- 期刊
延伸任務科技配適理論以探討疾病分類人員對於ICD-10-CM/PCS登錄系統之滿意度與績效
Extending the Task-Technology Fit Theory to explore Coders' Satisfaction and Performance of the ICD-10-CM/PCS Coding Systems
摘要
目的：2016年元旦起，健康保險申報門、急、住診費用改以ICD-10-CM/PCS（International Classification of Disease, 10th Revision, Clinical Modification/Procedure Coding System）申報，對醫院的資訊系統以及疾病分類人員均是一大衝擊。本研究主要探討科技特性、任務特性與電腦自我效能對任務－科技配適之影響以及任務－科技配適對滿意度、績效與持續使用之影響。方法：透過問卷調查法，以疾病分類人員為研究對象，回收有效問卷137份，並以結構方程模式進行分析。結果：科技特性與電腦自我效能對任務－科技配適呈正向影響；任務－科技配適對滿意度與績效呈正向影響；績效對持續使用呈正向影響。結論：ICD-10-CM/PCS登錄系統穩定性與及時性和電腦自我效能愈高，除提升疾病分類人員的編碼績效之外也提高登錄系統的滿意度及持續使用。
並列摘要
Objectives: ICD-10-CM/PCS (International Classification of Disease, 10th Revision, Clinical Modification/Procedure Coding System) has been implemented thoroughly since January 1, 2016 for the routine calculation of outpatient, emergency, and inpatient medical expenses. The implementation of ICD-10-CM/PCS will impact hospital information systems and coders. The purpose of this study is to explore the influence of the technology's characteristics, task characteristics, and computer self-efficacy on task-technology fit, and the influence of task-technology fit on satisfaction, performance, and continuance usage. Methods: The survey method was used to collect data from coders with experience using the ICD-10-CM/PCS coding system. In all, 137 valid questionnaires were gathered and analyzed via structural equation modeling. Results: The task-technology fit was significantly positively influenced by technology characteristics and computer self-efficacy. Satisfaction and performance were significantly positively influenced by the task-technology fit. Continuance usage was significantly positively influenced by performance. Conclusions: The higher stability and timeliness of the ICD-10-CM/PCS coding system and computer self-efficacy not only improves coders' job performance, it can also increase satisfaction and continuance usage of the coding system.