1
3
E10309
3
021
探討醫師接受與抗拒健保雲端藥歷查詢之研究:以雙因子理論觀點
Understanding Physicians\' Acceptance and Resistance to the National Health Insurance Pharma Cloud Query: a Dual Factor Theory Perspective
1.謝碧容
1.Pi-jung Hsieh
1.嘉南藥理科技大學醫務管理系
1.The Department of Hospital and Health Care Administration at Chia Nan University of Pharmacy & Science
001,002,003,004
1.嘉南藥理科技大學醫務管理系
1.The Department of Hospital and Health Care Administration at Chia Nan University of Pharmacy & Science
002
1.科技部
1.Ministry of Science and Technology
A.14 計畫執行期間(起):2014-08-01
A.14 計畫執行期間(訖):2015-07-31
2014-09-242015-02-12
A.16 收到日期:2015-09-07
2
臺灣地區有辦理執業登記且在醫院職業之醫師

1

312


312
003
01
C.2 聯絡日期:2015-09-09
2
1.嘉南藥理科技大學醫務管理系
1.The Department of Hospital and Health Care Administration at Chia Nan University of Pharmacy & Science
1
C.7 資料公開日期:2025-08-01
2
008
1
1
1
2
3
3
001
1.雲端運算
2.健保雲端藥歷
3.雙因子理論
4.科技接受
5.使用者抗拒
1.Cloud computing
2.National health insurance PharmaCloud
3.Dual factor theory
4.Technology acceptance
5.Use resistance
  近年來隨著雲端運算的興起,讓醫療資訊可結合網際網路與雲端科技,發展出一套創新的醫療服務。尤其,讓醫師透過健保雲端藥歷查詢,不僅可減化工作流程、提昇工作效率與病患安全之外,還可減少醫療資源的浪費。但回顧過去相關文獻指出,資訊科技的導入經常會遭受到醫師的抗拒,而導致建置失敗無法實現其效益。有鑑於此,本研究回顧過去對於資訊系統使用與抗拒的文獻,以Cenfetelli(2004) 所提出資訊科技使用的雙因子觀點,整合科技接受及使用者抗拒理論,提出醫師接受與抗拒健保雲端藥歷查詢的研究模型,突顯出使用意圖與抗拒的前因以及行為的後續影響。因此,本研究採用問卷調查法,以醫師為研究對象,回收有效樣本312 份,有效回收率為78%。實證結果發現:醫師對健保雲端藥歷系統的使用意圖,會受系統品質、資訊品質以及服務品質之正向影響,而使用意圖則是會正向影響系統使用。在抗拒轉換方面,則會受避免後悔、慣性及知覺風險之正向影響以及知覺價值之負向影響,而抗拒轉換會負向影響使用意圖;再者系統使用以及抗拒使用對個人績效有顯著影響。因此,本研究之成果能作為中央衛生主管機關、醫院與醫療資訊產業對於健保雲端藥歷查詢之實施策略及績效評估之參考,並增益學術界對於健保雲端藥歷系統之成功與持續使用衡量之相關研究。

  The latest technological trends such as Cloud Computing provide a strong infrastructure and offer a true enabler for health information services over the Internet. Especially, national health insurance PharmaCloud query allows physicians to streamline many of their processes and provide patient safety in a more efficient and cost-effective manner. Despite some practitioners and academics emphasize the opportunities that cloud computing offers hospitals, their overall adoption remains low and meets resistance from physicians. There are gaps in our understanding of how physicians evaluate change related to the national health insurance PharmaCloud query and decide to resist it. Thus, this study proposes a preliminary model of PharmaCloud query acceptance and resistance, highlighting its causes and effects, by synthesizing prior findings in the information system (IS) usage and resistance to change literatures, using a recently proposed dual-factor structure of IS usage (Cenfetelli, 2004) as the bridge between these two literatures. This theoretical model is then empirically validated using survey data from practicing physicians in the Taiwan. The resulting 312 valid questionnaires constituted a response rate of 78%. The results show that physicians’ acceptance to the use of the PharmaCloud is the result of information quality, system quality, and service quality. Intention to use had significant correlation with system use. Regret avoidance, inertia, perceived value, and perceived threat were significantly related to resistance to use. This study confirmed that the relationship between intention to use and resistance to use had a significant negative effect. The results also showed system use and resistance to use a great predictive power in explaining individual performance. Thus, the results of this study provide valuable suggestions about how to promote physicians’ willingness to adopt the national health insurance

D.16 完成檢誤日期:2015-09-15
D.17 預定釋出日期:2025-08-01
D.18 初次釋出日期:0000-00-00
D.19_1 最新版釋出日期:0000-00-00
2
1
追蹤清單
下載(0)
申請(0)
遠距(0)