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研究生:姚峻凱
研究生(外文):Chun-KaiYao
論文名稱:影響醫療創新因素之探索性研究
論文名稱(外文):The exploratory study of factors influencing medical innovation
指導教授:林清河林清河引用關係
指導教授(外文):Chin-Ho Lin
學位類別:碩士
校院名稱:國立成功大學
系所名稱:工業與資訊管理學系碩博士班
學門:商業及管理學門
學類:其他商業及管理學類
論文種類:學術論文
論文出版年:2012
畢業學年度:100
語文別:中文
論文頁數:79
中文關鍵詞:醫療創新病患價值醫療資訊科技關鍵外部因素知識管理
外文關鍵詞:healthcare innovationpatient valuehealthcare information technologykey external factorsknowledge management
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由於人口結構與科技的發展等總體環境的改變,加上個體環境如政府政策、評鑑制度等外部因素的影響,對醫療產業造成多重壓力,並牽動其中的競爭態勢,迫使醫院採取不同的反應措施,在各個層面上進行創新,以提升競爭優勢和績效。技術與醫藥的持續改進與發明,亦提供許多機會於醫療實務的創新上,而創新業已成為醫療組織的一項關鍵能耐。
除了外部因素之影響,醫療產業亦開始注重知識的系統化管理與各項流程之資訊化,藉由資通訊技術相互分享知識、降低行政成本及改善醫療照護品質,並整合醫療流程能夠與相關經驗,促進創新的生成。
由過去文獻可知醫療創新會受許多因素影響,然醫療創新之相關研究甚少,亦缺乏完整定義與衡量方式,故本研究欲藉由與醫院之行政與資訊方面之專業人士進行訪談,從醫療產業的創新面切入,發展醫療資訊化與知識管理及醫療創新之衡量問項,並探索醫療創新會受到那些外部關鍵因素的影響,從而發展評估關鍵因素之衡量問項,期能有助於醫院對影響創新之相關因素有全面性的了解,以及發展完善的衡量問項以評估推行成效。

Due to changes in the environment of the overall population structure and the development of science and technology, coupled with the impact of external factors such as government policies and the assessment system, the medical industry caused by the multiple pressures, and affects the competitive situation. Hospitals are forced to take a different reaction measures, as well as innovate at all levels, to enhance their competitive advantage and performance.
In addition, continuous improvement and invention of technology and medicine also provides many opportunities for innovation in medical practice, and innovation has become a key capability of the medical organization. In addition to the impact of external factors, the medical industry has also begun to focus on the systematic management of knowledge and Informatization of all the process, and using information and communication technology to share knowledge with each other, reduce administrative costs, improve the quality of medical care, and integrated healthcare processes with relevant experience to promote the generation of innovation.
The literature pointed out that medical innovation is affected by many factors, but little research contingent healthcare innovation, and also lack of a complete definition and measurement. This study conducts interview with hospital administration and information professionals, and develop measurement items of medical information, knowledge management, and healthcare innovation. In addition, this study explore the external factors that influencing medical innovation, and to develop an assessment of the key factors. This study intends to help hospitals have a comprehensive understanding of the relevant factors that affect innovation, as well as develop a sound measure to assess the effectiveness of the implementation.

摘要 I
Abstract II
致謝 IV
目錄 V
表目錄 VIII
圖目錄 IX
第一章 緒論 1
1.1 研究背景與動機 1
1.2 研究目的 4
1.3 研究流程 5
第二章 文獻探討 7
2.1 醫療創新 7
2.1.1 醫療機構創新 7
2.1.2 病患價值創新 10
2.2 醫療知識管理 11
2.2.1 知識管理 11
2.2.2 醫療知識管理 12
2.3 醫療資訊化 13
2.4 關鍵外部因素 16
2.4.1 健保政策 16
2.4.2 醫院評鑑制度 18
2.4.3 智慧醫療服務 19
2.4.4 合作聯盟 21
第三章 研究方法 22
3.1 研究架構 22
3.2 研究設計 24
3.3 抽樣原則 25
3.4 資料蒐集 26
3.5 資料分析 27
3.6 信效度分析 30
第四章 分析過程與結果 33
4.1 編碼過程 33
4.2 研究發現 35
第五章 討論 54
5.1 醫院資訊化 54
5.2 醫療知識管理 55
5.3 醫療創新 56
5.4 外部環境因素 58
第六章 結論與建議 61
6.1 結論 61
6.2 管理意涵 63
6.3 研究限制 64
6.4 未來研究 65
參考文獻 66
附錄 73

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