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題名 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
作者 陳韋廷
貢獻者 溫肇東
陳韋廷
關鍵詞 智慧醫院
資訊系統成功模式
Smart Hospital
Information System Success Model
日期 2016
上傳時間 14-Nov-2016 16:26:04 (UTC+8)
摘要 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。
參考文獻 一、英文部分
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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。
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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。
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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。
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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
描述 碩士
國立政治大學
科技管理與智慧財產研究所
103364119
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0103364119
資料類型 thesis
dc.contributor.advisor 溫肇東zh_TW
dc.contributor.author (Authors) 陳韋廷zh_TW
dc.creator (作者) 陳韋廷zh_TW
dc.date (日期) 2016en_US
dc.date.accessioned 14-Nov-2016 16:26:04 (UTC+8)-
dc.date.available 14-Nov-2016 16:26:04 (UTC+8)-
dc.date.issued (上傳時間) 14-Nov-2016 16:26:04 (UTC+8)-
dc.identifier (Other Identifiers) G0103364119en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/104020-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 科技管理與智慧財產研究所zh_TW
dc.description (描述) 103364119zh_TW
dc.description.abstract (摘要) 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。		zh_TW
dc.description.tableofcontents 第一章 緒論 1
第一節 研究背景與動機 1
第二節 研究目的與問題 4
第二章 文獻探討 5
第一節 醫療資訊科技 5
第二節 醫療服務 19
第三節 關鍵資源 32
第四節 資訊系統成功模式 35
第三章 研究方法 50
第一節 研究流程 50
第二節 研究架構 51
第三節 研究方法 53
第四節 研究對象、資料蒐集與分析方式 55
第四章 個案介紹與分析 58
第一節 個案介紹 58
第二節 個案分析 67
第五章 研究發現與討論 92
第六章 結論與建議 100
第一節 研究結論 100
第二節 實務建議 102
第三節 研究限制與後續研究建議 103
參考文獻 105		zh_TW
dc.format.extent 4837946 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0103364119en_US
dc.subject (關鍵詞) 智慧醫院zh_TW
dc.subject (關鍵詞) 資訊系統成功模式zh_TW
dc.subject (關鍵詞) Smart Hospitalen_US
dc.subject (關鍵詞) Information System Success Modelen_US
dc.title (題名) 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zh_TW
dc.title (題名) Exploring the Establishment, Usage and Value of Smart Hospital from the view of Information System Success Modelen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) 一、英文部分
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三、 網際網路
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9. 衛生福利部官方網站，檢自：http://www.mohw.gov.tw/CHT/Ministry/Index.aspx		zh_TW