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Designing an Ethics-Driven Digital Transformation Model in the Healthcare System
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Maasoumeh Rezaeenya   , Sayyed Mohammadreza Davoodi , Shohreh Ajoudanian |
| Department of management, Deh.C., Islamic Azad University, Isfahan, Iran |
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Abstract: (1 Views) |
Background: Digital transformation has brought about a profound shift in the delivery of healthcare services. The lack of a localized and validated model remains a critical research and managerial gap. Therefore, the primary objective of this study was to design and validate a comprehensive model for ethics-centered digital transformation in the medical sciences universities of Iran’s third macro-region (Amayesh Pole 3).
Methods: This study employed a sequential exploratory mixed-methods design. In the qualitative phase, data were gathered through semi-structured, in-depth interviews with 18 experts, and the model’s dimensions and components were extracted using thematic analysis. In the quantitative phase, the Fuzzy DEMATEL technique was utilized to identify the causal relationships among the dimensions, followed by the design and implementation of an Adaptive Neuro-Fuzzy Inference System (ANFIS) model to predict the outcomes.
Results: The qualitative findings led to the identification of eight primary dimensions: Ethical Governance, Technological Infrastructure, Stakeholder Empowerment, Leadership and Strategy, Legal Framework, Organizational Culture, Data Integration, and Outcomes and Value Creation. Fuzzy DEMATEL results indicated that “Leadership and Strategy” was the most influential causal factor, while “Outcomes and Value Creation” was the most influenced effect factor in the model. Furthermore, the ANFIS model successfully simulated the complex, non-linear relationships between the causal factors and the ultimate outcome.
Conclusion: Successful digital transformation in medical sciences universities is not merely a technical issue, but rather demands simultaneous attention to strategic, ethical, and legal considerations. The proposed model can serve as a practical roadmap for healthcare policymakers and managers in target-oriented resource allocation and guiding digital transformation toward a more equitable, accountable, and human-centered system. |
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| Keywords: Delivery of Health Care, Digital Health, Ethics, Structural Models. |
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Letter: Original Article |
Subject:
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Received: 2025/12/30 | Accepted: 2026/06/9 | ePublished ahead of print: 2026/06/26
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