The use of e-health, demand and performance evoluation of chages

The aim of the study. To analyse and evaluate the opinions of health care specialists about the demand of eHealth and its impact on performance changes of outpatient health care institutions. The tasks of the study.1. To analyse the opinions of health care specialists about eHealth implementation in medical institutions and the use of eHealth services. 2. To evaluate the demand of eHealth servicesinoutpatient health care according to health care specialists. 3. To analyse and compare the opinions of health care specialists in polyclinics about the influence of implemented information technology on health care services. Study methods. The survey was conducted in December2013 – January 2014. Anonymous questionnaires (N=154) were distributed to health care specialists, administration staffand employees of statistics department in polyclinics of town Kedainiai. Results.The major part (73%) of the respondents reported that a computer is required in their workplace, and the ones who considered their computer literacy skills as highclaimed it as necessity. 63% of doctors self-evaluated their computer literacy skills as intermediate or poor. The main IT system of the institution is used by 93,1 % of employees of Kedainiai PHCC and 59,7% of employees of Consultants Polyclinic. Electronic sick-list system is mainly (92,6%) used by doctors. There is a significant difference (p<0,05)in the opinions of the employees of PHCC and the employees of the polyclinic about important factors of eHealthimplementation, i.e., reliance on the authority - 24% and 7%; growth of responsibility - 28% and 12%; failure fear - 23% and 9%; poor work planning - 21% and 16%; insufficient computer literacy skills - 51% and 40% in the institutions mentioned. Computer literacy skillsare more required and encouraged in PHCC (78%) than in the polyclinic (36%) (p<0,05). 91% of the employees in PHCC and 64% of the polyclinic tended to think that eHealth system is necessary in the institution. The work of 77% of higher computer literacy employeesimproved when preliminary registry and verification of medical insurance were implemented .The subsystem of medical images improved the work of 27% of the employees in the polyclinic and 8% in PHCC (p