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研究生:陳昭宏
研究生(外文):Charles Chen
論文名稱:探索病患對遠距居家照護系統的認知與接受
論文名稱(外文):Explore Patients’Perceptions and Acceptance of Home Telecare Management Systems
指導教授:陳慶文陳慶文引用關係周斯畏周斯畏引用關係
指導教授(外文):Ching-Wen ChenShih-Wei Chou
學位類別:博士
校院名稱:國立高雄第一科技大學
系所名稱:管理研究所
學門:商業及管理學門
學類:企業管理學類
論文種類:學術論文
論文出版年:2010
畢業學年度:98
語文別:英文
論文頁數:146
中文關鍵詞:遠距照護遠距居家照護系統科技接受模型社會影響
外文關鍵詞:TelecareSocial InfluenceHome Telecare Management System (HTMS)Technology Acceptance Model (TAM)
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成功的採用遠距居家照護系統來管理慢性病患者的健康,需要病人的接受,尤其是那些不熟悉現代科技的年長病患。根據科技接受模型(Technology Acceptance Model, TAM)、社會認知理論(Social Cognitive Theory, SCT)與社會影響理論(Social Influence Theory, SIT),本研究提出一個遠距健康照護系統接受模型,透過實證以改善我們對病患接受遠距健康照護系統的了解,並探討社會影響對病患使用遠距健康照護系統的態度與行為的影響。經由實證研究與對221筆病患問卷資料的分析,部分最小平方法(Partial Least Squares, PLS)統計結果顯示,模型之大部分假說具有顯著性。本研究並針對研究發現進行討論,並說明其理論面與實務面的意涵,最後指出可能的未來研究。
Successful implementation of a Home Telecare Management System (HTMS) requires acceptance by the users, especially when technical innovation is applied to manage chronic healthcare in elderly patients who are unaccustomed to using modern technology. Based on the Technology Acceptance Model (TAM), Social Cognitive Theory (SCT) and Social Influence Theory (SIT), a Home Telecare Management System (HTMS) Acceptance Model is proposed and tested to improve our understanding of patients’ acceptance of HTMS and the impacts of social influence on patients’ attitude and behavioral intentions in using HTMS. Via empirical research and analysis of 221 patients’ questionnaires, the partial least squares (PLS) technique indicates that most of proposed hypotheses are significant. Implications for both theory and practice are also provided. Future research directions are outlined.
Table of Contents
Abstract (in English)........................................................................................................i
Abstract (in Chinese)….....................................................................................................ii
Acknowledgement (in Chinese).......................................................................................iii
Table of Contents............................................................................................................iv
List of Tables..................................................................................................................vii
List of Figures...............................................................................................................viii
Abbreviation…………………………………………………………………………ix
Chapter 1: Introduction......................................................................................................1
1.1 Research background...........................................................................................1
1.2 Research motivation and purpose.…..................................................................4
Chapter 2: Literature review……….................................................................................6
2.1 Ageing population………….......………………………………………………6
2.2 Chronic diseases and Aged care demands………………………...……………7
2.3 Home care…….……………….……………………………………………….9
2.4 Home telecare………........................................................................................11
2.5 Home telecare management system (HTMS)…………………………………14
2.6 Theories on technology acceptance and adoption……………….……………16
2.6.1 Diffusion of Innovation Theory (DIT)…………………...……………18
2.6.2 Theory of Reasoned Action (TRA)……………………………………19
2.6.3 Technology Acceptance Model (TAM) and Modified Model………...22
2.6.4 Social influence theory (SIT)..................................................................27
2.6.5 Social Cognitive Theory (SCT)…….………………………………….30
2.6.5.1 Self-efficacy…………….………………………………………31
2.6.5.2 Computer self-efficacy…………..…………………………...33
2.6.5.3 Technophobia, computer anxiety………......…………………..34
2.7 Elder people and computers skills…………………………………………36
2.8 TAM relevant studies………….……………………………………………37
Chapter 3: Research model and hypotheses ...................................................................41
3.1 HTMS anxiety and PU, PEOU, HS………………….…..………...................43
3.2 HTMS self-efficacy and PEOU.........................................................................46
3.3 TAM and HTMS ……………………………..................................................47
3.4 Social influence and HTMS……………………..............................................49
Chapter 4: Research methodology ..................................................................................52
4.1 Measurement development ...............................................................................52
4.1.1 Patient’s perceptions and acceptance of HTMS…………………….…55
4.1.2 Social Influence………………………………………………………..58
4.2 Data Collection………………………………………………………………..60
Chapter 5: Data Analysis and Results…………………………………………………..62
5.1 Analysis method………………………………………………………………62
5.1.1 Component Analysis versus Factor Analysis………………………….62
5.2 Measurement model………………………………………..…………………67
5.3 Hypotheses testing…………………………………………………………….69
5.4 Control variables……..………………………………………………………..76
Chapter 6: Discussions and Implications………………………………………………79
6.1 Discussions…...………….……………...…………………………………….79
6.2 Academic implications...…………………………………….………………..84
6.3 Practical implications.………………………………………………………...86
Chapter 7: Conclusions and Limitations……………………………………………...88
7.1 Conclusions…………………………………………………………………...88
7.2 Limitations………………………………………………………………….89
7.3 Future works……………………………………………………..…………89
References.....................................................................................................................91
APPENDIX A: Table A1, A2, A3.....…………………………………………………122
APPENDIX B: Questionnaire…………………………………...……………………128
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