| Abstract [eng] |
On the development of medicine IT and communication capabilities there is the upcoming revolution in the management of the healthcare system. These technologies help improve the management of healthcare facilities and develop high sped wideness and aim focused healthcare services. Analyzing the experiences of the leading EU countries, an information and communication technology, Lithuania has developed an IT healthcare service system which is still under the implementation more than the decade since. Launched in the 2005 System was assumed as the National one and still have malfunctions and shortfalls, and has experienced the no use culture, there was decided to build a new Nationwide an e-health platform. The relevance of the research: The e-health system is based on the Primary health care, because there are the initial start of the health issues addresses leading to all levels and specializations of the health care system. The starting guidance’s are not only about treatment, but also are essential to disease prevention, and public understanding and the self-care. From 2018 March 1 All health care institutions in Lithuania, have the obligations to proceed with the digital medicine data. However, the e-health is still offline of the system. The novelty of the research: Despite the interest of and expertise the field, Lithuania is still lacking the analysis in the scientific argumentation and analysis of the health IT and especially in the Primary health care, despite the capabilities of the networking specialist incorporation. The objective of research – e-health system implementation in the Primary health care institutions. The aim of the research – scientifically analyze the e-health in the Kaunas Primary care level to find how practitioners are involved and benefit from it. Research methods: There were analyzed 2 public and the 2 private Primary health care institutions in Kaunas Lithuania. The research took place during the period of 2017 November 20 to December 1. I the field there where leading personnel as well as separate doctors interviewed. In total there where conducted 9 interviews and 55 practioners where questioned using questionnaires. The semi structured Interview has consisted of standard 7 questions. Additional questions where added during the interview process. The identity of the responders remain confidential and none is mentioned in the research. Questionnaire was a paper one with 25 questions in total. The identities also remain confidential. In the study 91% (50) women and 5% (5) men where surveyed. Conclusions: The results show that all the Primary health care institutions analyzed have electronic health systems, and general practitioner (GP) are actively involved in electronic prescription and filling in other documentation. In all of the institutions studied were training conducted on how to use the e-system. General practitioners in public institutions more often - 62% prefer e recipes than private institutions - 40%. In one of the institutions under the research, GP’s are not encouraged to use the e-system. Most GP’s evaluate their IT confidence as very good - 69%. It was also found that over the age of 41 GP’s often rate their IT confidence as weak (22%) and well (78%); those younger than 30 years are more likely to be evaluated as well (70%) and perfectly (30%). GP’s over the age of 51 were found to be more likely to choose a paper medical documentation by 67%. The data showed that respondents younger than 51 more often 79% are to be using digital documentation. 78% of respondents in the public institution indicated that the administration compel them to use the e-system, while in the private sector only 37% needs to compel. |
