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題名：應用科技接受模式探討高血壓個案對居家遠距健康照護服務滿意度與付費意願之關係
書刊名：健康促進暨衛生教育雜誌
作者：陳美如／李俊秀 引用關係／余文瑞／何清幼／鄭惠美
作者(外文)：Chen, Mei-ju／Lee, Jason／Yu, Ernest W.R.／Ho, Chin-yu／Jeng, Huey-mei
出版日期：2012
卷期：33
頁次：頁1-22
主題關鍵詞：居家遠距健康照護；科技接受模式；Home tele-healthcare；Technology acceptance model
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:1
  • 共同引用共同引用:18
  • 點閱點閱:7
本研究之目的在了解高血壓個案對於臺北市政府居家型「市民健康生活照護服務」之滿意度與付費意願探討，作為日後服務模式修正與系統改善之參考。本研究採橫斷式調查研究，以科技接受模式（Technology Acceptance Model, TAM）為基礎，主要包括認知易用性、認知有用性、服務滿意度與付費意願四個部分。經個案同意後，以受訓後之專業客服人員執行電話調查。分析方法主要以結構方程模式進行驗證性分析。本研究之研究模型未來可應用於其他類型慢性病個案對遠距健康照護服務滿意度之參考。高血壓個案的認知易用性是對於居家型遠距服務滿意度之主要影響因素。認知易用性、認知有用性與服務滿意度對付費意願部份無任何影響。發展與修正遠距健康照護模型時，如何提升照護模型內容之易用性與有用性認知，是資訊系統發展部門與使用者溝通時必須關注之重點，了解居家慢性病個案之需求性，將有利於遠距健康照護模型之成功發展。
The study aims to assess the satisfaction of a Tele-healthcare program initiated by Taipei City Government among home-based hypertension patients. In this cross-sectional study, Technology Acceptance Model (TAM) was used as a theoretical foundation to analyze four constructs including perceived ease of use, perceived usefulness, satisfaction and willingness to pay. With consent from study subjects, phone interviews were done by skilled interviewers. Structural equation model（SEM）was adopted as the data analysis tool.The similar methods could be applied to assess the satisfaction of Tele-healthcare services among patients with other chronic diseases. Findings obtained from this study indicated that the perceived ease of use was a dominant factor affecting user satisfaction. No significant effect was observed for the influence of perceived ease of use, perceived usefulness, or user satisfaction on the willingness to pay among hypertension patients. How to increase perceived ease of use and perceived usefulness of Tele-healthcare system should be the focus of communication between system developer and user while creating and modifying the program. Understanding the needs of home-based chronic patients will be useful to establish a successful Telehealthcare system.
期刊論文
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17.陳美如、陳冠宇、江碩儒、李俊秀、余文瑞、何清幼(20110600)。臺北市高血壓個案對遠距健康照護服務接受度之初探。醫療資訊雜誌，20(2)，1-13。new window  延伸查詢new window
18.劉仲鑫、陳俊廷(20090700)。遠距照護系統與網路環境建置。北商學報，16，99-105。new window  延伸查詢new window
19.Boulware, L. E.、Daumit, G. L.、Frick, K. D.、Minkovitz, C. S.、Lawrence, R. L.、Powe, N. R.(2002)。Quality of clinical reports on behavioral interventions for hypertension。Preventive Medicine，34(4)，463-475。  new window
20.Chiu, K. H.、Yang, Y. Y.(2010)。Remote Monitoring of Health Status of the Elderly at Home in Taiwan。Telemedicine journal and e-health，16(6)，717-726。  new window
21.Choudhury, A. H.、Fisher, D. G.、Pearce, F. W.、Fenaughty, A. M.(2008)。A baseline study of the factors that should be used to measure the effectiveness of telemedicine。Academy of Health Care Management Journal，4，1-17。  new window
22.Cocosila, M.、Archer, N.、Yuan, Y.(2008)。Would people pay for text messaging health reminders?。Telemedicine journal and e-health，14(10)，1091-1095。  new window
23.DeVany, M.、Alverson, D.、D'Iorio, J.、Simmons, S.(2008)。Employing telehealth to enhance overall quality of life and health for families。Telemedicine journal and e-health，14，1003-1007。  new window
24.Feldman, P. H.、McDonald, M. V.、Mongoven, J. M.、Peng, T. R.、Gerber, L. M.、Pezzin, L. E.(2009)。Home-based blood pressure interventions for Blacks。Circulation: Cardiovascular Quality and Outcomes，2(3)，241-248。  new window
25.Gray, G. A.、Stamm, B. H.、Toevs, S.、Reischl, U.、Yarrington, D.(2006)。Study of participating and nonparticipating states' telemedicine Medicaid reimbursement status: Its impact on Idaho's policymaking process。Telemedicine journal and e-health，12(6)，681-690。  new window
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32.Walsh, J. M.、McDonald, K. M.、Shojania, K. G.、Sundaram, V.、Nayak, S.、Lewis, R.(2006)。Quality improvement strategies for hypertension management: a systematic review。Medical care，44(7)，646-657。  new window
33.Woodend, A. K.、Sherrard, H.、Fraser, M.、Stuewe, L.、Cheung, T.、Struthers, C.(2008)。Telehome monitoring in patients with cardiac disease who are at high risk of readmission。Heart Lung，37(1)，36-45。  new window
34.Yu, C.、Yang, J. I.、Chen, J. C.、Liu, C. S.、Chen, C. C.、Lin, M. L.(2009)。The development and evaluation of the Citizen Telehealth Care Service System: Case study in Taipei。Conference Proceedings IEEE Engineering in Medicine and Biology Society，2009(1)，6095-6098。  new window
35.林淑霞、劉榮宏、殷偉賢、陳冠群、葉明陽、蔡勝國、陳俐君(20091200)。民眾對遠距健康照護服務之認知與需求調查研究--以心臟病、高血壓及糖尿病為範疇。臺灣公共衛生雜誌，28(6)，552-564。new window  延伸查詢new window
36.Chobanian, A. V.、Bakris, G. L.、Black, H. R.、Cushman, W. C.、Green, L. A.、Izzo, J. L. Jr.、Roccella, E. J.(2003)。The seventh report of the joint national committee on prevention, detection, evaluation, and treatment of high blood pressure: the JNC 7 report。Journal of the American Medical Association，289(19)，2560-2572。  new window
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38.Park, Sung Youl(2009)。An analysis of the technology acceptance model in understanding university students' behavioral intention to use e-learning。Educational Technology & Society，12(3)，150-162。  new window
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學位論文
1.洪麗玲(2008)。遠距照護系統應用於高血壓患者自我管理行為之探討(碩士論文)。弘光科技大學。  延伸查詢new window
2.周春珍(2010)。參與遠距照護長者生活品質及其對科技使用接受度之研究(碩士論文)。國立台北護理學院。  延伸查詢new window
3.陳素惠(2010)。遠距健康照護服務品質及滿意度對系統使用行為的影響--以竹山秀傳U-Care為例(碩士論文)。南開科技大學。  延伸查詢new window
圖書
1.Department of Health, Older People and Disability Division(2005)。Building Telecare in England。London：England Department of Health。  new window
2.Ajzen, Icek、Fishbein, Martin(1980)。Understanding Attitudes and Predicting Social Behavior。Prentice-Hall, Inc.。  new window
3.Hair, J. F. Jr.、Anderson, R. E.、Tatham, R. L.、Black, W. C.(1998)。Mutivariate data analysis。Prentice Hall。  new window
其他
1.行政院衛生署國民健康局(2008)。2007年台灣地區高血壓、高血糖、高血脂之追蹤調查研究，http://www.doh.gov.tw/CHT2006/DM/SEARCH_RESULT.aspx。  延伸查詢new window
 
 
 
 
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