This study considers the factors motivating travel in domestic medical tourism. Although many studies have focused on international medical tourism, few have investigated domestic medical tourism. Recently, the market for domestic medical tourism has increased. This paper discusses the integration of medical and wellness services in Kanazawa city. Clinic patients travel from around the country. The factors affecting patients’ motives for travel can be divided in two categories (push-pull factors). The push factors include the patients’ high health consciousness, high literacy for health-related services, and the availability of information. On the other hand, the pull factors include the attractiveness of the destination for sightseeing, accessibility (e.g., opening of the super expressway or highways), the healthplex of medical and wellness services, and the hospitality of the service providers. These push-pull factors influence the consumer’s motives for travel. In this case, service quality involves building trust between the medical providers and the consumers. Hence, it is reasonable to consider that trust is a controlling influence on the perceived quality of wellness services because it promotes consumers’ health-related behaviors.
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