Organizational issues in health informatics applications: Findings from a systematic review

Recent studies show that many attempts to implement health information systems (HIS) are less than completely successful and do not lead to improvements in the quality, safety or even cost of healthcare. There are a number of major issues that cause problems to occur in the design, implementation, evaluation process, as well as other factors. However, the major challenges to HIS success more often related to behavioral issues rather than technological issues. Therefore, it is important to focus on human and organizational issues in the lifecycle of HIS. In this paper we aim to review and summarize recent studies on human and organizational issues related to HIS. We believe that our findings will serve as a guide for researchers, evaluators, IT specialists and stakeholders working in the healthcare environment.