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Global Health Economics and
            Sustainability
                                                                       Analyzing MHTW tourism for sustainable development


            ensuring  that  such  travel  does  not  adversely  impact   ethical considerations must guide the development of
            the environmental, economic, and social fabric of the   health tourism to ensure that practices are just and benefit
            destination countries (Chaulagain  et al., 2020; Ghasemi   local communities (Jackson & Barber, 2014; Pessot et al.,
            et al., 2021). The medical tourism approach advocates for   2021).
            sustainable practices that support the long-term health of   Recent research has delved into the multifaceted effects
            individuals  as  well  as  communities.  Thus,  it  emphasizes   of health tourism on local and global scales (Figueiredo
            environmental conservation, economic benefits, and   et al., 2024). Sustainable health tourism can contribute
            ethical health-care practices (Monika  et al., 2024; Shaw   positively to local economies by simultaneously promoting
            et al., 2021).                                     environmental stewardship and improving public health
              The quality and safety of health-care services are   (Qureshi  et al., 2021). Specific case studies, such as
            paramount in sustaining the growth and reputation of the   those examining health tourism in low mountain areas
            medical tourism sector (Kundury et al., 2024). Sustainable   or the impact of religious tourism on rural health and
            medical  facilities  are  encouraged  to  adopt  practices  that   environments, provide specific examples of how regions
            ensure high standards of medical care and patient safety   can sustainably develop health tourism. Such studies often
            while  minimizing  their  environmental  impact  (White   highlight unique challenges and opportunities and suggest
            et al., 2022). A framework must be instituted to establish   tailored  approaches  for  integrating health tourism into
            sustainable medical facilities that cogitate both operational   local sustainable development strategies (Scheyvens & van
            sustainability and more wide-ranging environmental and   der Watt, 2021).
            cultural effects (Chisholm et al., 2021).            The future integration of health tourism into sustainable
              Studies  have  also  focused  on  the  regional  and   development  agendas  appears  promising.  A  growing
            collaborative dimensions of medical tourism, evaluating   trend exists of health-oriented tourists who prioritize
            how different regions adapt and respond to related   sustainability, indicating a shift toward more conscious
            challenges and opportunities (Virani  et al., 2020).   consumption patterns in tourism. Such movements are
            Lithuania can develop cooperative models to sustainably   expected to drive further innovations in sustainable
            boost its medical tourism sector (Civinskas et al., 2023).   practices in the health tourism sector, reinforcing the role of
            Moreover,  recent  investigations  provide  crucial  insights   the tourism industry in the global promotion of health and
            into consumer motivations and describe the competitive   well-being (Fennell & Bowyer, 2020). Hence, the concept
            landscape of medical tourism by apprehending the   of health tourism for sustainable development highlights
            behaviors and preferences of medical tourists by means   the importance of natural resources, underscores the need
            such as utilizing ranking systems to evaluate destinations   for ethical and economic considerations, presents practical
            in Iran  (Majeed et al., 2018).                    case studies, and envisions future trends in the field.

            2.2. Health tourism and sustainable development    2.3. Wellness tourism and sustainable development
            Health tourism often encompasses medical, wellness, and   Wellness tourism is defined as travel associated with
            spa tourism and entails travel with the intent to promote   the quest to maintain or enhance personal well-being.
            health  and  well-being  through  medical,  psychological,   It often involves activities such as spa visits, fitness
            or holistic treatments (Gkinton  et al., 2023; Sun  et al.,   classes, mental and physical therapies, and health-
            2022). Sustainable health tourism aims to  protect and   oriented leisure activities (Voigt et al., 2011; Zhong et al.,
            enhance opportunities for future generations and thus   2021). When integrated with sustainable development
            integrates these practices into  frameworks that  support   practices, wellness tourism aims to foster environments
            ecological balance, economic viability, and social equity   that facilitate the well-being of both locals and tourists
            (Dembovska & Zvaigzne, 2021). This concept aligns with   and thus emphasizes ecological conservation, social
            the more expansive objectives of sustainable development,   responsibility, and economic viability (Mathew & Nimmi,
            which include promoting health alongside encouraging   2022). This broader perspective supports the development
            sustainable practices in the tourism industry.     of sustainable tourism by promoting health while ensuring

              The sustainable development of health tourism relies   the preservation of natural and cultural resources (Antunes
            heavily on the ethical use and conservation of natural   et al., 2023; Esfandiari & Choobchian, 2020).
            resources,  which are intrinsic  to many health tourism   Research emphasizes that governance functions
            offerings such as thermal baths and natural spas (Favargiotti   significantly in the development of sustainable wellness
            et al., 2022). The development of health tourism should not   tourism. Effective governance frameworks ensure that
            deplete the environments on which it depends. Further,   wellness tourism contributes positively to local economies,


            Volume 3 Issue 1 (2025)                        165                       https://doi.org/10.36922/ghes.4149
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