Patient Adoption of Smart Cards

This paper adapts the Unified Theory of Acceptance and Use Technology Model (UTAUT) to assess the factors impacting the adoption of smart cards in Medicaid Health Home context. We contribute to the theory by including three constructs specific to smart card and health devices: (i) concern for error, (ii) sickness orientation (iii) concern for data security. Utilizing a survey design we collected responses from 116 participants who are ethnic minorities, enrolled in a Medicaid Health Home program or from a high risk population. We developed a conceptual model and an instrument to measure the patient's likelihood to use the smart card. The concern for error, social influence and sickness orientation significantly impact the likelihood to use the smart card. Our results show that patients are more concerned about prevention of errors as compared to security breaches.