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The present paper aims to analyse who actually benefits from the policies to promote international trade in healthcare services through medical tourism in India. It also assesses the implications of unfettered and unchecked medical tourism for public health policy-making.

The research methodology adopted in this paper is inter-disciplinary (socioeconomic and legal) and includes a mix of doctrinal and empirical qualitative research.

The present paper argues that in the absence of any baseline data in the public domain on inbound traffic of tourists visiting India on medical tourism, it is difficult to assess and evaluate the private sector claims and that the absence of any format for data collection, management and analysis results in questionable accountability and institutional fragmentation and non-coordination. Furthermore, it results in asymmetrical policy-making in areas like international trade, which may have unintended negative effects for public health.

The research findings of the present paper will also assist other developing countries considering to promote medical tourism to learn lessons from India’s experiences.

The present paper uses the qualitative empirical research conducted by the author to analyse the state of affair of medical tourism in India.

Collaboration is now an important part of public sector management. The purpose of this paper is to examine the factors that have helped shape the relationships between public agencies involved in sports tourism.

Using critical case sampling 54 in‐depth interviews were conducted with public officials in Northern Ireland and the Republic of Ireland.

The authors have produced the “Theory of collaborative advantage in relation to sports tourism”. This model captures the dynamics of collaboration in the sports tourism policy arena. A total of 12 practitioner themes and four cross‐cutting themes were identified and although each theme and the issues and tensions identified within it can affect inter‐organizational relationships in a particular way, the model illustrates how each theme is interlinked and is part of a larger, more complex picture.

Like all empirical research, this paper has its limitations but if the issues that affect collaboration are not identified then they cannot be addressed. Although no two collaborative settings are the same, public sector managers need to be aware of the factors that affect, or may affect, inter‐organizational relationships so that they can pre‐empt problems and maximise the use of resources.

Hopefully this paper will, in some way, lead to better planning and management of sports tourism and encourage those involved in sports tourism policy to adapt a collaborative, rather than an isolated, approach.

This study has contributed to knowledge by providing a better understanding of the inter‐relationships in the sports tourism policy arena.

This paper aims to examine through a case study how the creation of collaborative spaces between local stakeholders can foster decision-making and collective development of projects that improve the governance of tourism destinations and their sustainability.

The paper focuses on the analysis of a case study based on the Etorkizuna Eraikiz (Building the Future) programme developed in the Gipuzkoa region located in the Basque Country, Spain. The programme is based on a strategy that seeks to institutionalize a new model of collaborative governance in the long term through the co-design of public policies involving stakeholders of the territory. Through the description and analysis of the results achieved so far, the paper presents the implications of this public programme for the design of policies.

Etorkizuna Eraikiz emerges as a model to develop an exercise of active experimentation. The analysis of this collaborative governance process has derived in practices and agendas promoted by a variety of agents within the region. The programme has important implications for the formulation of public policies in the field of tourism through the creation of formal interaction spaces and the implementation of projects in support of tourism development (Tourist Eco-tax and information and communication technology tools).

This paper provides a contemporary approach to the practices in governance within the context of tourism. This case study may be of interest to practitioners and researchers to adopt destination governance practices through the creation of collaborative spaces between local stakeholders. These practices can foster decision-making and the collective development of projects that impact and lead to better governance of tourism destinations and their sustainability.

This paper aims to determine the role of heritage tourism in Shetland Island destination development and how this links to tourism public policy in island communities.

The study is conducted in the Shetland Islands, located off the north coast of Scotland, UK. Descriptive and inductive approaches are utilized to enable the researchers to recognize multiple social structures and draw conclusions from observations and specific information. Primary research focuses on semi‐structured interviews with key informants. Data is analyzed via a mix of content analysis and interpretation of the responses through a connected narrative approach.

Seasonality is a key feature of Shetland Island tourism, alongside other key limitations to growth including transport links and climatic conditions. Potential conflicts exist between tourism stakeholders and their perceptions of the effectiveness of the heritage tourism public policy in Shetland, though overall stakeholder collaboration succeeds in enhancing heritage conservation and development.

While the findings relate specifically to the Shetland Islands, the general conclusions offer an example of best practice concerning tourism public policy for heritage‐focused tourism in island communities, which could be used in comparable destinations.

The choice of the Shetland Islands as an example of a cold water island destination offers the opportunity to extend existing research and examine how the community of Shetland embraces the opportunities afforded by tourism as an alternative to traditional industries.

Tourism, a critical economic sector for Small Island Developing States (SIDS), is extremely vulnerable to climate change. It has been becoming increasingly evident that strategic planning is essential for the sector to manage future impacts of climate change. This study examines the climate change considerations in the tourism sector of The Bahamas with a specific focus on adaptation policies by exploring the perspectives of key actors. Facing similar climate vulnerabilities as many other SIDS, The Bahamas was chosen because it is a mature tourism destination that provides an avenue for existing policy innovations. In-depth, semi-structured interviews were conducted with eight policy actors from the government, tourism associations, and nongovernmental organizations in the country. The findings revealed that these stakeholders have a good knowledge of climate change. However, planning for tourism and climate change is fragmented, with most climate policies formulated with the scope of mitigation, such as greenhouse gas reduction strategies. In addition, the policy implementation faces many gaps common to SIDS, such as funding and human capacity. At present, the strategic planning for future tourism targets sustainable eco-tourism markets. Based on our findings, we provide recommendations such as leveraging public officials' knowledge of climate change, steering locally relevant adaptation measures, and directing immediate attention toward projects in the pipeline to ensure timely, long-term, and effective planning. The study adds to the current knowledge of climate change in the tourism policy context for The Bahamas with implications for other SIDS.

It is essential to understand how the countries with the highest number of tourist arrivals have managed to recover or not based on the competitiveness of the tourism industry during the pandemic stage. It is necessary to evaluate the policies implemented by each government to maintain the competitive performance of their industries. This chapter proposes a comprehensive review of the policies implemented in the 10 most visited countries according to UNWTO data. Most of these policies are geared toward economic and financial flexibility strategies for companies and individuals in the industry under study. The effectiveness of these policies is evaluated with statistical information extracted from a unified UNWTO database to reduce biases in the effectiveness analysis. Finally, concluding remarks are offered on the effectiveness of the policies and their contribution to the sector's recovery.

Research on the link between tourism and politics still remains relatively underdeveloped and more so when one considers the link between this phenomenon and the study of elections or psephology. This is despite the importance of elections to the democratic process and to considerations of the distribution of scarce resources particularly in countries heavily dependent on tourism. This chapter seeks to address this lacuna in scholarship through a theoretical explication of the nature of political issues and voter response. Applied to the development of a possible research agenda, this would aid in exploring the salience of tourism within electoral agendas from a relational perspective.

Objectives: To analyze the tourism policies introduced in response to the impact of the COVID-19 pandemic on tourism at the national, state and local levels, considering governmental functions and intergovernmental coordination.

Methodology: The methodology consisted of a review of the scientific literature on public policies, intergovernmental coordination and government functions, in addition to an empirical observation and analysis of norms and legal acts related to the combat against COVID-19 pandemic in four municipalities in the state of Rio de Janeiro, Brazil. The municipalities of Armação dos Búzios, Paraty, Petrópolis and Rio de Janeiro were selected because of their economic dependence on tourism.

Main Results and Contributions: The most important contributions were the theoretical and methodological model of the analysis of government functions combined with the review of intergovernmental coordination.

Originality/Value: To study tourism policies in a time of pandemic, since government functions, when analyzed in a tourism-related context, were conducted in non-pandemic contexts.

Conclusions: Municipal horizontal coordination is highlighted since it has positively impacted the actions of control and flexibility of pandemic measures. It was further noted that the role of the guarantor government was different throughout the whole process.

Limitations: As the study is ongoing and is part of an international project on tourism and pandemic, other data collection techniques will be included.

This chapter aims to develop a broad understanding of the relationship between tourism and development in Colombia for the period 1996–2012 through two complementary analyses. After a review of secondary sources, high-impact public policies related to tourism are analyzed, as well as the gains and gaps to be overcome. The main findings points out that Colombia is at a juncture where tourism is starting to bloom. Whatever is planned and how it is done in terms of public policy will determine the future model for its development. As such, tourism can become a strategic instrument for decentralization processes, regional and local dynamics, and strengthening the rule of law.

The purpose of this paper is to examine the current stage of the development of the study of tourism policy and some of the key issues that have come in for attention.

The work is based on a review of the literature relating to tourism policy over a 40-year period. Based on one of the models of tourism policy-making, it uses a five-part structure to organise the literature and for each part, it explores the issues dealt with by researchers over the period.

After a slow start, most aspects of tourism policy are now well-covered in the literature, and notably, there has been a marked quickening in the pace of study over the past decade. Influences on policy are well-documented, as are the roles of the different stakeholders in the policy process. This contrasts with the understanding of the work of the policymakers, which is less well-developed, as is the nature and influence of the different forms of policy output. Neoliberalism and governance have been prominent among recent policy themes pursued by researchers.

The paper draws on a wide range of work over 40 years, but it cannot be comprehensive.

The paper’s originality lies in it providing a brief overview of the current state of research into tourism policy.