Tun, Soe Ye YintMadanian, Samaneh2023-07-022023-07-022023-02-07Journal of the American Medical Informatics Association, ISSN: 1067-5027 (Print); 1527-974X (Online), Oxford University Press (OUP), 30(4), 761-774. doi: 10.1093/jamia/ocad0111067-50271527-974Xhttp://hdl.handle.net/10292/16335Objective Clinical Information System (CIS) usage can reduce healthcare costs over time, improve the quality of medical care and safety, and enhance clinical efficiency. However, CIS implementation in developing countries poses additional, different challenges from the developed countries. Therefore, this research aimed to systematically review the literature, gathering and integrating research findings on Success Factors (SFs) in CIS implementation for developing countries. This helps to integrate past knowledge and develop a set of recommendations, presented as a framework, for implementing CIS in developing countries. Materials and Methods A systematic literature review was conducted, followed by qualitative data analysis on the published articles related to requirements and SF for CIS implementation. Eighty-three articles met the inclusion criteria and were included in the data analysis. Thematic analysis and cross-case analysis were applied to identify and categorize the requirements and SF for CIS implementation in developing countries. Results Six major requirement categories were identified including project management, financial resources, government involvement and support, human resources, organizational, and technical requirements. Subcategories related to SF are classified under each major requirement. A set of recommendations is provided, presented in a framework, based on the project management lifecycle approach. Conclusion The proposed framework could support CIS implementations in developing countries while enhancing their rate of success. Future studies should focus on identifying barriers to CIS implementation in developing countries. The country-specific empirical studies should also be conducted based on this research’s findings to match the local context.https://creativecommons.org/licenses/by-nc/4.0/CISclinical information systemscritical success factorsdeveloping countriesdigital healthimplementationlow-resource settingsrequirements46 Information and Computing Sciences32 Biomedical and Clinical Sciences4609 Information SystemsGeneric health relevance08 Information and Computing Sciences09 Engineering11 Medical and Health SciencesMedical Informatics32 Biomedical and clinical sciences42 Health sciences46 Information and computing sciencesHumansDeveloping CountriesHealth Care CostsInformation SystemsHumansDeveloping CountriesInformation SystemsHealth Care CostsHumansDeveloping CountriesHealth Care CostsInformation SystemsJournal ArticleOpenAccess10.1093/jamia/ocad011