TY - JOUR
T1 - Key indicators of ethical challenges in digital healthcare
T2 - A combined Delphi exploration and confirmative factor analysis approach with evidence from Khorasan province in Iran
AU - Rezaei, Mojtaba
AU - Jafari-Sadeghi, Vahid
AU - Cao, Dongmei
AU - Amoozad Mahdiraji, Hannan
PY - 2021/6
Y1 - 2021/6
N2 - 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.
AB - 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.
KW - Delphi
KW - Digital healthcare
KW - Ethical challenge
KW - Procedural value
KW - Responsibility
UR - http://www.scopus.com/inward/record.url?scp=85102410542&partnerID=8YFLogxK
UR - https://www.sciencedirect.com/science/article/pii/S0040162521001566?via%3Dihub
U2 - 10.1016/j.techfore.2021.120724
DO - 10.1016/j.techfore.2021.120724
M3 - Article
AN - SCOPUS:85102410542
SN - 0040-1625
VL - 167
JO - Technological Forecasting and Social Change
JF - Technological Forecasting and Social Change
M1 - 120724
ER -