政大機構典藏-National Chengchi University Institutional Repository(NCCUR):Item 140.119/104020
English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  Items with full text/Total items : 113451/144438 (79%)
Visitors : 51290608      Online Users : 901
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
Scope Tips:
  • please add "double quotation mark" for query phrases to get precise results
  • please goto advance search for comprehansive author search
  • Adv. Search
    HomeLoginUploadHelpAboutAdminister Goto mobile version
    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/104020


    Title: 從資訊系統成功模式觀點探討智慧醫院之建置、使用與價值
    Exploring the Establishment, Usage and Value of Smart Hospital from the view of Information System Success Model
    Authors: 陳韋廷
    Contributors: 溫肇東
    陳韋廷
    Keywords: 智慧醫院
    資訊系統成功模式
    Smart Hospital
    Information System Success Model
    Date: 2016
    Issue Date: 2016-11-14 16:26:04 (UTC+8)
    Abstract: 各產業隨著物聯網、大數據與雲端計算等技術的發展而有新應用,各產業皆朝向智慧化的發展。台灣的醫療產業在國際上頗具盛名,全民健康保險制度的推行,讓台灣人人都能接受醫療服務,但由於就醫的門檻變低了,人們容易出現濫用醫療資源的現象,而有限的醫療資源使得醫療院所設法壓縮成本支出,以確保其營運績效,血汗醫院的現象加上層出不窮的醫療暴力事件,讓醫護人員處於惡劣的工作環境,也進而影響提供給病患的醫療服務品質。「智慧醫院」透過科技的應用,期望能降低醫護人員的工作負擔,並帶給病患更好的醫療照護品質,使得醫療院所的智慧化成了必然的趨勢,智慧醫院建置前的投入、建置後的使用與帶來的成效為何,都影響著智慧醫療往後的發展。
    本研究以員林基督教醫院為個案,主要目的為探討智慧醫院之建置所需具備的關鍵資源及其影響,並以資訊系統成功模式的觀點分析影響使用者使用智能系統的因素,找出智慧醫院對病患、醫護人員與院方所帶來的價值。本研究所得之結論為:智慧醫院之建置,除了需投入大量資金於新設備,還要有醫療資訊系統與醫院自身的資訊能力作為關鍵資源,以提供智能系統高系統品質與高資訊品質。系統品質中的易用性、資訊品質的正確性與即時性、上層對基層的期望與醫院所在的環境,都會影響使用者的使用意願與使用狀況。智慧醫院改善醫護人員的工作負擔,亦提升對病患的照護品質,雖然財務上短期無法回收其投入,但無形中為醫院提升醫療服務品質,並帶給病患更便利與貼近的醫療服務。
    Reference: 一、英文部分
    1. Agarwal, R., Gao, G., DesRoches, C. & Jha, A.K. (2010), “Research commentary-the digital transformation of healthcare: Current status and the road ahead”, Information Systems Research, 21(4), pp. 796-809.
    2. Ajzen, I. (1985), “From intentions to actions: A theory of planned behavior,” Action-Control: From cognition to behavior, Heidelberg: Springer.
    3. Akter, S., D’Ambra, J. & Ray, P. (2010), “Service quality of mHealth platforms: Development and validation of a hierarchical model using PLS.”, Electronic Markets, 20(3), pp. 209-227.
    4. Barney, J. B., (1991), “Firm resources and sustained competitive advantage.”, Journal of Management, 17(1), pp. 99-120.
    5. Barney, J. B. (1986). “Strategic factor markets: Expectations, luck, and business strategy.”, Management Science, pp. 1231-1241.
    6. Bemmel, J. H. V. & Musen, M. A. (1997). Handbook of Medical Informatics. Springer, Heidelberg, Germany.
    7. Bitner, M. J., Ostrom, A. L., and Morgan, F. N. (2008), “Service blueprinting: A practical technique for service innovation.”, California Management Review, 50(3), pp. 66-94.
    8. Brady, M. K., & Joseph Cronin Jr (2001). “Some new thoughts on conceptualizing perceived service quality: A hierarchical approach.”, Journal of Marketing, 65(3), pp. 34-49.
    9. Capron, L., Dussauge, P., & Mitchell, W. (1998). “Resource development following horizontal acquisitions in Europe and North America.”, Strategic Management Journal, 19(7), pp. 631-661.
    10. Churchill, G. A., & Suprenant, C. (1982), “An investigation into the determinants of customer satisfaction,” Journal of Marketing Research, 19(4), pp. 491-504.
    11. Collen M. F. (1970), “General requirements for a medical information system (MIS).”, Comput Biomed Res, 3, pp. 393-406.
    12. Collis, D. J., (1991), “A resource-based analysis of global competition: The case of the Bearing industry.”, Strategic Management Journal, 12, pp. 49-68.
    13. Davis, F. D., Bagozzi, R. P., & Warshaw, P. R. (1989), “User acceptance of computer technology: A comparison of two theoretical models.”, Management Science, 35(8), pp. 982-1003.
    14. De Brabander, B., & Thiers, G., (1984), “Successful information systems development in relation to situational factors which affect effective communication between MIS-users and EDP-specialists.”, Management Science, 30(2), pp. 137-155.
    15. DeLone, W. H., & McLean, E. R. (1992). “Information system success: The quest forth dependent variable.”, Information System Research, 3(1), pp. 60-95.
    16. DeLone, W. H., & McLean, E. R. (2003), “The DeLone & McLean model of information system success: A ten-year update.”, Journal of Management Information Systems Research, 19, pp. 9-30.
    17. Donabedian, A. (1988), “The quality of care: How can it be assessed?”, Jama, 260(12), pp. 1743-1748.
    18. Fishbein, M., and Ajzen, I., (1975). Beliefs, Attitude, Intention and Behavior: An Introduction to Theory and Research, Philippines: Addison-Wesley Publishing Company.
    19. Gable, G.G., Sedera, D., Chan, T. (2003), “Enterprise systems success: A measurement model.”, Proceedings of the Twenty-Fourth International Conference on Information Systems, Seattle, Washington, USA, pp. 576-591.
    20. Goslar, M. D., Green, G. I., & Hughes, T. H., (1986), “Decision support systems: An empirical assessment for decision making.”, Decision Sciences, 17(1), pp. 79-91.
    21. Grant, R. M., (1991), “The resource-based theory of competitive advantage: Implications for strategy formulation.”, California Management Review, 33(3), pp. 114-135.
    22. Grönroos, C. (1984), “A service quality model and its marketing implications.”, European Journal of Marketing, 18, pp. 36-44.
    23. Hamel, G., (1994), “Competence-based competition: The concept of core competence.”, Business Communications Review, 25(1), pp. 11-33.
    24. Heo, J., & Han, I. (2002), “Performance measures of information systems (IS) in evolving computing environments: An empirical investigation.”, Information & Management, 1(4), pp. 1-14.
    25. Hulka, B. S., & J. C. Cassel (1973), “The AAFP-UNC study of the organization utilization and assessment of primary medical care.”, American of Public Health, 63(6), pp. 494- 501.
    26. Hyde, P. C. (1986), “Setting standards in health care.”, Quality Assurance, 12(2), pp. 57-59.
    27. Jenster, P. V., (1987), “Firm performance and monitoring of critical success factors in different strategic contexts.”, Journal of Management Information Systems, 3(3), pp. 17-33.
    28. Johnson, M. (2010). Seizing the White Space: Business Model Innovation for Growth and Renewal. Boston: Harvard Business School Press.
    29. Juran, J. M. (1974). Quality Control Handbook (3th ed.), New York: McGraw Hill Book Co Press.
    30. Kling, R. and Iacono, S, (1984), “The control of information systems after implementation.”, Communications of the ACM, 27(12), pp.1218-1226.
    31. Kotler, P. and Keller, K. L. (2006). Marketing Management (12th ed.), New Jersey: Pearson International Press.
    32. Lehtinen, Uolevi & J. R. Lehtinen (1982), “Service quality: A study of quality dimensions”, Unplished Working Paper, Service Management Institute, Helsinki.
    33. Linder-Pelz, S. (1982). “Toward a theory of patient satisfaction.”, Social Science & Medicine, 16(5), pp. 577-582.
    34. Lohr, K. N. (Eds.) (1990). A strategy for quality assurance (Volume 1)., Washington D.C.: National Academy Press.
    35. Lovelock, Christopher H. (1991), Services Marketing (2nd ed)., Englewood Cliffs. NJ: Prentice-Hall.
    36. Mansour, A. A., & Al-Osimy, M. H. (1993). “A study of satisfaction among primary health care patients in Saudi Arabia.”, Journal of Community Health, 18(3), pp. 163-173.
    37. Mason, R. D. (1978), “Measuring information output: A communication systems approach,”, Information & Management, pp. 219-234.
    38. Merkouris, A., Ifantopoulos, J., Lanara, V., and Lemonidou, C. (1999), “Patient satisfaction: A key concept for evaluating and improving nursing services.”, Journal of Nursing Management, 7(1), pp. 19-28.
    39. Merriam, S. (1988), Case Study Research in Education: A Qualitative Approach. San Francisco: Jossey-Bass.
    40. Moore, G. C. and Benbasat, I., (1991). “Development of an instrument to measure the perceptions of adopting an information technology innovation.”, Information Systems Research, 2(3), pp. 192-222.
    41. Morris F. Collen (1970). “General requirements for a medical information system (MIS).”, Computers and Biomedical Research, 3(5), pp. 393-406.
    42. Myers, B. L., Kappelman, L. A., & Prybutok, V. R. (1997), “A comprehensive model for assessing the quality and productivity of the information systems function: Toward a theory for information systems assessment.”, Information Resources Management Journal, 10(1), pp. 6-25.
    43. Osterwalder, A. & Pigneur, Y. (2010). Business Model Generation. Hoboken: John Wiley & Sons Inc.
    44. Parasuraman, A., V. A. Zeithaml, & L. L. Berry (1985), “A conceptual model of service quality and its implications for future research.”, Journal of Marketing, 49, pp. 41-50.
    45. Parasuraman, A., V. A. Zeithaml, & L. L. Berry (1988), “SERVQUAL: A multiple-item scale for measuring consumer perceptions of service.”, Journal of Retailing, 64(1), pp. 12- 40.
    46. Pitt, L. F., Watson, R. T. & Kavan, C. B. (1995), “Service quality: A measure of information systems effectiveness”, MIS Quarterly, 19(2), pp. 173-187.
    47. Prahalad, C. K., & Hamel, G. (1990). “The core competence of the corporation.”, Harvard business review, 68(3), pp. 79-91.
    48. Quinn, J. B., Baruch, J. J., & Pacquette, P. C. (1987). “Technology in services.”, Scientific American, 257, pp. 50-58.
    49. Reichertz, P. L. (1979), “Structure and content of information systems in the hospital environment”, Hospital Information Systems, New York: North Holland Pub. Co., pp. 83-98.
    50. Rivard, S., & Huff, S. L., (1984), “User developed applications: Evaluation of success the DP department perspective.”, MIS Quarterly ,8(1), pp. 39-50.
    51. Ross, C. K., C. A Steward & J. M. Sinacore(1993), “The importance of patient preferences in the measurement of health care satisfaction.”, Medical Care, 3(112), pp. 1138-1149.
    52. Sasser, W. E., R. P. Olsen Jr. & D. D. Wyckoff, (1978). Management of Service Operations: Text and Cases, Boston: Allyn and Bacon.
    53. Shannon, C. E., & Weaver, W., (1949). The Mathematical Theory of Communication, Urbana, IL: University of Illinois Press.
    54. Snitkin, S. R., & King, W. R. (1986). “Determinants of the effectiveness of personal decision support systems.”, Information & Management, 10(2), pp. 83-89.
    55. Strasser, S., and Davis R. D. (1991), “An empirical examination of a model of perceived service quality & satisfaction.”, Journal of Retailing, 72(2), pp. 201-214.
    56. Strasser, S., and Davis, R. D. (1990), “Measuring patient satisfaction for improved patient services.”, Michigan: American College Executives.
    57. Van Der Meijden, M. J., Tange, H. J., Troost, J., and Hasman, A. (2003), “Determinants of success of inpatient clinical information systems: A literature review.”, J. Am. Med. Inform. Assoc., 10, pp. 235-243.
    58. Venkatesh, V. and Bala, H., (2008). “Technology acceptance model 2 and a research agenda on interventions.”, Decision Sciences, 39(2), pp. 273-315.
    59. Venkatraman, S., Bala, H., Venkatesh, V., & Bates, J. (2008). “Six strategies for electronic medical records systems.”, Communications of the ACM, 51(11), pp. 140-144.
    60. Venkatesh, V., and Davis, F. D., (2000), “A theoretical extension of the technology acceptance model: Four longitudinal field studies.”, Management Science, 46(2), pp. 186-204.
    61. Vuori, H. (1987). “Patient satisfaction-an attribute or indicator of the quality of care?”, Quality Review Bulletin, 13(3), pp. 106-108.
    62. Wernerfelt, B., (1984), “A resource-based view of the firm.”, Strategic Management Journal, 5, pp. 171-180.
    63. Yin, R. (1994), Case Study Research: Design and Methods (2nd edition)., Sage Publication: pp. 31-32.
    64. Yusof, M. M., Papazafeiropoulou, A., Paul, R. J. and Stergioulas, L. K. (2008), “Investigating evaluation frameworks for health information systems”, International Journal of Medical Informatics, 77(6), pp. 377-385.
    65. Zeithaml, V. A. and Bitner, M. J. (1996). Service Marketing, New York: McGraw Hill Inc Press.
    二、中文部分
    1. 尹衍樑(1983)。就醫態度與轉院行為關係之研究。國立臺灣大學,商學研究所,台北市。
    2. 石耀堂(1978)。醫療品質評估。醫院,第11卷,第2期,106-109頁。
    3. 行政院衛生署(2005)。『醫院資訊系統規範 2.0』,12月20日,1-335頁。
    4. 行政院衛生署(2007)。國民健康資訊建設計畫(NHIP),國民健康資訊建設計畫(NHIP)中程計畫書。
    5. 行政院衛生署(2009)。健康照護升值白金計畫,健康照護升值白金計畫行動計畫(核定本)。
    6. 行政院衛生署(2009)。加速辦理智慧醫療照護計畫,振興經濟擴大公共建設-加速辦理智慧醫療照護計畫。
    7. 吳思華(1988)。產業政策與企業策略-台灣產業發展歷程。台北:中國經濟企業研究所。
    8. 吳思華(1996)。策略九說。台北:麥田出版社。
    9. 吳昭新、李友專、邱文達、莊逸洲、郭旭崧、唐大細等(2001)。醫療資訊管理學。台北:偉華書局有限公司出版。
    10. 杉本辰夫(1986),盧淵源譯。事業、營業、服務品質的品質管制。台北:中興管理顧問。
    11. 李芳齡譯(2011),Henry Chesbrough著。開放式服務創新。台北:天下雜誌。
    12. 李偉強(2014)。臺灣智慧醫療推展現況。醫療品質,第8卷,第3期,22-23頁。
    13. 林晉寬(1995)。從資源基礎理論探討資源特性與成長策略之關係。國立政治大學,企業管理系研究所,台北市。
    14. 官錦鳳(1988)。醫院品質保證之研究。中國醫藥大學,醫務管理學研究所,台中市。
    15. 施文玲(2006)。質性取向研究理論派典之探析。網路社會學之通訊期刊,第53期。
    16. 陳向明(2002)。社會科學質的研究。台北:五南出版社。
    17. 郭宜中、湯玲郎(2002)。醫院服務品質與住院病患滿意度之研究-以二區域教學醫院為例。醫院,第34卷,第5期,23-48頁。
    18. 莊逸洲,黃崇哲(2000)。醫務管理學系列-醫療機構管理制度。台北:華杏出版社股份有限公司。
    19. 曾淵如(2011)。如何成為卓越的醫院。台灣醫界,第54卷,第10期,49-54頁。
    20. 黃暉庭、蔡宗宏、祝道松(2009)。修正動機模式探討醫療知識庫系統之行為意圖-技術社會動機的觀點。電子商務學報,第11卷,第3期,569-610頁。
    21. 蔡鳳凰(2011)。台灣智慧醫療產業的發展。經濟前瞻,第136期,125-129頁。
    22. 劉邦揚(2009)。我國地方法院刑事醫療糾紛判決之實證研究。國立陽明大學,公共衛生研究所,台北市。
    23. 劉冠吾(2008)。從科技接受模式與資訊系統成功模式探討圖書館資訊系統的使用-以國立屏東教育大學為例。國立屏東教育大學,教育科技研究所,屏東市。
    24. 鄭榮郎、鄭婌婷、陳昌宗(2005)。醫療服務品質、服務疏失、顧客滿意度之相關性研究,第三屆『管理思維與實務』學術研討會論文集,181-192頁。
    25. 謝聖行(2005)。醫療資料庫資料交換模式之建立-以健保申報資料在HL7之應用為例。逢甲大學,資訊工程研究所,台中市。
    26. 韓揆(1994)。醫療品質管理及門診服務品質定性指標。中華公共衛生雜誌,第13卷,第1期,35-53頁。
    三、 網際網路
    1. 8 places that do health care better than the US. Retrieved October 1, 2013, from: http://www.pri.org/stories/2013-10-01/8-places-do-health-care-better-us
    2. Learning healthcare system concepts v. 2008. Retrieved December 2, 2011, from: http://www.iom.edu/~/media/Files/Activity Files/Quality/VSRT/Learning Hea lthcare System Concepts v2008.pdf
    3. Most efficient health care countries. Retrieved November 2, 2015, from: http://www.bloomberg.com/graphics/best-and-worst/most-efficient-health-care-countries/
    4. Top 10 best health care systems in the world. Retrieved July 30, 2013, from: http://www.therichest.com/expensive-lifestyle/lifestyle/top-10-best-health-care-systems-in-the-world/
    5. 李良猷,智慧醫院整體規劃及系統整合,上網日期2015年11月23日,檢自:
    http://www.hospital.fju.edu.tw/sites/default/files/09_zhi_neng_yi_yuan_zheng_li_gui_hua_ji_xi_tong_zheng_he_jing_yan_fen_xiang_.pdf
    6. 辜智芬,各國護病比 超級比一比,上網日期2014年5月6日,檢自:http://issue.thrf.org.tw/Page_Show.asp?Page_ID=1893
    7. 楊惟雯,物流寄情65:物聯網技術在智慧醫療的應用,上網日期2013年10月3日,檢自:
    http://nmart.pixnet.net/blog/post/52967930-物聯網技術在智慧醫療的應用
    8. 彰化基督教醫療財團法人官方網站,檢自:http://www.cch.org.tw/home.aspx
    9. 衛生福利部官方網站,檢自:http://www.mohw.gov.tw/CHT/Ministry/Index.aspx
    Description: 碩士
    國立政治大學
    科技管理與智慧財產研究所
    103364119
    Source URI: http://thesis.lib.nccu.edu.tw/record/#G0103364119
    Data Type: thesis
    Appears in Collections:[Graduate Institute of TIPM] Theses

    Files in This Item:

    File SizeFormat
    411901.pdf4724KbAdobe PDF2353View/Open


    All items in 政大典藏 are protected by copyright, with all rights reserved.


    社群 sharing

    著作權政策宣告 Copyright Announcement
    1.本網站之數位內容為國立政治大學所收錄之機構典藏,無償提供學術研究與公眾教育等公益性使用,惟仍請適度,合理使用本網站之內容,以尊重著作權人之權益。商業上之利用,則請先取得著作權人之授權。
    The digital content of this website is part of National Chengchi University Institutional Repository. It provides free access to academic research and public education for non-commercial use. Please utilize it in a proper and reasonable manner and respect the rights of copyright owners. For commercial use, please obtain authorization from the copyright owner in advance.

    2.本網站之製作,已盡力防止侵害著作權人之權益,如仍發現本網站之數位內容有侵害著作權人權益情事者,請權利人通知本網站維護人員(nccur@nccu.edu.tw),維護人員將立即採取移除該數位著作等補救措施。
    NCCU Institutional Repository is made to protect the interests of copyright owners. If you believe that any material on the website infringes copyright, please contact our staff(nccur@nccu.edu.tw). We will remove the work from the repository and investigate your claim.
    DSpace Software Copyright © 2002-2004  MIT &  Hewlett-Packard  /   Enhanced by   NTU Library IR team Copyright ©   - Feedback