Online Promotion of Private Hospital Promoting Medical Tourism: A Multimodal Analysis from A Cultural Perspective

Wan Fatimah Solihah Wan Abdul Halim, Intan Safinaz Zainudin, Nor Fariza Mohd Nor

Abstract


The medical tourism industry, which was seriously affected by the coronavirus disease of 2019 (COVID-19), needs to give attention to its online promotional message strategy to boost the industry. Cultural variability is also crucial since the market for the medical tourism industry is global. However, studies involving cultural variability have only focused on examining single discourse mode, mainly the linguistic mode and overlooked the multimodal perspective. This study, therefore, examined the way in which the Prince Court Medical Centre (PCMC), a private hospital in Malaysia is presented and how the various modes in the hospital's website are combined to deliver promotional messages to international medical tourists. A total of three web pages from the website of PCMC were analysed using the Systemic Functional Theory framework. This study employed Halliday’s metafunction theory (for language analysis and Kress and van Leeuwen’s model for image analysis. The ways in which the multimodal features of the website reflect communicative style from the cultural perspective were also explored. Hall’s (2000) cultural dimension of context dependency which classifies cultures into high-context and low-context cultures was used to present the analysis. The findings revealed that PCMC’s hospital website has elements that are mainly encountered in low-context cultures such as elaborated code systems as well as direct, explicit, and highly structured messages. The findings help create awareness of communicative strategies in designing medical tourism websites that involve meaning making through texts and images and the possible cultural interpretation especially among copywriters, website designers or medical tourism stakeholders.

                                                                                                                                             

Keywords: Multimodal analysis, systemic functional theory (SFT), cultural context dimension, online promotional discourse, medical tourism.

 

https://doi.org/10.17576/JKMJC-2021-3703-12


Full Text:

PDF

References


Aghbolagh, N. S., Hashim, A., & Mei, C. C. Y. (2021). A genre-based investigation of the “About Us” section of private hospitals’ websites. Journal of Asian Pacific Communication. https://doi.org/10.1075/JAPC.00069.MEI

Alrajhi, M. (2020). Thematization in native and nonnative medical discourse: A systemic functional approach. International Journal of Language and Literary Studies, 2(2), 1–17. https://doi.org/10.36892/ijlls.v2i2.270

Alyousef, H. S., & Alzahrani, A. A. (2020). A functional analysis of the thematic organization in electrical engineering research article introductions written in English by native and Saudi scholars: A comparative study. Arab World English Journal (AWEJ), 11(2), 114–141. https://doi.org/10.24093/awej/vol11no2.9

Alyousef, H. S. (2016). A multimodal discourse analysis of the textual and logical relations in marketing texts written by international undergraduate students. Functional Linguistics, 3(1), 1–29. https://doi.org/10.1186/s40554-016-0025-1

Baack, D. W., & Singh, N. (2007). Culture and web communications. Journal of Business Research, 60(3), 181–188. https://doi.org/10.1016/j.jbusres.2006.11.002

Bloommaert, J. (2011). Pragmatics and discourse. In R. Mesthrie (Ed.), The Cambridge handbook of sociolinguistics. Cambridge: CUP.

Buletin Mutiara. (2020, October 11). Understanding the Impact of Covid-19 on Penang Medical Tourism. https://www.buletinmutiara.com/understanding-the-impact-of-covid-19-on-penang-medical-tourism/

Burgmann, I., & Kitchen, P. J., & Williams, R. (2006). Does culture matter on the web? Marketing Intelligence and Planning, 24(1), 62–76. https://doi.org/d5gkwj

Campra, M., Riva, P., Oricchio, G., & Brescia, V. (2021). Bibliometrix analysis of medical tourism. Health Services Management Research. https://doi.org/gmcmdp

Cardon, P. W. (2008). A critique of Hall’s contexting model: A meta-analysis of literature on intercultural business and technical communication. Journal of Business and Technical Communication, 22(4), 399–428. https://doi.org/10.1177/1050651908320361

Cermak, R. (2020). Culturally sensitive website elements and features: A cross-national comparison of websites from selected countries. Acta Informatica Pragensia, 9(2), 132–153. https://doi.org/10.18267/J.AIP.137

Clyne, M. (1994). Inter-cultural communication at work: Cultural values in discourse. Cambridge: CUP.

Croucher, S. M., Sommier, M., & Rahmani, D. (2015). Communication research and practice intercultural communication: Where we’ve been, where we’re going, issues we face. Communication Research and Practice, 1(1), 71-87. https://doi.org/ggqn54

Dahl, S. (2004). Intercultural research: The current state of knowledge. Middlesex University Discussion Paper No. 26. https://dx.doi.org/10.2139/ssrn.658202

Djonov, E. N. (2005). Analysing the organisation of information in websites: From hypermedia design to systemic functional hypermedia discourse analysis [Phd thesis, University of New South Wales]. UNSW Library. http://handle.unsw.edu.au/1959.4/23915

Eggins, S. (2004). An Introduction to Systemic Functional Linguistics. London: Pinter.

El-Daly, H. M. (2011). Towards an understanding of the discourse of advertising: Review of research with special reference to the Egyptian media. African Nebula, 1(3).

Fathia, L. (2018). Tidak hanya Aceh, banyak orang indonesia memilih berobat ke Penang. berikut alasannya (Not Only Aceh, Many Indonesians Choose Treatment at Penang. Here are the reasons). Liza Fathia.com. https://liza-fathia.com/warga-indonesia-berobat

Farid, F., & Mamat, R. (2021). Non-verbal communication of German language in a German film: A coffee in Berlin. Jurnal Komunikasi: Malaysian Journal of Communication, 37(2). https://doi.org/10.17576/JKMJC-2021-3702-04

Francesconi, S. (2014). Reading tourism texts: A multimodal analysis. Channel View Publications. https://doi.org/10.21832/9781845414283

Frederick, R. J., & Gan, L. L. (2015). East-West differences among medical tourism facilitators' websites. Journal of Destination Marketing & Management, 4(2), 98-109. https://doi.org/10.1016/j.jdmm.2015.03.002

Gopalan, N., Mohamed Noor, S. N., & Salim Mohamed, M. (2021). The pro-medical tourism stance of Malaysia and how it affects stem cell tourism industry. SAGE Open, 11(2). https://doi.org/10.1177/21582440211016837

Guillén Nieto, V. (2007). La comunicación intercultural en los negocios. In E. Varó, J. Martínez & F. Ramos (Eds.), Las lenguas profesionales y academicas (pp. 93-103). Barcelona: Editorial Ariel.

Gupta, S., & Santhosh, K. R. (2017). Cultural toleranc and its link with language. International Journal of Arts and Humanities, 1(1), 42-48.

Hall, E. T. (1976). Beyond culture. Anchor Press.

Hall, E. (2000). Context and meaning. In L. Samovar & R. Porter (Eds.), Intercultural communication: A reader (9th ed., pp. 34-43). Belmont: Wadsworth Publishing Co.

Hall, E., & Hall, M. (1990). Understanding cultural differences. Yarmouth: Intercultural Press Inc.

Halliday, M. A. K. (1985, 1994). An introduction to functional grammar. London: Hodder Arnold.

Halliday, M. A. K., & Hasan, R. (1976). Cohesion in English. London: Longman.

Halliday, M. A. K., & Matthiesen, C. (2004). An introduction to functional grammar (3rd ed.). Great Britain: Edward Arnold (Publishers) Ltd.

Hermeking, M. (2005). Culture and internet consumption: Contributions from cross-cultural marketing and advertising research. Journal of Computer-Mediated Communication, 11(1), 192–216. https://doi.org/10.1111/j.1083-6101.2006.tb00310.x

Hornikx, J., & le Pair, R. (2017). The influence of high-/low-context culture on perceived ad complexity and liking. Journal of Global Marketing, 30(4), 228–237. https://doi.org/10.1080/08911762.2017.1296985

Hofstede, G. (1984). Culture's consequences: International differences in work-related values. Beverly Hills: Sage.

Hofstede, G. (2001). Culture's consequences, comparing values, behaviors, institutions, and organizations across nations. Thousand Oaks: Sage Publications.

Hofstede, G. & Hofstede, G. J. (2005). Cultures and organizations: Software of the mind (2nd ed.). USA: McGraw-Hill.

House, R. J., Hanges, P. J., Javidan, M., Dorfman, P. W., & Gupta, G. (Eds.). (2004). Culture, leadership, and organizations. Thousand Oaks: Sage.

Jalilifar, A., & Yazdani, A. (2017). A comparative study of multimodality in English and Persian spam letters of advertising. Journal of Modern Languages, 25(1), 1-34.

Janet, J. S. (2018). A corpus analysis of adjectives in online Malaysian medical tourism magazines / Janet Joseph Samynadan [Doctoral dissertation, University of Malaya]. UM Students Repository.

Jones, M. (2007). Hofstede – Culturally questionable? (Conference presentation). Oxford Business & Economics Conference, Oxford, UK, 24-26 June, 2007.

Jun, J. (2016). Framing service, benefit, and credibility through images and texts: A content analysis of online promotional messages of Korean medical tourism industry. Health Communication, 31(7), 845–852. https://doi.org/10.1080/10410236.2015.1007553

Kabasakal, H. E., Asugman, G., & Develioǧlu, K. (2006). The role of employee preferences and organizational culture in explaining e-commerce orientations. International Journal of Human Resource Management, 17(3), 464–483. https://doi.org/fjkkhn

Karacay-Aydin, G., Akben-Selcuk, E., & Aydin-Altinoklar, A. E. (2010). Cultural variability in web content: A comparative analysis of American and Turkish websites. International Business Research, 3(1), 97–103. https://doi.org/10.5539/ibr.v3n1p97

Kress, G., & van Leeuwen, T. (1996). Reading images: The grammar of visual design. Psychology Press.

Kress, G., & van Leeuwen, T. (2021). Reading images: The grammar of visual design. London: Routledge.

Lehtonen, M. (2000). The cultural analysis of texts. London: Sage.

Lianto, M., Suprapto, W., & Mel, M. (2020). The analysis factor of medical tourism in Singapore. SHS Web of Conferences, 76, 01028. https://doi.org/gxvx

Loda, M. (2011). Comparing websites: An experiment in online tourism marketing. International Journal of Business and Social Science, 2(22), 70–78.

Mason, A., & Wright, K. B. (2011). Framing medical tourism: An examination of appeal, risk, convalescence, accreditation, and interactivity in medical tourism web sites. Journal of Health Communication, 16(2), 163-177. https://doi.org/cg6fx3

Matsumoto, D., & Juang, L. (2007). Culture and psychology (4th ed.). Wadsworf: Cengage Learning.

Medical Travel Quality Alliance. (n.d.). MTQUA top 10 world’s best hospitals for medical touristsTM for 2019. https://worldsbesthospitals.net/worlds-best/

Medina, A. B., Jesús, M., Medina, R., Bolaños, L., & García, L. L. (2005). Analysing digital genres: Function and functionality in corporate websites of computer hardware. Analysing Digital Genres: Function and Functionality in Corporate Websites of Computer Hardware, 9(9), 123–147.

Malaysia Healthcare Travel Council (MHTC). (2020a, March 18). Deferment of the Malaysia year of healthcare travel campaign 2020 by Malaysia Healthcare Travel Council. https://www.mhtc.org.my/2020/03/18/deferment-of-the-malaysia-year-of-healthcare-travel-2020-myht2020-campaign-by-the-malaysia-healthcare-travel-council-mhtc/

Malaysia Healthcare Travel Council (MHTC). (2020b, July 8). For how long will medical travel be affected by COVID-19? https://www.mhtc.org.my/mhtc/2020/07/08/for-how-long-will-medical-travel-be-affected-by-covid-19/

Malaysia Healthcare Travel Council (MHTC). (2020c, September 23). MHTC pleased with budget 2021 allocation. http://malaysiahealthcare.org/mhtc-pleased-with-budget-2021-allocation/

Moghavvemi, S., Ormond, M., Musa, G., Isa, C. R. M., Thirumoorthi, T., Mustapha, M. Z. B., & Chandy, J. J. C. (2017). Connecting with prospective medical tourists online: A cross-sectional analysis of private hospital websites promoting medical tourism in India, Malaysia and Thailand. Tourism Management, 58, 154-163. https://doi.org/ghfwqq

Nardon, L., & Steers, R. M. (2009). The culture theory jungle: Divergence and convergence in models of national culture. In R. S. Bhagat, & R. M. Steers (Eds.), Cambridge Handbook of Culture, Organizations, and Work (pp. 3–22). Cambridge University Press. https://doi.org/10.1017/cbo9780511581151.002

Neuliep, J. W. (2020). Intercultural communication: A contextual approach. SAGE Publications, Incorporated.

Oswal, S. K., & Palmer, Z. (2018). Can diversity be intersectional? Inclusive business planning and accessible web design internationally on two continents and three campuses. Proceedings of the 83rd Annual Conference of the Association for Business Communication, October 24-27, 2018 – Miami, Florida, USA. SIAS Faculty Publications. https://digitalcommons.tacoma.uw.edu/ias_pub/1055

Oxford Analytica. (2020, September 13). COVID-19 may hurt Singapore most in South-east Asia. Expert Briefings. https://doi.org/10.1108/OXAN-DB251060

Prince Court Medical Centre. (n.d.). https://princecourt.com

Research Dive. (n.d.). Impact analysis of Covid-19 on medical tourism market: Global Opportunity Analysis and Industry Forecast 2019-2026. https://www.researchdive.com/covid-19-insights/248/global-medical-tourism-market

Salleh, L. M. (2005). High/low context communication: The Malaysian Malay style. Proceedings of the 2005 Association for Business Communication Annual Convention (pp. 1-11). Irvine, CA: Association for Business Communication.

Sari, R. P., & Putra, F. K. K. (2019). The design characteristics of Indonesian and German hotel websites: A cross-cultural comparison. International Journal of Applied Sciences in Tourism and Events, 3(1), 93-107. https://ojs.pnb.ac.id/index.php/IJASTE/article/view/1326

Şerbănescu, A. (2007). Cum gândesc şi cum vorbesc ceilalţi: prin labirintul culturilor. Polirom.

Sharma, A., Vishraj, B., Ahlawat, J., Mittal, T., & Mittal, M. (2020). Impact of COVID-19 outbreak over medical tourism. Journal of Dental and Medical Sciences, 19(5), 56–58.

Stoian, C. E. (2013). Online promotion of heritage cities: A multimodal analysis from a cultural perspective. https://www.researchgate.net/publication/283345194_Online_promotion_of_heritage_cities_a_multimodal_analysis_from_a_cultural_perspective

Stoian, C. E. (2015). The discourse of tourism and national heritage: A contrastive study from a cultural perspective. Cambridge Scholars Publishing.

Stoian, C. E. (2018). The discourse of tourism from a systemic functional perspective. The case of tourism websites. In M. Bielenia-Grajewska, & E. Cortes de los Rios (Eds.), Innovative perspectives on tourism discourse (pp. 181-200). IGI Global. http://doi:10.4018/978-1-5225-2930-9.ch011

Stoian, C. E., & Dejica, D. (2016). Thematic development in online institutional tourism discourse: A contrastive study. British and American Studies, 22, 181-195.

Sulaiman, M. Z., & Wilson, R. (2018). Translating tourism promotional materials: A cultural-conceptual model. Perspectives: Studies in Translation Theory and Practice, 26(5), 629–645. https://doi.org/10.1080/0907676X.2018.1437193

Sulaiman, M. Z., & Wilson, R. (Eds.). (2019). Understanding tourist motivation and industry persuasion. In, Translation and tourism: Strategies for effective cross-cultural promotion (pp. 3–16). Springer Singapore. https://doi.org/gxvz

Thailand Medical News. (2019). Problems facing Thailand’s medical tourism industry in 2019. https://www.thailandmedical.news/news/problems-facing-thailand-s-medical-tourism-industry-in-2019

Thompson, G. (2013). Introducing functional grammar (3rd ed.). Routledge.

Turner, L. (2011). Quality in health care and globalization of health services: Accreditation and regulatory oversight of medical tourism companies. International Journal for Quality in Health Care, 23(1), 1-7. https://doi.org/10.1093/intqhc/mzq078

Usunier, J. C., & Roulin, N. (2010). The influence of high- and low-context communication styles on the design, content, and language of business-to-business web sites. International Journal of Business Communication. https://doi.org/b8rqbz

Viladrich, A., & Baron-Faust, R. (2014). Medical tourism in Tango paradise: The Internet branding of cosmetic surgery in Argentina. Annals of Tourism Research, 45, 116–131. https://doi.org/10.1016/j.annals.2013.12.007

Waring, T. M., & Wood, Z. T. (2021). Long-term gene–culture coevolution and the human evolutionary transition. Proceedings of the Royal Society B, 288(1952), 20210538. https://doi.org/10.1098/rspb.2021.0538

Woo, E., & Schwartz, Z. (2014). Towards assessing the knowledge gap in medical tourism. Journal of Quality Assurance in Hospitality & Tourism, 15(2), 213e226. http://dx.doi.org/10.1080/1528008X.2014.889516

Wu, G. (2018). Official websites as a tourism marketing medium: A contrastive analysis from the perspective of appraisal theory. Journal of Destination Marketing and Management, 10, 164–171. https://doi.org/10.1016/j.jdmm.2018.09.004

Würtz, E. (2005). Intercultural communication on web sites: A cross-cultural analysis of web sites from high-context cultures and low-context cultures. Journal of Computer-Mediated Communication, 11(1), 274–299. https://doi.org/10.1111/J.1083-6101.2006.TB00313.X


Refbacks

  • There are currently no refbacks.


e-ISSN: 2289-1528