Dergiler / İşletme Bilimi Dergisi / 2026 / Cilt: 14 Sayı: 1
Travel Motivations and Behavioral Intentions of Tourists Visiting Istanbul within the Scope of Health Tourism: Mediating Role of Perceived Value
- Sayfa
- 248–268
- Yayın Tarihi
- 2026-03-06
Abstract
This study aims to evaluate the travel motivations of health tourists visiting Istanbul, the perceived value they attribute to their visit, and the effect of this perception on their behavioral intentions. Furthermore, the mediating role of perceived value is analyzed. Structural equation modelling (SEM) and path analysis were employed in the study, and data were analyzed using IBM SPSS 23 and AMOS software. The reliability and validity of the scales were assessed using Cronbach's α coefficient, exploratory factor analysis (EFA), and confirmatory factor analysis (CFA). Subsequently, the mediating effect was tested using the PROCESS macro software. The findings reveal that attractiveness, natural environment, and socialization motivations have a significant partial mediating effect on behavioral intention through perceived value. However, it was determined that escape and consumption motivations do not have a significant partial mediating effect on behavioral intention through perceived value. In light of these findings, it is imperative that health tourism managers prioritize the development of behavioral intentions by creating strategies that increase tourists' perceived value.
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Kaynakça (79)
- Ağaoğlu, F. O., Karagöz, N., & Zabun, S. (2019). Sağlık turizmi uygulamaları ve Türkiye’ye getirilerine ilişkin bir değerlendirme. Cumhuriyet Üniversitesi İktisadi ve İdari Bilimler Dergisi, 20(2), 428–450.
- Anderson, E., Fornell, C., & Lehmann, D. (1994). Customer satisfaction, market share and profitability: Findings from Sweden. Journal of Marketing, 58(3), 53–66. https://doi.org/10.2307/1252310
- Arslanagić, M., Babić-Hodović, V., & Mehić, E. (2013). Customer perceived value as a mediator between corporate reputation and word of mouth in business markets. International Journal of Multidisciplinary in Business and Science, 1(1), 6–11.
- Aytekin, E. (2013). Algılanan değer ve tekrar ziyaret niyeti arasındaki ilişkilerin incelenmesi: Beş yıldızlı termal otel işletmelerinde bir araştırma [Yayımlanmamış yüksek lisans tezi, Afyon Kocatepe Üniversitesi].
- Baker, A. D., & Crompton, L. J. (2000). Quality, satisfaction and behavioral intentions. Annals of Tourism Research, 27(3), 785–804. https://doi.org/10.1016/S0160-7383(99)00108-5
- Baloğlu, S. (2000). A path analytic model of visitation intention involving information sources, sociopsychological motivations, and destination image. Journal of Travel & Tourism Marketing, 8(3), 81–90. https://doi.org/10.1300/J073v08n03_05
- Baniya, R., Ghimire, S., & Phuyal, S. (2017). Push and pull factors and their effects on international tourists’ revisit intention to Nepal. The Gaze: Journal of Tourism and Hospitality, 8, 20–39. https://doi.org/10.3126/gaze.v8i0.17830
- Bigne, J. E., Sanchez, M. I., & Sanchez, J. (2001). Tourism image, evaluation variables and after purchase behaviour: Inter-relationship. Tourism Management, 22 (6), 607-616. https://doi.org/10.1016/S0261-5177(01)00035-8
- Bookman, M. Z., & Bookman, K. R. (2007). Medical tourism in developing countries. Palgrave Macmıllan.
- Caber, M., & Albayrak, T. (2016). Push or pull? Identifying rock climbing tourists’ motivations. Tourism Management, 55, 74–84. https://doi.org/10.1016/j.tourman.2016.02.003
- Chang, L. L., Backman, K. F., & Huang, Y. C. (2014). Creative tourism: A preliminary examination of creative tourists’ motivation, experience, perceived value and revisit intention. International Journal of Culture, Tourism and Hospitality Research, 8(4), 401–419. https://doi.org/10.1108/IJCTHR-04-2014-0032
- Chen, C. F., & Chen, F. S. (2010). Experience quality, perceived value, satisfaction and behavioral intentions for heritage tourists. Tourism Management, 31, 29–35. https://doi.org/10.1016/j.tourman.2009.02.008
- Chen, J. S., & Gürsoy, D. (2001). An investigation of tourists’ destination loyalty and preferences. International Journal of Contemporary Hospitality Management, 13(2), 79–85 https://doi.org/10.1108/09596110110381870
- Connell, J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tourism Management, 34, 1–13. https://doi.org/10.1016/j.tourman.2012.05.009
- Crompton, J. L. (1979). Motivations for pleasure vacation. Annals of Tourism Research, 6(4), 408–424. https://doi.org/10.1016/0160-7383(79)90004-5
- Cronin, J. J., Brady, M. K., & Hult, G. T. M. (2000). Assessing the effects of quality, value and customer satisfaction on consumer behavioral intentions in service environments. Journal of Retailing, 76(2), 193–218. https://doi.org/10.1016/S0022-4359(00)00028-2
- Correia, A., do Valle, P. O., & Moço, C. (2007). Modeling motivations and perceptions of Portuguese tourists. Journal of Business Research, 60(1), 76–80. https://doi.org/10.1016/j.jbusres.2005.10.013
- Çapar, H. (2019). Potansiyel medikal turistlerin kararını etkileyen motivasyon kaynakları. Yönetim, Ekonomi ve Pazarlama Araştırmaları Dergisi, 3(6), 252–264. https://www.yepad.org/2019/vol.3_issue.6_article.03_abstract.pdf
- Çetinkaya, M. Y., & Öter, Z. (2016). Role of tour guides on tourist satisfaction level in guided tours and impact on re-visiting intention: A research in Istanbul. European Journal of Tourism, Hospitality and Recreation, 7(1), 40–54.
- Dai, T., Hein, C., & Zhang, T. (2019). Understanding how Amsterdam city tourism marketing addresses cruise tourists’ motivations regarding culture. Tourism Management Perspectives, 29, 157–165. https://doi.org/10.1016/j.tmp.2018.12.001
- Dalkılıç, F. (2012). Algılanan destinasyon imajı ve tatminin davranışsal niyet üzerindeki etkisi: Kapadokya örneği [Basılmamış yüksek lisans tezi, Nevşehir Üniversitesi, İşletme Ana Bilim Dalı].
- Davras, Ö. (2020). Kış spor aktivitelerine katılan yerli turistlerin algıladıkları kısıtlayıcılar ve motivasyonun davranışsal niyet üzerindeki etkileri. Ankara Hacı Bayram Veli Üniversitesi Turizm Fakültesi Dergisi, 23(1), 142–163. https://doi.org/10.34189/tfd.23.01.007
- Dodds, W. B., Monroe, K. B., & Grewal, D. (1991). Effects of price, brand, and store information on buyers’ product evaluations. Journal of Marketing Research, 28(3), 307–319. https://doi.org/10.2307/3172866
- Dolnicar, S., Coltman, T., & Sharma, R. (2015). Do satisfied tourists really intend to come back? Three concerns with empirical studies of the link between satisfaction and behavioral intentions. Journal of Travel Research, 54(2), 152–178. https://doi.org/10.1177/0047287513513167
- Drinkert, A., & Singh, N. (2017). An investigation of American medical tourists’ post-travel experience. Journal of Hospitality Marketing & Management, 26(3), 335–346. https://doi.org/10.1080/19368623.2017.1241199
- Ekiyor, A., & Karademir, G. (2024). Sağlık turizmi ziyaretçi sayısının Google Trend verileri ile tahminlenmesi. Üçüncü Sektör Sosyal Ekonomi Dergisi, 59(2), 1055–1068.
- Elbaz, A. M., Abou Kamar, M. S., Onjewu, A.-K. E., & Soliman, M. (2023). Evaluating the antecedents of health destination loyalty: The moderating role of destination trust and tourists’ emotions. International Journal of Hospitality and Tourism Administration, 24, 1–28. https://doi.org/10.1080/15256480.2021.1935394
- Fodness, D. (1994). Measuring tourist motivation. Annals of Tourism Research, 21(3), 555–581. https://doi.org/10.1016/0160-7383(94)90120-1
- Fornell, C., & Larcker, D. F. (1981). Evaluating structural equation models with unobservable variables and measurement error. Journal of Marketing Research, 18(1), 39–50. https://doi.org/10.1177/002224378101800104
- Gallarza, M. G., & Saura, I. G. (2006). Value dimensions, perceived value, satisfaction and loyalty: An investigation of university students’ travel behavior. Tourism Management, 27, 437–452. https://doi.org/10.1016/j.tourman.2004.12.002
- Gan, T., Zheng, J., Li, W., Li, J., & Shen, J. (2023). Health and wellness tourists’ motivation and behavior intention: The role of perceived value. International Journal of Environment Research and Public Health, 20(5), 4339. https://doi.org/10.3390/ijerph20054339
- Godfrey, K. B. (1998). Attitudes towards sustainable tourism in the UK: A view from local government. Tourism Management, 19(3), 213–224. https://doi.org/10.1016/S0261-5177(98)00020-X
- Goldner, C., & Ritchie, B. (2009). Tourism: Principles, practices, philosophies. Wiley & Sons.
- Goossens, C. (2000). Tourism information and pleasure motivation. Annals of Tourism Research, 27(2), 301–321. https://doi.org/10.1016/S0160-7383(99)00067-5
- Gönül, E., & İçöz, O. (2020). Dental turistlerin destinasyon ziyaret motivasyonları: Didim örneği. Turizm Akademik Dergisi, 7(1), 195–208.
- Hacıoğlu, N. (2005). Turizm pazarlaması. Nobel Yayıncılık.
- Hair, J. F., Black, W. C., Babin, B. J., & Anderson, R. E. (2014). Multivariate data analysis (7th ed.). Pearson Education Limited.
- Habibi, A., Ariffin, A. A. M., & Aziz, N. A. (2018). The influence of perceived benefits, perceived sacrifices and perceived value on behavioural intention in the context of medical tourism. International Journal of Services Economics and Management, 9(4), 295–316. https://doi.org/10.1504/IJSEM.2018.097789
- Halimatussakdiah, Tabrani, M., & Saputro, N. (2018). The mediation effect of student perceived value and satisfaction toward student perceived orientation and trust at the private higher education. International Journal of Business and Society, 19, 651–660
- Harman, S. (2014). Bağımsız seyahat eden yerli gezginlerin seyahat motivasyonları üzerine bir araştırma. Uluslararası Yönetim İktisat ve İşletme Dergisi, 10(21), 107–128. https://doi.org/10.11122/ijmeb.2014.10.21.527
- Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd Ed.). The Guilford Press.
- Heung, V. C., & Kucukusta, D. (2013). Wellness tourism in China: Resources, development and marketing. International Journal of Tourism Research, 15, 346–359. https://doi.org/10.1002/jtr.1880
- Hoyle, R. H. (1995). The structural equation modeling approach: Basic concepts and fundamental issues. In R. H. Hoyle (Ed.), Structural equation modeling: Concepts, issues, and applications (pp. 1–15). Sage Publications,
- Jang, S. S., & Wu, C. M. E. (2006). Seniors’ travel motivation and influential factors: An examination of Taiwanese seniors. Tourism Management, 27(2), 306–316. https://doi.org/10.1016/j.tourman.2004.11.006
- Jolliffe, L., & Cave, J. (2012). Health and wellness tourism. Tourism: The key concepts, 93-95.
- Kantar, G., & Işık, E. (2014). Türkiye’de sağlık turizmi. Sağlık Akademisyenleri Dergisi, 1(1), 15–20.
- Kim, E., Chiang, L., & Tang, L. (2017). Investigating wellness tourists’ motivation, engagement, and loyalty: In search of the missing link. Journal of Travel & Tourism Marketing, 34, 867–879. https://doi.org/10.1080/10548408.2016.1261756
- Kim, S. S., Lee, C.-K., & Klenosky, D. B. (2003). The influence of push and pull factors at Korean national parks. Tourism Management, 24(2), 169–180. https://doi.org/10.1016/S0261-5177(02)00059-6
- Kline, R. B. (2005). Principles and practice of structural equation modeling (2nd ed.). Guilford Press.
- Lee, C. W., & Li, C. (2019). The process of constructing a health tourism destination index. International journal of environmental research and public health, 16(22), 4579.
- Li, M. & Cai, A. L. (2012). The effects of personal values on travel motivation and behavioral intention. Journal of Travel Research, 51 (4), 473–487 https://doi.org/10.1177/0047287511418366
- Li, C., & Huang, X. (2023). How does COVID-19 risk perception affect wellness tourist intention: Findings on Chinese Generation Z. Sustainability, 15(1), 141. https://doi.org/10.3390/su15010141
- Liu, B., Li, Y., Kralj, A., Moyle, B., & He, M. (2022). Inspiration and wellness tourism: The role of cognitive appraisal. Journal of Travel & Tourism Marketing, 39(2), 173–187. https://doi.org/10.1080/10548408.2022.2061676
- Liu, C. R., Lin, W. R., & Wang, Y. C. (2012). Relationship between self-congruity and destination loyalty: Differences between first-time and repeat visitors. Journal of Destination Marketing & Management, 1(1–2), 118–123. https://doi.org/10.1016/j.jdmm.2012.05.002
- Lunt, N., & Carrera, P. (2010). Medical tourism: Assessing the evidence on treatment abroad. Maturitas, 66(1), 27–32. https://doi.org/10.1016/j.maturitas.2010.01.017
- Mill, R., & Morrison, A. (1998). The tourism system: An introductory text. Prentice Hall.
- Oliver, R. L. (1999). Whence consumer loyalty?. Journal of Marketing, 63, 33–44.
- Oviedo‐García, M. Á., Castellanos‐Verdugo, M., Vega‐Vázquez, M., & Orgaz‐Agüera, F. (2017). The mediating roles of perceived value and attitudes towards ecotourism in sustainability through the relationship between ecotourism knowledge and ecotourist satisfaction. International Journal of Tourism Research, 19(2), 203–213. https://doi.org/10.1002/jtr.2097
- Park, D. B., & Yoon, Y. S. (2009). Segmentation by motivation in rural tourism: A Korean case study. Tourism Management, 30(1), 99–108. https://doi.org/10.1016/j.tourman.2008.03.011
- Pizam, A., Neumann, Y., & Reichel, A. (1979). Tourist satisfaction: Uses and misuses. Annals of Tourism Research, 6(2), 195–197. https://doi.org/10.1016/0160-7383(79)90146-4
- Ponte, E. B., Carvajal-Trujillo, E., & Escobar-Rodríguez, T. (2015). Influence of trust and perceived value on the ıntention to purchase travel online: Integrating the effects of assurance on trust antecedents. Tourism Management, 47, 286-302. https://doi.org/10.1016/j.tourman.2014.10.009
- Prebensen, N., Skallerud, K., & Chen, J. S. (2010). Tourist motivation with sun and sand destinations: satisfaction and the WOM-effect. Journal of Travel & Tourism Marketing, 27, 858–873. https://doi.org/10.1080/10548408.2010.527253
- Reisman, D. (2010). Health tourism: Social welfare through international trade. Edward Elgar Publishing.
- Song, H., Liu, K. N., & Huang, Y. T. (2016). Understanding mainland Chinese tourists’ motivation and constraints of visiting Taiwan. Journal of China Tourism Research, 3(4), 394–413. https://doi.org/10.1080/19388160.2016.1262804
- Swarbrooke, J., & Horner, S. (2007). Consumer behaviour in tourism. Elsevier.
- Teye, V., & Paris, C. M. (2011). Cruise line industry and Caribbean tourism: Guests’ motivations, activities and destination preference. Tourism Review International, 14(1), 17–28. https://doi.org/10.3727/154427211X12954639814858
- Turner, L. (2007). Medical tourism: Family medicine and international health-related travel. Canadian Family Physician, 53(10), 1639–1641.
- Türkiye İstatistik Kurumu. (2024). Turizm istatistikleri. https://veriportali.tuik.gov.tr/tr/press/53659
- Türkiye Seyahat Acentaları Birliği. (2024). Türkiye’de sağlık turizmi raporu. https://www.tursab.org.tr/
- Uluslararası Sağlık Hizmetleri A.Ş. (2024). Sağlık turizmi verileri. https://www.ushas.com.tr/saglik-turizmi-verileri/
- Xu, J., & Chan, S. (2016). A new nature-based tourism motivation model: Testing the moderating effects of the push motivation. Tourism Management Perspectives, 18, 107–110. https://doi.org/10.1016/j.tmp.2016.01.001
- Wang, B., Yang, Z., Han, F., & Shi, H. (2017). Car tourism in Xinjiang: The mediation effect of perceived value and tourist satisfaction on the relationship between destination image and loyalty. Sustainability, 9(1), 22. https://doi.org/10.3390/su9010022
- Widianti, T., Sumaedi, S., Bakti, G. M. Y., Rakhmawati, T., Astrini, N. J., & Yarmen, M. (2015). Factors influencing the behavioral intention of public transport passengers. International Journal of Quality & Reliability Management, 32(7), 666–692. https://doi.org/10.1108/IJQRM-01-2013-0002
- Wu, L. Y., Chen, K. Y., Chen, P. Y., & Cheng, S. L. (2014). Perceived value, transaction cost, and repurchase intention in online shopping: A relational exchange perspective. Journal of Business Research, 67(1), 2768–2776. https://doi.org/10.1016/j.jbusres.2012.09.007
- Yang, J., Gu, Y., & Cen, J. (2011). Festival tourists’ emotion, perceived value, and behavioral intentions: A test of the moderating effect of festivalscape. Journal of Convention & Event Tourism, 12(1), 25–44. https://doi.org/10.1080/15470148.2010.551292
- Yoon, Y., & Uysal, M. (2005). An examination of the effects of motivation and satisfaction on destination loyalty: A structural model. Tourism Management, 26(1), 45–56. https://doi.org/10.1016/j.tourman.2003.08.016
- Yücenur, G., Demirel, N., Ceylan, C., & Demirel, T. (2011). Hizmet değerinin müşterilerin davranışsal niyetleri üzerindeki etkisinin yapısal eşitlik modeli ile ölçülmesi. Doğuş Üniversitesi Dergisi, 12(1), 156–168.
- Yükselen, C. (2008). Pazarlama: İlkeler, yönetim, örnek olaylar. Detay Yayıncılık.
- Zeithaml, V. A. (1988). Consumer perceptions of price, quality and value: A means-end model and synthesis of evidence. Journal of Marketing, 52, 2–22. https://doi.org/10.1177/002224298805200302