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研究生:紀玉秋
研究生(外文):Yu- Chiu Chi
論文名稱:高血壓患者接受遠距居家生理量測服務意願之探討
論文名稱(外文):The Acceptance of Telemonitoring among Hypertensive Patients
指導教授:莊坤洋莊坤洋引用關係
學位類別:碩士
校院名稱:臺北醫學大學
系所名稱:公共衛生學研究所
學門:醫藥衛生學門
學類:公共衛生學類
論文種類:學術論文
論文出版年:2008
畢業學年度:97
語文別:中文
論文頁數:66
中文關鍵詞:遠距照護遠距生理量測就醫便利性遠距照護認知
外文關鍵詞:telecaretelemonitoringaccess to careperception of telecare
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技來提供醫療照護已成為世界各國的發展重點,其中遠距生理量測常被運用在於各種慢性病的照護上,所以本篇研究主要目的在探討高血壓疾病接受遠距生理量測服務的意願及影響的相關因素。
  研究資料來自行政院衛生署2007年「民眾對遠距數位照護服務之認知與接受度」調查,針對其中50歲以上罹患高血壓患者進行次級資料分析,有效樣本為712位。探討社會人口學特質、健康狀況、就醫便利性、對資訊科技接觸及遠距照護認知等變項,是否會影響個案接受遠距居家生理量測服務意願。
 研究結果發現,高血壓患者教育程度越高(專科及大專學以上)、自覺健康狀況普通及不好者、對遠距生理量測服務功能的認知越正向者,對遠距生理量測服務的接受意願較高。此外,個案若擔憂遠距照護服務的資訊安全,而對其服務品質持保留態度者,則會降低個案接受服務的意願。
 建議未來應加強遠距照護服務之宣導,並暸解民眾對照護服務之需求,及確保遠距資訊安全與隱私性保障,以提高民眾對遠距照護的接受度。
As the population ages, the cost of care and demands for services also rises. Thus, incorporating telecommunication technology in the provision of care has become a priority of developed nations. Among the technologies, telemonitoring has been used frequently in the care for chronic conditions. The purpose of this thesis is to assess the acceptance and related factors of telemonitoring among patients with hypertension.
Data comes from the telemedicine survey sponsored by the Department of Health in 2007. Secondary data analysis was carried out on the 712 subjects who were at least 50 years old and had reported having hypertension in order to assess the effects of demographic, health status, accessibility to care, and the perception of technology and telemedicine on the acceptance of telemonitoring.
Results showed that acceptance of telemonitoring among hypertension patients were associated with higher education, worse self-rated health, more-positive perception of telemedicine. Furthermore, subjects with reservation regarding privacy of information and quality of care tended to have lower level of acceptance.
In order to increase the public acceptance of telemedicine, it is recommended that the need for telemonitoring should be assessed, the quality of care and the privacy of information should be ensured to go along with appropriate campaign in the mass media with the focus on increasing public awareness of telemonitoring.

Keywords: telecare, telemonitoring, access to care, perception of telecare
目 錄
致謝........................................................Ⅰ
中文摘要....................................................Ⅱ
英文摘要....................................................Ⅲ
第一章 研究緣起..............................................1
第二章 文獻探討..............................................3
第一節 國內遠距醫療.....................................4
第二節 遠距生理量測的成效...............................9
第三節 接受遠距生理量測意願之相關影響因素..............13
第三章 研究設計與方法.......................................21
第一節 研究架構 .......................................21
第二節 資料來源........................................22
第三節 研究變項的操作型定義............................24
第四節 資料處理與統計分析方法..........................29
第四章 研究結果..............................................33
第一節 描述性分析.............................33
第二節 雙變項分析......................................36
第三節 多變項分析.....................................39
第五章 結論與討論............................................51
第一節 重要結果與討論................................... 51
第二節 研究限制......................................... 57
第三節 研究建議...............................59
參考文獻.....................................................61

圖 表 目 錄

圖3-1 高血壓個案接受遠距生理量測服務意願之研究架構..........21
圖3-2 樣本選取流程..........................................23
表3-1 各變項之操作型定義與測量..............................24
表4-1 高血壓總樣本與分析樣本社會人口學特質、健康狀況及就醫便
利性分布比較...........................................42
表4-2 高血壓個案資訊科技接觸分布百分比......................43
表4-3 高血壓個案對遠距生理量測認知分布百分比................43
表4-4 高血壓個案社會人口學特質與接受遠距生理量測服務意願之相
關性..................................................44
表4-5 高血壓個案健康狀況與接受遠距生理量測服務意願之相關性…45
表4-6 高血壓個案就醫便利性與接受遠距生理量測服務意願之相關性45
表4-7 高血壓個案資訊科技接觸與接受遠距生理量測服務意願之相關性....................................................46
表4-8 高血壓個案對遠距生理量測認知與接受遠距生理量測服務意願
之相關性.............................................46
表4-9 高血壓個案社會人口學特質、健康狀況、就醫便利性、資訊科
技接觸、對遠距生理量測認知與接受遠距生理量測服務意願之
邏輯斯迴歸分.........................................47
參考文獻
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行政院國家科學委員會(2005)。在遠距居家照護環境中生理訊號經由藍芽無線傳輸之研究。檢自:http://grbsearch.stpi.org.tw/GRB/quickSearch.jsp
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行政院衛生署(2008b)。數位健康產業發展計畫-遠距照護試辦計畫分項計畫一「遠距及長期照護資訊網絡規劃建置」。檢自:http://grbsearch.stpi.org.tw/GRB/quickSearch.jsp
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