alexa Expectations of Russian Medical Tourists on German Health Care Services: A Kano Model-Based Analysis
ISSN: 2167-0269

Journal of Tourism & Hospitality
Open Access

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Research Article

Expectations of Russian Medical Tourists on German Health Care Services: A Kano Model-Based Analysis

Plehn N1, Folkert L2, Meissner A3 and Plehn G4*

1Schumpeter School of Business and Economics, University of Wuppertal, Gaussstrasse 20, 42119 Wuppertal, Germany

2Schumpeter School of Business and Economics, University of Wuppertal, Gaussstrasse 20, 42119 Wuppertal, Germany

3Cologne-Merheim-Hospital, Ostmerheimer Strasse 200, 51109 Cologne, Germany / Ruhr-University of Bochum, Germany

4Johanniter-Hospital Rheinhausen, Kreuzacker 1-7, 47228 Duisburg, Germany/ Ruhr-University of Bochum, Germany

*Corresponding Author:
Plehn G, MD
Department of Cardiology
Johanniter- Hospital Duisburg Rheinhausen
Kreuzacker 1-7, 47228 Duisburg, Germany
Tel: 0049-2065-971400
Fax: 0049-2065-971480
E-mail: [email protected]

Received date: April 16, 2016; Accepted date: April 22, 2016; Published date: April 30, 2016

Citation: Plehn N, Folkert L, Meissner A, Plehn G (2016) Expectations of Russian Medical Tourists on German Health Care Services: A Kano Model-Based Analysis. J Tourism Hospit 5:208. doi:10.4172/2167-0269.1000208

Copyright: © 2016 Plehn N, et al. This is an open-access article distributed underthe terms of the Creative Commons Attribution License, which permits unrestricteduse, distribution, and reproduction in any medium, provided the original author andsource are credited.



Introduction: Medical tourism is a steadily growing market in Germany and has a great value of economic interest. Although the majority of patients come from Russia, little information on the needs and expectations of this patient group exists. Methods: Based on the Kano model which is an established research tool for assessing customer’s expectations in industry and healthcare, an online questionnaire was constructed. Based on literature review and an interview with a leading medical tourist agency 15 relevant service requirements were identified. Participant recruitment was accomplished via social media platforms and email invitation of Russian patients who have already received care in Germany. A typical stepwise analysis was performed after the Kano categories were derived for each requirement. As a supplementary aspect an analysis of the relative importance and satisfaction levels was performed. Results: 152 participants without (pn) and 38 with (pw) previous experiences in the German healthcare system completed the questionnaire. 9 requirements were categorized as a one-dimensional, 4 as an attractive and one each as a must-be and an indifferent attribute by pn-subjects. Almost all requirements which were classified as onedimensional by pn-subjects were classified as must-be attributes by pw-subjects. Conclusion: Typical one-dimensional attributes were related to services associated with the planning and travel process, typical attractive requirements were associated with additional support during hospital stay as a sophisticated room equipment and Russian-speaking staff. To maintain satisfaction must-be and attractive attributes have to be well controlled mainly by facilitating the travel process. Disproportional gains in satisfaction can be achieved by special offers during hospital stay.


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