Effect of Foreign Health Tourist's Satisfaction from Destination on Word of Mouth Advertising in Tehran's Hospitals

Today, the relationship between economic growths with the development of healthcare is well known. Tourist satisfaction of a destination is one of the important factors which effect on word of mouth. So, identifying the influencer factors on health tourist satisfaction of a destination and their word of mouth could help improving of Tehran competition position in the health tourism.
For this purpose, based on the two models of Kitapci et al.(2014) and Araslı H, Baradarani (2014), was collected the views of health foreign tourists in Tehran, from countries such as the United States, Azerbaijan, Iraq, Syria, Afghanistan, and other Asian and European countries , A total of 391 questionnaires were collected for analysis. For Validity test was used from confirmatory factor analysis and AVE and for reliability was used Cronbach's alpha which results shown confirmation?
Seven hypotheses have been approved but six hypotheses have been rejected that is the influence of empathy, knowledge, equipment and tangibility, accommodation equipment, environmental safety and transportation facilities on tourist satisfaction.
Following the investigation, it was concluded that two types of factors: internal environment and the external environment have effect on the Tehran's foreign health tourists’ destination satisfaction that factors affecting the internal environment include: accountability of medical environment personnel and trust of medical environment personnel and factors affecting the external environment include: tourist attraction and a food and restaurant factor.