Multiple dimensions of e-healthcare ethics and its relationship to the ethical concerns of the consumer

Purpose - This study aims to explore the different dimensions of e-healthcare ethics and their relationships, influencing the ethical concerns of the consumer in making ethical e-healthcare choices. Design/methodology/approach - A study was conducted at two identified major hospitals of Punjab (a private hospital) and Chandigarh (a public hospital), India providing e-healthcare services with the help of a self-administered questionnaire. The respondents were identified from the waiting areas of the selected hospitals, and only those respondents were selected for the study, who agreed to be aware of e-health services and were using them for some time. The statistical analysis was done using the structural equation modeling technique and included both exploratory and confirmatory factor analysis using SPSS 20 and AMOS 21. Findings - Exploratory factor analysis extracted five dimensions of ethical concerns of the consumer, which include service promotion, content quality, candor, professionalism and confidentiality. The results signify that content quality plays a significant role in ethics, followed by candor, service promotion and confidentiality. However, the relationship with professionalism did not prove to be significant for the ethical concerns of the e-health consumer. Practical implications - This research delivers a practical significance in identifying the critical dimensions of the ethical concerns of the consumer while selecting e-health services. It gives an insight into the various dimensions, which should be considered by the e-health providers while crafting e-health services to make it more ethically acceptable by the consumers. Originality/value - By using e-health services, consumers play an active role in their health-care decisions. The consumers need to consider ethics while choosing health-care services as an ethical judgment will also be the correct judgment. This study helps in the identification of the significant dimensions for the ethical concerns of the consumers.