title: A literature review for large-scale health information system project planning, implementation and evaluation.
abstract: Information technology is perceived as a potential panacea for healthcare organisations to manage pressure to improve services in the face of increased demand. However, the implementation and evaluation of health information systems (HIS) is plagued with problems and implementation shortcomings and failures are rife. HIS implementation is complex and relies on organisational, structural, technological, and human factors to be successful. It also requires reflective, nuanced, multidimensional evaluation to provide ongoing feedback to ensure success. This article provides a comprehensive review of the literature about evaluating and implementing HIS, detailing the challenges and recommendations for both evaluators and healthcare organisations. The factors that inhibit or promote successful HIS implementation are identified and effective evaluation strategies are described with the goal of informing teams evaluating complex HIS.
authors.affiliation: Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand. Electronic address: judith.sligo@otago.ac.nz.
authors.forename: Judith
authors.initials: J
authors.lastname: Sligo
authors.affiliation: Department of Preventive and Social Medicine, Dunedin School of Medicine, University of Otago, Dunedin, New Zealand.
authors.forename: Robin
authors.initials: R
authors.lastname: Gauld
authors.affiliation: Healthy Together 2020 Technology Programme, Counties Manukau Health, New Zealand.
authors.forename: Vaughan
authors.initials: V
authors.lastname: Roberts
authors.affiliation: Research and Evaluation Office, Health Intelligence and Informatics, Ko Awatea, New Zealand.
authors.forename: Luis
authors.initials: L
authors.lastname: Villa
mesh_terms: D063005:Health Information Systems; D006801:Humans; D016730:Program Development / Q000379:methods*; D015397:Program Evaluation
keywords: Evaluation; Health information systems; Implementation