the term technology is of greek origin and means a skill , while logos mean  science . technology means applied knowledge or applied science . according to the  office of technology assessment , medical technology is a set of techniques , medicines , equipment , tools and procedures used by health professionals in providing health care to individuals and systems in which such technology is used ( 1 , 2 , 3 , 4 , 5 , 6 ) . broader concept of medical technology is the health technology , which includes all the procedures , tools and techniques that are used in order to improve health , and the simplest and most effective way to treat and rehabilitate certain population . information technology in medicine and healthcare can be presented by one complex technological model ( technology package ) which includes all the components of technological packages such as hardware , software , brain ware and orgwar , e and that can actually cover all the medical technology and technology in health activities . advances in medicine in recent decades are in significant correlation with the advance of information technology . modern information technologies have enabled faster , more reliable and comprehensive data collection , however , they have started to create a large number of irrelevant information , which is a limiting factor and a real growing gap between medical knowledge on the one hand , and the ability of doctors to follow its growth . furthermore , in our environment the term technology is generally reserved for its technical component , however , this terminology essentially means not only the purchase of computer and related equipment , but technological foresight and technological progress , which is defined as a specific combination of fundamental scientific , research and development work which gives a concrete result  from fundamental discoveries to their application in the form of innovations ( 7 , 8 , 9 , 10 , 11 ) . computer , in general terms is the device by which information is processed , or the device for automatic processing of numerical and data of non - numeric nature . on these are based computer information systems ( information technology package ) which traditionally have been composed of at least two components , or two subsystems consisting of multiple elements : these two components act synergistically and both are essentially important for the proper operation of computer system and its use in medical education . hardware therefore belongs to all mechanical , visible and  tangible  component of the computer . we can divide the elements of the hardware system into several groups that act in interactive computer systems ( 2,7 ) : data entry mechanism ; data processing mechanism ; data storage mechanism ; a mechanism for retrieving the processed data . within each of these groups there is fairly large number of computer components , and to this number is added almost daily new , just discovered and produced . software part of the computer is a general term for software of a computer , i.e. a set of instructions prepared so that it is performing in an appropriate way to obtain an adequate final result . system components would belonged to the operating system ( now the predominant windows operating systems , and to a lesser extent linux , mac , etc . ) . examples of application software are components of office , e.g. word , excel , etc . , and the extremely large number of other programs ( applications ) , used for various purposes . firmware , a special type of software that provides system functions within a computer system and by the end user in principle can not be changed without the danger of damage to the basic logical relations , and that the computer is blocked . the introduction of computers has led to the introduction of a special method of education known by the term  learning with computers  , i.e. , the anglo - saxon literature known under the abbreviation cai or cal ( computer assisted instruction / learning ) . this method is particularly useful in educating students in the transition from preclinical to clinical part , and very important in the field of introducing new diagnostic and therapeutic procedures . using this method , the student has enough time for solving problems , making decisions in accordance with the speed of their own understanding , to rest when they wants , and relieve the pressure that is normally present by teachers , colleagues or patients . ( 7 , 8 , 9 ) . in this program , the sixth chapter , the prerequisites for the development of health care  was emphasized by the fourth section ,  evaluation of health technology  , and the last 38th goal of  appropriate health technology  was  before 1990 . all member countries should already have in place systematic mechanisms for evaluating the use of medical technology , its feasibility , efficiency , security , availability , and maintenance of national health policy and economic restrictions for use .  but this proclaimed goals and aspirations , unfortunately , did not give the desired result , particularly in some areas of the world . where was seated culture of quality management and where the market economy dictated the use of technology , there are agencies for the evaluation of technology prior to setting these goals by who ( the united states and some western european countries ) , while in some societies fragmented health care system does not give effort to the decision makers in health policy - making process , the ability to control the use of health technologies . the management those resources is left to health professionals who are not trained in the organization , economics and decision - making , and about quality assess the use of health technologies is no trace in our region . economic and sociopolitical environment , a disorganized health care system and the high costs associated with the use of diagnostic technologies require vigorous measures in terms of achieving the higher quality , more efficient and less expensive as , in other words , rational health care services . in bosnia and herzegovina , as in many developed countries do indicate the number of diagnostic tests in primary care is growing , but at the same time the consent of algorithms based on the evidence of many of these tests is considered unnecessary . in providing health care , it is not common practice evaluate the use of technology , and this is particularly uncommon in primary care . this is to the institutional , organizational and political obstacles , as well as the lack of instruments to assess .health workers in an effort to comprehensively review the problem , do not overlook the impact of individual technologies to solve this problem and , besides , no singles enough number of cases to extract statistically relevant data . this research was conducted in order to reaffirm or to encourage thinking about the skills needed to adoption the assess of health technologies , and also to develop instruments and algorithms that estimate , in this case the evaluation of implementation of family medicine in the health care system of bosnia and herzegovina . in recent decades , in bosnia were carried out substantial reform activities in the health system , especially in the reform of primary health care in what they have invested significant domestic and international community assets . this reform is reflected in the substitution of general practice with family medicine and applying the principles of family medicine in all its aspects . so in our health care system currently works two models of health care in primary health care , one is inherited in which primary care doctors provide general practitioners , and another model with the introduction of family medicine doctors and specialists in family medicine . in addition , in the postwar period intensified continuous medical education and other forms of medical education . the question is whether health education , a different arrangement of the health system is actually a different principle of health care providers may give different efficiency and effectiveness in the use of certain diagnostic technology ? the overall objective of this research is to establish a rational utilization of diagnostic information technologies in units of family and general practitioners at health centers in canton zenica - doboj using quantitative and qualitative variables designed for this study . fact whether the existing differences in the provision of health care reform justify interventions in primary care . one type of observed variables are the inputs into the health system , which produced different results using technology . these variables are : education of doctors who classified the group of general medicine and family medicine group , technological resources that apply in their daily work , existing administrative , income and functional concept of primary health care , existing standards in the domain of primary health care . the second group consists of qualitative or quantitative indicators as a result of applying certain diagnostic technology ( output ) , based on what was done : assessment of general diagnostic effectiveness of information technology in primary medicine and family medicine and the identification of differences , assessment of the correct indications for the use of such technology and determine the difference between general doctors and family medicine , assessment of effectiveness of interpretation of the results and determine the difference , research on the effectiveness of specific individual diagnoses often impressions of diagnostic technology and information to determine differences , assessment of the economic aspects of diagnostic applications of information technology and defining the differences between family medicine ( a better organized system ) and general medicine , determining the differences in the subjective assess probable diagnosis of clinicians before and after diagnostic use of information technology and defining the differences between doctors in general and family medicine , determining whether there is a difference when applying diagnostic definition of information technology in treatment planning , determining whether there is a significant difference in impact on the patient s health that arise after the application of information of diagnostic technologies . analyzing data collected from 30,000 research papers that have done 30 doctors of family medicine and 30 doctors of general medicine , and from interviews conducted with all 60 doctors who participated in the research , led to the following results : teams of family medicine have a significantly higher professional education , and it should be noted that there was no significant difference in length of service of employees . teams of family medicine in an average have fewer visits per day than the teams in general medicine . family medicine doctors have developed mechanisms for rational deliberation and acceptance of requests of patients . organized process of providing health care services reduces the pressure of stressful demands on service providers where they make better decisions . appointment patients , teamwork , visiting nurses ... reduce the stressful pressures at the request of family medicine teams . prevention activities , which would ultimately reduce the stressful demands of the population , are poorly implemented in family teams and teams in general medicine . active registration of patients and the appropriation of doctors has created a continuous doctor - patient relationship , statistically significantly more frequent than in teams in general medicine . all of these principles , the better in family medicine , gave a better performance of family medicine teams in rational use of diagnostic information technology . because the family medicine teams : on average , significantly fewer patients were sent for tests , on average , significantly fewer had unnecessarily spent procedure , had an average of better economic relationship between services rendered and results obtained , significantly more confirmed working the diagnosis , performed diagnostic procedures were significantly more likely to affect the therapeutic protocols , performed diagnostic procedures were significantly more favorable effect on patient health , the value of the operating characteristics of the implemented procedure is considerably more favorable to the doctor of family medicine . based on everything we can say , there is a confirmed hypothesis that the rationality of the diagnostic application of information technology depends on the concept of providing primary health care , level of professional medical education , the existing technological resources , working conditions and implementation of standards in primary care . however , it should be noted that although the number of unnecessary procedures significantly lower in family medicine doctor , that number is still significant and the laboratory tests are moving up to 33% and significantly affects the efficiency of health care . therefore it is necessary to continue with the implementation of the principles of family medicine , especially in those areas where there has not been sufficiently implemented , which would further improve the performance of primary health care . to use the guide , the active registration of patients , visiting nurses , greater coverage of population , etc . it is necessary to introduce a technology assessment as a standard scientific methods in decision making and the creation of the health system . in fact , it is necessary to establish and enable institutions to assess health technologies and join the developed world in creating better health care . thus , it became clear that family or general practitioners can not accept the quantity of information from different areas of medicine , especially if we consider the aspect of speed and intensity in which new knowledge arrives . it is necessary in the system of education to limit the amount of factual information that they must must know . it is necessary to adopt methods that will identify those physicians who will later be able to learn independently and develop educational skills during continuing education . , must reduce passive learning , and from students / phyisicians require active learning and solving problems . medical schools / universities must introduce a system of education in information technology during undergraduate and postgraduate study ( 1 , 7 ) . information technologies have the capacity more than any other medium to facilitate all kind of learning and problem solving , as well as many other benefits .
summaryintroduction : in recent decades , the development and improvement of technology is rapidly advancing . 
 the development of science , new materials , information technology , new procedures and other modern achievements were his first confirmation sought to improve living conditions , particularly in achieving better health conditions . in an effort to improve living conditions , 
 solve the problem of severe diseases and to facilitate treatment , new technologies , almost always find its first application in medicine . in such conditions of general pressure of new modern technologies , health professionals often succumb to uncritically use these technologies . 
 methodology : analyzing data collected from 30,000 research papers that have done 30 doctors of family medicine and 30 doctors of general medicine , and from interviews conducted with all 60 doctors who participated in the research . 
 results : a ) teams of family medicine have a significantly higher professional education , and it should be noted that there was no significant difference in length of service of employees ; b ) teams of family medicine have significantly less committed population on which the care ; c ) teams of family medicine in an average have fewer visits per day than the teams in general medicine ; d ) information diagnostic technologies are more accessible to family medicine teams . 
 conclusion : it is necessary to introduce a technology assessment as a standard scientific methods in decision making and the creation of the health system . in fact , it is necessary to establish and enable institutions to assess health technologies and join the developed world in creating better health care .