Therapeutic tourism is one of the most growing sectors of the tourism industry. Since the 1990s, because of several factors such as changes in consumer values, aging of population, the demands of the health services system, and other factors this kind of tourism has expanded and strengthened. Also, because of its benefits and advantages, therapeutic tourism has been the focus of much attention recently. The purpose of this study was to evaluate the capabilities of Ahwaz in attracting foreign therapeutic tourists. Based on its nature and methodology, this study was descriptive and analytical; and based on its purpose, it was an applied one. The statistical population of this study consisted of therapeutic tourists, specialists and experts in the field of medical treatment. Using Cochran formula the sample size was determined to be 150 people. The sample of study included 100 therapeutic tourists and 50 specialists. In order to collect information, two researcher-made questionnaires were used. Using Cronbach's alpha, their reliability scores were calculated 0. 71 for specialists and experts’ questionnaire and 0. 85 for tourists’ one. One-sample t-test was used to analyze the data. The AHP method was used to rank the factors affecting the development of therapeutic tourism in Ahvaz. The results indicated that the health, services and welfare infrastructures in Ahwaz were sufficient to satisfy the tourists’ needs and this shows their high satisfaction with these infrastructures, but from the viewpoints of specialists and experts the infrastructures are not sufficient. To determine the decision making options, factors affecting the development of therapeutic tourism, medical resources, traveling services and marketing were considered.

Tourism industry of the third millennium is known as the third highly clean tourism. The growth of the tourism industry depends on conditions in which tourism exists. The most important factors for tourism development are increasing the quality of services, and facilities for tourists. In order to attract tourists their satisfaction of the tourist centers must be achieved. For this reason the researchers chose Ghorveh due to its attractions for tourists. The research method was descriptive- analytical. There were 200 samples in the study Data were collected through library and field studies. After entering the obtained data in SPSS software T-test and Pearson correlation were run. The results indicated that the quality of tourism services and facilities was high in the middle. The entire t showed that the quality of services and facilities were not satisfactory, but too moderate. The average quality index of the host community was at most 4.24. The results of Pearson correlation test showed that the quality of services and facilities had positive relationship with the satisfaction of tourists. Also there was a positive relationship between tourist’s attraction and satisfaction the correlation of which was estimated 0.0753. The results showed that building suitable hotels and providing facilities for tourists can be a factor for their satisfaction and attracting them to visit Ghorveh.

Despite of increasing development of tourism industry in the world and existence of a lot of potentials in Iran for attracting foreign tourists, information and statistics shows that tourism industry in Iran is not successful. It seems that one of the reasons of this matter is the lack of attention to expectations and preferences of incoming tourists, and also the lack of effort to increase their satisfaction.The purpose of this research is better understanding of European tourists’ satisfaction with their travel experience in Iran.The sample of the research was chosen from European tourists that traveled to Iran in 2008. 156 European tourists were asked to determine the importance and performance of travel attributes to Iran. The results have been surveyed by IPA (Importance-Performance Analysis).Importance-Performance Analysis showed that tourism attractions, transportation, and environment are the opportunities of Iran as a tourism destination. In addition, the attributes of accommodation, entertainment activities, and shopping are weaknesses of Iran. And finally, attributes of restaurant, information, and infrastructures and public services are potential threats of Iran as a tourism destination.

Context: Medical tourism is a relatively new concept with rapidly growing application. It is defined as purposeful travel to receive the health services provided in other countries and is underlain by patient satisfaction as one of the quality indicators that primarily attract medical tourists. The purpose of this study was to systematically review the factors that affect the satisfaction of people who travel to other countries to receive medical treatment. Evidence Acquisition: To identify contributors to the satisfaction of medical tourists, we conducted a systematic review between July 2016 and March 2017. The Preferred Reporting Items for Systematic Reviews and Prizma checklist was used as a guide for the review. The quality of the papers was examined independently by two of the researchers using the Kmet checklist. Further filtering left us with a final sample of 20 studies, which were subjected to content analysis using the input-process-output (IPO) model. The factors identified were then represented in the IPO model. A total of 376 studies were obtained from 9 English and Persian databases using 6 main search keywords. The specific keywords used were “ medical tourist, ” “ health tourist, ” “ health tourism, ” “ medical tourism, ” “ satisfaction, ” and “ consent. ” were searched from the databases of Scopus, Web of Science, Science Direct, Pro-Quest, Embase, Ovid, magiran and SID. Results: The examination of the studies yielded 137 effective factors that influence the satisfaction of medical tourists. The factors were classified into six categories, namely, services, manpower, information, costs, physical conditions, and health equipment. Among these categories, the service domain encompassed most of the influencing factors. Conclusions: The satisfaction of medical tourists is determined by different factors, among which satisfaction with the provision of services has been of great interest to medical tourists. Specifically, medical tourists evaluate the manner by which health care providers offer services, the quality of care that they receive, and the behavior of hospital staff. The results present implications for destination countries in their efforts to enhance the positive features of their services and address those that negatively affect the satisfaction of medical tourists.

Climatic and geographical features of Gorgan (e.g. lying in the vicinity of North - and Razavi-khorasan, Semnan, Tehran, and Mazandaran provinces) on the one hand and its cultural and historical attractions (e.g. Existence of Turkman people and their handicrafts) on the other have rendered this city into a prominent tourist spot. This research, aims to evaluate the Gorgan - tourists’ satisfaction level and the principal factors affecting it. After distribution of 250 questionnaires, data were analyzed through descriptive and analytical statistics methods. Results indicate that four factors including service quality, environmental quality, host behavior quality, and services cost, can explain more than %54 of the variance of the variables. Also, a significant correlation is observed between the mentioned factors and the tourists’ satisfaction level. At the end, some suggestions are proposed for improving tourists’ satisfaction and tourism development in Gorgan.

When the tourists' satisfaction with travel services is discussed, it should be considered the components related to increasing or decreasing satisfaction. To the fullest extent, the expectations of tourists will be met, as tourism and tourist development will be achieved. Tourists usually travel to where they are trusted and confident and feel safe. Providing services, facilities and equipment in these conditions is effective in increasing their satisfaction. The main objective of this research is to assess the satisfaction and level of expectations of German tourists from transportation systems, accommodation facilities (hotels) and professional characteristics of tour guides. The studied subjects in this study were German tourists who traveled to Iran from February 2016 to June 2017. This research is a descriptive-exploratory study. According to the definitions, objectives and questions, the survey methodology and documents are used simultaneously and the documentary method for collecting theoretical information and library studies and a survey method for collecting information Field is used. The researcher-made questionnaire consisted of questionnaires using the Likert spectrum method, which was analyzed by SPSS-16 software. Based on the results of this research, there is a positive and significant relationship between the services provided in residential centers, the quality of transportation services in Iran and the satisfaction of German tourists. Because of their expectations not meeting the quality of services, they prefer not to go back to Iran. But we can provide a suitable platform to motivate the return of tourists to Iran by making changes in the dimensions of quality, cost of services, hotel, driver and tour guides behavior through public and professional education.

The Expansion of health tourism as a new kind and diverse and competitive tourism market depends on satisfaction of tourists. In order to accomplish this, initially, it is necessary to identify influential factors on the satisfaction of tourists should be developed and in the next step, practical solutions tailored to the status quo. In fact, this is the aim of the applied research, which has been done with an analytical and exploratory approach and data obtained from field documents based on interviews and questionnaires were distributed among foreign health touristsThe Expansion of health tourism as a new kind and diverse and competitive tourism market depends on satisfaction of tourists. In order to accomplish this, initially, it is necessary to identify influential factors on the satisfaction of tourists should be developed and in the next step, practical solutions tailored to the status quo. In fact, this is the aim of the applied research, which has been done with an analytical and exploratory approach and data obtained from field documents based on interviews and questionnaires were distributed among foreign health touristsThe Expansion of health tourism as a new kind and diverse and competitive tourism market depends on satisfaction of tourists. In order to accomplish this, initially, it is necessary to identify influential factors on the satisfaction of tourists should be developed and in the next step, practical solutions tailored to the status quo. In fact, this is the aim of the applied research, which has been done with an analytical and exploratory approach and data obtained from field documents based on interviews and questionnaires were distributed among foreign health tourists. The study population was tourists from Iraqi Kurdistan region for treatment and health tourism from the official border in city of Marivan entered the country, which at first being targeted and by achieving the theoretical saturation, to identify affecting factors on their satisfaction interviews were conducted with 19 of them. Then, questionnaires contained extracted information distributed among 100 tourists randomly. The analysis of qualitative data did by using the basic theory and extracted data from the questionnaire evaluated by using single-sample t test and factor analysis. The results showed that the level of tourist satisfaction is not good, which the lack of three factors: the lack of services and amenities Accommodation, transportation infrastructure weaknesses, inadequate quality of medical care and its infrastructure, and lack of information, education and charged governmental institutions have had the unsatisfactory the greatest impacts.

A B S T R A C TThe effective role of the police in creating order and security is one of the most important variables affecting tourists' satisfaction. The current research aims to identify ways to improve pilgrims' satisfaction with police management services in Mashhad. The research is applied in terms of purpose and mixed in nature. The participants were selected from three groups, including police experts, tourism specialists, trustees, and those involved in the affairs of tourist accommodation places and service, commercial and hospitality centers. The data of the qualitative stage were obtained from 13 semi-structured interviews and were analyzed using a qualitative content analysis approach. The results of the findings of this stage became the basis for the design of the questionnaire for the Delphi survey. The number of participants in the Delphi survey was 40. The calculation of Kendall's consensus coefficient was based on the consensus in the survey stages. This value is between 0 and 1; the closer the calculated number is to 1, the higher the degree of agreement and consensus. In the second stage of the Delphi survey phase, this value was higher than the acceptable limit (0.5) in all dimensions, and therefore, the opinion polling process was stopped. So, the values of Kendall's consensus coefficient about improving the satisfaction of pilgrims with the police by three dimensions, including urban traffic and transportation, tourist accommodation places, and service, commercial and hospitality centers, are respectively 0.72, 0.71, and 0.66. The results of this research include practical approaches to improve religious tourists' satisfaction with police services in Mashhad Extended AbstractIntroductionHowever, suppose the law enforcement management performs well by adopting effective measures and methods in preventing, confronting, and controlling violations, crimes, and violations. In that case, it can provide a reliable image of the public image of Mashhad as a destination by improving the satisfaction of religious tourists (pilgrims). Draw the main religious tourism in the country, the region, and even the Islamic world in the minds of tourists. After Tehran, Mashhad is considered Iran's largest metropolis and spiritual capital, and its urban population is increasing every year. Every year, millions of eager pilgrims from all over the country and other Islamic countries visit Mashhad to visit the royal court of Hazrat Samen-Al-Hajj. According to the statistics provided by the Director-General of the Pilgrim Welfare Affairs Office of Khorasan Razavi Governorate in 2018, more than 28 million and 590 thousand pilgrims (religious tourists) visited the holy shrine of Imam Reza (AS), of which more than 3.5 million; it consists of foreign pilgrims (mostly from Arabic-speaking countries such as Saudi Arabia, Bahrain, Iraq, Kuwait, Oman, Yemen, and Urdu-speaking countries from India and Pakistan, as well as Turkey and Azerbaijan). Mashhad also has a particular position in the country due to its geographical, religious, and cultural conditions. It is important to note that over 30 million pilgrims visit the city of Mashhad annually, which is three times the city's population of 3.5 million. Therefore, it is crucial to effectively manage the reception and satisfaction of these religious tourists, especially on such a large scale. Thus, the present study emphasizes increasing the satisfaction of Imam Reza (AS) pilgrims in Mashhad, and the main issue of the research is religious tourism and law enforcement management from the point of view of experts. MethodologyThe present study is mixed research (qualitative-quantitative) in terms of practical purpose and the nature of the data. Tourism and experts in the field of research were identified by the method of "improbable and targeted sampling," and an interview was conducted. For this study, four groups of participants were selected, including police experts, religious tourism specialists, individuals in charge of tourism accommodation and service centers, and those in the business and hospitality industry. Due to the heterogeneity of the groups, initial estimates were made based on every 10 participants, resulting in 40 Delphi panel members. Results and discussionIn the present study, sub-questions were developed according to the purpose of the research. These questions are ways to improve the satisfaction of pilgrims from law enforcement services in Mashhad in three main categories; "urban traffic and transportation," "tourist accommodation," and "service centers." "Commerce and Hospitality." A questionnaire to examine these three categories was used to answer the research sub-questions. Answers to some of the research questions were possible by examining descriptive statistics such as frequency/percentage, mean, and standard deviation of the answers given, and answers to some other questions were possible by the inferential analysis of the collected data by calculating the Kendall coordination coefficient and average categories. According to the results, the Kendall agreement's value for 7 sub-categories related to "urban traffic and transportation in Mashhad" increased from 0.451 in the first round of the Delphi survey to 0.716 in the second round. The value of the Kendall agreement coefficient for 12 sub-categories related to "tourist accommodation places in Mashhad" increased from 0.435 in the first round of the Delphi survey to 0.711 in the second round. The value of the Kendall agreement coefficient for 11 sub-categories related to "service, commercial, and hospitality centers in Mashhad" increased from 0.387 in the first round of the Delphi survey to 0.657 in the second round. ConclusionDue to reaching an acceptable consensus among the members participating in the Delphi survey regarding how to improve the pilgrims' satisfaction with the law enforcement management services in Mashhad, the three main categories of the Delphi survey were completed. Based on the research findings, it is suggested that based on the results, in the discussion of traffic and urban transportation in the holy city of Mashhad, creating one-way routes to the holy shrine of Razavi is the priority in promoting pilgrims' satisfaction, so it is necessary in order to facilitate the passage of pilgrims to the holy shrine, traffic plans around the holy shrine of Razavi have been reviewed, and one-way traffic routes have been created. Also, since in the component related to law enforcement management services in the discussion of traffic and urban transportation in Mashhad, the parking in commercial areas is one of the most critical issues and it seems that parking the car in a suitable place is one of the concerns have been raised. The lack of parking is evident, especially in commercial areas in Mashhad, so it is suggested that appropriate parking lots be constructed around commercial areas. FundingThere is no funding support. Authors’ ContributionAll of the authors approved the content of the manuscript and agreed on all aspects of the work. Conflict of InterestAuthors declared no conflict of interest. AcknowledgmentsWe are grateful to all the scientific consultants of this paper.