This study analyzes the current status of the digitalization of the Romanian Health System (RHS). Data were collected from 135 active public and private health professionals using an online questionnaire with 102 items. The results of the analysis show that, if the qualification level and the experience of managers are high, seniority in management positions is an essential factor in the adoption of digital technologies, the digitalization of health services increases the efficiency and quality of medical and management services, and the success of the implementation of digital technologies is conditioned by the harmonization of a variety of factors because there are differences between the public and private sectors in terms of the economic efficiency determined by the adoption of digital technologies. There are also differences in the implementation of digital technologies between the national and worldwide levels, there are specific technologies that positively influence managerial performance, and the innovation process is conditioned by the management level. Because Romanian health service managers are updated with new technologies, they can ensure the implementation of digital technologies, considering that economic efficiency and managerial performance are directly related to the level of adoption and the type of technologies implemented.