Exploring a Model for Blockchain Adoption in Health and Wellness Centers: A Qualitative Study

Abstract

This qualitative grounded-theory study explores factors influencing blockchain adoption in health and wellness centers. Fifteen domain experts—IT managers, healthcare administrators, and academics—were interviewed, and transcripts were analyzed in MAXQDA. The analysis identifies four interrelated dimensions—organizational, technological, social, and economic—and extends the Technology–Organization–Environment framework by treating social and economic domains as distinct but interacting drivers of adoption and scalability. The resulting C-P-L-E pathway (Capability, Pilot, Legitimacy, Economics) provides a practical roadmap aligning technical readiness, organizational capacity, and socio-economic legitimacy for sustainable blockchain adoption in healthcare.