Context-based factors that influence healthcare information system implementation in resource-constrained public hospitals

Technology-based interventions in healthcare are often anticipated to improve the quality of healthcare services. These expectations are based on a perceived belief in the ability of technology to alleviate some of the challenges associated with manual, paper-based healthcare service delivery. As a result, the drive to implement healthcare technology has gained significant traction in recent years. Unfortunately, the implementation efforts of most health-related technologies have been tainted with several challenges such as fragmentation, lack of interoperability, and co-ordination. As a result, data management and health-related information dissemination across various levels of healthcare systems have been jeopardized. The objective of this study is to identify context-based factors that influence healthcare information systems (IS) implementation in resource-constrained public hospitals. The emphasis is on the public healthcare landscape in South Africa. A qualitative methodological approach was employed. Semi-structured interviews with purposively sampled participants in a public healthcare hospital provided primary data. The findings indicate that factors such as implementation of policies, planning and support strategies, and analysis of healthcare IS's fitness for purpose in healthcare workflows processes influence successful healthcare IS implementation. Addressing these factors is critical if public healthcare hospitals are to realise fully the transformative potential of technology-based interventions. The contributions made in this paper may be useful to the relevant government bodies, policymakers and other stakeholders interested in advancing adequate healthcare service delivery using healthcare IS.