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Global Health Economics and
            Sustainability
                                                                       Analyzing MHTW tourism for sustainable development


            collective academic endeavors signify a global commitment   the high-frequency keywords from 2014 to 2024 and their
            to addressing environmental, ethical, and economic   centrality in the Web of Science index of research related to
            challenges in the field of MHTW tourism to steer the   medical treatment, health, recuperative and health-related
            tourism industry toward a sustainable and equitable future.  tourism, and sustainable development. The keyword
                                                               “sustainable development” evinced the highest frequency
            4.5. Keyword co-occurrence knowledge graph         with 46 occurrences, indicating a high centrality (0.25) and
            Keyword co-occurrence analysis is an important method   specifying its vital role and wide application in the relevant
            that can reveal relationships between themes and concepts   literature.
            utilized in a research field (Luo et al., 2022). Table 5 displays   “Development” and “health” were also prominently
            keywords with publication frequency ≥15 and notes their   positioned, reflecting the growing interest in academia to
            frequencies, centrality, and year of publication.  Figure  5   construct more sustainable economic models and practices
            shows the knowledge map of these keywords utilized in the   in medical treatment, health, or recuperative and health-
            relevant literature. Table 5 presents a detailed analysis of
                                                               related tourism. “Health” represented a high-frequency
                                                               keyword with a centrality of 0.26, evidencing that health
                                                               was a core concern of medical or health tourism and the
            Table 5. Analysis of high‑frequency keywords of medical,
            health, therapy, and wellness tourism and sustainable   health industries. The keyword “tourism” evinced a lower
            development (2014 – 2024)                          number of occurrences with a centrality value of 0.08 but
                                                               exhibited the highest number of occurrences in 2020.
            Count     Centrality  Year        Keywords         Thus, medical tourism denotes a new form of tourism that
            46          0.25      2018    Sustainable development  is receiving increasing scholarly attention. “Management”
            37          0.26      2024    Health               (0.14) and “impact” (0.17) were also important keywords,
            34          0.08      2022    Tourism              signaling that researchers are studying how the medical
            34          0.14      2015    Management           tourism and health industries can be better managed and
            29          0.14      2017    Sustainable tourism  how their impact can be evaluated.
            28          0.17      2023    Impact                 Each node in  Figure  5 represents a keyword such as
            23          0.16      2016    Impacts              “sustainable development,” “health,” or “tourism.” The
            23          0.16      2015    Medical tourism      lines between the nodes represent the co-occurrence
                                                               relationship between the keywords: the thicker the line,
            17          0.09      2019    Model
                                                               the more frequently the two keywords cooccur in the
            15          0.08      2018    Satisfaction         literature. Thus, thicker lines demonstrate a stronger






























                                       Figure 5. Keyword co-occurrence knowledge graph (2014 – 2024)


            Volume 3 Issue 1 (2025)                        174                       https://doi.org/10.36922/ghes.4149
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