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Global Health Economics and
            Sustainability
                                                                       Analyzing MHTW tourism for sustainable development


            supports environmental sustainability, and enhances the   (Pessot et al., 2021). For example, studies have explored
            social fabric of communities (Zhong  et al., 2021). This   the sustainable development of thermal tourism and forest
            outcome entails creating policies that support sustainable   therapy tourism, attending to their environmental impact
            practices and encourage community participation in   and their benefits to visitors and locals. These practices
            wellness tourism initiatives (Coghlan, 2015; Weaver et al.,   do not concern merely providing therapeutic benefits
            2022). Wellness tourism can catalyze local economic   to tourists; they also ensure that the said benefits are
            development,  particularly  in  rural  or  underdeveloped   delivered in a manner that can be sustained over the long
            regions (Zhong  et al., 2021). Wellness tourism can tap   term without degrading natural resources or local cultures
            into local natural resources and cultural heritage, generate   (Shahzalal & Elgammal, 2023; Stavroula & Vasiliki, 2020).
            income, create jobs, and stimulate local businesses.   The application of models such as strengths, weaknesses,
            However, this result requires careful planning to ensure   opportunities, and threats (SWOT) analysis and analytic
            that tourism development does not overburden local   hierarchy process (AHP) is crucial. For instance, the
            ecosystems or cultural practices.                  SWOT-AHP combination can facilitate assessments of the
              Studies from Northwest Iran and Tobago have      sustainability of therapy tourism ventures by identifying
            investigated how wellness tourism can align with sustainable   strong facets,  drawbacks, possibilities,  and risks  and
            development goals to integrate wellness activities with   consequently enabling stakeholders to prioritize actions
            environmental conservation  efforts and  community   based on the performed assessment (Büyüközkan  et al.,
            engagement and illustrate how destinations can balance   2021). To cite one example, a study conducted in Enshi on
            tourist needs with resource sustainability (Alexis-Thomas,   forest therapy tourism utilized such models to strategically
            2020; Verharen et al., 2021). Despite its potential, wellness   plan and increase the sustainability of tourism practices
            tourism faces challenges such as the need for consistent   and assure that tourism contributes constructively to both
            quality of service, sustainable supply chain management,   environmental  conservation  and  local  development  (Rai,
            and continued balance between tourist influx and local   2019). Community involvement and the benefits introduced
            capacity. Future research must address these challenges by   by therapy tourism to local populations are vital components
            developing more robust models for sustainable wellness   of mutual sustainability. The attitudes of local communities
            tourism to ensure that this strategy remains viable for   toward therapy tourism can significantly influence the
            promoting health, well-being, and economic development   success and sustainability of such initiatives. Engaging local
            in harmony with environmental and cultural preservation.   communities and ensuring that they benefit from therapy
            Hence, wellness tourism for sustainable development   tourism projects can result in more sustainable and accepted
            emphasizes the role of governance, economic impact, and   practices, which are vital to the long-term success of such
            practical models and overviews the ongoing challenges   tourism initiatives (Zamani-Farahani, 2016).
            and opportunities in the field.                      Despite  its  potential,  therapy  tourism  confronts

            2.4. Therapy tourism and sustainable development   challenges such as guaranteeing that therapeutic practices
                                                               do not exploit natural resources and managing the influx
            Therapy tourism is often focused on therapeutic activities   of tourists in a manner that does not disrupt local lives.
            linked to physical and mental health benefits and involves   Future research and practices related to therapy tourism
            travel to destinations offering medical and wellness   must  focus  on  devising  and implementing  robust
            treatments such as thermal baths, forest healing, and   sustainable praxes that address such issues and affirm
            other natural restorative environments (Ohe et al., 2017).   therapy tourism as a viable tool that promotes sustainable
            When aligned with sustainable development, therapy   development in host communities and simultaneously
            tourism emphasizes ecologically sustainable, economically   delivers genuine therapeutic benefits to tourists (Jabbar &
            viable, and socially equitable practices and ensures that   Dani, 2020; Ohe, 2021). Therapy tourism for sustainable
            tourism activities contribute to the health of individuals   development underlines sustainable practices, utilizes
            as well as the environments with which they interact   model applications, secures community engagement, and
            (Ohe et al., 2017). This integration aims to equally foster   surpasses the challenges facing this sector. Table 1 presents
            long-term well-being for local communities and tourists   details of the relevant studies referenced in this literature
            while preserving natural resources (Jabbar & Dani, 2020;   review including their authors, publication years, and titles.
            Kristjánsdóttir et al., 2018).
                                                               3. Research methodology
              Effective sustainable practices in therapy tourism
            require the natural and cultural environments that support   Bibliometric analysis is a method of quantitative analysis
            therapeutic activities to be maintained and enhanced   based on mathematics and statistics. It is employed primarily


            Volume 3 Issue 1 (2025)                        166                       https://doi.org/10.36922/ghes.4149
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