- 學位論文
後疫情時代的「資訊流行病」: 醫療資訊來源、機構信任與健康促進行為之間的關係
“Infodemic” on post-covid era : The relationship among medical information source, institutional trust, and health promotion behavior
摘要
本文藉由疫情期間廣受大眾討論的數位韌性議題和WHO在COVID-19大流行期間所提及的資訊流行病(Infodemic)概念，透過結構方程模型(Structural equation modeling, SEM)統計方式，針對醫療資訊來源、機構信任、健康促進行為幾大構面來建立模型分析，並納入充足資源評估構面來當作控制變數，確保模型是否穩定；新冠疫情持續捲土重來已成為常態，台灣在2024年七月又面臨第六波新冠肺炎疫情，後疫情時代全球逐步解封，但病毒的高變異性和全球化頻繁人員流動使得疫情控制變得更加複雜，藉由後疫情時代民眾在面臨資訊過載及受到政府、環境和社會所提供的資源，如何影響民眾健康促進行為的改變來做一系列的探討與建模，未來再遭受相關疫情時，可對實務提供可行之建議。 研究顯示，新聞媒體、網際網路以及醫療機構提供的資訊對於「資訊便利性」具有顯著的影響，透過不同來源獲得的健康相關資訊，可以提升民眾對於健康資訊的取得便利性，進而影響其健康行為。研究亦發現醫療信任及良好的醫病關係與疫情後的健康促進行為之間存在顯著的正向關聯，這些發現強調了在公共衛生危機中，增強資訊透明度與醫病互信的重要性，並指出改善資訊傳遞與醫病溝通策略，有助於提升社會大眾的健康行為與整體福祉。
並列摘要
This article leverages the widely discussed topic of digital resilience during the pandemic and the concept of an "Infodemic" mentioned by WHO during the COVID-19 pandemic. Using structural equation modeling (SEM), the research constructs a model to analyze major aspects such as sources of medical information, institutional trust, and health promotion behaviors, incorporating an adequate resources evaluation as a control variable to ensure model stability. As the resurgence of COVID-19 has become the norm, Taiwan faced the sixth wave of COVID-19 in July 2024. As the post-pandemic world gradually reopens, the high variability of the virus and frequent global human mobility make pandemic control more complex. This study explores and models how, in the post-pandemic era, people's health promotion behaviors change in the face of information overload and the resources provided by governments, environments, and societies. This research can provide practical recommendations for future pandemics. The research shows that information provided by news media, the internet, and medical institutions has a significant impact on "information convenience." Access to health-related information from various sources can enhance the public's convenience in obtaining health information, thereby influencing their health behaviors. The study also finds that medical trust and a good doctor-patient relationship are significantly positively correlated with health promotion behaviors after the pandemic. These findings emphasize the importance of enhancing information transparency and trust between doctors and patients during public health crises, pointing out that improving information dissemination and communication strategies can help enhance public health behaviors and overall well-being.