Digital Health Information Systems (HIS) have potential to improve the finances of health-care organisations in lower income countries through better tracking of patients and procedures, more timely billing, greater professional accountability and more informed decisions. However, little is known about how HIS influence these processes in such settings or how contextual and social factors mediate their implementation and impacts. This study investigated whether, and through what mechanisms, the implementation of a modular HIS influenced revenue capture from patient billing in a large referral hospital in Malawi, drawing on the perspectives of complex socio-technical systems, health system strengthening and ICT for good-governance.
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Authors: Paul Kawale, Liz Grant and Claudia Pagliari