2019.

Rab-Przybyłowicz, J. (2016). Trends and socio-economic aspects of medical tourism development in Poland. Studia Periegetica, 2(16), 99-118.

Ried, W., & Marschall, P. (2016). Potential benefits of cross-border health care: The case of Poland and Germany. Economics and Sociology, 9(3), 14-27. 789X.2016/9-3/2

Rittichainuwat, B.N., Qu, H., & Brown, T.J. (2001). Thailand’s international travel image mostly favorable. Cornell Hospitality Quarterly, 42(2), 82-95.

Runnels, V., & Carrera, P. (2012). Why do patients engage in medical tourism?. Maturitas, 73(4), 300-304.

Satorra, A., & Bentler, P.M. (1994). Corrections to test statistics and standard errors in covariance structure analysis. In von A. Eye & C.C. Clogg (Eds.), Latent variables analysis: Applications for developmental research (pp. 399-419). Thousand Oaks, CA: Sage.

Schmerler, K. (2018). Medical tourism in Germany: Determinants of international patients’ destination choice. Cham, Switzerland: Springer International Publishing.

Smith, M., & Puczkó, L. (2014). Health, tourism and hospitality: wellness, spas and medical travel. London: Routledge.

Smith, M., Puczkó, L., Michalkó, G., Kiss, K., & Sziva, I. (2016). Balkan wellbeing and health tourism study. Budapest: Metropolitan University. Retrieved from on January 5, 2019.

South Korea medical tourism market: Insights, opportunity, analysis, market shares and forecast 2017–2022. (2018). Retrieved from south-korea-medical-tourism-market-insights-opportunity-analysis-market-shares-and-forecast-2017-2022 on January 5, 2019.

Stankova, M., Tsvetkov, T., & Ivanova, L. (2019). Tourist development between security and terror-ism: empirical evidence from Europe and the United States. Oeconomia Copernicana, 10(2).

Sziva, I., Balázs, O., Michalkó, G., Kiss, K., Puczkó, L., Smith, M., & Apró, E. (2017). Branding strategy of the countries in the Balkan region – focusing on health tourism. GeoJournal of Tourism and Geosites, 19, 61-69.

Tasci, A.D.A., Gartner, W.C., & Cavusgil, S.T. (2007). Conceptualization and operationalization of destination image. Journal of Hospitality & Tourism Research, 31(2), 194-223.

Tham, A. (2018). Sand, surgery and stakeholders: A multi-stakeholder involvement model of do-mestic medical tourism for Australia’s Sunshine Coast. Tourism Management Perspectives, 25, 29-40.

UNWTO (2007). A practical guide to tourism destination management. Madrid: World Tourism Organization.

Wang, H.Y. (2012). Value as a medical tourism driver. Managing Service Quality, 22(5), 465-491.

Westfall, P.H., Troendle, J.F., & Pennello, G. (2010). Multiple McNemar tests. Biometrics, 66(4), 1185-1191.

Westland, J.C. (2010). Lower bounds on sample size in structural equation modeling. Electronic Commerce Research and Applications, 9(6), 476-487.

Wisla, R., & Sierotowicz, T. (2016). Medical technological specializations of Central and Eastern European regions. Economics and Sociology, 9, 195-209. 789X.2016/9-3/17

Wongkit, M., & McKercher, B. (2016). Desired attributes of medical treatment and medical service providers: A case study of medical tourism in Thailand. Journal of Travel & Tourism Marketing, 33(1), 14-27.

Zając, J.M., & Batorski, D. (2009). Methods of increasing maneuverability in the Internet research. In A. Haber & M. Szałas (Eds.). Evaluation to the challenges facing the public finance sector (pp. 129-147). Warsaw: PARP.

Zarei, A., & Maleki, F. (2019). Asian medical marketing, a review of factors affecting Asian medical tourism development. Journal of Quality Assurance in Hospitality & Tourism, 20(1), 1-15.

Zhang, J., Seo, S., & Lee, H. (2013). The impact of psychological distance on Chinese customers when selecting an international healthcare service country. Tourism Management, 35, 32-40.


Published : 2019-06-28

Dryglas, D., & Lubowiecki-Vikuk, A. (2019). The Attractiveness of Poland as a Medical Tourism Destination from the Perspective of German and British Consumers. Entrepreneurial Business and Economics Review, 7(2).

Diana Dryglas
AGH Univeristy of Science and Technology  Poland

Diana Dryglas, PhD – Assistant Professor at the Department of General Geology and Geotourism, AGH University of Science and Technology, Krakow, Poland. The author’s research interests focus on the management of a tourism product and tourism destination, and health tourism, especially therapeutic (healing) tourism.


Adrian Lubowiecki-Vikuk 
Warsaw School of Economics  Poland

Adrian Lubowiecki-Vikuk, PhD – Lecturer at the Faculty of Tourism and Recreation, Poznan University of Physical Education, Poland. His scientific interests include consumer behaviour in the area of sport, tourism and medicine.


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