Healthcare Information Systems (HIS): Implementation Challenges in Developing Countries

Abstract

In developing nations, the establishment of sustainable healthcare information systems (HIS) is often hindered by insufficient government policies and outdated technology. Bangladesh is a notable example, where many patients lack proper healthcare access due to fragmented and non-digitally recorded data. Research has shown that standardized hospital healthcare systems can streamline patient management, increasing the capacity to serve more patients simultaneously. These systems have the potential to significantly improve healthcare in developing nations.

This article provides an overview of the key obstacles that impede HIS implementation in these countries. The study examines relevant information systems literature using a systematic literature review (SLR). The review is conducted through a structured process, with relevant studies collected from three databases: IEEE Xplore, EBSCO Databases, and ScienceDirect. A total of 4,014 papers were initially identified; however, only 11 main studies were included in the final analysis after applying strict inclusion and exclusion criteria.

The findings identify 24 obstacles to the adoption of Healthcare Information Systems (HIS) in developing countries, categorized into six groups. These include lack of financial support, inadequate infrastructure, limited education and awareness, cultural and political barriers, resistance to change, and poor system quality.