Information Technology Governance Implementation Challenges in Healthcare Facilities: A Systematic Literature Review

To date, healthcare organizations still struggle to adopt new technologies, thus making it challenging for leaders to justify the efforts of information technology (IT) implementations. Effective IT governance is essential to align IT strategies with business objectives and ensure that IT investments deliver value by improving performance and service quality for healthcare organizations. There is a lack of specific guidance on how IT governance mechanisms are implemented in healthcare settings, such as governing EMR or HIS. Finding challenges that inhibit the successful IT governance mechanisms in healthcare facilities. Preferred reporting items for systematic reviews and meta-analysis (PRISMA) are used. There are 26 empirical research papers discussing the implementation of IT that has a relationship with its governance in various health processes between 2019 and 2024, then it is synthesized to present the current issue that needs to be prioritized in implementing IT governance. Notable findings are a lack of support from top management, ineffective risk management, difficulties in achieving business-IT alignment, and overcoming resistance from staff as challenges. Meanwhile, establishing a multi-stakeholder committee from medical, IT, management, training, and support could mitigate the challenges. This review aims to provide valuable insights for practitioners, researchers, and policymakers by highlighting the need for robust IT governance that maximizes value extraction from IT into the business. This study synthesizes current IT governance challenges in healthcare for prioritizing the improvement of IT in healthcare organizations. Bridging gaps in literature and practice.