CONFLICT OF INTEREST: NONE DECLARED PAPERAIM SUMMARY. The development of the digital Information Communication Technology (ICT) has definitely changed healthcare system in all its areas. The development of standardized electronic medical record (EMR) make possible other forms of E-Health like transmural care, telemedicine etc. In this paper was described Health Information System (HIS) of Tuzla Canton and Brčko DC (whose citizens gravitate toward Tuzla Clinical Center). Tuzla Clinical Center is the only Clinic for tertiary healthcare in this region. To estimate level and types of the HIS, telecommunications and information management we have designed questionnaire. Based on this research we have presented current state of E-Health in Canton and the most important problems in this area. Also, based on this research and our experiences, we have identified the main directions of the HIS development, its standardization and integration as the base for E-Heath in Bosnia.

CONFLICT OF INTEREST: NONE DECLARED New discoveries in technology indeed enabled significant improvement of health care in the last three decades. Only during the last few years a significant breakthrough is achieved in the field of antiviral drugs, biotechnology, digital diagnostic technology, molecular diagnosis, tissues and organs transplantation as well as surgical and information technologies, which all contributed to the improvement of health care. Rapid growth of medical technology has led to the increase in costs of health care, increased access to these technologies and improvement of health care that is permanently encouraging the further development of technology. Technology encompasses the skills, knowledge and ability to understand, use and create useful things. It is the practical application of knowledge. Evaluation of health technology is the systematic evaluation of characteristics, results or impact of health technologies. The primary purpose of evaluation is to provide information to responsible parties for the technology in the health care system, which will be used in decision-making and introduction of these technologies. Information technology in medicine and health care represents all medical and health technology in the process of work, monitoring and evaluation done using computer technology. Progress of medical science in recent years especially needs to thank to the development of information technologies. The health care system of Bosnia and Herzegovina is currently operating in the two sub-systems of primary health care. One is inherited from the past system, in which the primary health care is provided by general practitioners, specialists in general practice, as well as gynecologists, pediatricians and pulmologists, and the second subsystem occurs when in PHC is introduced the system of family medicine doctors and family medicine specialists. Family medicine, based on the concept of orientation towards the methods which are more effective, rational and cost-effective health care, use of defined procedures and evidence-based medicine, and more adequate education can empower and stimulate general practice doctors, especially family medicine specialists, who have passed various forms of training and courses in this area, to more rational and efficient use of diagnostic technology in their daily practice, without unnecessary duplication of tests. With this they make savings to the healthcare system, improve the financial position of overall health system, especially in the PHC segment, increase satisfaction of doctors providing that health care, but also the users of health services.

Background: The quality of healthcare and therefore primary healthcare and its measurement is a theoretical problem. However, its practical performance turned out to be even greater. However, we must always keep in mind the importance of not only primary healthcare as one of the key branches of the healthcare system, but above all its quality. Quality assessment is the first step in quality assurance and includes the analysis of structural, process and outcome variables. Objective: This article deals with that issue - assessment of the quality of work is one of the key elements in primary healthcare.. Methods: This is cross-sectional study about quality assessment of patient's satisfaction in PHC units in Bosnia and Herzegovina regarding AKAZ standards and rules. Results and Discussion:: Namely, primary healthcare, which operates at the municipal level and serves 10,000 to 50,000 inhabitants, must be carried out with quality, in order to raise the health standard in the country to a higher level. All countries, including ours, strive to provide high-quality healthcare services to residents with the available resources. With this idea, the Agency for Quality and Accreditation in Healthcare FBiH (AKAZ) was formed with its headquarters in Sarajevo. It is the competent authority in the field of improving the quality and safety of healthcare services. AKAZ offers a unique program to improve the quality and safety of healthcare services for healthcare centers, family medicine teams, hospitals and private health institutions in the Federation of Bosnia and Herzegovina. The agency was established to work in cooperation with healthcare professionals and help them improve standards of quality and safety of healthcare.The manner in which we will collect the data we need to assess the quality of work is in the form of a questionnaire. This directly addresses residents, healthcare service users. Only from them will we receive appropriate information on the functioning or non-functioning of the healthcare system. Conclusion: More precisely, we can directly conclude whether a problem that has appeared is a problem of the entire healthcare system (at the level of the municipality, canton, entity, state), or whether it is a problem of a narrower nature. Namely, the problem can also be at the level of the healthcare center or even the practicing doctor. Such data are of great use to us in order to improve the entire healthcare system, starting from the practicing doctor, the family medicine team, and so on all the way upward to the competent political authorities.