Distributed generation (DG) is reshaping distribution networks through bidirectional power flows, operational variability, and dependence on coordinated regulation, pricing, and control. This paper examines how regulatory architecture, grid-code requirements, tariff design, and Distributed Energy Resource Management Systems (DERMS) influence DG integration, emphasizing Honduras. A structured mixed-source review is applied, combining Scopus-based bibliometric analysis of 2438 records (2000–2026) with targeted synthesis of technical, regulatory, tariff-related, and institutional sources. The bibliometric results show sustained growth and a thematic shift from conventional voltage-control studies toward active distribution networks, DER coordination, storage, demand response, tariff reform, and digital energy management. The analytical synthesis shows that effective DG integration requires more than interconnection compliance: it depends on grid-support functions, cost-reflective and equitable tariffs, and operational tools capable of managing voltage deviations, reverse power flow, congestion, protection coordination, and limited visibility. DERMS is an enabling layer for voltage control, active and reactive power management, congestion mitigation, adaptive protection, and predictive operation. For Honduras, current regulatory progress should be complemented by phased modernization focused on observability, smart metering, data infrastructure, local flexibility, and progressive DERMS deployment. The study provides an integrated framework for aligning regulatory, economic, and operational dimensions of DG integration in emerging distribution systems.