醫療資訊系統之導入對組織之影響－ 以某區域教學醫院為例

The impact of introducing the hospital information system to the organization— A Regional Teaching Hospital Example

李瑞洋(Li Jui-Yang)

指導教授 ： 李佳玲

國立政治大學/商學院/會計學系/碩士(2021年)

https://doi.org/10.6814/NCCU202100507

摘要

近年來，「以病人為中心(patient-centered)」的概念逐漸被納入評鑑中，許多醫療院所因而引進醫療資訊系統(HIS)。本研究欲探討不同的背景及人格特質的使用者，對醫療資訊系統接受度的差異。本研究之個案醫院於2019年導入新的大腸鏡排檢系統，而該系統為醫療資訊系統(HIS)的其中一類，即臨床決策支援系統(CDSS)。
研究發現，新系統能降低病患的等候時間，且年資越高、內科、對系統抱持越正向看法者，對系統的接受度較高。而各項品質指標皆能達到標準，且導入新系統前後無顯著差異。本研究可作為日後醫療院所導入醫療資訊系統之參考，並使管理當局了解何種特質之使用者可能對新制度有較高的接受度，藉以設計相應的獎酬制度。

關鍵字

醫療資訊系統 ； 臨床決策支援系統 ； 等候時間

並列摘要

Recently, the concept of “patient-centered” has gradually been included in the evaluation of medical organization, which induces many medical institutions to introduce Healthcare Information Systems (HIS). This study aims to explore the acceptance of HIS among different users’ backgrounds and personalities. A teaching hospital in this study introduced a new arranging system for colonoscopy in 2019. This system served as the role of Clinical Decision Support System (CDSS) include in HIS.
This study found that this new system can reduce the waiting time of patients, and higher acceptance of the system was discovered in the senior doctors, internists, and users holding more positive views of the system. All quality indicators can reach the standard, and there is no significant difference before and after the introduction of the new system. This study’s results can be used as a reference for future introduction of HIS in medical institutions, and enable the managers to understand the characteristics of users who may have a higher acceptance of the new system, and design a suitable reward system for these users.

並列關鍵字

Healthcare Information Systems ； Clinical Decision Support System ； Waiting time

參考文獻

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