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研究生:高浩雲
研究生(外文):Hao-yun Kao
論文名稱:探討電子化醫療預備度及其對電子化醫療轉換成功之影響:從變革觀點
論文名稱(外文):E-Health Readiness and Its Influences on E-Health Transformation Success: A Change Perspective
指導教授:吳仁和吳仁和引用關係
指導教授(外文):Jen-Her Wu
學位類別:博士
校院名稱:國立中山大學
系所名稱:資訊管理學系研究所
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:2009
畢業學年度:97
語文別:英文
論文頁數:97
中文關鍵詞:變革醫療照護電子化醫療成功轉換電子化醫療預備度電子化醫療
外文關鍵詞:E-health readinessE-health transformation successE-healthHealthcareChange
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現今醫療機構需要發展與組織新的方法以提供有效率的健康照護服務,而隨著通訊技術與網際網路的迅速發展,造成傳統面對面的醫療模式產生根本的變化。而醫療照護系統也因導入資訊通訊科技影響到醫療服務提供的方式,甚至與醫療照護提供者、顧客建立新的關係,進而顯著改變整體醫療照護的提供方式。本研究以變革理論為基礎,配合相關研究理論發展研究架構與假說,對於電子化醫療預備度及其對電子化醫療成功轉換之影響進行深入探討。關於電子化醫療預備度與轉換成功\\的影響因子,乃植基於理論基礎與醫療機構管理實務需求的架構上,藉由相關問卷的發展與實證,並透過國內大規模實證資料的調查與收集,以進行本研究理論架構之驗證。研究樣本的組成,乃由衛生署衛生統計年報資料庫及調查報告,所提出符合目前資訊化程度較高的醫療機構113家為代表樣本。關於本研究的概念模式與研究假說的驗證上,則應用最小偏平方法的分析軟體進行實證資料的統計分析。研究結果支持(R2=0.519)所建立的電子化醫療預備度的架構,其正向影響點子化醫療轉換的成功:朝向醫療照護體系的六大目標。同時也發現外在經營環境所產生的壓力是重要的調節因子,並影響預備度與成功\\轉換間之關係,上述目標皆獲得統計結果的充分證實。本研究成果除了在理論強化上提供了實證基礎,另對現代化醫療機構在推動或導入電子化醫療提出具體貢獻與應用,其可協助管理階層在導入前評估機構的準備程度,制訂確實可行的決策與方針,以提高電子化醫療成功轉換的機會。
This study presents a conceptual model to investigate the e-health readiness required by healthcare organization and the impact of such readiness in enhancing e-health transformation success, and how the entrepreneurial alertness associated with e-health readiness. A scale to measure e-health readiness was developed and validated; then it being tested to collect the large-scale survey data from hospitals’ top management team members. The partial least squares (PLS) method was empirically used to test the conceptual model and hypotheses through the large-scale survey collected. The empirical results support the proposed model. The analysis not only provides the evidence that the effect of entrepreneurial alertness on e-health readiness is direct also showing e-health readiness has a positive effect on e-health transformation success. The results advance the understanding what determining factors of the e-health transformation success and also can potentially be used in advance of e-health transformation for contemporary hospitals to check its e-health readiness level and prepare the needed changes for e-health implementations to ensure better e-health transformation.
Abstract I
Keywords I
1. Introduction 1
1.1 Background and Motivations 1
1.2 Research Objectives and Questions 4
1.3 Research Design 5
2. Theoretical foundation and conceptual model 12
2.1 Theory of Organizational Change 12
2.2 Developing a Framework for E-health Readiness 18
2.2.1 What’s E-health? 18
2.3.2 E-health Readiness 20
2.3 Development a framework for E-health Transformation Success 30
2.4 Entrepreneurial Alertness 39
2.5 Hospital Ownership and Type 42
3. Research Methodology 44
3.1 Measurement Development 44
3.2 Data Collection 50
3.3 Analysis Methods 52
3.3.1 Measurement Validation 53
3.3.2 Test of the Structural Model 55
4. Results 57
4.1 Measurement Properties 57
4.2 Test of the Structural Model 61
5. Discussions and conclusions 64
5.1 Discussion of Research Results 64
5.2 Research Contributions and Implications 65
5.3 Limitation and Future Research 67
5.4 Conclusion 68
Reference 70
Appendix A. Survey Instruments in Chinese 86
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