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Key indicators of ethical challenges in digital healthcare: A combined Delphi exploration and confirmative factor analysis approach with evidence from Khorasan province in Iran

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  • Rezaei, Mojtaba
  • Jafari-Sadeghi, Vahid
  • Cao, Dongmei
  • Mahdiraji, Hannan Amoozad

Abstract

Despite the undoubted benefits of digital healthcare, ethical challenges have become one of the biggest concerns amongst academic scholars and digital healthcare experts. Despite the extant literature on some of these challenges, knowledge gaps still exist in revealing which indicators are more important than others. This research, joining in the ongoing investigation, aims to explore and empirically validate the key indicators of ethical challenges in digital healthcare. We conduct two studies using a combined exploratory and confirmatory approach. We apply the Delphi method for exploring and forecasting the key indicators in the first study. The key indicators are validated in the second study employing confirmatory factor analysis of survey data. The Delphi experts are 26 medical professionals and academic professors in Iran. A sample of 210 survey observations was collected from general hospital staff in Iran. Our results suggest that there are six key indicators of ethical challenges in digital healthcare: procedure values, responsibility, privacy, autonomy, security, justice. This research contributes to the knowledge of ethical concerns in applying digital technologies in healthcare, particularly identifying and validating the key indicators of the ethical challenges. The results provide practical implications for decision-makers in the current and future digital healthcare sector.

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  • Rezaei, Mojtaba & Jafari-Sadeghi, Vahid & Cao, Dongmei & Mahdiraji, Hannan Amoozad, 2021. "Key indicators of ethical challenges in digital healthcare: A combined Delphi exploration and confirmative factor analysis approach with evidence from Khorasan province in Iran," Technological Forecasting and Social Change, Elsevier, vol. 167(C).
    • Handle: RePEc:eee:tefoso:v:167:y:2021:i:c:s0040162521001566
    DOI: 10.1016/j.techfore.2021.120724
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    1. Rikkonen, Pasi & Tapio, Petri & Rintamäki, Heidi, 2019. "Visions for small-scale renewable energy production on Finnish farms – A Delphi study on the opportunities for new business," Energy Policy, Elsevier, vol. 129(C), pages 939-948.
    2. Kattirtzi, Michael & Winskel, Mark, 2020. "When experts disagree: Using the Policy Delphi method to analyse divergent expert expectations and preferences on UK energy futures," Technological Forecasting and Social Change, Elsevier, vol. 153(C).
    3. Jafari Sadeghi, Vahid & Biancone, Paolo Pietro, 2018. "How micro, small and medium-sized enterprises are driven outward the superior international trade performance? A multidimensional study on Italian food sector," Research in International Business and Finance, Elsevier, vol. 45(C), pages 597-606.
    4. Nielsen, Christine & Thangadurai, Mohan, 2007. "Janus and the Delphi Oracle: Entering the new world of international business research," Journal of International Management, Elsevier, vol. 13(2), pages 147-163, June.
    5. de Loë, Rob C. & Melnychuk, Natalya & Murray, Dan & Plummer, Ryan, 2016. "Advancing the State of Policy Delphi Practice: A Systematic Review Evaluating Methodological Evolution, Innovation, and Opportunities," Technological Forecasting and Social Change, Elsevier, vol. 104(C), pages 78-88.
    6. Rowe, Gene & Wright, George, 1999. "The Delphi technique as a forecasting tool: issues and analysis," International Journal of Forecasting, Elsevier, vol. 15(4), pages 353-375, October.
    7. Norman Dalkey & Olaf Helmer, 1963. "An Experimental Application of the DELPHI Method to the Use of Experts," Management Science, INFORMS, vol. 9(3), pages 458-467, April.
    8. Hosmer, LaRue Tone & Kiewitz, Christian, 2005. "Organizational Justice: A Behavioral Science Concept with Critical Implications for Business Ethics and Stakeholder Theory," Business Ethics Quarterly, Cambridge University Press, vol. 15(1), pages 67-91, January.
    9. Ravensbergen, W.M. & Drewes, Y.M. & Hilderink, H.B.M. & Verschuuren, M. & Gussekloo, J. & Vonk, R.A.A., 2019. "Combined impact of future trends on healthcare utilisation of older people: A Delphi study," Health Policy, Elsevier, vol. 123(10), pages 947-954.
    10. Fritschy, Carolin & Spinler, Stefan, 2019. "The impact of autonomous trucks on business models in the automotive and logistics industry–a Delphi-based scenario study," Technological Forecasting and Social Change, Elsevier, vol. 148(C).
    11. Ao Yu & Zhuoqiang Jia & Weike Zhang & Ke Deng & Francisco Herrera, 2020. "A Dynamic Credit Index System for TSMEs in China Using the Delphi and Analytic Hierarchy Process (AHP) Methods," Sustainability, MDPI, vol. 12(5), pages 1-21, February.
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    6. Jafari-Sadeghi, Vahid & Amoozad Mahdiraji, Hannan & Bresciani, Stefano & Pellicelli, Anna Claudia, 2021. "Context-specific micro-foundations and successful SME internationalisation in emerging markets: A mixed-method analysis of managerial resources and dynamic capabilities," Journal of Business Research, Elsevier, vol. 134(C), pages 352-364.
    7. Biancone, Paolo & Secinaro, Silvana & Marseglia, Roberto & Calandra, Davide, 2023. "E-health for the future. Managerial perspectives using a multiple case study approach," Technovation, Elsevier, vol. 120(C).
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    11. Berbel-Vera, Jose & Barrachina Palanca, Mercedes & Gonzalez-Sanchez, Maria Beatriz, 2022. "Key CDO functions for successful digital transformation: Insights from a Delphi study," Technological Forecasting and Social Change, Elsevier, vol. 181(C).
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    13. Kokshagina, Dr Olga, 2021. "Managing shifts to value-based healthcare and value digitalization as a multi-level dynamic capability development process," Technological Forecasting and Social Change, Elsevier, vol. 172(C).

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