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研究生:陳啟舜
研究生(外文):Chen, Chi-Shun
論文名稱:資訊科技基礎建設彈性與經營績效之相關性研究-以醫療機構為例
論文名稱(外文):The Relationship between IT Infrastructure Flexibility and Operational Performance: The Empirical Study of Health Care Institutions
指導教授:謝順金謝順金引用關係
指導教授(外文):Hsieh, Shun-Chin
學位類別:碩士
校院名稱:淡江大學
系所名稱:資訊管理學系
學門:電算機學門
學類:電算機一般學類
論文種類:學術論文
論文出版年:2003
畢業學年度:91
語文別:中文
論文頁數:66
中文關鍵詞:醫療機構資訊科技基礎建設彈性經營績效
外文關鍵詞:Health Care InstitutionIT Infrastructure FlexibilityOperational Performance
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醫療機構面對競爭日益激烈的環境,利用資訊科技是其提高醫療服務品質又能降低成本的一項利器,而富彈性的資訊科技基礎建設是組織能否有效運用資訊科技達成其企業目標的前提。近來已有研究發現企業的資訊科技基礎建設與經營績效呈正向關係,但以彈性的觀點來探討資訊科技基礎建設對經營績效影響的研究卻較少,故本研究將針對國內醫療機構,探討其資訊科技基礎建設彈性與經營績效之相關性。
本研究以國內評鑑等級為地區教學層級以上的醫院為對象,其中經營績效構面採次級資料收集,包含九項績效指標。而資訊科技基礎建設彈性包括科技面及人力面兩大部分,共八項構面,採郵寄問卷調查法,共寄出150封問卷,有效回收問卷為76份,回收率為50.67%。
研究結果發現,不同評鑑等級的醫療機構在資訊科技基礎建設彈性上有顯著的差異,其中醫學中心及區域醫院的彈性較高而地區教學醫院較低。在相同評鑑等級下,醫療機構的資訊科技基礎建設彈性對經營績效的影響均為正相關,其中在醫學中心只有科技面顯著,而在區域及地區教學醫院則科技與人力面皆顯著。科技面與人力面基礎建設彈性的高低皆會影響其經營績效,但並不會有交互作用。
Health care institutions are facing a competitive environment nowadays, so IT will be the weapon that reduce costs and improve quality of service. As a result, IT infrastructure flexibility will be an important factor affecting how the organization can effectively use IT infrastructure in order to obtain its goal. Recently, Some researches find out that there is a positive relationship exists between firm’s IT infrastructure services and its operational performances, but only a few of them are using the flexibility view to investigative the effect of IT infrastructure on operational performance. Therefore, this research aims at health care institutions in Taiwan, to study the relationship between IT infrastructure flexibility and its operational performances.
This research targets on hospitals, having its accreditation status above district teaching level. For the construct of operational performance we use secondary data collections that include nine performance indicators. The IT infrastructure flexibility will be divided into two parts: technical and human components, totally eight constructs. Mail survey was used in this research. 150 survey forms were delivered and 76 valid survey forms were returned. The ratio of response was 50.67%.
The results of this study show that health care institutions with different accreditation status are having a significance difference in their IT infrastructure flexibility. Especially, medical center and regional hospitals are more flexible than those district teaching hospitals. With health care institutions under the same accreditation status, the flexibility of IT infrastructure is positively related to the effect of their operational performance, for medical center, technical component is significant and for regional and district teaching hospitals both technical and human components are significant. Both technical and human IT infrastructure flexibility will affect its operational performance but they will not interactive affection.
第一章 緒論..1
第一節 研究背景與動機..1
第二節 研究目的..2
第三節 研究範圍..2
第四節 研究流程..2
第五節 章節架構..3
第二章 文獻探討..5
第一節 資訊科技基礎建設彈性..5
第二節 醫療機構經營績效..12
第三節 資訊科技於醫療機構的影響..14
第四節 資訊科技基礎建設與經營績效的相關性..18
第三章 研究設計與方法..19
第一節 研究架構..19
第二節 研究假說..23
第三節 研究變數與資料收集..24
第四節 資料分析方法..28
第四章 資料分析與結果..30
第一節 信效度分析..30
第二節 樣本分析..31
第三節 醫療機構評鑑等級與資訊科技基礎建設彈性之關係..35
第四節 相同評鑑等級的醫療機構其資訊科技基礎建設彈性對經營績效的影響..39
第五節 醫療機構的科技面與人力面彈性的高低對經營績效的影響..46
第五章 結論與未來研究方向..52
第一節 研究結論..52
第二節 研究限制..54
第三節 建議與未來研究方向..55
參考文獻..56
附錄 正式問卷..61
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