Appiah, Dr Erasmus KofiEssof, Dr Erasmus Kofi2024-05-162024-05-162022https://hdl.handle.net/10539/38484A research report submitted to the Faculty of Commerce, Law and Management, University of the Witwatersrand, in partial fulfilment of the requirements for the degree of Master of Management in the field of Digital BusinessBackground: The global trend of centralised Electronic Health Records (EHR) aligns with the digitisation megatrends of the fourth industrial revolution. Developed countries show success, while developing nations, facing economic complexities, are lagging. In South Africa, low EHR maturity and adoption, coupled with the National Health Insurance (NHI) development, highlight the need for successful implementation. Problem Statement: EHR offers various benefits, yet slow implementation and adoption persist in the South African public healthcare sector due to numerous challenges. Objective: The study sought critical success factors for EHR implementation in Gauteng informed by the Technology Acceptance Model (TAM) and Information and Technology, Processes and Objectives, Skills and Management, and Other Factors (ITPOSMO) with an emphasis on user perspectives and the literature- reality gap. Method: The study used an exploratory cross-sectional approach, conducting interviews with six individuals, including end users and leadership from Gauteng's three largest municipalities. Findings and Conclusion: Benefits and challenges from literature, categorised by ITPOSMO and ranked by commonality, revealed a fundamental relationship with factors crucial for EHR implementation. To realise benefits and overcome challenges, critical success factors must be prioritised. These include user input, training, infrastructure development, change management, system maintenance, data quality, interoperability, standardized evaluation, and funding control. Emphasising these factors is crucial for successful EHR implementation, ultimately enhancing patient care and quality outcomes in the Gauteng Province.en© University of the Witswatersrand, JohannesburgDigital implementation and adoptionElectronic Health Records (EHR)Public healthcareUCTDSDG-9: Industry, innovation and infrastructureDissertation