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Medical tourism demands tremendous responsiveness and accountability. The triple bottom line in medical tourism indicates that these organizations must emphasize on economic profits, environmental protection, and conservation of social resources. Developing a resilient medical tourism ecosystem is another critical necessity after the COVID-19 pandemic. The present study attempts to study the various aspects of medical tourism while synthesizing the relevant theories. This synthesis was used to propose a framework for developing a resilient medical tourism system. The outcomes of the chapter also propose the long, medium, and short-term goals. These goals focus on relevant stakeholders for developing highly integrated and resilient medical-tourism destinations.

This chapter examines how Industrial Revolution 4.0 (IR 4.0) influences shape and reshapes the tourism industry. Tourism 4.0 technology enables user engagement with a system, improvement of the real tourist experience and the development of new approaches to influence behaviour change and even long-term user transformation.

Using an in-depth review of existing data, this chapter explains IR 4.0 and its integration into the tourism industry, especially on tourist behaviour.

Although technology integrates very slowly into the tourism industry, its phase of integration, especially Industry 4.0, is highly evident. Technology proved that it could enhance products and services in tourism and with its optimal use it can sustainably integrate into the tourism industry.

Service is still the keyword for tourism, and at a certain level, services are integrated into the tourism industry for standardisation and consistency. The recent global pandemic paves the way for several alternatives to integrate technology into the services.

Tourism is considered one of the globe's most prominent sectors, generating considerable forex revenues and employment generation, contributing to world peace and solidarity among many nations. However, it is negatively influenced by different factors like the spread of diseases, terrorist attacks, outbreaks of war, etc. The COVID-19 pandemic triggered unforeseen upheavals, resulting in demand and supply uncertainties in nearly every area of the economy (El-Erian, 2020). Thus, it is relevant to study the impact of the pandemic on the tourism industry. This chapter explains the journey of tourism during the COVID-19 pandemic by portraying the status of global tourism, how it impacted the Indian economy and its revival strategies, with special mention to Kerala tourism. The pandemic also resulted in a considerable change in the travel intentions of tourists, their travel preferences and their attitude towards travel. Hence, this chapter also presents the changed travel intentions of tourists that will help the industry players modify their products per the tourist's expectations. Finally, this chapter presents how the tourism industry recovered from the pandemic from both the supplier and demand perspectives, which will be helpful for all tourism stakeholders.

Artificial Intelligence (AI) has revolutionised the tourism industry, offering personalised experiences and streamlining operations. AI provides customised recommendations for travellers through data analysis and machine learning, making their journeys more meaningful. It has also improved efficiency through automated processes, chatbots and enhanced security measures. AI's ability to analyse large volumes of data enables tourism organisations to make data-driven decisions and target their marketing strategies effectively. One of the most notable contributions of AI in tourism is its ability to offer personalised recommendations. By analysing vast travel history, preferences and online behaviour, AI systems can provide tailored suggestions for destinations, accommodations, activities and dining options. This level of customisation enhances the overall travel experience, making it more relevant and satisfying for individual travellers. AI has also greatly improved operational efficiency within the tourism sector. Chatbots, powered by natural language processing, are increasingly being deployed by hotels, airlines and travel agencies to provide instant customer support and assistance. These chatbots can answer queries, offer recommendations and handle booking processes, reducing waiting times and enhancing customer satisfaction. In addition, facial recognition technology allows for quick and accurate identity verification at airports, hotels and other travel-related facilities. This improves security and provides travellers with a seamless and efficient experience. As technology advances, we expect AI to play a more prominent role in augmented reality, voice recognition and virtual assistants, further enhancing the travel experience and facilitating seamless interactions. In conclusion, AI has transformed the tourism industry by providing personalised recommendations, improving operational efficiency, enhancing security measures and enabling data-driven destination management.

The thin feminine body ideal in Western society has persisted, despite becoming less representative of the female population, with obesity rates consistently rising since the 1980s. Recently, the COVID-19 pandemic has exacerbated obesity rates, due to curtailed interventions, restricted mobility/enforced physical inactivity and increased reliance on processed food with a longer shelf life due to social isolation (World Obesity Foundation, n.d.). Individuals with obesity report weight discrimination in a broad range of settings, including employment, where researchers have documented weight discrimination in relation to hiring, job assignment, promotion, remuneration and work stability. Weight discrimination may be worse for jobs involving public interaction, particularly for women, because heavier women do not conform to societal body ideals, leading to weight stigmatisation such as anti-fat attitudes and beliefs (e.g. negative stereotypes) and prejudice. This chapter presents a systematic literature review of studies that have examined weight discrimination against women with obesity in jobs involving public interaction, i.e. ‘customer-facing roles’.

The Internet of Things (IoT) is perceived as an evolving trend in the tourism industry, with the potential to change its dynamics. IoT will help destinations, airlines, hotels and cruises personalise their services for tourists and guests. Moreover, it has several advantages for them, such as cost savings, increased productivity, greater efficiency and customised and differentiated services. The readers of this chapter will learn about the trends of IoT in the tourism industry, discover its benefits and learn about the most critical applications.

Scenarios are cognitive aids for thinking about the future in a sustained and disciplined manner. Because scenarios must be facilitated, scenarios must be considered in the context of their practice. In the strategic management literature, there has been a considerable conversation on the practical difference between “hot” and “cold” cognition. Thinking in this conventional literature demonstrates how the facilitators of scenario planning workshops establish and channel the productive cognition of their clients away from hot cognition and toward cold cognition. But how? As a thought experiment, we examine whether the sociological concept of “emotional labor” helps explain the cognition management of clients by facilitators during scenario planning. We end by considering how a deeper practical understanding of emotional labor might help facilitators identify mechanisms and adapt their tools to better manage the cognitive-affective dimensions of scenario planning in practice.