Abstract
Biases against marginalized groups plague the healthcare system, raising the question of how ethical decision-making may be fostered within healthcare practices in Ghana to curate design guidelines that can be used within information system design and development. This paper examines the manifestations of healthcare biases related to ethnicity, social status, and economic factors and their effects on the experiences of persons who have once been patients at a healthcare facility. We do so through a qualitative case study based on 20 semi-structured interviews with respondents from Ghana. These interviews revealed biases affecting access to care and healthcare quality. Our findings underscore the necessity for extensive reforms in healthcare systems facing similar challenges, advocating for cooperation among policymakers, healthcare providers, and stakeholders to bring about equitable care. The main contribution is outlined through the conceptualization of design guidelines focused on trying to lessen the impact of biases that can be used when designing and developing information systems.