Health tourism is one of the main development areas of tourism in Hungary. Health tourism development projects may initiate orders to the construction industry, preserve jobs, create new value and new jobs, and the multiplier effect may be beneficial for small and medium size enterprises in the surroundings of the investments. They can effectively contribute towards diminishing spatial and regional discrepancies, as thermal reservoirs are situated under 70% of the total land area of Hungary.
The paper presents the results of a survey carried out in 2010 in three spa towns in the western part of Hungary. The objective of the research was to identify the role of spa tourism in the competitiveness of the three Hungarian counties (Baranya, Somogy and Zala) of the Croatian-Hungarian border area. The survey was focused on the local population of the three towns, and on the visitors of the spas. The objective was to identify the key success factors of spa development, the level of tourist satisfaction, the impacts of the spa on the local community. The survey was a part of a large project that analysed the role of health tourism in improving the competitiveness of the Croatian - Hungarian border region.
The surveys were completed in August and September 2010, in three spa towns - Hévíz, Harkány and Nagyatád - on samples of 100 residents and 100 spa visitors, in each town.
Generally local residents showed a positive attitude towards the spa as an attraction for leisure and pleasure, appreciating bathing more than healing. They are rather satisfied with the spa services, but food and drinks, and fitness services are considered of lower quality. In Hévíz the spa prices were considered too high for value, and this is really the most expensive spa of the three. The local residents of Harkány complained about technical improvements needed, while the citizens of the small town Nagyatád were very satisfied with their spa.
In Nagyatád the spa was considered less important in the socioeconomic life of the town than in the other two famous spa towns. However, in Hévíz and Nagyatád the incomes earned and carreer prospects in the spa and related hotels were considered worse than the town average. The relationship between town leadership and spa were considered rather negative in Harkány. Local residents have positive feelings towards tourists, but the positive impacts of tourism are felt only in Hévíz, although here parking problems and high prices were felt as negative impacts. In Harkány the low number of tourists and the high prices were the main negative aspects, while in Nagyatád no negative impacts of tourism were felt.
The most marked differences in the visitors of the three spas are with respect to age, length of stay, the motivation and purpose of visit, the accommodation taken, the daily spending and cost of accommodation, and the opinions on the spa services. While the tipical visitor to Hévíz is elderly, near the pensioner age, and stays for about two weeks for a medical treatment, paying a high price for the accommodation, who is not completely satisfied with the services offered by the spa and by the town, the typical visitor to Harkány is rather similar, but spends much less on accommodation. The visitors to Nagyatád, however, are 3-4 years younger, spend only a little, often comes with a group in an organised tour, stays about half as long as the visitors of the other two spas, and is usually completely satisfied with the services of the spa and the town. Those visiting Nagyatád, have already been to several other spas, being experienced spa visitors. Nagyatád, unfortunately, seems to have difficulties in converting the favourable opinions into revenues, the visitors stay only for a short time, and spend very little, and the town is obviously capable to attract much less tourists than the other two - regionally or internationally renowned - spa resorts.
The survey results showed three different patterns for spa development: the pattern of an international success story of Hévíz, the situation of a regionally well known spa that has recently lost its attractiveness (Ha rkány) and the case of a small local spa in Nagyatád, that can successfully serve the local community, but lacks the preconditions needed to become a regional attraction.