Background: Even though the government has set several admirable targets for raising the standard of healthcare, as highlighted by communities and media reports, public health institutions’ services continue to fall short of patients’ expectations and basic standards of care. For this reason, the general public has lost faith in the healthcare system. The public healthcare system in South Africa is completely dysfunctional and urgently needs to be transformed to serve the majority of those who use public hospitals.Objectives: The study aimed to improve healthcare for the majority of South Africans by investigating the critical success factors (CSFs) that influence the adoption of smart card technology (SCT) in South African public hospitals.Methods: A thorough review of peer-reviewed literature was conducted to determine potential barriers to adopting SCT. Furthermore, a hybrid model that combines the Health Unified Technology of Acceptance Theory (HUTAUT) model, DeLone and McLean IS success model (DM) and the diffusion of innovation (DOI) theory will be developed, validated and tested to identify the CSFs adoption of SCT in public hospitals in South Africa.Results: The validated research model has been developed to be adopted by nurses at public hospitals.Conclusion: This research will contribute to the development of a new framework that identifies the CSFs for SCT adoption in South African public hospitals.Contribution: The study’s results will make a special contribution to the body of knowledge in the fields of health informatics, particularly e-health.
This study enhances the critical factors for the implementation of smart card technology (SCT) by proposing a conceptual framework based on the healthcare unified theory of acceptance of user technology model (2008), the DeLone and McLean information systems success model and the diffusion of innovation theory (2003) recommending the strategies to be used. The framework was tested using regression analysis on the collected data from 406 self-administered questionnaires from Steve Biko Academic Hospital, Tshwane District Hospital, Kalafong Hospital and Pretoria West Hospital. The structural equation modelling and principal component analysis methods in Statistical Package for Social Sciences were used to analyse the data. The findings of this study show that seven factors – behavioural intention, system use, information quality, service quality, communication, compatibility and trialability – were significantly accepted to ensure the adoption of SCT in public healthcare.Transdisciplinary contribution: The healthcare sector has not fully addressed the technology use for healthcare professionals. However, the sector exploited much for the patients’ needs to improve quality of healthcare. Therefore, this study recommends that this framework will contribute towards the implementation smart card technology within the public healthcare. The study will contribute to the implementation of SCT and ensure the quality of service delivery in public healthcare.
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