臺灣博碩士論文加值系統

本研究目的為建構一套智慧型醫療診斷決策支援系統。首先，結合過去智慧醫療、決策支援系統、專家系統、案例式推理等文獻提出本研究之系統架構圖，其次，以敏捷式開發法導出系統開發之流程，包括醫師診斷、醫師評估病情、開立處方簽、後續觀察四階段，最後透過資訊系統成功模式提出5個構面，分別為系統品質、資訊品質、服務品質、對個人績效影響、對組織績效影響，並導出24個評估指標，來探討對使用者的效益。

本研究建構的智慧型醫療診斷決策支援系統功能包含：診斷決策支援、用藥劑量決策支援、遠端照護支援等三大功能，幫助醫師提升診斷效率，也提供更多資訊來源做為決策參考，減少誤診，提升醫療品質。此外，經由資訊系統效益評估問卷調查顯示，在系統品質方面：使用者對系統的資料存取的穩定性、實用性、精準性與保密性等項目感到非常滿意；在資訊品質方面：使用者對系統提供的資訊正確性、完整性、有用性、相關性等項目感到非常滿意；在服務品質方面：使用者對資訊人員的親切度感到非常滿意；在個人績效方面，使用者對能有效分析大量資料、減少人工計算時間項目感到非常滿意；在組織績效方面，使用者對能提升組織營運效能感到非常滿意。

The purpose of this study is to develop an intelligent decision support system for medical diagnosis. First, this paper integrates smart health, decision support system, expert system, and case-based reasoning literature to proposed the system architecture diagram of this research, secondly, the process of system development is based on agile development method, the process including physician diagnosis, physician evaluation of the condition, write prescription, and follow-up observation in four stages. Finally, this study presents a total of 24 evaluation index from 5 dimensions, such as system quality, information quality, service quality, impact on individual performance, impact on organizational performance to explore the benefits to users with the system.

The intelligent decision support system for medical diagnosis develop in this study includes three functions: diagnostic decision support, dose decision support, and remote care support. It not only helps doctors improve efficiency in diagnosis, but also provides more information sources as decision-making reference, reduce the situation of misdiagnosis and improve the quality of medical care. In addition, the results of the questionnaire survey shows that homebuyers are satisfied with the system’s convenience, integration, reliability, and ease of use in system quality; information is correctness, reliability, integrity, conciseness, understanding in information quality; intimacy of information personnel in service quality; effective analysis of large amounts of data and reduction of manual calculation time in personal performance; improve organizational operational effectiveness in organizational performance.

摘 要
ABSTRACT
誌 謝
目錄
表目錄
圖目錄
一、 緒論
1.1 研究背景
1.2 研究動機
1.3 研究目的
1.4 論文架構
二、 文獻探討
2.1 智慧型醫療診斷決策支援系統
2.1.1 智慧醫療
2.1.2 決策支援系統
2.1.3 案例式推理
2.1.4 專家系統
2.2 DeLone & McLean(2003)修正後資訊系統成功模式
三、 研究方法
3.1 智慧型醫療診斷決策支援系統
3.2 資訊系統開發方法
3.3 智慧型醫療診斷決策支援系統開發程序
3.3.1 第一階段 : 系統需求規劃
3.3.2 第二階段 : 使用者需求設計
3.3.3 第三階段 : 系統開發雛形建置
3.3.4 第四階段 : 建構與切換
3.3.5 第五階段 : 資訊系統效益評估
四、 研究結果
4.1 案例介紹
4.2 智慧型醫療管理決策支援系統開發結果
4.2.1 第一階段 : 系統需求規劃結果
4.2.2 第二階段 : 使用者需求設計結果
4.2.3 第三階段 : 系統開發雛形建置結果
4.2.4 第四階段 : 建構與切換結果
4.2.5 第五階段 : 資訊系統效益評估結果
五、 結論與建議
5.1 學術貢獻
5.2 實務貢獻
5.3 管理意涵
5.4 研究限制
5.5 未來研究與建議
參考文獻
附錄：智慧型醫療診斷決策支援系統使用效益之調查問卷

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