以糖尿病為例探討影響醫院建置個人健康記錄入口網站之關鍵因素--資訊人員之觀點_

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題名：	以糖尿病為例探討影響醫院建置個人健康記錄入口網站之關鍵因素--資訊人員之觀點
書刊名：	資訊管理學報
作者：	黃興進／韓懷恩／郭光明／鄭嘉挺
作者(外文)：	Hwang, Hsin-ginn／Han, Hwai-en／Kuo, Kuang-ming／Cheng, Chia-ting
出版日期：	2012
卷期：	19:2
頁次：	頁407-437
主題關鍵詞：	糖尿病；個人健康記錄入口網站；創新擴散理論；科技-組織-環境架構；Diabetic mellitus；Personal health record portals；Innovation diffusion theory；Technology-organization-environment framework
原始連結：	連回原系統網址
相關次數：	被引用次數:期刊(5) 博士論文(0) 專書(0) 專書論文(0) 排除自我引用:5 共同引用:0 點閱:189

隨著病患對自我健康資訊關心程度增加及院際間電子病歷交換需求，個人健康記錄（Personal Health Records，PHR）應為一可行解決方案。本論文結合「入口網站」與PHR概念，以國內十大死因慢性疾病－糖尿病為主要內容，針對醫院資訊主管和資深資訊人員進行調查，本論文模式整合創新擴散理論與科技組織環境架構，包含組織、環境、資訊科技、資訊隱私權4個構面及13個可能影響因素。研究母體為國內參與健保局95年度第二季糖尿病醫療給付改善方案試辦計畫地區級以上醫院共計241家，回收有效問卷72份，有效回收率29.88%。經區別分析，結果顯示高階主管認知、支援配合、相容性、複雜性、相對優勢及適當存取等6個變數為醫院建置糖尿病PHR入口網站的主要因素。

以文找文

With an increasing awareness of patients' health, and the need to integrate all health information among health institutions, the application of the Personal Health Records (PHR) is a viable approach. This research will use the portal platform, combining with the concept of PHR, to investigate the key factors which will affect the implementation of PHR Portal of diabetes mellitus (DM), which is one of the ten leading causes of death in Taiwan. This research combines Innovation Diffusion Theory and Technology-Organization-Environment to develop an integrated model. Organizational characteristics, environmental characteristics, technological characteristics, and characteristics of information privacy are included in the empirical study. A total of 241 questionnaires were mailed to chief information officers and senior MIS staffs of local hospitals, regional hospitals, and medical centers in Taiwan. 72 questionnaires were returned with a response rate of 29.88%. The results of discriminant analysis indicate that top management recognition, external support, compatibility, complexity, relative advantage, and proper access are important determinants of implementation of PHR portal of DM to hospitals.

以文找文

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學位論文
1.	莊雲雯(2004)。醫療院所無線射頻識别技術應用之探索。國立台灣大學，台北市。延伸查詢

圖書
1.	Tornatzky, L. G.、Fleischer, M.(1990)。The Process of Technological Innovation。Lexington, MA：Lexington Books。
2.	Hair, J. F.、Anderson, R. E.、Tatham, R. L.、Black, W. C.(1995)。Multivariate data analysis with readings。Upper Saddler River, NJ：Prentice-Hall。
3.	Rogers, Everett M.(1995)。Diffusion of Innovations。New York, NY：Simon & Schuster。
4.	黃興進、余明玲、劉忠峰(2006)。醫療資訊管理。嘉義縣：臺灣健康資訊管理學會。延伸查詢
5.	Institute of Medicine(2001)。Crossing the quality chasm: A new health system for the 21st century。Washington, DC：National Academy Press。
6.	行政院衛生署(2007)。國民健康資訊建設計畫(NHIP)計畫書(96-100)。台北市。延伸查詢

其他
1.	行政院衛生署(2007)。衛生統計資訊網。延伸查詢
2.	Pew Internet and American Life Project.(2006)。Reports: health。
3.	World Health Organization.(2006)。The prevention of diabetes and its complications。

圖書論文
1.	Kwon, T. H.、Zmud, R. W.(1987)。Unifying the fragmented models of information systems implementation。Critical Issues in Information Systems Research。New York, N.Y.：John Wiley & Sons Ltd.。

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