遠距照護系統成效評估之研究

蔡宗宏 ； 莊碧焜

《電腦稽核》 23期 (2011/01) Pp. 113-135

https://doi.org/10.30007/JICTA.201101.0008

摘要

本研究透過回顧歷來重要之遠距醫療與遠距照護的文獻，簡述其演進過程。並針對效能評估的議題，進行深入的探討，歸納整理評估或測量的面向，界定為三大面向與八個指標，分別為技術面：包括系統品質，社會心理面：體制信任與隱私風險，管理面：服務品質、成本效益、滿意程度、使用意向、健康影響等。本研究之研究對象係以台灣中部曾經使用遠距照護系統的某鄉村社區居民為調查樣本，以訪員面訪方式進行調查，共獲得210份有效問卷。本研究發展之本土中文化多面向評估量表，預試問卷原為29題，經過相關之心理計量考驗之後，刪除3題，最後版本共計26題項。量表經過探索性因素分析與驗證性因素分析後，確定為八個因素，符合原預期之八個指標，並可解釋77.870%的解釋量。本量表證實具有良好信度與效度，確立了量表之適切性與可行性，可作為未來進一步研究之基礎。期望藉由本文之探討，激發學術理論與臨床實務的深入之探究與洞見，共同型塑與創造在地「安全、安心、安老」的照護網絡之美好願景。

關鍵字

遠距醫療 ； 遠距照護 ； 體制信任 ； 隱私風險

並列摘要

This article reviews important literatures on telemedicine and telecare, discusses deeply the issue of evaluating the effectiveness of such technology. The three key dimensions and eight sub-indictors have been identified. That is, technological dimension, including system quality; social psychological dimension, including institutional trust and privacy risk; and managing dimension, including service quality, cost benefit, satisfaction, use intention, and influence on health. The 210 elderly samples of this study were collected by face to face interviewed from rural community located in central Taiwan. The preliminary Chinese version of multi-dimensional telecare scale was validated by psychometric analyses to test the reliability and validity, and reduced the number of scale items from 29 to 26. Using exploratory factor analysis and confirmatory factor analysis methods, the eight factors were extracted that was consistent with proposed eight dimensions and explained 77.870% of the variance. The final Chinese version of multi-dimensional telecare scale demonstrated excellent reliability and validity, and it provided available and applicable measuring tool to evaluate the effectiveness of telecare.
Through this article, we hope to stimulate deeper exploration and insight of academic theory and clinical practice to help shape and create a better vision of aging in place.

並列關鍵字

Telemedicine ； Telecare ； Institutional Trust ； Privacy Risk