University of Oulu

Barriers and success factors for implementation and adoption of healthcare information systems in developing countries : a systematic literature review

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Author: Hasan, Mahmudul1
Organizations: 1University of Oulu, Faculty of Information Technology and Electrical Engineering, Department of Information Processing Science, Information Processing Science
Format: ebook
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 1.4 MB)
Pages: 54
Persistent link:
Language: English
Published: Oulu : M. Hasan, 2019
Publish Date: 2019-04-09
Thesis type: Master's thesis
Tutor: Rajanen, Dorina
Reviewer: Juustila, Antti
Rajanen, Dorina


Developing countries often struggle to implement sustainable healthcare information systems (HIS) due to poor government policy and technological legacy. Bangladesh is a prime example where a large number of patients are deprived of proper healthcare simply because their data is fragmented and not digitally recorded. Several researchers have shown how standard healthcare systems in hospitals can reduce the complexity of patient management, thus creating room for serving more patients at the same time. Such standard systems can dramatically improve the scenario for developing countries. This thesis gives an overview of key barriers that is hindering developing countries to implement such HIS. It also accumulates the success factors to overcome the issues.

This thesis used a systematic literature review (SLR) to analyze the relevant literature in the field of information systems. A review protocol was developed to conduct the SLR. Relevant studies were collected from three databases, IEEE Xplore, Ebsco Databases, ScienceDirect. The initial search resulted in 4014 studies. The search was further refined and through a process of selection using inclusion and exclusion criteria, 19 relevant primary studies were reviewed to answer the research questions. This study identified 24 barriers which have been grouped into six categories, and 19 success factors, grouped into four categories.

The results show that HIS implementation in developing countries is hindered due to the lack of infrastructure, lack of education and awareness, lack of financial supports, cultural and political issues, resistance and support unwillingness, and lack of system quality. The findings also brought success factors as suggestions for successful implementation of sustainable HIS. The study found that utilization of resources to be most significant success factor which influences the successful HIS implementation.

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Copyright information: © Mahmudul Hasan, 2019. This publication is copyrighted. You may download, display and print it for your own personal use. Commercial use is prohibited.