Ai-Na Seow 萧爱娜0000-0002-5241-4884Chee Keong Choong0000-0002-8576-0521I-Chi Chen 陳依琪0000-0002-6888-5285Yuen Onn Choong2024-10-172024-10-172021-03-01https://doi.org/10.1108/JHTI-10-2020-0189https://dspace-cris.utar.edu.my/handle/123456789/3021Medical tourism has grown to become a formidable multinational industry to generate revenue. This phenomenon has also increased impact on the healthcare sector as well as strategies development opportunities. The present study emphases on the international tourists' behavioural intention for medical tourism in Malaysia. A research framework is derived from the exceptional component of fear appeal in protection motivation theory (PMT). Data were collected with a sample of 501 respondents and analysed via structural equation modelling approach. Both measurement model and structural model were assessed to generate the result. The outcomes have shown a good backing on the use of adapted PMT theoretical model. There is a higher predictive power on health coping than health threats. Coping alternatives can be served as the linkage between the PMT appraisals and behavioural intention. The study confirmed the effectiveness of using a theoretical framework in predicting international tourists' behavioural intention for medical tourism. It is suggesting that risk adaptive behaviour does offer a valuable proposition in contributing to the reception of medical tourism. The present study argues the need for greater clarity in understanding the emergent implications for health policy and healthcare delivery for future medical tourism development. The fundamental theories and current literature do not incorporate the component of fear appeal in explaining decision making. The study findings demonstrate that protection motivation theory has provide another promising theoretical model in explaining international tourists' behaviour intention for medical tourism.journal-article