放射線醫師接受結構性報告相關因素探討

Factors That Influence Radiologists' Intention to Adopt the Structured Report System

陳錦杏(Chin-Hsing Chen) ； 黃少美(Shao-Mei Huang) ； 陳政男(Cheng-Nan Chen)

《中華放射線技術學雜誌》 31卷2期 (2007/12) Pp. 173-184

https://doi.org/10.30045/CJRT.200712.0012

摘要

醫學影像通訊標準(Digital Imaging and Communications in Medicine; DICOM)於西元二千年發表一個新的資訊物件--結構性報告(Structured Report; SR)，在無片化的醫療環境下正式宣告影像診斷報告結構化的可行性。本研究以橫斷式(cross-sectional)問卷調查法，針對國內醫院放射診斷科醫師(專科及住院醫師)共595人，進行自填式問卷調查。問卷總共回收189份，扣除遺漏值過多及不合邏輯的5份問卷後，有效問卷184份，問卷有效回收率爲31%。依據問卷調查資料分析，重要結果如下：一、放射線醫師的年齡、職稱、醫院評鑑等級及參加訓練課程意願對結構性報告特性認知、使用態度有顯著差異。二、結構性報告的特性認知、使用態度之間有顯著相關。三、結構性報告的特性認知、使用態度對使用意向爲正向高度關聯。一家醫院的價值不在於病床數目多寡，或是擁有多少昂貴儀器設備，而是在於是否能充分掌握醫院內部知識管理的運作，進一步擴大並傳承這些珍貴的醫療經驗。結構性報告能將流通在醫師工作流程上的資訊流，自動對應或簡單對應到組織管理的知識流程上，並可利用資訊科技的協助進一步建置「專家系統與知識庫(expert system and knowledge-based system)」，以尋求真正專家醫療的落實。

關鍵字

醫學影像通訊標準 ； 結構性報告 ； 科技接受模型 ； 醫學影像儲傳系統

並列摘要

In 2000, DICOM devised the Information Object--Structured Report (SR), and officially announced the feasibility of using such structured filmless imaging diagnosis report in medical systems. This study is based on the theory of the Technology Acceptance Model (TAM). The purpose of this study was to determine the related factors that affect radiologists' intention to adopt the Structured Report. The results will be provided to hospitals which adopt the Structured Report for reference in the future. We administered a cross-sectional questionnaire to 595 radiologists (both attending and resident doctors). SPSS10.0 was used for data analysis. There were 189 responses, of which 184 were valid (valid response rate was 31%). Five questionnaires with incomplete or illogical responses were excluded. According to the analysis, there were three major findings: 1) Age, position ranking, hospital's accreditation grade and participation in training resulted in significant differences in the acceptance of the Structured Report and the attitude toward its adoption; 2) There was a significant relation between the acceptance of the Structured Report and its adoption; and 3) There was a highly positive correlation between the acceptance of the Structured Report, and the attitude toward, and the intention to, adopt it. The value of a hospital is not determined by the number of wards nor the amount of its technological equipment. Rather, its value resides in the application of knowledge management, and furthermore, in expanding and sharing this medical asset with others. The Structured Report can easily correlate the information flow of medical procedures to the knowledge flow that an organization requires. Furthermore, information technology can be used to construct knowledge-based systems to help carry out even the most specialized medical treatment.

並列關鍵字

DICOM ； structured report SR ； technology acceptance model TAM ； PACS