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    Please use this identifier to cite or link to this item: https://nccur.lib.nccu.edu.tw/handle/140.119/63896


    Title: 醫療影像儲傳系統(PACS)相關資源對PACS運作及放射部門效能之研究
    Authors: 季延平
    李幸秋;季延平;郭光明
    Contributors: 資管系
    Keywords: 資源基礎理論;醫療影像儲傳系統;競爭優勢;組織效能
    Resource-Based Theory;Picture Archiving and Communication Systems;Competitive Advantage;Organizational Effectiveness
    Date: 2009-12
    Issue Date: 2014-02-17 17:10:49 (UTC+8)
    Abstract: 目的：本研究主要目的在於利用資源基礎理論探討PACS與放射部門效能之關聯，並找出醫院中能夠提升PACS效能的資源。 方法：針對18家醫學中心之放射科技師進行問卷調查，共發出350份問卷，回收181份有效問卷，所蒐集資料透過結構方程模式(Structural Equation Modeling)進行研究模式之驗證。 結果：醫院內部資源包括「PACS基礎建設(γ=0.70, α<0.01)」、「人力資源(γ=0.53, α<0.01)」及「流程資源(γ=-0.51, α<0.05)」與PACS效能呈顯著相關，但「委外廠商資源」與PACS效能並無顯著關係，而PACS效能(β=0.68, α<0.01)的確與放射科效能顯著相關。效能整體模式變異解釋力(R^2)分別爲PACS效能(0.48)、放射科效能(0.46)。 結論：依據研究結果，隨著醫院採用PACS所進行的流程改造建議以漸進的方式進行，以免收到反效果。此外，建議醫院管理階層應該著重培養PACS基礎建設、人力資源及流程資源，並分析這些資源的優點及缺點，才能有效的利用現有資源來增加競爭優勢。
    Objectives: The purposes of this study were to utilize Resource-Based Theory (RBT) to determine which important resources hospitals should cultivate in order to enhance the performance of Picture Archiving and Communication Systems (PACS) and to verify whether PACS lead to better radiology department performance. Methods: A total of 350 questionnaires was sent to 18 medical centers; 181 valid responses were received. The main respondents were radiographers. The collected data were analyzed by the utilization of Structural Equation Modeling to validate the research model. Results: PACS infrastructure (γ=0.70, α<0.01), human resources (γ=0.53, α<0.01), and business resources (γ=-0.51, α<0.05) were found to predict PACS performance, whereas vendor resources did not. PACS performance (β=0.68, α<0.01), in turn, predicted radiology department performance. The R^2 values for PACS performance and radiology department performance were 0.48 and 0.46, respectively. Conclusions: The results indicated that the process of reengineering to accompany the adoption of PACS should be implemented gradually. Managers should cultivate the appropriate resources in their hospitals after identifying those that they consider their strengths and weaknesses in order to gain a competitive advantage.
    Relation: 醫務管理期刊, 10(4), 252-267
    Data Type: article
    Appears in Collections:[Department of MIS] Periodical Articles

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