This literature review was developed to examine empirically the factors hindering adoption of hospital information systems in Nigeria. The study was focused on the perceived paucity of health information technology policy in Nigeria and the causes of poor implementation of hospital information systems in the country. The findings of the literature review highlighted hindrances to the adoption of hospital information systems to include; the high cost of full implementation of a hospital information system, inadequate human capital, corruption, and problems associated with poor infrastructure in Nigeria. The recommendations were that the Nigerian government needs to provide stable electricity, basic communication infrastructures, and Internet access to boost private initiatives in the adoption of health information technology across the country.
[ISSN 2159-6743 (Online)]
The application of information technology in health care is unceasingly evolving as the quality of patient care in contemporary times seems to depend on the timely acquisition and processing of clinical information related to the patient (Brailer, 2005). Cholewka (2006) asserted that a significant paradigm shift has occurred in health care service delivery from an era of physician centeredness to emphasis on quality of patient care, from isolationist practices by caregivers to networking in a global world, and from competition to collaboration among practitioners. In tandem with this trend, improvement in technology and advancement in information systems has been adopted in the health care industry as a business strategy to improve the quality of care (Wilcke, 2008). A clear understanding of the usefulness of hospital information systems is lacking among health care policy makers in Nigeria. The Year 2000 World Health report ranked Nigeria 187 out of 191 countries in health care infrastructure and health services provision. A gap in knowledge exists regarding the exact number of hospital information systems functionally available in Nigeria, but subjective data project less than 5% implementation of any form of hospital information technology in a country of more than 150 million people (Idowu, Adagunodo, & Adedoyin, 2006). This review was designed to explore the reasons for lack of robust availability of hospital information systems in Nigeria. Background Nigeria for a long time has suffered political instability, thus creating the opportunity for corruption to thrive and enhancing poor macroeconomic management (Okafor-Dike, 2008). Following years of military dictatorship and lack of government accountability, infrastructural decay did not attract the desired attention (Okogbule, 2007)....
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