Consumption of Spa Tourism Products in the Slovak Republic and the Economic Results of Enterprises in the Spa Sector

Authors

DOI:

https://doi.org/10.15611/pn.2025.4.03

Keywords:

tourism, spa, innovation, potential

Abstract

Aim: The aim was to identify the relationship between the proportion of self-paying and insured patients and the total revenues of spa facilities in Slovakia.

Methodology: The analysis was based on data from the Statistical Office of the Slovak Republic and annual reports of spa enterprises for the period 2009-2023. The relationships between client structure and economic performance were evaluated using Pearson´s and Spearman´s correlation coefficients and simple linear regression.

Results: The results show a strong and statistically significant correlation between the number of selfpaying clients and the total revenues of spa enterprises. For the insured patients the relationship was weaker and statistically insignificant, indicating their stabilising but now growth-inducing role. The expenditure of public health insurance companies had a positive impact on the number of spa visitors, confirming their importance in maintaining demand.

Implications and recommendations: The findings confirmed that self-paying clients play a key role in the economic sustainability of Slovak spas. For spa managers, this highlights the need for targeted marketing and product innovation for this segment. Policymakers should consider hybrid financing models that combine support for insured patients with incentives to attract self-paying clients.

Originality/value: The paper fills a gap in the literature by providing quantitative evidence on the economic impact of spa tourism consumption in the Slovak Republic, using correlation and regression analysis to data rarely used in this context.

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References

Čabinová, V., & Onuferová, E. (2019). Efficiency and Financial Performance Evaluation of the Medical Spa Sector: An Empirical Study from Slovakia. Quality – Access to Success: Journal of Management Systems, 20(172), 62-68.

Derco, J., & Pavlišinová, D. (2016). Financial Position of Medical Spas – The Case of Slovakia. Tourism Economics, 23(4), 867-873. https://doi.org/10.5367/te.2016.0553

Derco, J., Romaniuk, P., & Cehlár, M. (2020). Economic Impact of the Health Insurance System on Slovak Medical Spas and Mineral Spring Spas. Sustainability, 12(8), 3384. https://doi.org/10.3390/su12083384

Dryglas, D., & Salamaga, M. (2023). Beyond the Existing Economic Uncertainty: Spa Enterprises’ Resilience Capacity in the Polish Tourism Sector. Entrepreneurial Business and Economics Review, 11(3), 107-121. https://doi.org/10.15678/EBER.2023.110307

Johnston, R., Crooks, V. A., Snyder, J., & Kingsbury, P. (2010). What is Known about the Effects of Medical Tourism in Destination and Departure Countries? A Scoping Review. International Journal for Equity in Health, 9(1), 24. https://doi.org/10.1186/1475-9276-9-24

Kajzar, P., & Václavínková, K. (2017). Evaluation of Selected Statistical Indicators in Balneological Care in the Czech Republic in 2002-2014. In V. Klímová, & V. Žítek (eds.), XX. Mezinárodní kolokvium o regionálních vědách: Sborník příspěvku (pp. 759-766). Nakladatelství Masarykovy univerzity.

Kocourek, M., Rohlíková, L., & Jenčková, J. (2022). Pitfalls of Implementing Elements of Virtual Reality into Processes in the Hotel Industry. In 10th International Conference Proceedings. Current Trends in Spa, Hospitality and Tourism (pp. 125-134). Institute of Hospitality Management and Economics, Prague.

Kotikova, H., & Schwartzhoffova, E. (2013). Health and Spa Tourism in the Czech and Slovak Republics. In C. M. Hall (Ed.), Medical Tourism: The Ehics, Regulation, and Marketing of Health Mobility (pp. 109-122). Routledge.

Kramkowska, E. (2018). Ludzie młodzi o atrakcyjności (ciała) współczesnego seniora. Gerontologia Polska, 26(1), 21-27.

Kubičková, V., Gáll, J., & Halenárová, M. (2025). Marketing in the Spa Industry: How Does Marketing Affect the Performance of Spa Businesses in Slovakia? International Journal of Innovative Research and Scientific Studies, 8(1), 248-260. https://doi.org/10.53894/ijirss.v8i1.3751

Kučerová, J. (2020). Decision-making Factors in Spa Tourism: Insurance vs. Self-payers. Central European Journal of Tourism Research, 12(1), 18-27.

Lukoseviciute, G., Pereira, L. N., & Panagopoulos, T. (2022). The Economic Impact of Recreational Trails: A Systematic Literature Review. Journal of Ecotourism, 21(4), 366-393. https://doi.org/10.1080/14724049.2022.2030745

Mainil, T., Eijgelaar, E., Klijs, J., Nawijn, J., & Peeters, P. (2017). Research for TRAN Committee – Health Tourism in the EU: A General Investigation. European Parliament, Policy Department for Structural and Cohesion Policies.

Novotná, M., Halámek, P., & Tóthová, D. (2024). Spa Industry Resilience in Changing External Conditions: Nexus between Tourist Attractiveness and Fiscal Policy. Tourism and Hospitality Management, 30(3), 317-329. https://doi.org/10.20867/thm.30.3.2

Páleník, M. (2021). 30 grafov o starnutí a zdravotníctve: Ako sa prejavil covid v zdravotníctve v roku 2020. Univerzita Komenského v Bratislave.

Samuelson, P. A. (1954). The Pure Theory of Public Expenditure. The Review of Economics and Statistics, 36(4), 387-389. https://doi.org/10.2307/1925895

Senková, A., Kolesárová, S., & Kosíková, M. (2024). Innovative Activity of SPA Companies in the Slovak and Czech Republic in the Context of the COVID-19 Pandemic. Marketing and Management of Innovations, 15(1), 80-89. https://doi.org/10.21272/mmi.2024.1-07

Smith, M., & Puczkó, L. (2014). Health, Tourism and Hospitality: Spas, Wellness and Medical Travel. Routledge.

Štefko, R., Jenčová, S., & Vašaničová, P. (2020). The Slovak Spa Industry nd Spa Companies: Financial and Economic Situation. Jorunal of Tourism and Services, 11(20), 28-43. https://doi.org/10.29036/jots.v11i20.137

Tikkanen, I. (2005). Sectors in Healthcare Tourism: Case Kuopio Region. In Tourism Industry and Education Symposium, University of Jyväskylä, Finland, 19-21 May.

Torres-Pruñonosa, J., Raya, J. M., Crespo-Sogas, P., & Mur-Gimeno, E. (2022). The Economic and Social Value of Spa Tourism: The Case of Balneotherapy in Maresme, Spain. PLoS One, 17(1). https://doi.org/10.1371/journal.pone.0262428

Voigt, C., & Pforr, Ch. (Eds.). (2014). Wellness Tourism: A Destination Perspective. Routledge.

Vystoupil, J., Šauer, M., & Bobková, M. (2017). Spa, Spa Tourism and Wellness Tourism in the Czech Republic. Czech Journal of Tourism, 6(1), 5-26. https://doi.org/10.1515/cjot-2017-0001

Weisbrod, B. A. (1991). The Health Care Quadrilemma: An Essay on Technological Change, Insurance, Quality of Care, and Cost Containment. Journal of Economic Literature, 29(2), 523-552.

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Published

2026-01-12

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Received 2025-08-14
Accepted 2025-10-09
Published 2026-01-12