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題名：影響基層診所醫師使用電子病歷滿意度之研究
書刊名：醫療資訊雜誌
作者：溫信財／何政勳／王臻稜／蔡易樺／周清雲／何俊聰／黃威達
作者(外文)：Wen, Hsyien-chia／Ho, Cheng-hsun／Wang, Jen-leng／Tsai, Yi-hua／Chou, Ching-yun／Ho, Chun-tsung／Huang, Wei-da
出版日期：2013
卷期：22:1
頁次：頁1-14
主題關鍵詞：基層診所醫師；電子病歷；滿意度；Electronic health records；EHRs；Primary care physician；Satisfaction
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(3) 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:3
  • 共同引用共同引用:28
  • 點閱點閱:8
背景：基層診所為提昇醫療服務品質及簡化作業流程，已普遍採用資訊科技，而電子病歷之發展與應用，在政府主導及極力推動下，已成為臺灣各醫療院所現階段推行的重點。目的：瞭解影響基層診所醫師使用電子病歷滿意度之相關變項。方法：本研究對象為參與行政院衛生署2010年「加速診所實施電子病歷推廣案」，並向衛生局完成報備之西醫診所，以經效度及信度檢定之自填式結構性問卷進行普查，共計發出1034份問卷，回收556份，回收率53.77%。結果：本研究以複迴歸分析發現：每月門診量為1000-1999、2000-2999及3000人以上(β=0.193, p
Background: Emerging health information technology has been generally adopted by primary care physicians to enhance quality of care and improve service of process in Taiwan. Particularly, Electronic Health Records (EHRs) has become one of the major issues for healthcare provider due to change by government policy and financial subsidy. Objective: To investigate variables which influence primary care physicians' satisfaction on using EHRs. Methods: Our subjects are primary care physicians who have applied the subsidy to implement EHRs sponsored by the Department of Health. We conducted the survey by a valid and reliable questionnaire. A total 1103 questionnaires were distributed to physicians, 556 useable responses were received resulting in a response rate of 53.77%. Results: From the multiple regression, we found that monthly service volume of primary care physicians: 1000-1999, 2000-2999 and above 3000 (β=0.193, p＜0.001；β=0.149, p＜0.001；β=0.118, p=0.002), cost effectiveness (β=0.164, p＜0.001), perceived ease of use (β=0.273, p＜0.001), subjective norms (β=0.228, p＜0.001), security (β=0.166, p=0.019) and willingness to use (β=0.161, p=0.01) had significantly positive effects on EHRs satisfaction. However, privacy had negative effect on EHRs satisfaction (β=−0.242, p=0.001). This model can explain 49.9% variance (Adjusted R2 =0.499). Conclusion: Perceived ease to use, subjective norms, security and privacy, intention and cost-effectiveness of using EHRs had significant effects on primary care physicians' satisfaction. Therefore, we believe that primary care physicians' satisfaction will be raised if EHRs can enhance clinical and daily works effectively, provide easy and user-friendly interface, assured security and privacy, and accompanied by government's promoted policy.
期刊論文
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學位論文
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2.陳瑜甄(2011)。探討醫院員工使用知識管理系統行為意圖與滿意度之實證研究(碩士論文)。嘉南藥理科技大學。  延伸查詢new window
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圖書
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單篇論文
1.Jamoom, E.，Beatty, P.，Bercovitz, A.，Woodwell, D.，Palso, K.，Rechtsteiner, E.(2011)。Physician adoption of electronic health record systems: United states(No.98)。  new window
 
 
 
 
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