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題名 醫療資訊系統之導入對組織之影響－ 以某區域教學醫院為例
The impact of introducing the hospital information system to the organization— A Regional Teaching Hospital Example
作者 李瑞洋
Li, Jui-Yang
貢獻者 李佳玲
Lee, Chia-Ling
李瑞洋
Li, Jui-Yang
關鍵詞 醫療資訊系統
臨床決策支援系統
等候時間
Healthcare Information Systems
Clinical Decision Support System
Waiting time
日期 2021
上傳時間 1-Jul-2021 17:04:32 (UTC+8)
摘要 近年來，「以病人為中心(patient-centered)」的概念逐漸被納入評鑑中，許多醫療院所因而引進醫療資訊系統(HIS)。本研究欲探討不同的背景及人格特質的使用者，對醫療資訊系統接受度的差異。本研究之個案醫院於2019年導入新的大腸鏡排檢系統，而該系統為醫療資訊系統(HIS)的其中一類，即臨床決策支援系統(CDSS)。
研究發現，新系統能降低病患的等候時間，且年資越高、內科、對系統抱持越正向看法者，對系統的接受度較高。而各項品質指標皆能達到標準，且導入新系統前後無顯著差異。本研究可作為日後醫療院所導入醫療資訊系統之參考，並使管理當局了解何種特質之使用者可能對新制度有較高的接受度，藉以設計相應的獎酬制度。
Recently, the concept of “patient-centered” has gradually been included in the evaluation of medical organization, which induces many medical institutions to introduce Healthcare Information Systems (HIS). This study aims to explore the acceptance of HIS among different users’ backgrounds and personalities. A teaching hospital in this study introduced a new arranging system for colonoscopy in 2019. This system served as the role of Clinical Decision Support System (CDSS) include in HIS.
This study found that this new system can reduce the waiting time of patients, and higher acceptance of the system was discovered in the senior doctors, internists, and users holding more positive views of the system. All quality indicators can reach the standard, and there is no significant difference before and after the introduction of the new system. This study’s results can be used as a reference for future introduction of HIS in medical institutions, and enable the managers to understand the characteristics of users who may have a higher acceptance of the new system, and design a suitable reward system for these users.
參考文獻 Alipour, J., Mehdipour, Y., & Karimi, A. (2019). Factors Affecting Acceptance of Hospital Information Systems in Public Hospitals of Zahedan University of Medical Sciences: A Cross-Sectional Study. Journal of Medicine and Life, 12(4), 403-410.
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Barclay, R. L., Vicari, J. J., Doughty, A. S., Johanson, J. F., & Greenlaw, R. L. (2006). Colonoscopic Withdrawal Times and Adenoma Detection during Screening Colonoscopy. The New England Journal of Medicine, 355(24), 2533-2541.
Baxter, N. N., Sutradhar, R., Forbes, S. S., Paszat, L. F., Saskin, R., & Rabeneck, L. (2011). Analysis of administrative data finds endoscopist quality measures associated with postcolonoscopy colorectal cancer. Gastroenterology, 140(1), 65-72.
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描述 碩士
國立政治大學
會計學系
108353034
資料來源 http://thesis.lib.nccu.edu.tw/record/#G0108353034
資料類型 thesis
dc.contributor.advisor 李佳玲zh_TW
dc.contributor.advisor Lee, Chia-Lingen_US
dc.contributor.author (Authors) 李瑞洋zh_TW
dc.contributor.author (Authors) Li, Jui-Yangen_US
dc.creator (作者) 李瑞洋zh_TW
dc.creator (作者) Li, Jui-Yangen_US
dc.date (日期) 2021en_US
dc.date.accessioned 1-Jul-2021 17:04:32 (UTC+8)-
dc.date.available 1-Jul-2021 17:04:32 (UTC+8)-
dc.date.issued (上傳時間) 1-Jul-2021 17:04:32 (UTC+8)-
dc.identifier (Other Identifiers) G0108353034en_US
dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/135918-
dc.description (描述) 碩士zh_TW
dc.description (描述) 國立政治大學zh_TW
dc.description (描述) 會計學系zh_TW
dc.description (描述) 108353034zh_TW
dc.description.abstract (摘要) 近年來，「以病人為中心(patient-centered)」的概念逐漸被納入評鑑中，許多醫療院所因而引進醫療資訊系統(HIS)。本研究欲探討不同的背景及人格特質的使用者，對醫療資訊系統接受度的差異。本研究之個案醫院於2019年導入新的大腸鏡排檢系統，而該系統為醫療資訊系統(HIS)的其中一類，即臨床決策支援系統(CDSS)。
研究發現，新系統能降低病患的等候時間，且年資越高、內科、對系統抱持越正向看法者，對系統的接受度較高。而各項品質指標皆能達到標準，且導入新系統前後無顯著差異。本研究可作為日後醫療院所導入醫療資訊系統之參考，並使管理當局了解何種特質之使用者可能對新制度有較高的接受度，藉以設計相應的獎酬制度。		zh_TW
dc.description.abstract (摘要) Recently, the concept of “patient-centered” has gradually been included in the evaluation of medical organization, which induces many medical institutions to introduce Healthcare Information Systems (HIS). This study aims to explore the acceptance of HIS among different users’ backgrounds and personalities. A teaching hospital in this study introduced a new arranging system for colonoscopy in 2019. This system served as the role of Clinical Decision Support System (CDSS) include in HIS.
This study found that this new system can reduce the waiting time of patients, and higher acceptance of the system was discovered in the senior doctors, internists, and users holding more positive views of the system. All quality indicators can reach the standard, and there is no significant difference before and after the introduction of the new system. This study’s results can be used as a reference for future introduction of HIS in medical institutions, and enable the managers to understand the characteristics of users who may have a higher acceptance of the new system, and design a suitable reward system for these users.		en_US
dc.description.tableofcontents 壹、緒論 1
一、研究背景與研究問題 1
二、研究架構 4
貳、文獻探討 5
一、我國現行醫療評鑑制度 5
二、醫療資訊系統(Healthcare Information System, HIS) 7
三、臨床決策支援系統(Clinical Decision Support System, CDSS) 9
四、使用者對醫療資訊系統接受度之評估面向 12
五、研究站點 16
參、研究方法 17
一、研究假說 17
二、實證方式及變數定義 23
三、資料收集 31
肆、問卷設計及結果分析 34
一、問卷設計及發放 34
二、問卷分析 37
伍、實證結果及分析 45
一、敘述性統計 45
二、相關係數分析 48
三、Logistic迴歸結果分析－針對假說H1-H6 50
四、品質指標結果分析－針對假說H7、H8 53
陸、結論與建議 56
參考文獻 58
附錄 64		zh_TW
dc.format.extent 2896095 bytes-
dc.format.mimetype application/pdf-
dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0108353034en_US
dc.subject (關鍵詞) 醫療資訊系統zh_TW
dc.subject (關鍵詞) 臨床決策支援系統zh_TW
dc.subject (關鍵詞) 等候時間zh_TW
dc.subject (關鍵詞) Healthcare Information Systemsen_US
dc.subject (關鍵詞) Clinical Decision Support Systemen_US
dc.subject (關鍵詞) Waiting timeen_US
dc.title (題名) 醫療資訊系統之導入對組織之影響－ 以某區域教學醫院為例zh_TW
dc.title (題名) The impact of introducing the hospital information system to the organization— A Regional Teaching Hospital Exampleen_US
dc.type (資料類型) thesisen_US
dc.relation.reference (參考文獻) Alipour, J., Mehdipour, Y., & Karimi, A. (2019). Factors Affecting Acceptance of Hospital Information Systems in Public Hospitals of Zahedan University of Medical Sciences: A Cross-Sectional Study. Journal of Medicine and Life, 12(4), 403-410.
IOM Committee on Quality of Health Care in America. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. In. National Academies Press (US).
Aronchick, C., Lipshutz, W., Wright, S., DuFrayne, F., & Bergman, G. (1999). Validation of an instrument to assess colon cleansing. American Journal of Gastroenterology, 94(94), 2667.
Bagozzi, R. P., & Yi, Y. (1988). On the evaluation of structural equation models. Journal of the Academy of Marketing Science, 16(1), 74-94.
Barclay, R. L., Vicari, J. J., Doughty, A. S., Johanson, J. F., & Greenlaw, R. L. (2006). Colonoscopic Withdrawal Times and Adenoma Detection during Screening Colonoscopy. The New England Journal of Medicine, 355(24), 2533-2541.
Baxter, N. N., Sutradhar, R., Forbes, S. S., Paszat, L. F., Saskin, R., & Rabeneck, L. (2011). Analysis of administrative data finds endoscopist quality measures associated with postcolonoscopy colorectal cancer. Gastroenterology, 140(1), 65-72.
Berner, E. S. (2016). Clinical decision support systems : theory and practice / edited by Eta S. Berner (Third edition.). Springer International Publishing.
Brunt, C. S., & Bowblis, J. R. (2014). Health IT adoption, productivity and quality in primary care. Applied Economics, 46(15), 1716-1727.
Chen, R.-F., & Hsiao, J.-L. (2012). An investigation on physicians` acceptance of hospital information systems: A case study. International Journal of Medical Informatics, 81(12), 810-820.
Crosby, P. B. (1980). Quality is Free : the Art of Making Quality Certain. Mentor.
Cubiella, J., Castells, A., Andreu, M., Bujanda, L., Carballo, F., Jover, R., Lanas, Á., Morillas, J. D., Salas, D., & Quintero, E. (2017). Correlation between adenoma detection rate in colonoscopy- and fecal immunochemical testing-based colorectal cancer screening programs. United European Gastroenterol Journal, 5(2), 255-260.
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dc.identifier.doi (DOI) 10.6814/NCCU202100507en_US