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題名 以生態系統觀點探討區塊鏈技術應用於健康資料治理
Analyzing Application of Blockchain in Health Data Governance from Ecosystem Perspective作者 林姿妤
Lin, Tzu-Yu貢獻者 李沛錞
Lee, Pei-Chun
林姿妤
Lin, Tzu-Yu關鍵詞 電子健康記錄
健康資料交換
資料治理
生態系統觀點
區塊鏈技術
Electronic health record
Health information exchange
Data governance
Ecosystem perspective
Blockchain technology日期 2022 上傳時間 1-八月-2022 17:43:59 (UTC+8) 摘要 遵循有效的資料治理架構為機構間協調進行健康資料交換奠定基礎，而區塊鏈技術可解決健康資料互操作性、隱私與安全問題，成為健康資料交換發展的推手，然而，科技典範轉移往往為產業生態帶來變動，有鑑於此，本研究旨在以生態系統觀點、援引資料生態系統理論，並分別由組織治理角度與技術角度，進行以下探討：（1）探討區塊鏈技術應用於健康資料治理之效益、困境與挑戰；（2）探討區塊鏈技術應用於健康資料治理實際產生之影響，並輔以個案分析、專家訪談法，獲得區塊鏈技術應用於健康資料治理，對於不同組織帶來的效益、挑戰與影響之全面性理解，以掌握可能產生之變動並及早擬定策略。研究結果顯示，儘管不同層級組織機構所組成的醫療區塊鏈生態系統，各有其發展焦點與目標，但透過不同性質參與者的共同努力，可幫助生態系統擴展並創造異質化價值。其次，不同層級組織機構將區塊鏈技術應用於健康資料治理，實際上獲得了不一樣的效益，換言之，也將面臨不同的困境與挑戰，因此，建立不同機構間的共識，才能充分發揮區塊鏈價值。再者，在不改變現有機制的原則之下，區塊鏈技術的導入，將能幫助醫療產業於組織治理方面與醫療科技方面的突破，因此對於區塊鏈技術之採用應建立於現有技術之上，並同時考慮患者、醫療服務提供者、醫療科技公司、研究機構與政府等不同屬性機構對於健康資料與醫療服務需求，以有效帶動醫療區塊鏈生態統的擴展。
Following an effective data governance framework lays the foundation for health information exchange among organizations, and blockchain technology can address health information interoperability, privacy, and security issues, and become a driving force for the development of health information exchange. This study aims to:(1) Explore the benefits, dilemmas and challenges of applying blockchain technology to health data governance; (2) Explore the actual impacts of applying blockchain technology to health data governance. So as to obtain a comprehensive understanding of the benefits, challenges and impacts of applying blockchain technology to health data governance from the perspective of organizational governance and the perspective of technology, using case studies and interviews to figure out the benefits, challenges, and impacts of blockchain technology in health data governance for different organizations, so that we can grasp the possible changes and formulate strategies early.The results of the study show that although different levels of medical blockchain ecosystems with their own development focus and goals, the joint efforts of participants of different nature can help the ecosystem to expand and create heterogeneous values. Secondly, different levels of organizations apply blockchain technology to health data governance, which actually obtains different benefits, in other words, they will face different dilemmas and challenges. 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國立政治大學
圖書資訊與檔案學研究所
109155005資料來源 http://thesis.lib.nccu.edu.tw/record/#G0109155005 資料類型 thesis dc.contributor.advisor 李沛錞 zh_TW dc.contributor.advisor Lee, Pei-Chun en_US dc.contributor.author (作者) 林姿妤 zh_TW dc.contributor.author (作者) Lin, Tzu-Yu en_US dc.creator (作者) 林姿妤 zh_TW dc.creator (作者) Lin, Tzu-Yu en_US dc.date (日期) 2022 en_US dc.date.accessioned 1-八月-2022 17:43:59 (UTC+8) - dc.date.available 1-八月-2022 17:43:59 (UTC+8) - dc.date.issued (上傳時間) 1-八月-2022 17:43:59 (UTC+8) - dc.identifier (其他 識別碼) G0109155005 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/141144 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 圖書資訊與檔案學研究所 zh_TW dc.description (描述) 109155005 zh_TW dc.description.abstract (摘要) 遵循有效的資料治理架構為機構間協調進行健康資料交換奠定基礎，而區塊鏈技術可解決健康資料互操作性、隱私與安全問題，成為健康資料交換發展的推手，然而，科技典範轉移往往為產業生態帶來變動，有鑑於此，本研究旨在以生態系統觀點、援引資料生態系統理論，並分別由組織治理角度與技術角度，進行以下探討：（1）探討區塊鏈技術應用於健康資料治理之效益、困境與挑戰；（2）探討區塊鏈技術應用於健康資料治理實際產生之影響，並輔以個案分析、專家訪談法，獲得區塊鏈技術應用於健康資料治理，對於不同組織帶來的效益、挑戰與影響之全面性理解，以掌握可能產生之變動並及早擬定策略。研究結果顯示，儘管不同層級組織機構所組成的醫療區塊鏈生態系統，各有其發展焦點與目標，但透過不同性質參與者的共同努力，可幫助生態系統擴展並創造異質化價值。其次，不同層級組織機構將區塊鏈技術應用於健康資料治理，實際上獲得了不一樣的效益，換言之，也將面臨不同的困境與挑戰，因此，建立不同機構間的共識，才能充分發揮區塊鏈價值。再者，在不改變現有機制的原則之下，區塊鏈技術的導入，將能幫助醫療產業於組織治理方面與醫療科技方面的突破，因此對於區塊鏈技術之採用應建立於現有技術之上，並同時考慮患者、醫療服務提供者、醫療科技公司、研究機構與政府等不同屬性機構對於健康資料與醫療服務需求，以有效帶動醫療區塊鏈生態統的擴展。 zh_TW dc.description.abstract (摘要) Following an effective data governance framework lays the foundation for health information exchange among organizations, and blockchain technology can address health information interoperability, privacy, and security issues, and become a driving force for the development of health information exchange. This study aims to:(1) Explore the benefits, dilemmas and challenges of applying blockchain technology to health data governance; (2) Explore the actual impacts of applying blockchain technology to health data governance. So as to obtain a comprehensive understanding of the benefits, challenges and impacts of applying blockchain technology to health data governance from the perspective of organizational governance and the perspective of technology, using case studies and interviews to figure out the benefits, challenges, and impacts of blockchain technology in health data governance for different organizations, so that we can grasp the possible changes and formulate strategies early.The results of the study show that although different levels of medical blockchain ecosystems with their own development focus and goals, the joint efforts of participants of different nature can help the ecosystem to expand and create heterogeneous values. Secondly, different levels of organizations apply blockchain technology to health data governance, which actually obtains different benefits, in other words, they will face different dilemmas and challenges. Furthermore, the introduction of blockchain technology can help the medical industry to make breakthroughs in governance and medical technology, and drive the expansion of medical blockchain ecosystem. en_US dc.description.tableofcontents 目次-I圖目次-III表目次-IV第一章 緒論-1第一節 研究背景與動機-1第二節 研究目的-6第三節 研究問題-6第四節 研究範圍與限制-7第五節 名詞釋義-8第六節 本研究價值與貢獻-10第二章 文獻探討-11第一節 資料生態系統理論-11第二節 資料治理-20第三節 區塊鏈技術應用於健康資料治理-47第四節 區塊鏈技術應用於健康資料治理之實際個案-53第三章 研究設計與實施-56第一節 研究架構-56第二節 研究設計-57第三節 研究對象與工具-62第四節 資料蒐集與處理-65第五節 小結-70第六節 研究步驟與流程-72第四章 研究結果-74第一節 個案分析之研究結果-75第二節 專家訪談之研究結果-121第五章 結論-133第一節 研究結論-133第二節 未來研究方向與建議-144參考文獻-147附錄一 訪談同意函-170附錄二 訪談大綱-171 zh_TW dc.format.extent 5899187 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0109155005 en_US dc.subject (關鍵詞) 電子健康記錄 zh_TW dc.subject (關鍵詞) 健康資料交換 zh_TW dc.subject (關鍵詞) 資料治理 zh_TW dc.subject (關鍵詞) 生態系統觀點 zh_TW dc.subject (關鍵詞) 區塊鏈技術 zh_TW dc.subject (關鍵詞) Electronic health record en_US dc.subject (關鍵詞) Health information exchange en_US dc.subject (關鍵詞) Data governance en_US dc.subject (關鍵詞) Ecosystem perspective en_US dc.subject (關鍵詞) Blockchain technology en_US dc.title (題名) 以生態系統觀點探討區塊鏈技術應用於健康資料治理 zh_TW dc.title (題名) Analyzing Application of Blockchain in Health Data Governance from Ecosystem Perspective en_US dc.type (資料類型) thesis en_US dc.relation.reference (參考文獻) 中文文獻王宏仁. 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