政大機構典藏-National Chengchi University Institutional Repository(NCCUR):Item 140.119/131135
English  |  正體中文  |  简体中文  |  Post-Print筆數 : 27 |  全文笔数/总笔数 : 113303/144284 (79%)
造访人次 : 50807947      在线人数 : 800
RC Version 6.0 © Powered By DSPACE, MIT. Enhanced by NTU Library IR team.
搜寻范围 查询小技巧：
  • 您可在西文检索词汇前后加上"双引号"，以获取较精准的检索结果
  • 若欲以作者姓名搜寻，建议至进阶搜寻限定作者字段，可获得较完整数据
    •  进阶搜寻


    请使用永久网址来引用或连结此文件: https://nccur.lib.nccu.edu.tw/handle/140.119/131135


    题名: 以區塊鏈技術為基礎的數位簽章之接受度探討 —以醫療院所同意書數位化為例
    Research on the Acceptance of Blockchain-based Digital Signature for Electronic Medical Consent Forms
    作者: 蕭婕
    Hsiao, Chieh
    贡献者: 陳恭
    Chen, Kung
    蕭婕
    Hsiao, Chieh
    关键词: 電子簽章
    數位簽章
    區塊鏈
    整合型科技接受模型
    Electronic Signature
    Digital Signature
    Blockchain
    UTAUT
    日期: 2020
    上传时间: 2020-08-03 18:02:50 (UTC+8)
    摘要: 本文以衛福部107年度委託研究計畫為延伸，以三間醫療機構為研究場域，實證區塊鏈技術於醫療機構之同意書簽署之適用性，探討以區塊鏈技術為基礎的數位簽章之接受度及法律面議題提出兩點研究問題：ㄧ，以區塊鏈憑證進行電子醫療同意書簽署與現行法適用性評估及執行細節；二，使用者對於使用手機App進行電子醫療同意書簽署的接受度分析。研究方法採質性、量化並重，並以UTAUT為研究模型，了解醫療院所如何在合乎相關電子簽署現行法下，推行區塊鏈憑證簽署系統。研究結果有二：第一，醫療機構在認可區塊鏈技術可為電子醫療同意書簽章技術下，確保電子同意書保護程度與電子病歷相同，而簽署前徵得醫病雙方同意，以符合電子簽章法當事人同意原則。院方儲存電子醫療同意書之電磁紀錄，需確保往後內容完整呈現，以供查驗。第二，使用者認為院方解說者態度、同意書簽署App是否易於學習、個人數位資訊之保障，會影響自身使用同意書簽署App意願。院方導入新系統將使服務流程大幅變更，需合適之訓練說明及實質協助，加強推廣區塊鏈技術製作出之數位簽章比一般數位簽章有更高安全性，將有更佳之導入成效。
    This study was based on a project sponsored by the Ministry of Health and Welfare (MOHW) from December 2018 to August 2019. This project went through a field experiment in 3 hospitals and aimed to evaluate the feasibility of Blockchain-based Digital Signature for Electronic Medical Consent Forms and related legal issues. Two main research objectives were posed in this study: 1. to explore the regulatory compliance and implementation details of using Blockchain-based Digital Signature. 2. to investigate the possible factors that may influence the users’ adoption of Blockchain-based Digital Signature. The choice of methodology was mixed methods research. We used the UTAUT model to evaluate the acceptance of Blockchain-based Digital Signature for Electronic Medical Consent Forms. The main goal of the thesis is to further explore and evaluate the experimental results of the above-mentioned project to understand how to implement a Blockchain-based Digital Signature system that complies with current regulations in hospitals and what factors affect how users reacted to this new and digital approach to signing consent forms.

    Two main conclusions are drawn from the discussion as follows.
    1. If both parties give their consent, medical institutions can use Blockchain-based Digital Signature as a way to sign digital consent forms. On top of that, medical institutions have to ensure the content of the information can be presented in its integrity and remain accessible for subsequent reference.
    2. The promoting attitude of hospital staff and the usability of the App and the security of personal data are the main factors to influence the intention of users to adopt Blockchain-based Digital Signature. Simultaneously, in order to have a better promotion outcome, medical institutions need to dedicate more effort to popularize the benefits of using Blockchain-based Digital Signature and offer enough support for users.
    參考文獻: 中文文獻
    [1]
    楊晴雯、郭振宗、吳杰亮、曾衙竣、楊昇燦、李梅禎、劉明宗（民106）。醫療院所同意書類型與電子簽署之探討。病歷資訊管理期刊，14，21-37。
    [2]
    楊晴雯、劉明宗、吳逸群、任俊舉、曾衙竣、陳怡潔、楊昇燦（民106）。同意書電子簽署探討——以區域及地區醫院為例。臺灣病歷資訊管理學會，15，19-34。
    [3]
    洪新原、梁定澎、張嘉銘（民104）。科技接受模式之彙總研究。資訊管理學報，12，211-234。
    [4]
    黃勝堅、陳恭、王大為、林芳郁、張志華、黃遵誠（民108）。醫療院所應用區塊鏈進行同意書數位化管理。衛福部委託研究計畫（編號：MOHW-107-IM-I-114-000006）。台北市：衛福部。
    [5]
    許建隆、江仰仁、范仲玫、黃柏裕、王德智、葉貴麗（民107）。醫療院所同意書簽署數位化之研究與推動，衛福部委託科技研究計畫（編號：MOHW105-IM-I-114-000008）。台北市：衛福部。
    [6]
    藍忠亮、吳右任、楊瓊珠、戴志展、楊榮林、莊春珍（民107）。醫療院所同意書簽署數位化之研究與推動。衛福部委託科技研究計畫（編號：MOHW105-IM-I-114-000010）。台北市：衛福部。
    [7]
    翁杰廷（民108）。區塊鏈技術於電子簽章法之相容性研究。（碩士論文）。
    [8]
    衛福部醫字第1031667354號函（民103年11月13日）
    [9]
    衛福部醫字第10620003640號函（106年12月1日）
    [10]
    彭明輝（民108）。研究生完全求生手冊：方法、秘訣、潛規則。台北市。
    [11]
    鄧正雄（民109）。做對3件事，不怕醫療糾紛、改善醫病關係。台北市：商周出版社。
    [12]
    蔡一郎（民97）。網路封包分析的好幫手—Wireshark　擷取分析、防範攻擊無所不包。檢自： https://www.netadmin.com.tw/netadmin/zh-tw/technology / .（最後瀏覽日：2019年12月30日）
    [13]
    陳恭、蕭婕（民108）運用區塊鏈進行資產代幣化。台大新興科技媒體中心。檢自：http://www.smctw.tw/portfolio-item/運用區塊鏈進行資產代幣化/ （最後瀏覽日：2019年12月30日）
    [14]
    陳恭（民106）。區塊鏈革命 迎向產業新契機。台北產經。檢自：https://www.taipeiecon.taipei/article_cont.aspx?MmmID=1201&MSid=745576501150054077 （最後瀏覽日：2019年12月30日）
    [15]
    吳宗成（民93）。檔案資訊資源管理：密碼學機制在電子檔案保護之應用。檔案管理局。檢自：https://pearl.archives.gov.tw/UserFiles/Publish/FCKImages/File/study/27.qxd.pdf （最後瀏覽日：2019年12月30日）
    [16]
    國家發展委員會。政府機關公開金鑰基礎建設（GPKI），檢自https://www.ndc.gov.tw/Content_List.aspx?n=CAE0AF9754BB674E （最後瀏覽日：2019年12月30日）
    [17]
    台中榮民總醫院（民106）。同意書簽署數位化推動專區。檢自：. https://www.vghtc.gov.tw/PageView/UnitTemplate1?UnitID=b85eb750-2254-452f-9825-b791e1330512&UnitDefaultTemplate=1 . （最後瀏覽日：2019年12月30日）
    [18]
    李靜宜（民108）。KKFARM推出區塊鏈技術架構Muzeum，要將內容授權代幣化和分潤自動化，解決文創產業分潤痛點。INSIDE網路趨勢觀察。檢自： https://www.inside.com.tw/article/12656-muzeum-blockchain-protocol. （最後瀏覽日：2019年12月30日）
    [19]
    陳穎芃（民108）。海運三巨頭加入區塊鏈平台。工商時報。檢自：https://ctee.com.tw/news/global/103144.html. （最後瀏覽日：2019年12月30日）
    [20]
    MICA RESEARCH（民108）。談區塊鏈技術在智慧物流的潛力（下）：導入區塊鏈系統的挑戰。檢自：https://blockcast.it/2019/06/06/mica-research-blockchain-and-supplychain-2/.（最後瀏覽日：2019年12月30日）
    [21]
    林海珍（民108）。區塊鏈進化 炒熱醫療創新。經濟日報。檢自：https://money.udn.com/money/story/5612/4074634. （最後瀏覽：2019年12月30日）
    [22]
    黃敬博、謝宜達（民107）。淺談區塊鏈資訊安全防。資安人科技網。檢自： https://www.informationsecurity.com.tw/article/article_detail.aspx?aid=8649 （最後瀏覽日：2019年12月30日）


    英文文獻
    [1]
    Swan, M. (2015). Blockchain: Blueprint for a New Economy. O`Reilly, p. 130.
    [2]
    Nakamoto, S. (2008). Bitcoin: A Peer-to-Peer Electronic Cash System. [Online]. Available: https://bitcoin.org/bitcoin.pdf. [Access: 30-Dec-2019].
    [3]
    Back, A. (1997). Hashcash. [Online]. Available: http://www.cypherspace.org/hashcash/ . [Access: 30-Dec-2019].
    [4]
    Francis Elliott. (2009). Chancellor Alistair Darling on brink of second bailout for banks. The Times. [Online]. Available: https://www.thetimes.co.uk/article/chancellor-alistair-darling-on-brink-of-second-bailout-for-banks-n9l382mn62h. [Access: 30-Dec-2019].
    [5]
    Back, A. (2002). A Denial of Service Counter-Measure. [Online]. Available: http://www.hashcash.org/papers/hashcash.pdf. [Access: 30-Dec-2019].
    [6]
    Dai, W. (1998). b-money. [Online]. Available: http://www.weidai.com/bmoney.txt . [Access: 30-Dec-2019].
    [7]
    Szabo, N. (2005). Bitgold. [Online]. Available: https://nakamotoinstitute.org/bit-gold/ . [Access: 30-Dec-2019].
    [8]
    Economist. (2015). The Trust Machine: How the Technology Behind Bitcoin Could Change the World. The Economist. [Online]. Acailable: https://www.economist.com/leaders/2015/10/31/the-trust-machine. [Access: 30-Dec-2019].
    [9]
    Hileman, G., & Rauchs, M. (2017). Global Blockchain Benchmarking Study. [Online]. Available: https://ssrn.com/abstract=3040224 [Access: 30-Dec-2019].
    [10]
    Zetzsche, D. A., & Buckley, R. P., & Arner, D. W. (2017). The Distributed Liability of Distributed Ledgers: Legal Risks of Blockchain. University of Illinois Law Review. [Online]. Available: https://ssrn.com/abstract=3018214.[Access: 30-Dec-2019].
    [11]
    Mirkovic, J. (2017). BLOCKCHAIN PILOT PROGRAM FINAL REPORT. [Online]. Available: https://cookrecorder.com/wp-content/uploads/2016/11/Final-Report-CCRD-Blockchain-Pilot-Program-for-web.pdf. [Access: 30-Dec-2019].
    [12]
    Newton, D. (2018). How Blockchain Will Come To Campus. Forbes. [Online]. Available: https://www.forbes.com/sites/dereknewton/2018/09/17/how-blockchain-will-come-to-campus/#c9ed1a488d00. [Access: 30-Dec-2019].
    [13]
    Delfs, H., & Knebl, H. (2002). Introduction to Cryptography: Principles and Applications. Springer Berlin Heidelberg.
    [14]
    Schneier, B. (2015). Applied Cryptography: Protocols, Algorithms, and Source Code in C. John Wiley & Sons.
    [15]
    Davis, F. D. (1986). A technology acceptance model for empirically testing new end-user information systems: theory and results. Ph. D., Sloan School of Management., Massachusetts Institute of Technology. [Online]. Available: http://hdl.handle.net/1721.1/15192. [Access: 30-Dec-2019].
    [16]
    Fishbein, M., & Ajzen, I. (1975). Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. Addison-Wesley, Reading, MA.
    [17]
    Davis, F. D. (1989). Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology. MIS Quarterly, 13, 319-340. doi: 10.2307/249008
    [18]
    Venkatesh, V., & Davis, F. D. (2000). A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies. Management Science, 46(2), 186-204. [Online]. Available: https://doi.org/10.1287/mnsc.46.2.186.11926. [Access: 30-Dec-2019].
    [19]
    Hu, P. J., & Tam, K. Y. (1999). Examining the Technology Acceptance Model Using Physician Acceptance of Telemedicine Technology. Journal of Management Information Systems, 16(2), 91-112. doi: 10.1080/07421222.1999.11518247
    [20]
    Legris, P., & Ingham, J., & Collerette, P. (2003). Why do people use information technology? A critical review of the technology acceptance model. Information & Management, 40(3), 191-204. doi: https://doi.org/10.1016/S0378-7206(01)00143-4
    [21]
    Taylor, S., & Todd, P. (1995). Assessing IT Usage: The Role of Prior Experience. MIS Quarterly, 19(4), 561-570. doi: 10.2307/249633
    [22]
    Venkatesh, V. M., & Morris, G. B., & Davis, F. D. (2003). User Acceptance of Information Technology: Toward a Unified View. MIS Quarterly, 27(3), 425-478. doi: 10.2307/30036540
    [23]
    Fishbein, M., and Ajzen, I. (1975). Belief, Attitude, Intention and Behavior: An Introduction to Theory and Research. Addison-Wesley.
    [24]
    Lakkana, W., & Siriluck, S. (2017). Blockchain Technology Acceptance in Electronic Medical Record System. ICEB 2017 Proceedings. 7, 53-58. [Online]. Available: https://aisel.aisnet.org/iceb2017/7.[Access: 30-Dec-2019].
    [25]
    GSMA. (2017). The Mobile Economy. [Online]. Available: https://www.gsma.com/r/mobileeconomy/.[Access: 30-Dec-2019].
    [26]
    Khan, M. A. (2016). Exploring the Push and Pull Drivers in M-Government Framework that Influence Acceptance of Services on Mobile Devices. IJCSNS, 16(2). [Online]. Available: http://paper.ijcsns.org/07_book/201602/20160205.pdf. [Access: 30-Dec-2019].
    [27]
    Conci, M., & Pianesi, F., & Zancanaro, M. (2009) .Useful, Social and Enjoyable: Mobile Phone Adoption by Older People. INTERACT 2009, 5726, 63-76. doi: https://doi.org/
    [28]
    Molnar, T. (2014). Improved usability of electronic government services for the ageing population. Humboldt-Universität zu Berlin, Mathematisch-Naturwissenschaftliche Fakultät II.
    [29]
    Kacem, A., & Belkaroui, D., & Jemal, H., & Ghorbel, R. (2016). Towards Improving e-Government Services Using Social Media-Based Citizen’s Profile Investigation (Proceedings of the 9th International Conference on Theory and Practice of Electronic Governance). Montevideo, Uruguay: Association for Computing Machinery, pp. 187–190.
    [30]
    Sara J. C., & Walter R. B., & Neil C. (2009). Designing for Older Adults. Boca Raton: CRC Press. Doi: https://doi.org/10.1201/b2218
    [31]
    Hung, S. Y., & Chang, C. M., & Kuo, S. R. (2013). User acceptance of mobile e-government services: An empirical study. Government Information Quarterly, 30(1), 33-44. doi: https://doi.org/10.1016/j.giq.2012.07.008
    [32]
    Pheeraphuttharangkoon, S., & Choudrie, J., & Zamani, E. D. (2014). Investigating the adoption and use of smartphones in the UK: a silver-surfers perspective., ECIS 2014, Tel Aviv, Israel, 2014.
    [33]
    Alharbi, S., & Drew, S., (2014). Using the technology acceptance model in understanding academic behavioral intention to use learning management systems. IJACSA, 5(1), 143-155. Doi: 10.14569/IJACSA.2014.050120
    [34]
    Woodward, B. (2016). M-Health: Fundamentals and Applications. Wiley-IEEE Press. doi: 10.1002/9781119302889
    [35]
    Nguyent, H. (2018). THE ADOPTION OF BLOCKCHAIN IN FOOD RETAIL SUPPLY CHAIN. LAHTI UNIVERSITY OF APPLIED SCIENCES.
    [36]
    Swanson, D., & Francisco, K. (2018). The Supply Chain Has No Clothes: Technology Adoption of Blockchain for Supply Chain Transparency. Logistics, 2(1).
    [37]
    Lee, C. C., & Kriscenski, J. C., Lim, H. S. (2019). AN EMPIRICAL STUDY OF BEHAVIORAL INTENTION TO USE BLOCKCHAIN TECHNOLOGY. Journal of International Business Disciplines, 14(1), 1-21.
    [38]
    Yoo, Y. H., & Park, H. S. (2019). A Study on User’s Acceptance of Blockchain-based Copyright Distribution Platforms and Its Usage. Journal of Industrial Distribution & Business, 10(3), 59-72.
    描述: 碩士
    國立政治大學
    國家發展研究所
    106261019
    資料來源: http://thesis.lib.nccu.edu.tw/record/#G0106261019
    数据类型: thesis
    DOI: 10.6814/NCCU202001075
    显示于类别:[國家發展研究所] 學位論文

    文件中的档案:

    没有与此文件相关的档案.



    在政大典藏中所有的数据项都受到原著作权保护.


    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 ©   - 回馈