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CPS2258 Siti Norfadillah Md Saat et al.
               help  improve  the  people's  standard  of  living,  especially  the  younger
               generation.
                   The health tourism industry is also dynamic and volatile due to various
               factors  such  as  economic  climate,  travel  restrictions,  geopolitical  shifts,
               domestic  policy  changes,  political  instability,  advertising  practices  and
               innovative and new treatment options contribute towards a shift in the pattern
               of consumption and production of health services in a domestic and overseas
               market (Zion Market Research, 2018).
                   Health tourism in Malaysia has emerged as one of the fastest growing
               segments over the last few years. The intensification of the industry can be
               seen from the increasing number of international patients into the country. In
               2017,  Malaysia  received  1,038,632  healthcare  travellers  with  revenue  of
               RM1,265.8 million. In 2018, Malaysia Healthcare Travel Council (MHTC) aims
               to achieve RM1.3 billion in revenue, and potentially contribute RM5 billion to
               the  nation’s  gross  domestic  product.  Table  1  indicates  the  number  of
               healthcare travellers visit Malaysia and the real GDP for year 2012 to 2017.

               Table 1: Number of Healthcare Travellers Visit Malaysia and GDP, 2012 – 2017

                         Year          2012    2013     2014     2015     2016     2017
                 Healthcare Travellers
                 (Persons)            648,132   770,134   837,718    853,875    921,481    1,038,632
                 Real GDP (RM' million)   912,261   955,080   1,012,448   1,063,998   1,108,311   1,173,177
               Source:  Department  of  Statistics  Malaysia  (DOSM)  and  Malaysia  Healthcare  Travel  Council
               (MHTC)
               This paper intends to study the relationship between real GDP of Malaysia and
               healthcare travellers to Malaysia.

               2.  Literature Review
                   A review of the literature indicates that health tourism has usually been
               considered a positive contribution to economic growth. In recent years, many
               countries have been actively promoting health tourism to stimulate economic
               growth. Chor Foon Tang (2015) examines the effect of medical tourism on
               economic growth in Malaysia. The cointegration, Granger causality and also
               the Generalised Variance Decomposition are applied. The results indicate that
               economic growth, medical tourism and other determinants in Malaysia are
               cointegrated. Moreover, the empirical results suggest that medical tourism
               Granger-cause economic growth in Malaysia, regardless of short or long run.
                   Harun  Uçak  (2016)  investigates  the  effect  of  health  and  social  service
               sector growth on the flow of inbound health tourism in Turkey by employing
               Granger  causality  and  Johansen  cointegration  approaches.  The  findings
               suggested that there is a long-run Granger causality from domestic health and
               social  work  expenditures  to  health  tourism  income  whereas  this  is  non-
               existence in the opposite direction. Another finding of the study is that there

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