臺灣人文及社會科學引文索引資料庫系統

:::

詳目顯示

回上一頁
第 1 筆 / 總合 1 筆   第一頁 上一頁 下一頁 最後一頁
/1頁
題名：新進住院醫師對電子病歷的看法--以科技持續理論探討
書刊名：臺灣公共衛生雜誌
作者：莊秋華／郭律成／楊銘欽
作者(外文)：Chuang, Chiou-hwa／Kuo, Lu-cheng／Yang, Ming-chin
出版日期：2018
卷期：37:3
頁次：頁254-264
主題關鍵詞：電子病歷；醫療資訊系統；科技持續理論；知覺有用性；知覺易用性；Electronic medical records；EMR；Health information systems；Technology continuance theory；TCT；Perceived usefulness；Perceived ease of use
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:2
  • 共同引用共同引用:8
  • 點閱點閱:51
目標：本研究欲瞭解台灣某醫學中心新進住院醫師在擔任實習醫師時使用電子病歷後，對電子病歷的認知、態度、持續使用意向，以加強對實習醫師和新進醫師在電子病歷上的教育和臨床訓練。方法：本研究以科技持續理論（Technology Continuance Theory, TCT）為基礎設計結構式問卷，調查某醫學中心2017年新進住院醫師對電子病歷之認知、態度、滿意度及持續使用之意向，使用複迴歸分析驗證變項間的相關性。結果：本研究共發出292份問卷，回收276份（回收率94%）。填答者中，男性占65%，平均24.3歲，265位（96.0%）在擔任實習醫師時曾使用過電子病歷。複迴歸分析結果顯示，和受訪醫師是否會持續使用電子病歷有關的因素包括知覺有用性（p＜0.0001）、滿意度（p＜0.01）、病歷書寫表現（p＜0.0001）、書寫表現（p=0.01）。結論：新進住院醫師使用電子病歷和病歷書寫表現及學習表現具有正相關，且新進住院醫師對電子病歷之滿意度、態度及表現都和醫師持續使用電子病歷的意向呈現正相關。
Objectives: This research aimed to understand the cognition, attitude, and intention for continued use of electronic medical records (EMRs) among new residents following EMR use in their intern year at one medical center in Taiwan. As such, the goal of this study was to improve education and clinical training among interns and new residents who use EMRs. Methods: A structured questionnaire was constructed based on Technology Continuance Theory (TCT), which was used to investigate the cognition, attitude, satisfaction, and intention for continued use among physicians-in-training at a medical center in 2017. Regression analysis was used to analyze the relationships among variables. Results: A total of 292 sets of questionnaires were distributed, of which 276 were collected for a response rate of 94%. Males represented 65% of all respondents, with an average age of 24.3 years. Two hundred sixty-five residents (96%) stated that they used EMRs during their intern year. Regression analysis showed that the factors which affected intention to continue using EMRs among physicians are as follows: perceived usefulness (p＜0.0001); satisfaction (p＜0.01); medical records writing performance (p＜0.0001); and learning performance (p=0.01). Conclusions: Using EMR was positively associated with medical record writing and overall learning performance among new physicians. In addition, resident satisfaction, performance, and attitude towards EMR were positively associated with an intention to continue using EMRs.
期刊論文
1.Liao, Chechen、Palvia, Prashant、Chen, Jain-Liang(2009)。Information technology adoption behavior life cycle: Toward a Technology Continuance Theory (TCT)。International Journal of Information Management，29(4)，309-320。  new window
2.Boonstra, A.、Broekhuis, M.(2010)。Barriers to the acceptance of electronic medical records by physicians from systematic review to taxonomy and interventions。BMC Health Services Research，10(231)，1-17。  new window
3.Adamson, Ivana、Shine, John(2003)。Extending the New Technology Acceptance Model to Measure the End User Information Systems Satisfaction in a Mandatory Environment: A Bank's Treasury。Technology Analysis & Strategic Management，15(4)，441-455。  new window
4.Aggelidis, Vassilios P.、Chatzoglou, Prodromos D.(2009)。Using a modified technology acceptance model in hospitals。International Journal of Medical Informatics，78(2)，115-126。  new window
5.Rogoski, R. R.(2003)。Having it your way. Three physicians who were early adopters and who remain vocal EMR advocates share their insights about the utilization, challenges and benefits of EMRs。Health Manag Technol，24，12-16。  new window
6.Schenarts, P. J.、Schenarts, K. D.(2012)。Educational impact of the electronic medical record。J Surg Educ，69，105-112。  new window
7.溫信財、何政勳、王臻稜、蔡易樺、周清雲、何俊聰、黃威達(20130300)。影響基層診所醫師使用電子病歷滿意度之研究。醫療資訊雜誌，22(1)，1-14。new window  延伸查詢new window
8.Ellaway, R. H.、Graves, L.、Greene, P. S.(2013)。Medical education in an electronic health record-mediated world。Med Teach，35，282-286。  new window
9.Hammoud, M. M.、Dalrymple, J. L.、Christner, J. G.(2012)。Medical student documentation in electronic health records: a collaborative statement from the alliance for clinical education。Teach Learn Med，24，257-266。  new window
10.Peled, J. U.、Sagher, O.、Morrow, J. B.、Dobbie, A. E.(2009)。Do electronic health records help or hinder medical education?。PLoS Med，6，e1000069。  new window
11.Stephens, M. B.、Corcoran, T. S.、Motsinger, C.(2011)。Clinical documentation in electronic medical records: the student perspective。Med Sci Educ，21，3-6。  new window
12.Keenan, C. R.、Nguyen, H. H.、Srinivasan, M.(2006)。Electronic medical records and their impact on resident and medical student education。Acad Psychiatry，30，522-527。  new window
13.Rouf, E.、Chumley, H. S.、Dobbie, A. E.(2008)。Electronic health records in outpatient clinics: perspectives of third year medical students。BMC Med Educ，8，13。  new window
14.Sayyah, Gilani M.、Iranmanesh, M.、Nikbin, D.、Zailani, S.(2017)。EMR continuance usage intention of healthcare professionals。Inform Health Soc Care，42，153-165。  new window
15.Abdekhoda, M.、Ahmadi, M.、Gohari, M.、Noruzi, A.(2015)。The effects of organizational contextual factors on physicians' attitude toward adoption of Electronic Medical Records。J Biomed Inform，53，174-179。  new window
16.Morton, M. E.、Wiedenbeck, S.(2010)。EHR acceptance factors in ambulatory care: a survey of physician perceptions。Perspect Health Inf Manag，7，1c。  new window
17.Melas, C. D.、Zampetakis, L. A.、Dimopoulou, A.、Moustakis, V.(2011)。Modeling the acceptance of clinical information systems among hospital medical staff: an extended TAM model。J Biomed Inform，44，553-564。  new window
18.Venkatesh, Viswanath、Davis, Fred D.(2000)。A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies。Management Science，46(2)，186-204。  new window
19.黃興進、呂卓勳、蕭如玲、陳瑞甫(20090300)。影響電子病歷交換效益關鍵因素之研究：醫師觀點。電子商務學報，11(1)，95-118。new window  延伸查詢new window
20.Spreng, Richard A.、Mackenzie, Scott B.、Olshavsky, Richard W.(1996)。A Reexamination of the Determinants of Consumer Satisfaction。Journal of Marketing，60(3)，15-32。  new window
21.Pai, Fan-Yun、Huang, Kai-I.(2011)。Applying the technology acceptance model to the introduction of healthcare information systems。Technological Forecasting and Social Change，78(4)，650-660。  new window
22.Churchill, Gilbert A. Jr.、Surprenant, Carol(1982)。An Investigation into the Determinants of Customer Satisfaction。Journal of Marketing Research，19(4)，491-504。  new window
23.Bhattacherjee, Anol(2001)。Understanding Information Systems Continuance: An Expectation-Confirmation Model。MIS Quarterly，25(3)，351-370。  new window
24.Davis, Fred D.、Bagozzi, Richard P.、Warshaw, Paul R.(1989)。User acceptance of computer technology: A comparison of two theoretical models。Management Science，35(8)，982-1003。  new window
25.Davis, F. D.、Venkatesh, V.(1996)。A Critical Assessment of Potential Measurement Biases in the Technology Acceptance Model: Three Experiments。International Journal of Human-Computer Studies，45(1)，19-45。  new window
會議論文
1.Ismail, N. I. B.、Abdullah, N. H. B.(2011)。Developing electronic medical records (EMR) framework for Malaysia's public hospitals。Penang：IEEE。131-136。  new window
其他
1.衛生福利部。電子病歷推動專區，http://emr.mohw.gov.tw/emrlist.aspx。  延伸查詢new window
 
 
 
 
第一頁 上一頁 下一頁 最後一頁 top
:::
無相關書籍
 
無相關著作
 
QR Code
QRCODE

臺灣人文及社會科學引文索引資料庫

目前上線人數：569（臺灣：565，外國：4） ／ 本年度總使用人次：2328986 ／ 訪客人次（自102年09月）：68126701
國家圖書館著作權聲明 Copyright © 2013 All rights reserved.
本館地址: 100201臺北市中山南路20號． 本館地圖及交通資訊．
總機：(02)23619132．最佳瀏覽解析度為1024x768以上