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The rapid advancement of technology has significantly transformed healthcare systems worldwide, with electronic health records (EHR) emerging as a critical component in modernising healthcare delivery. This study investigates the adoption and diffusion of the Lightwave Health Information Management System (LHIMS) in Ghana’s healthcare sector, with a focus on the socio-technical, economic, and political factors influencing these processes. The key research question guiding the study is: How do socio-technical, economic, and political factors influence the diffusion and adoption of technological innovation in Ghana’s health sector?
A qualitative research design was employed, with semi-structured interviews conducted with healthcare professionals across four major hospitals in the Greater Accra Region. Thematic analysis revealed key barriers to adoption and diffusion. Socio-technical challenges included inadequate internet connectivity, unreliable power supply, and insufficient technical support. Economic constraints, such as high setup costs and ongoing financial sustainability issues, were also identified, despite the long-term benefits of EHR systems being recognised.
Politically, the study finds that policy continuity and political stability are crucial for the long-term success of EHR adoption. The government’s e-health policy played a central role in the initial adoption of EHR systems; however, political transitions and changes in leadership have, at times, disrupted policy implementation and the diffusion process. This highlights the importance of policy alignment, political continuity, and operational readiness in ensuring the sustained success of EHR adoption. Shifts in political leadership have occasionally led to disruptions in funding and support for the policy, weakening its momentum.
The findings underscore the pivotal role of effective policy frameworks in the successful adoption and diffusion of technological innovations in healthcare. For EHR systems to achieve widespread adoption and integration, a stable policy environment that aligns with long-term national health priorities is essential. This study provides valuable insights for policymakers and stakeholders in Ghana and other developing countries, offering recommendations for strengthening policy continuity and addressing the socio-technical and economic challenges to ensure the success of EHR systems and similar technological innovations.