title: Stakeholders' analysis of the medical tourism industry: development strategies in Isfahan.
abstract: BACKGROUND
  Policy makers and decision makers must identify the stakeholders in medical tourism, who will be affected by and/or affect this industry, and determine their status for partnership. The aim of this study was to identify the main stakeholders in Isfahan's medical tourism, analyze them, and provide strategies for developing this industry.
  
  
  METHODS
  A qualitative study was conducted in 2011. At first, the key stakeholders in medical tourism were identified in accordance with the experts' idea and literature review. Then we interviewed the key stakeholders. Data analysis was conducted using the stakeholders' analyses, which helped in developing strategies.
  
  
  RESULTS
  The result showed that the key stakeholders were made up of nine groups. They included the provincial governance of Isfahan, the Cultural Heritage and Tourism Organization of Isfahan, the Chamber of Commerce, the Medical Council, the Isfahan University of Medical Sciences, health service providers, tourism services providers, investors, and the Tosea Saderat Bank. The rate of knowledge of the Cultural Heritage and Tourism Organization of Isfahan, clinic and international relationship of Isfahan University of Medical Sciences from government policy about medical tourism were very much. Private Hospitals, the Medical Council, investors, and the University of Medical Sciences had great power. Private hospitals, clinics, the Cultural Heritage and Tourism Organization of Isfahan, and the University of Medical Sciences were in the supporter position. The effected strategies were the included strategies, focused on increasing power; increasing support, and on maintaining the position.
  
  
  CONCLUSIONS
  There are different stakeholders in the medical tourism industry. Thus, policy makers can plan, make a policy and decision, and use effective strategies to develop medical tourism by designing a medical tourism stakeholders' network, a medical tourism provincial council, and clarify the roles and responsibilities of stakeholders.
authors.affiliation: Department of Health Services Administration, Faculty of Health, Health Management and Economic Research Center, Faculty of Management and Medical Information, Isfahan University of Medical Sciences, Isfahan, Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Jabbari
authors.forename: Masoud
authors.initials: M
authors.lastname: Ferdosi
authors.forename: Mahmoud
authors.initials: M
authors.lastname: Keyvanara
authors.forename: Zahra
authors.initials: Z
authors.lastname: Agharahimi
keywords: Iran; medical tourism; stakeholders; stakeholders’ analysis; strategy