臺灣博碩士論文加值系統

有越來越多的醫療機構開始實施電子病歷及跨院互通，然而，民眾的健康資訊隱私顧慮可能會造成在就醫時，不願意提供其完整的個人資訊。本研究主要瞭解民眾基於健康資訊隱私顧慮基礎下，提供其個人健康資訊的意願。此外，為了更完整瞭解民眾提供其個人健康資訊的意願，亦基於社會交換理論的觀點，試圖探討在組織方面，民眾的健康資訊隱私顧慮是由哪些因素所影響。問卷主要以網路問卷進行，並以138份問卷來進行資料的驗證。所收集到的資料以結構方程模式進行驗證與分析，研究結果顯示在四個假說之中，有三個假說顯著。本研究結果證實，社會交換理論的觀點適用於解釋電子病歷交換的情境下，民眾提供其個人健康資訊的意願。

The implementation of electronic medical record (EMR) exchange is an important tread. However, EMR exchange suffers from some problems. For example, concern for health information privacy may cause individuals unwilling to provide personal health information. To better understand individuals’ intention, we tried to examine the correlation between individuals’ concern for information privacy and their intention. Beside this, based on a social exchange theory perspective, the antecedents in organizational dimension of CFIP were examined. In this study, our proposed model was empirically validated by 138 respondents in Taiwan. Four hypotheses were assessed by Structural Equation Modeling (SEM) via statistical analysis software SmartPLS 3.0. Three hypotheses were significant supported which indicate that all of the components of social exchange theory were critical, and the proposed model is applicable in EMR exchange context.

Chapter 1 Introduction 1
1.1 Background 1
1.2 Justification 4
1.3 Research Purpose 5
1.4 Research Questions 5
1.5 Research Scope 6
1.6 Research Process 6
Chapter 2 Literature Review 8
2.1 EMR and EMR exchange 8
2.2 Privacy and Existing Scales 9
2.2.1 Privacy, Information Privacy, and Concern for Information Privacy 9
2.2.2 Existing Scales 10
2.2.3 Prior Research in CFIP – Li (2011)’s Research 18
2.3 Antecedents of CFIP — Organizational Dimension 20
2.3.1 Hospital Reputation 22
2.3.2 Privacy Policy 23
2.3.3 Reward 24
2.4 Behavior Intention 25
Chapter 3 Research Framework and Hypotheses Development 26
3.1 Development of the Research Framework 26
3.2 Development of the Hypotheses—CFHIP 27
3.3 Development of the Hypotheses—Antecedents of CFHIP 27
Chapter 4 Research Methodology 29
4.1 Instrument Development Procedure 29
4.2 Expert Panels and Pilot-test 32
4.3 Data Collecting Procedure 34
Chapter 5 Data Analysis and Results 35
5.1 Demographic Data of Respondents 35
5.2 Reliability and Validity 36
5.2.1 Item Analysis and Reliability Estimates 36
5.2.2 Validity 36
5.2.3 Exploratory Factor Analysis and Confirmatory Factor Analysis 39
5.3 Hypotheses Testing 42
Chapter 6 Discussion and Conclusion 43
6.1 Discussion of Findings 43
6.2 Limitations and Future Research 44
6.3 Theoretical and Practical Implications 45
6.4 Conclusions 45
Reference 46
Appendix A—Measurement Items 54

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