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Customer Engagement in Digital Health Transformation as Strategic Change: Evidence from Saudi Arabia’s Vision 2030

Author

Listed:
  • Abdulrahman Aldogiher

    (Department of Management, College of Business Administration in Hawtat Bani Tamim, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia)

  • Yasser Tawfik Halim

    (Faculty of Management Sciences, October University for Modern Sciences and Arts (MSA), Giza 12566, Egypt)

Abstract

Purpose: The purpose of this paper is to explore how perceptions of digital health transformation play a role in Saudi Arabia’s customer engagement in healthcare, according to Vision 2030. Saudi Vision 2030, a national reform agenda, has prioritized healthcare digitalization to enhance efficiency, access, and patient-centered care. In particular, the research attempts to explore the attitude of the patient and whether cultural values and infrastructure issues play a mediator role in the perception–engagement relationship. Design/methodology/approach: The study used a mixed-method approach, with qualitative interviews from providers and consumers, along with survey responses from 402 users of digital health. Partial Least Squares Structural Equation Modeling (PLS-SEM) was used to examine hypothesized relationships and moderation effects. Findings: Findings establish that digital health perceptions are a crucial driver in enhancing engagement (β = 0.386; p < 0.001). Perceived ease of use (β = 0.368) and usefulness (β = 0.530) exhibited strong positive influences. Moderation analysis revealed that cultural values (β = 0.343) and infrastructure (β = 0.253) further enhance engagement. The findings highlight usability, usefulness, and context as foundational enablers of long-term patient engagement. Originality/value: By combining Technology Acceptance Model (TAM) variables and applying cultural and infrastructural moderators, this research provides new empirical evidence of Saudi Arabian digital health adoption. It provides policy and practical advice in the creation of accessible, culturally appropriate, and adequately supported digital health solutions toward Vision 2030. It also supports United Nations Sustainable Development Goals (SDGs). The study aligns with SDG 3 (Good Health and Well-Being), SDG 9 (Industry, Innovation and Infrastructure), SDG 12 (Responsible Consumption and Production) and SDG 13 (Climate Action) by further promoting sustainable healthcare transformation in a global development agenda.

Suggested Citation

  • Abdulrahman Aldogiher & Yasser Tawfik Halim, 2025. "Customer Engagement in Digital Health Transformation as Strategic Change: Evidence from Saudi Arabia’s Vision 2030," Sustainability, MDPI, vol. 17(18), pages 1-32, September.
    • Handle: RePEc:gam:jsusta:v:17:y:2025:i:18:p:8468-:d:1754465
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    References listed on IDEAS

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    1. Hair, Joe F. & Howard, Matt C. & Nitzl, Christian, 2020. "Assessing measurement model quality in PLS-SEM using confirmatory composite analysis," Journal of Business Research, Elsevier, vol. 109(C), pages 101-110.
    2. Vasileios Leivaditis & Anastasios Sepetis, 2025. "Digital Transformation As A Catalyst For Sustainable Health Care Systems: A Narrative Review Of Current Evidence," International Journal of Innovation Management (ijim), World Scientific Publishing Co. Pte. Ltd., vol. 29(05n06), pages 1-33, June.
    3. Yasser Tawfik Halim & Hazem Tawfik Halim & Mohamed Samy El-Deeb & Samia Adly El Sheikh, 2022. "An empirical investigation into people’s intention to participate in mega events tourism: applying mixture of two behavioral theoretical models," Future Business Journal, Springer, vol. 8(1), pages 1-18, December.
    4. Mohammad Faleh Alharbi, 2025. "Does Electronic Health Record Implementation Enhance Hospital Efficiency and Patient Outcomes? A Comprehensive Systematic Review," SAGE Open, , vol. 15(3), pages 21582440251, July.
    5. Badran, Mona Farid, 2019. "eHealth in Egypt: The demand-side perspective of implementing electronic health records," Telecommunications Policy, Elsevier, vol. 43(6), pages 576-594.
    6. Reem Mohamed Gouda & Yasser Tawfik Halim, 2025. "The role of sustainable social media content in enhancing customer loyalty in the hospitality industry," Future Business Journal, Springer, vol. 11(1), pages 1-26, December.
    7. Joanna Martusewicz & Arkadiusz Wierzbic & Marcin Łukaszewicz, 2024. "Strategic Transformation and Sustainability: Unveiling the EFQM Model 2025," Sustainability, MDPI, vol. 16(20), pages 1-18, October.
    8. Abdelmoneim Bahyeldin Mohamed Metwally & Abdullah Almulhim & Yasser Tawfik Halim & Mohamed Samy El-Deeb, 2025. "Exploring the Nexus Between Economic Utility, Perceived Risk, Organizational Characteristics, and Supply Chain Performance," Administrative Sciences, MDPI, vol. 15(3), pages 1-30, March.
    9. Letizia Lo Presti & Mario Testa & Vittoria Marino & Pierpaolo Singer, 2019. "Engagement in Healthcare Systems: Adopting Digital Tools for a Sustainable Approach," Sustainability, MDPI, vol. 11(1), pages 1-15, January.
    10. Samar J. Melhem & Shereen Nabhani-Gebara & Reem Kayyali, 2023. "Digital Trends, Digital Literacy, and E-Health Engagement Predictors of Breast and Colorectal Cancer Survivors: A Population-Based Cross-Sectional Survey," IJERPH, MDPI, vol. 20(2), pages 1-23, January.
    11. Majed M. Alruwaili & Mostafa Shaban & Osama Mohamed Elsayed Ramadan, 2023. "Digital Health Interventions for Promoting Healthy Aging: A Systematic Review of Adoption Patterns, Efficacy, and User Experience," Sustainability, MDPI, vol. 15(23), pages 1-17, December.
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