The problem investigated in this study was the low adoption rate of an electronic government system known as COMPASS and used by Pennsylvania residents to apply for a health insurance program supported by state and federal funds and managed by state government employees. Low utilization of electronic government systems has been a problem in the United States and various parts of the world. Review of the literature on diffusion and adoption theory indicated that demographic variables such as the age, ethnicity, gender, income, and race of citizens could be associated with adopting electronic government systems. This type of demographic information and the method of applying for coverage, either online or through other means were available from a database of applications to the health insurance program. These secondary data were used as a basis for a quantitative research design, involving correlational and comparative analyses, to investigate the possible connection of the age, income, race, gender, and ethnicity of applicants with adoption of COMPASS to apply for the health insurance program. Analyses were performed on 603 applications selected at random from the database. Logistic regression was used to assess the hypotheses concerning the income and age of applicants. The analyses indicated that income was significantly related to the probability of adoption of COMPASS, z = 3.29, p = .001, and that age was not significantly related to COMPASS adoption, z = -1.63, p = .052. Based on the proportion adopting COMPASS, statistically significant differences were observed between groups formed by applicant gender, z = 3.14, p = .001, and ethnicity, z = 2.39, p = .008. No significant difference was detected in the proportion of applicants using COMPASS among three racial groups, χ 2(2, N = 603) = 0.04, p = .979. The study results indicated disparities in COMPASS adoption based on the income, gender, and ethnicity of citizens and the possible need for continued offering of traditional, nonelectronic methods to apply for government-sponsored health care coverage. Research concerning the determinants of COMPASS adoption was recommended to help identify factors that could reduce disparities in adoption of electronic government systems.
|School Location:||United States -- Arizona|
|Source:||DAI-A 73/03, Dissertation Abstracts International|
|Subjects:||Multimedia Communications, Public administration, Health care management|
|Keywords:||Digital divide, E-government, Electronic application, Government-sponsored insurance, Health insurance, Innovation adoption|
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