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MEDICAL TOURISM AND WELLNESS Hospitality Bridging Healthcare (H2H)© Advances in Hospitality and Tourism MEDICAL TOURISM AND WELLNESS Hospitality Bridging Healthcare (H2H)© Edited by Frederick J. DeMicco, PhD, RD Foreword by Shirley Weis Former Chief Administrative Officer, The Mayo Clinic Apple Academic Press Inc. Apple Academic Press Inc. 3333 Mistwell Crescent 9 Spinnaker Way Oakville, ON L6L 0A2 Waretown, NJ 08758 Canada USA ©2017 by Apple Academic Press, Inc. No claim to original U.S. Government works Printed in the United States of America on acid-free paper International Standard Book Number-13: 978-1-77188-505-8 (Hardcover) International Standard Book Number-13: 978-1-315-36567-1 (CRC Press/Taylor & Francis eBook) All rights reserved. No part of this work may be reprinted or reproduced or utilized in any form or by any electronic, mechanical or other means, now known or hereafter invented, including photocopying and re- cording, or in any information storage or retrieval system, without permission in writing from the publisher or its distributor, except in the case of brief excerpts or quotations for use in reviews or critical articles. This book contains information obtained from authentic and highly regarded sources. Reprinted material is quoted with permission and sources are indicated. Copyright for individual articles remains with the authors as indicated. A wide variety of references are listed. Reasonable efforts have been made to publish reliable data and information, but the authors, editors, and the publisher cannot assume responsibility for the validity of all materials or the consequences of their use. The authors, editors, and the publisher have attempted to trace the copyright holders of all material reproduced in this publication and apologize to copyright holders if permission to publish in this form has not been obtained. If any copyright material has not been acknowl- edged, please write and let us know so we may rectify in any future reprint. Trademark Notice: Registered trademark of products or corporate names are used only for explanation and identification without intent to infringe. Library and Archives Canada Cataloguing in Publication Medical tourism and wellness : hospitality bridging healthcare (H2H) / edited by Frederick J. DeMicco, PhD, RD. Includes bibliographical references and index. Issued in print and electronic formats. ISBN 978-1-77188-505-8 (hardcover).--ISBN 978-1-315-36567-1 (PDF) 1. Medical tourism. 2. Medical care. 3. Hospitality industry. I. DeMicco, Frederick author, editor RA793.5.M43 2017 362.1 C2016-907925-2 C2016-907926-0 Library of Congress Cataloging-in-Publication Data Names: DeMicco, Frederick, editor. Title: Medical tourism and wellness : hospitality bridging healthcare (H2H) / editor, Frederick J. DeMicco. Description: Toronto ; New Jersey : Apple Academic Press, [2017] | Includes bibliographical references and index. Identifiers: LCCN 2016054876 (print) | LCCN 2016055679 (ebook) | ISBN 9781771885058 (hardcover : alk. paper) | ISBN 9781315365671 (eBook) Subjects: | MESH: Medical Tourism Classification: LCC RA793.5 (print) | LCC RA793.5 (ebook) | NLM W 81 | DDC 362.1--dc23 LC record available at https://lccn.loc.gov/2016054876 Apple Academic Press also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic format. For information about Apple Academic Press products, visit our website at www.appleacademicpress.com and the CRC Press website at www.crcpress.com DEDICATION Thank you to the wonderful, caring, courageous, smart and forward thinking DeMicco Ladies in my Life ABOUT THE EDITOR Frederick J. DeMicco, PhD, RD Frederick J. DeMicco, PhD, RD, MS PH, CGSP, is a Full Professor and holds the Aramark Endowed Chair in the Department of Hospitality Busi- ness Management at the University of Delaware. Formerly, he was Associate Director in the School of Hotel, Restaurant and Recreation Management at Penn State University, where he was Professor-in-Charge of the HRIM undergraduate and graduate programs for five years. He also holds the Conti Distinguished Professorship at the Pennsylvania State University, Univer- sity Park, PA. Dr. DeMicco’s research and scholarship interests are in international strategic management, and hospitality leadership and Innovation. He has worked on projects with the Aramark Corporation for the last four Summer Olympics (Atlanta, Australia, Athens, and Beijing). He is on the editorial board of the Hospitality Research Journal, as well as author and co-author of more than 100 publications in the area of hospitality and tourism manage- ment. Dr. DeMicco is ranked 12th among the 119 most cited international hospitality faculty, and he is tied for 37th (with Harvard’s Michael Porter) as a scholar most cited by hospitality education faculty. He has sat on the boards of the Delaware Restaurant Association, the Delaware Hotel & Lodging Association, and International CHRIE. He was President of ICHRIE NENA. Dr. DeMicco has taught and conducted research in Europe, Scandi- navia, South America, Australia/NZ, China, and the Caribbean (including cruise ships). He has co-authored, with James Keiser, Cihan Cobanoglu with Robert N. Grimes, the textbook Contemporary Management Theory: Controlling and Analyzing Costs in Foodservice Operations (5th edition). The book is used at approximately 100 CHRIE-affiliated universities and has been translated into Japanese. He is also the first author of Restaurant Management: A Best Practices Approach with publisher Kendall-Hunt. Dr. DeMicco is also a co-author with Dr. Marvin Cetron and Owen Davies for the book Hospitality 2015: The Future of Hospitality and Tourism, which looks at trends for the tourism hospitality and travel industry. In 2008, Dr. DeMicco received the AH&LA Educational Institute’s Lamp of Knowledge Award for Outstanding United States Educator. viii About the Editor Lodging Magazine honored Dr. DeMicco as the Lodging Industry’s Top Education Innovator for 2006. Dr. DeMicco completed his PhD in Hotel, Restaurant, and Institutional Management at Virginia Polytechnic Institute and State University under major Professor Dr. Michael D. Olsen. In 1996, he completed a sabbatical in Hotel Management at Walt Disney World, Florida. Dr. DeMicco also obtained a Ducktorate Degree from Disney University, Orlando Florida. CONTENTS List of Contributors .....................................................................................xiii List of Abbreviations ....................................................................................xv Advances in Hospitality and Tourism Book Series ....................................xvii About the Series Editor ...............................................................................xix Foreword by Shirley Weis, former Chief Administrative Officer, Mayo Clinic .................................................................................................xxi Prologue ....................................................................................................xxiii Preface ........................................................................................................xxv Part I: Introduction and Overview of Hospitality Bridging Healthcare (H2H): Medical Tourism and Wellness ................................1 1. Introduction .....................................................................................................3 Frederick J. DeMicco 2. Introduction to the Phenomenon of “Medical Tourism” ...........................19 Dan Cormany Part II: A Systems Model for Hospitality Bridging Healthcare (H2H) as a Driver for High Quality Patient/Guest Service Delivery .........................................................................................45 3. Using the System Model to Describe the Workings of the Mayo Clinic for Medical Tourism................................................................47 Frederick J. DeMicco and Dongqiong Patty Luo 4. An Overview of the Affordable Care Act and the Importance of Bringing Hotel/Hospitality Quality Services to Healthcare ..................75 Barbara Otto-Bedard and Frederick J. DeMicco 5. A Disney Approach to Medical Tourism and Wellness ..............................95 Frederick J. DeMicco 6. Improving the Health Care: The Patient/Guest Experience Academy ...103 Frederick J. DeMicco and Ali Poorani 7. Bringing Hotel Hospitality Service Skills to Healthcare:

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Medical Tourism and Wellness: Hospitality Bridging Healthcare (H2H) takes a systems approach to examining the growing field of medical tourism, one of the field’s hottest niches, with billions of dollars spent each year. This important book fills the need for a modern management book that looks at
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