Explore our health and wellness tourism destination development journal and learn more about how to submit an article.

Information for Authors

Medical Tourism Destinations of Distinction™ (MTDOD) is an open access e-journal published by Mercury Healthcare International, Inc.. Our goal is to assist healthcare and health tourism destination developers and decision makers in launching sustainable health and wellness tourism destination development within economically integrated and regional health tourism destination collaboration. To this end, MTDOD offers rapid, peer reviewed publication of research and commentaries related to innovations in health and wellness tourism destination development and administration. Emphasis focuses on, but is not limited to, advances in program implementation and outcomes as a result of process improvement, advanced econometrics, and synergies that foster market interventions and advance value-based healthcare through health and wellness tourism for the 21st century and future healthcare challenges.


Medical Tourism Destinations of Distinction™  includes hospitals, clinics, ambulatory surgery centers and academic research centers; insurers, employers; healthcare providers; government tourism, public health and economic development authorities; health economists; private investors, biopharm, biotech, and device companies; IT/IS; researchers; innovators; academicians; digital health and telemedicine; hoteliers, airport and aviation officials; travel agencies and tour operators; air and ground ambulance; home healthcare and outpatient nursing services; and all others with an interest in health and wellness tourism.


MTDOD applies rigorous editorial and peer review overseen by a team of professional editors and independent editor experts in the field.

Within the scope of the journal, as noted above, manuscripts should represent:

  • Originality and practicality in advancing health and wellness tourism destination development
  • Importance to research, practice, or change in the field
  • Interest and relevance for those outside the audience
  • Rigorous methodology, with conclusions justified by the evidence presented
  • Adherence to the highest ethical standards

Article submission charge is $750, is being waived for the first 6 issues of MTDOD.


The MTDOD editors are not paid a fixed salary (in particular, their salary is not linked to the number of articles published in the journal). Editors are required to declare all relevant competing interests and do not participate in the review of any submission for which they have a competing interest.


MTDOD applies the Creative Commons Attribution license to works we publish. This license was developed to facilitate open access – namely, free immediate access to, and unrestricted reuse of, original works of interest to the readers of MTDOD.

Under this license, authors agree to make articles legally available for reuse, without permission or fees, for virtually any purpose. Anyone may copy, distribute, or reuse these articles, as long as the author and original source are properly cited.



Editorial and Peer Review Process

Manuscript Status

Authors can check the status of a manuscript at any time in the submission system. Authors will be notified by email when a decision is made.

Criteria for Publication

Within the scope of the journal, manuscripts should represent a substantial advance in health and wellness tourism destination development, medicine, hospitality, transportation, or software development to manage the health and wellness tourism service in terms of:

  • Originality and novelty
  • Importance to researchers or practitioners in the field
  • Interest in advancing health and wellness tourism, balneology, thalassotherapy, peloid therapy, rehabilitation, dentistry, clinical trials, all centered on health and wellness tourism destination relevance
  • Rigorous methodology with conclusions justified by the evidence presented
  • Adherence to the highest ethical standards

Editorial Process

MTDOD aims to provide all authors with an efficient, courteous, and constructive editorial process. To achieve its required level of quality, MTDOD is selective with manuscripts that it publishes and anticipates rejection rates to be high, particularly since MTDOD is a first mover in this domain.

New submissions

It is essential that authors submit a presubmission inquiry before submitting a full manuscript. Presubmission inquiries allow authors to quickly find out whether their manuscript is likely to be broadly suitable for MTDOD.

Responses are normally provided within 3 calendar days.

Peer review

All articles, with the exception of editorials appearing in departments, are externally peer reviewed before a final decision about acceptance for publication. Expert reviewers are asked to assess the technical and business, economic and scientific merits of the work. Where relevant, work presented in a manuscript undergoes a rigorous review of the statistical methods used.

As part of the review process, MTDOD strives to ensure that the peer review is fair, unbiased and timely. All manuscripts and associated material submitted to MTDOD remain confidential while under review. More information on related COPE (Committee on Publication Ethics) guidelines and standards followed by MTDOD are here.

How are reviewers selected?

MTDOD selects reviewers for a particular manuscript based on expertise, reputation, and specific recommendations of authors, as well as the MTDOD editorial board’s knowledge of a reviewer.

Will authors know who is reviewing their manuscript?

Reviewers’ identities are anonymous unless a reviewer indicates otherwise.

Can authors exclude Editorial Board Reviewers or Independent Reviewers?

Upon submission of a manuscript, authors are asked if they wish to exclude any specific reviewers from the peer review of their article. The editorial team respects these requests when it does not interfere with the objective and thorough assessment of the article.

Once all reviews are received and considered, a decision letter to the author is drafted.

Editorial decisions

Several types of decisions are possible. If after peer review a manuscript is considered potentially appropriate, a major revision is generally requested. A minor revision is generally requested as a final step before acceptance.

Manuscripts that are rejected generally do not fit the criteria outlined above in terms of originality, importance to the field, cross-disciplinary interest, or sound methodology.


Our Managing Editor and Primary Reviewer will assess revised manuscripts. Manuscripts that undergo major revision may require re-review or additional statistical review. There is no guarantee of acceptance after major revision.


If you wish to appeal a decision contact the Managing Editor who handled the presubmission inquiry or full manuscript, explaining in detail your reasons for the appeal.

All appeals are discussed with at least one other reviewer and editorial board member. In the case of disagreement the appeal is discussed during a full editorial meeting. MTDOD may seek external advice on the appeal at its option. Second appeals are not considered.

Process for Handling Allegations of Research Misconduct

MTDOD take reasonable steps to identify and prevent the publication of papers where research misconduct has occurred, including plagiarism, citation manipulation, and data falsification/fabrication, among others. MTDOD encourages meeting the highest ethical standards and publication practices are adhered to. In the event we are made aware of any allegation of research misconduct relating to a published article in their journal, we will follow COPE’s guidelines (or equivalent) in dealing with allegations.

Accepted manuscripts

If your manuscript has been accepted, MTDOD will send details and expected publish date along with all other relevant details.

If you have questions at any stage in the process, please send your email to the Editor, Maria K Todd, MHA PhD

It is essential that authors submit a presubmission inquiry before submitting a full manuscript. Presubmission inquiries allow authors to quickly learn whether their manuscript is likely to be suitable.

For other article types submit a short summary paragraph or bullet points.




  • This section should describe clearly the rationale for the article. The final sentence should state the specific study hypothesis and/or study objectives.


  • Describe the study participants or what was studied (e.g., destination, population targeted, etc., be as specific as possible, including numbers studied).
  • Describe the study design, intervention if applicable, main methods used, primary outcome measure(s), and length of follow up if applicable.
  • Describe what was primarily being assessed.
  • Describe how results were analyzed (i.e., which specific statistical tests were used).


  • Include how many participants /destinations / hospitals / clinics / hotels/ spas were assessed out of those enrolled. For survey research, include the response rate.
  • For the main outcomes provide a numerical result if appropriate (it nearly always is) and a measure of its precision (e.g. 95% confidence interval).
  • Describe all adverse events.
  • Describe the limitations of the study.
  • Integrate these findings into the current state of knowledge


  • Provide a general interpretation of the results with any implications supported by the research and important recommendations for future research.

For a story about a clinical trial being conducted at a destination, provide trial identification numbers and names (e.g., trial registration number, protocol number or acronym).


General Guidelines for Illustrations

Image Manipulation: Authors must retain their unprocessed data and metadata files, as editors may request them to aid in manuscript evaluation. If unprocessed data are unavailable, manuscript evaluation may be halted until the issue is resolved. If the original data cannot be produced, the manuscript may be rejected.

Use of Color: Illustrations must be prepared so that they are accessible to our many color-blind readers. The following sites contain useful information, tips and tools on appropriate use of color in illustrations:




A title should be part of the legend and not lettered onto any images.



Multimedia files must be in MP4 format, and should not be larger than one megabyte. 

To optimize videos for PC, tablet and smartphone viewing, format videos with the following specifications:

  • Video codec: H.264
  • Audio codec: AAC
  • Audio bit rate: 128 kbit/s
  • Video resolution: 480 vertical lines or better
  • Size: Maximum width of 480 pixels

To convert videos from other formats to MP4 format, the following resource is available: http://download.cnet.com/Free-MP4-Video-Converter/3000-2194_4-75628166.html.

For each video submitted, authors should provide a preview image, or poster frame, that best captures the main point.


Text Citation

Figures must be numbered independently of tables, multimedia, and 3D models and cited at the relevant point in the manuscript text, e.g. “Figure 1”, “Figure 2”, etc. Do not duplicate data by presenting it both in the text and in a figure.


A title should be part of the legend and not lettered onto the figure.


A legend must be included in the manuscript document after the reference list. Legends should include sufficient detail to be intelligible without reference to the text. Legends must define all symbols and include essential information. Rather than stating “See text,” legends should be more specific; for example, “See Results”.


Figures should be the smallest size that will convey the essential scientific information.


Initial Submission: Figures may be included in a single PDF file that contains the manuscript and all tables and figures.

Revised Submission or Resubmission: Figures must be submitted only as separate files in TIFF or EPS format. Note: EPS images cannot use the Adobe_CoolType_Utility. This is not compatible with the current image processing guidelines used by the MTDOD online hosting provider.

Color figures should be in RGB format and supplied at a minimum of 300 dpi. Color is essential in a figure if it is necessary to accurately convey the information being presented by the image. Non-essential color refers to figures in which the color is not necessary for the meaning of the image to be made clear. Color should only be used in figures when essential.

For figures in vector-based format, all fonts should be converted to outlines and saved as EPS (Encapsulated PostScript) to ensure that they are reproduced correctly.

  • Monochrome (bitmap) images must be supplied at 1200 dpi.
  • Grayscale must be supplied at a minimum of 300 dpi.

Remove top and right borderlines (that to not contain measuring metrics) from all graph/histogram figure panels (do not box the panels in).

Do not include any two-bar graphs/histograms. State those values in the text. Two-bar graphs/histograms are generally discouraged because the result can be conveyed more precisely and compactly numerically.

Ensure that figures will appear at the highest quality. Review the detailed instructions for figure preparation at http://cpc.cadmus.com/da/index.jsp. To better assist authors with digital art preparation, MTDOD has made available Cadmus’ Rapid Inspector application, which alerts users when files do not meet acceptable specifications and provides instructions on reformatting. Sign up at the Rapid Inspector web site:http://rapidInspector.cadmus.com/RapidInspector/zo5/index.jsp to download the application. Problems downloading the application can be addressed at the FAQs at the Cadmus site.


Text Citation

All tables must be numbered independently of figures, multimedia and cited at the relevant point in the manuscript text, e.g. “Table 1”, “Table 2”, etc. Do not duplicate data by presenting it both in the text and in a table.


A title should appear above the table.


A legend for each table must be included in the manuscript document after the reference list. Legends should include sufficient detail to be intelligible without reference to the text. Legends must define all symbols and include essential information. Rather than stating “See text,” legends should be more specific; for example, “See Results.” 


Each table should be double-spaced. Multiple-part tables (A and B sections with separate “subtitles”) should be avoided when possible, especially when there are two [different] sets [or types] of column headings.

Do not use color or shading, bold or italic fonts, or lines to highlight information. Indention of text and, sometimes, additional space between lines is preferred.

Tables with color or shading in the table body will need to be processed as an illustration (graphic).

Scholarly medical research journals online

MTDOD is the only international peer-reviewed journal covering health and wellness tourism destination development.

We cover a wide range of topics in health and wellness tourism destination development. We take pride in catering to an extensive audience interested in this multi-billion dollar emerging sector.

MTDOD is suitable for all those with an interest in the health and wellness tourism destination development and economic growth of the industry. Browse through our website to find original, peer reviewed articles and interviews and more.



Send correspondence and submissions to the Editor, Maria K Todd, MHA PhD

Peer review policy

All manuscripts submitted for publication undergo peer review. MTDOD's editorial team strives to ensure that peer review is fair, unbiased, timely. Material submitted to MTDOD remains confidential while under review. 

Article types

Article types

Original research: These are detailed studies reporting original research in which health and wellness destination development around the world is the focus. They include hypothesis, background study, methods, results, interpretation of findings, and a discussion of possible implications. Original research articles have a word count of up to 2500.

Review article: Review articles give an overview of existing literature, with emphasis on telemedicine, often identifying specific problems or issues and analyzing information from available published work on the topic with a balanced perspective. Review articles can be of three types: literature reviews, systematic reviews, and meta-analyses. Review articles have the maximum word limit of up to 3000.

Clinical case study: Clinical case studies present the details of real patient cases from medical or clinical practice in which health and wellness tourism played a significant role. The cases presented are usually those that contribute significantly to the existing knowledge on the field. The study is expected to discuss signs, symptoms, diagnosis, and treatment of a disease that incorporated health or wellness tourism, balneology, thalassotherapy, physical rehabilitation, mental health or substance abuse rehabilitation, etc.. The word count is up to 1500.

Clinical trial: Clinical trials describe the methodology, implementation, and results of controlled studies in which health and wellness tourism played a significant role. Word count is 2500.

Health Policy: Reviews of new or established health policy that describe the framework, methodology, implementation, and results or use case in which health and wellness tourism played a significant role. Word count is 2500.

Perspective, opinion, interview, and commentary: These are scholarly reviews of fundamental concepts or prevalent ideas in a field of health & wellness tourism. A perspective piece can be a review of a single concept or a few related concepts. These are around 1000 words.

Book review: The aim of a book review is to provide insight and opinion on recently published scholarly books on health and wellness tourism or related topic. These are not more than 1000 word.

Relevant topics include, but are not restricted to, the following subjects:

  • Research and Innovation
  • New Framework  Regulations for Medical Tourism Business Support
  • New Approaches to Medical Tourism Market Development
  • New Products and Investments at Medical Tourism Destination
  • Interviews and Opinions of Medical Tourism Market Stakeholders
  • Training Tools for Health and Hospitality Business Administrators
  • Health and Wellness Tourism Policy and Regulation Updates and Focus Pieces
  • Global News
  • Book Reviews

The Managing editor will assign the article to the relevant department.


Authorship and related information

Manuscripts should only be submitted for consideration once authorization of all contributing authors is gathered. The list of authors will include those who can legitimately claim authorship. This includes all those who:

  1. Have made a substantial contribution to the concept and design, acquisition of data or analysis and interpretation of data
  2. Drafted the article or revised it critically for important intellectual content
  3. Approved the version to be published

Authors will meet the conditions of all of the points above. Each author will have participated sufficiently in the work to take public responsibility for appropriate portions of the content.

Acquisition of funding, collection of data, or general supervision of the research group alone does not constitute authorship, although all contributors who do not meet the criteria for authorship should be listed in the Acknowledgments section. Our recommendation is that authors familiarize themselves with the recommendations from the ICMJE when producing manuscripts for publication in MTDOD.

The International Committee of Medical Journal Editors (ICMJE) has published the “Recommendations for the Conduct, Reporting, Editing and Publication of Scholarly Work in Medical Journals” (ICMJE Recommendations, formerly “Uniform Requirements for Manuscripts”). More information is here.

Patient consent

Authors will ensure the following guidelines are followed, as recommended by ICMJE, Uniform Requirements for Manuscripts Submitted to Biomedical Journals. Health and wellness tourism patients and their companions have a right to privacy that should not be infringed without informed consent. Identifying information, including patients’ names, initials, or hospital numbers, should not be published in written descriptions, photographs, and provenance unless the information is essential for scientific purposes and the patient (or parent or guardian) gives written informed consent for publication. Informed consent for this purpose requires that a patient or marks, scars, or physical characteristics that are identifiable be shown the manuscript to be published.

Identifying details should be omitted if they are not essential. Complete anonymity is difficult to achieve, however, and informed consent should be obtained if there is any doubt. For example, masking the eye region in photographs of patients is usually inadequate protection of anonymity. If identifying characteristics are altered to protect anonymity, such as in genetic pedigrees, authors should provide assurance that alterations do not distort scientific meaning and editors should so note. When informed consent has been obtained it should be indicated in the submitted article.

Statistical analyses

Ensure that the methodology has been accurately described for statistical analysis. In comparative studies, power calculations are usually required. In research manuscripts requiring complex statistics the advice of an expert statistician should be sought at the design/implementation stage of the study. It may be appropriate to include them as a co-author.

If preparing statistical data for publication, please read the statistical guidelines. 

Corresponding author contact details

Provide full contact details for the corresponding author including email, mailing address, and telephone numbers.  These details should be presented separately to the main text of the article to facilitate anonymous peer review.

Proofs and Reprints

PDF proofs will be sent to the corresponding author, who should send corrections as soon as the PDF is received. These corrections should be returned to the Editor, Maria K Todd, MHA PhD

Order forms for reprints will be emailed to the corresponding author shortly before publication of the article.

Submitted manuscripts should be exclusive publication in the MTDOD, with the understanding they have not been published elsewhere in any form and will not be submitted elsewhere unless rejected by the MTDOD. Authors are responsible for all statements made in the article and the veracity of the references cited.