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研究生: 趙珮如
研究生(外文): Pei-Ju, Chao
論文名稱: 醫療產業員工之資訊科技接受模式─以中南部地區為例
論文名稱(外文): Information Technology Acceptance in a Sample of Health Care Employees
指導教授: 李婉怡
指導教授(外文): Wan-I, Lee
學位類別: 碩士
校院名稱: 樹德科技大學
系所名稱: 資訊管理研究所
論文出版年: 2003
畢業學年度: 91
語文別: 中文
論文頁數: 105
中文關鍵詞: 資訊科技電子病歷系統科技接受模型電腦自我能力醫療產業
外文關鍵詞: Information TechnologyComputer-based patient records systemTechnology Acceptance ModelComputer Self-EfficiencyHealth Care Institutes
相關次數:
  • 被引用:16
  • 點閱:118
  • 評分:*****
  • 下載:52
  • 書目收藏:14
健保實施後,為因應整體醫療服務量的遽增、醫療成本支出的高漲、健保局在支出費用的嚴格審核制度,加上醫療院所急須解決龐大的病歷資料儲存等問題,促使醫療院所對病歷的電子化工作較為積極,因此,如何運用資訊科技以減輕人員工作負荷,並有效提昇工作效率及醫療服務品質,為目前政府與各醫療機構積極努力之目標。
          本研究以「科技接受模型(Technology Acceptance Model, TAM)」(Davis, 1989)為主軸,輔以「理性行為理論(Theory of Reasoned Action, TRA)」(Ajzen & Fishbein, 1980)與「電腦自我效能理論(Computer Self-Efficacy, CSE)」(Murphy et al., 1989),作為醫療產業員工資訊科技接受行為之假設模式,透過實證研究加以檢驗。研究結果「醫療產業員工之資訊科技接受行為模式」,在驗證後皆達到顯著水準以上,模式的整體配適度為49.8%,表示本研究所建構之「醫療產業員工之資訊科技接受行為模式」對醫療產業員工電子病歷系統系統使用行為能給予不錯的解釋,使模式能有效預測並解釋資訊系統之使用行為。
          經過模式的修正可作為後續研究者之參考,並期望藉以瞭解影響醫療產業員工資訊科技接受行為意向之主要因素,以供政府主管機關或醫療機構,未來在改善與推動電子病歷系統之參考。
With the dramatic development of information technology and increase quantity of health care services, all of health care institutes begin to promote computerization after implement the National Health Insurance.  Due to department of health care are strictly in checking expenses and growth of costs with research, development and use of new technology equipments, so that the institutes did the patient records by electronic more actively.  Therefore, for solving huge paper-based patient records, and achieve the goal of enhance efficiency and quality in the reasonable costs, through electronic.  Moreover, it plays an important role in development of computer-based patient records.
          Most of the studies that have been done are concerned with the current technologies of construct computer-based patient records; very little research has been conducted to investigate the current status and lack with intention of health care employees.  Therefore, for saving the resources and enhancing the quality of health care, the purpose of this study is to explore the health care employees’ acceptance after implement the system based on Technology Acceptance Model, Theory of Reasoned Action, and Computer Self-Efficacy.  The results of this research indicate that essential factors and show what factors affect the behavior of the health care employees’ on accepting Computer-based patient records system. In addition, the model provides a good fit because of fit indices and explanatory powers for behavior.
          That is, we can use the model to predict the health care employees’ behavior on using Computer-based patient records system.  On the other hand, this study is also investigate the effect after implement computer-based patient record system and made the suggestions to development of Health Care Intelligence Card in future.
第一章 緒論                1
            第一節 研究背景與動機      1
            第二節 研究目的                5
            第三節 研究範圍與限制      6
            第四節 論文架構                6
            第五節 研究流程                7
          第二章 文獻探討                8
            第一節 電腦自我能力      8
            第二節 科技接受模型      18
            第三節 電子病歷系統      29
          第三章 研究架構與方法      35
            第一節 研究架構              35
            第二節 研究方法              38
            第三節 研究變數與操作性定義  40
            第四節 研究假設              43
            第五節 問卷設計              47
            第六節 問卷發放與整理      58
          第四章 資料分析與結果      60
            第一節 樣本基本資料分析      60
            第二節 單因子變異數分析      62
            第三節 相關分析              70
            第四節 研究假說檢定          72
            第五節 假設檢定結果      80
          第五章 結論與建議      83
            第一節 研究結論              83
            第二節 研究建議              86
            第三節 研究貢獻              87
            第四節 研究限制              88
            第五節 後續研究建議      89
          參考文獻 中文參考文獻          90
            英文參考文獻      93
          附錄 研究問卷              103
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