電子病歷系統對醫師門診工作績效表現的影響

A study on the influence of electronic medical records system on the performance of physicians’ outpatient work

徐武傑(Wu-Chieh Hsu)

指導教授 ： 陳志成

元智大學/資訊學院/資訊社會學碩士學位學程/碩士(2013年)

https://doi.org/10.6838/YZU.2013.00036

摘要

本論文之研究目係探討態度、主觀規範及電腦自我效能對電子病歷系統使用行為，及使用行為對個人績效表現之影響。本研究收集北部某區域教學醫院的69個研究樣本進行統計分析。依據美國病歷學會對電子病歷發展階段之報告指出，研究個案醫院目前進行的階段係以醫療提供者為主的電子病歷階段，又稱為電子醫療紀錄 (Electronic Medical Records, EMR) 階段，醫護人員於看診或提供醫療照護時，了解病人的資訊主要以參考電子病歷資料為主。隨著醫院導入越來越多的資訊科技，了解資訊科技對於個人工作績效的影響已日趨重要。研究發現行為信念對於電子病歷系統使用行為達顯著的影響，採用電子病歷系統行為會提升個人績效表現。
本研究在學術方面之貢獻，在於以醫療機構第一線門診醫師為研究對象，收集醫師使用電子病歷系統之觀點，結合客觀的資訊系統進行統計資料，以實際醫師開診、結束時間及看診病人數的電腦紀錄，作為門診作業績效表現衡量之指標。另外，在探討個人績效表現部分，本研究驗證電子病歷系統使用行為對促進績效表現具有提升之實證價值。

關鍵字

電子病歷 ； 理性行為理論 ； 電腦自我效能 ； 績效表現

並列摘要

The objectives of this study were to investigate the influence of attitude, subjective norm and computer self-efficacy on electronic medical records system behavior and individual performance. Sixty nine samples in a regional teaching hospital were collected for statistical analysis. According to the report of U.S. Medical Society on the stage of development of electronic medical records, which is on the stage of health care provider based electronically medical records, also known as electronic medical records (EMR) stage, the medical staffs would consult the computer-based medical records to make a diagnosis or providing health care.
Understanding the information technology for individual on improving job performance has become increasingly important as this kind of technologies were introduced into hospitals as many as possible. This study had found there were statistical differences on behavioral beliefs to the electronically medical system behavior; however, a statistical influence on the subjective norms to individual performance was concluded. Adopting the electronic medical records system did improve individual performance.
The academic contribution of this study was to collect the valuable viewpoints from the first line of ambulatory care physicians in medical institutions and combined with objective information system to progress the statistical analysis where the physician’ clinic time in the beginning and the end, number of patients’ electronic medical records were used as an index to evaluate the outpatient operating performance. Besides, this study also verified that the electronic medical records system behavior had showed empirical value for promoting individual performance.

並列關鍵字

electronic medical records ； theory of reasoned action, TRA ； computer self-efficacy ； performance

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