Analysis of Effective Environmental Factors in the Adoption of Sustainable Information Systems in Healthcare Centers Using Structural Interpretive Modeling Approach

This research aims to identify and model the factors affecting the adoption of environmental sustainability in information systems by healthcare centers. The statistical population of this study consists of two groups. The first group includes twelve experts whose ideas were used to determine the critical factors and their causal relationships. The second group includes 250 employees, nurses, head nurses, and supervisors of al-Zahra medical and educational center in Isfahan. According to the results obtained from the review of research literature and interview with academic experts and information technology areas of healthcare centers, a total of twenty-four factors were identified in five dimensions of legal requirements, environmental responsibility, environmental legitimacy, resource consumption, and environmental justice. The content validity and construct validity were used along with confirmatory factor analysis to examine the validity of the research questionnaire Also, the overall reliability of a questionnaire based on Cronbach's alpha was 0.888. After collecting the required data, the level of dimensions was first determined in three levels using interpretive structural modeling. The factor of environmental justice was placed at the highest level and the factors of legal requirements and environmental responsibility were placed at the lowest level. The analysis model of the research path was designed based on the research interpretive structural model and it was and implemented using AMOS software. The results from path analysis indicated that among the six paths identified in the interpretive structural model, it was only the path of a legal requirement to resource consumption path that is not meaningful. Moreover, resource consumption has the highest total standard effect on environmental responsibility.