{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,13]],"date-time":"2026-02-13T12:29:53Z","timestamp":1770985793212,"version":"3.50.1"},"reference-count":28,"publisher":"Emerald","issue":"7","license":[{"start":{"date-parts":[[2014,8,5]],"date-time":"2014-08-05T00:00:00Z","timestamp":1407196800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.emerald.com\/insight\/site-policies"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,8,5]]},"abstract":"<jats:sec>\n               <jats:title content-type=\"abstract-heading\">Purpose<\/jats:title>\n               <jats:p> \u2013 The purpose of this paper is to introduce and discuss the concepts of service convergence and service integration, illustrate them in the context of the medical tourism industry, and link them to factors that contributed to the success of a medical tourism firm. <\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title content-type=\"abstract-heading\">Design\/methodology\/approach<\/jats:title>\n               <jats:p> \u2013 The basis for the conceptual development of service convergence and service integration is an in-depth case study of Bumrungrad International Hospital (BIH) in Thailand. Based on semi-structured interviews and archival data, BIH's business model is analyzed and factors are identified that led to its success in the industry. <\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title content-type=\"abstract-heading\">Findings<\/jats:title>\n               <jats:p> \u2013 BIH's success can be attributed to nine key initiatives that enhanced customer focus, operational efficiency, and service quality. These initiatives supported BIH's twofold business model of product differentiation and globally competitive prices. The firm's activities led to the integration of medical and hospitality services resulting in a new, enhanced product. Competitors adopted BIH's service integration approach, which started the service convergence trend in the medical tourism industry. <\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title content-type=\"abstract-heading\">Research limitations\/implications<\/jats:title>\n               <jats:p> \u2013 The conceptual foundations for service convergence and service integration are laid in this paper and can serve as the basis for future research. <\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title content-type=\"abstract-heading\">Practical implications<\/jats:title>\n               <jats:p> \u2013 Insights from BIH's business model can guide firms in medical tourism and related industries on how to innovate and how to successfully implement their service products. <\/jats:p>\n            <\/jats:sec>\n            <jats:sec>\n               <jats:title content-type=\"abstract-heading\">Originality\/value<\/jats:title>\n               <jats:p> \u2013 This paper introduces the term service convergence and discusses its mechanisms. Furthermore, it identifies success factors of a leading firm in the medical tourism industry and links them to service integration.<\/jats:p>\n            <\/jats:sec>","DOI":"10.1108\/imds-04-2014-0115","type":"journal-article","created":{"date-parts":[[2014,11,5]],"date-time":"2014-11-05T05:23:59Z","timestamp":1415165039000},"page":"1094-1106","source":"Crossref","is-referenced-by-count":22,"title":["Service convergence and service integration in medical tourism"],"prefix":"10.1108","volume":"114","author":[{"given":"Christian","family":"Wernz","sequence":"first","affiliation":[]},{"given":"Pooja","family":"Thakur Wernz","sequence":"additional","affiliation":[]},{"given":"Kongkiti","family":"Phusavat","sequence":"additional","affiliation":[]}],"member":"140","reference":[{"key":"key2020122904135308600_b1","unstructured":"American Medical Association\n                (2007), \u201cMedical travel outside the US\u201d, AMA-OMSS Governing Council Report B, American Medical Association, June, Chicago, IL, available at: www.amaassn.org\/ama1\/pub\/upload\/mm\/21\/omss2007a.pdf (accessed December 1, 2010)."},{"key":"key2020122904135308600_b3","doi-asserted-by":"crossref","unstructured":"Barras, R.\n                (1986), \u201cTowards a theory of innovation in services\u201d, Research Policy, Vol. 15 No. 4, pp. 161-173.","DOI":"10.1016\/0048-7333(86)90012-0"},{"key":"key2020122904135308600_b2","unstructured":"BIH Annual Report\n                (2011), Experiences and Expertise pp. 7-13, Financial Information pp. 14-53, available at: http:\/\/bh.listedcompany.com\/misc\/ar\/Annual_Report_2010_en.pdf (accessed April 7, 2011)."},{"key":"key2020122904135308600_b4","unstructured":"De Sam Lazaro, F.\n                (2005), \u201cTraveling for treatment, PBS Newshour with Jim Lehrer\u201d, transcript, available at: www.pbs.org\/newshour\/bb\/health\/jan-june05\/thailand_2-21.html (accessed December 7, 2012)."},{"key":"key2020122904135308600_b5","doi-asserted-by":"crossref","unstructured":"Eisenhardt, K.M.\n                (1989), \u201cBuilding theories from case study research\u201d, Academy of Management Review, Vol. 14 No. 4, pp. 532-550.","DOI":"10.5465\/amr.1989.4308385"},{"key":"key2020122904135308600_b6","doi-asserted-by":"crossref","unstructured":"Ettlie, J.E.\n                and \n                  Rosenthal, S.R.\n                (2011), \u201cService versus manufacturing innovation\u201d, Journal of Product Innovation Management, Vol. 28 No. 2, pp. 285-299.","DOI":"10.1111\/j.1540-5885.2011.00797.x"},{"key":"key2020122904135308600_b7","doi-asserted-by":"crossref","unstructured":"F\u00fcller, J.\n                and \n                  Matzler, K.\n                (2008), \u201cCustomer delight and market segmentation: an application of the three-factor theory of customer satisfaction on life style groups\u201d, Tourism Management, Vol. 29 No. 1, pp. 116-126.","DOI":"10.1016\/j.tourman.2007.03.021"},{"key":"key2020122904135308600_b8","doi-asserted-by":"crossref","unstructured":"Gallouj, F.\n                and \n                  Weinstein, O.\n                (1997), \u201cInnovation in services\u201d, Research Policy, Vol. 26 No. 4, pp. 537-556.","DOI":"10.1016\/S0048-7333(97)00030-9"},{"key":"key2020122904135308600_b9","doi-asserted-by":"crossref","unstructured":"Gambardella, A.\n                and \n                  Torrisi, S.\n                (1998), \u201cDoes technological convergence imply convergence in markets? Evidence from the electronics industry\u201d, Research Policy, Vol. 27 No. 5, pp. 445-463.","DOI":"10.1016\/S0048-7333(98)00062-6"},{"key":"key2020122904135308600_b10","unstructured":"Gauch, S.\n                and \n                  Blind, K.\n                (2014), \u201cTechnological convergence and the absorptive capacity of standardisation\u201d, Technological Forecasting and Social Change, available at: www.sciencedirect.com\/science\/article\/pii\/S0040162514000869"},{"key":"key2020122904135308600_b11","unstructured":"Hacklin, F.\n                (2007), Management of Convergence in Innovation: Strategies and Capabilities for Value Creation Beyond Blurring Industry Boundaries, Springer, Heidelberg."},{"key":"key2020122904135308600_b12","doi-asserted-by":"crossref","unstructured":"Han, J.\n               , \n                  Chung, S.\n                and \n                  Sohn, Y.\n                (2009), \u201cTechnology convergence: when do consumers prefer converged products to dedicated products?\u201d, Journal of Marketing, Vol. 73 No. 4, pp. 97-108.","DOI":"10.1509\/jmkg.73.4.097"},{"key":"key2020122904135308600_b13","doi-asserted-by":"crossref","unstructured":"Henderson, R.M.\n                and \n                  Clark, K.B.\n                (1990), \u201cArchitectural innovation: the reconfiguration of existing product technologies and the failure of established firms\u201d, Administrative Science Quarterly, Vol. 35 No. 1, pp. 9-30.","DOI":"10.2307\/2393549"},{"key":"key2020122904135308600_b14","doi-asserted-by":"crossref","unstructured":"Hertog, P.D.\n               , \n                  Van der Aa, W.\n                and \n                  de Jong, M.W.\n                (2010), \u201cCapabilities for managing service innovation: towards a conceptual framework\u201d, Journal of Service Management, Vol. 21 No. 4, pp. 490-514.","DOI":"10.1108\/09564231011066123"},{"key":"key2020122904135308600_b15","unstructured":"Joint Commission International\n                (2014), \u201cJoint commission international, JCI accredited organizations\u201d, available at: www.jointcommissioninternational.org\/JCI-Accredited-Organizations\/ (accessed June 25, 2014)."},{"key":"key2020122904135308600_b16","unstructured":"Kano, N.\n               , \n                  Seraku, N.\n               , \n                  Takahashi, F.\n                and \n                  Tsuji, S.\n                (1984), \u201cAttractive quality and must-be quality\u201d, The Journal of the Japanese Society for Quality Control, Vol. 14 No. 2, pp. 147-156."},{"key":"key2020122904135308600_b17","unstructured":"Kasikorn Research\n                (2007), \u201cMedical tourism: generating more than THB36 Billion\u201d, Business Brief No. 2010, Kasikorn Research, Bangkok, available at: www.kasikornresearch.com\/EN\/K-EconAnalysis\/Pages\/ViewSummary.aspx?docid=9504 (accessed November 29, 2010)."},{"key":"key2020122904135308600_b18","doi-asserted-by":"crossref","unstructured":"Kim, J.\n               , \n                  Bojanic, D.\n                and \n                  Warnick, R.\n                (2009), \u201cPrice bundling and travel product pricing practices used by online channels of distribution\u201d, Journal of Travel Research, Vol. 47 No. 4, pp. 403-412.","DOI":"10.1177\/0047287508328658"},{"key":"key2020122904135308600_b19","doi-asserted-by":"crossref","unstructured":"Kodama, F.\n                (2013), \u201cMOT in transition: from technology fusion to technology-service convergence\u201d, Technovation, Vol. 34 No. 9, pp. 505-512.","DOI":"10.1016\/j.technovation.2013.04.001"},{"key":"key2020122904135308600_b20","unstructured":"Lovelock, C.\n                and \n                  Wirtz, J.\n                (2011), Services Marketing: People, Technology, Strategy, 7th ed., Pearson, Upper Saddle River, NJ."},{"key":"key2020122904135308600_b21","doi-asserted-by":"crossref","unstructured":"Michel, S.\n               , \n                  Brown, S.W.\n                and \n                  Gallan, A.S.\n                (2008), \u201cService-logic innovations: how to innovate customers, not products\u201d, California Management Review, Vol. 50 No. 3, pp. 49-65.","DOI":"10.2307\/41166445"},{"key":"key2020122904135308600_b22","doi-asserted-by":"crossref","unstructured":"Neely, A.\n                (2002), Business Performance Measurement: Theory and Practice, Cambridge University Press, Cambridge.","DOI":"10.1017\/CBO9780511753695"},{"key":"key2020122904135308600_b23","unstructured":"Normann, R.\n                and \n                  Ramirez, R.\n                (1993), \u201cFrom value chain to value constellation: designing interactive strategy\u201d, Harvard Business Review, Vol. 71 No. 4, pp. 65-77."},{"key":"key2020122904135308600_b24","unstructured":"Pickert, K.\n                (2008), \u201cMedical tourism\u201d, Time Magazine, November 25, available at: www.time.com\/time\/health\/article\/0,8599,1861919,00.html (accessed December 7, 2012)."},{"key":"key2020122904135308600_b25","unstructured":"Supakankunti, S.\n                and \n                  Herberholz, C.\n                (2012), \u201cTransforming the ASEAN economic community (AEC) into a global services hub: enhancing the competitiveness of the health services sector in Thailand\u201d, in \n                  Tullao, T.S.\n                and \n                  Lim, H.H.\n                (Eds), Developing ASEAN Economic Community (AEC) into A Global Services Hub, ERIA Research Project Report 2011-1, ERIA, March, Jakarta, pp. 147-171."},{"key":"key2020122904135308600_b26","doi-asserted-by":"crossref","unstructured":"Tax, S.S.\n               , \n                  McCutcheon, D.\n                and \n                  Wilkinson, I.F.\n                (2013), \u201cThe service delivery network (SDN): a customer-centric perspective of the customer journey\u201d, Journal of Service Research, Vol. 16 No. 4, pp. 454-470.","DOI":"10.1177\/1094670513481108"},{"key":"key2020122904135308600_b27","doi-asserted-by":"crossref","unstructured":"Wernz, C.\n               , \n                  Zhang, H.\n                and \n                  Phusavat, K.\n                (2014), \u201cInternational study of technology investment decisions at hospitals\u201d, Industrial Management & Data Systems, Vol. 114 No. 4, pp. 568-582.","DOI":"10.1108\/IMDS-10-2013-0422"},{"key":"key2020122904135308600_b28","doi-asserted-by":"crossref","unstructured":"York, D.\n                (2008), \u201cMedical tourism: the trend toward outsourcing medical procedures to foreign countries\u201d, Journal of Continuing Education in the Health Professions, Vol. 28 No. 2, pp. 99-102.","DOI":"10.1002\/chp.165"}],"container-title":["Industrial Management &amp; Data Systems"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.emeraldinsight.com\/doi\/full-xml\/10.1108\/IMDS-04-2014-0115","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/IMDS-04-2014-0115\/full\/xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.emerald.com\/insight\/content\/doi\/10.1108\/IMDS-04-2014-0115\/full\/html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T21:51:47Z","timestamp":1753393907000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.emerald.com\/imds\/article\/114\/7\/1094-1106\/183611"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,8,5]]},"references-count":28,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2014,8,5]]}},"alternative-id":["10.1108\/IMDS-04-2014-0115"],"URL":"https:\/\/doi.org\/10.1108\/imds-04-2014-0115","relation":{},"ISSN":["0263-5577"],"issn-type":[{"value":"0263-5577","type":"print"}],"subject":[],"published":{"date-parts":[[2014,8,5]]}}}