Original Research

Adoption for the implementation of smart card technology in public healthcare

Lario Malungana, Lovemore Motsi
The Journal for Transdisciplinary Research in Southern Africa | Vol 18, No 1 | a1261 | DOI: https://doi.org/10.4102/td.v18i1.1261 | © 2022 Lario Malungana, Lovemore Motsi | This work is licensed under CC Attribution 4.0
Submitted: 23 June 2022 | Published: 07 December 2022

About the author(s)

Lario Malungana, School of Computing, College of Science, Engineering and Technology, University of South Africa, Pretoria, South Africa
Lovemore Motsi, School of Computing, College of Science, Engineering and Technology, University of South Africa, Pretoria, South Africa


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.


smart card technology; implementation; healthcare; adoption; structural equation modelling.


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Crossref Citations

1. Structural equations model to analyse the critical variables related to smart card technology adoption in South African public healthcare
L. Malungana, L. Motsi
Suid-Afrikaanse Tydskrif vir Natuurwetenskap en Tegnologie  vol: 42  issue: 1  first page: 16  year: 2023  
doi: 10.36303/SATNT.2023.42.1.934E