The term E-health - describes the use of information and IT, to satisfy needs of citizens, patients, and healthcare specialists, providers of healthcare services, managers and politics. Development of e-health structure and the use of patient healthcare services just in the beginning in Lithuania, so there is a need of work and solutions are made in this direction. The object of research – the spreading of e-health services, development and management solutions of healthcare institutions. The purpose is to investigate problems of management, describe the changes in e-healthcare development process. The second aim to investigate diffusion of e-health services in Lithuania and compare with situation in the world.