Original Research

Critical success factors of smart card technology in South African public hospitals

Lario Malungana, Lovemore Motsi
South African Journal of Information Management | Vol 25, No 1 | a1613 | DOI: https://doi.org/10.4102/sajim.v25i1.1613 | © 2023 Lario Malungana, Lovemore Motsi | This work is licensed under CC Attribution 4.0
Submitted: 13 September 2022 | Published: 31 March 2023

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


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 (D&M) 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.


adoption; public healthcare; healthcare professionals; technology; e-health

JEL Codes

I18: Government Policy • Regulation • Public Health

Sustainable Development Goal

Goal 16: Peace, justice and strong institutions


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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