在政府積極的推動之下,全台大多數的大型醫療院所都已經具備相當規模的資訊電子化建設,在不久的將來,行醫的方式 也將會有很顯著的改變,特別在推動醫院的行動化資訊部份,也已成為現階段各醫療院所的執行重點之一。因此,本研究乃針對醫院內部的行動化,以台灣北部某醫學中心為個案醫院,在其準備導入行動資訊系統於醫護作業時,參與專案之相關管理人員(資訊人員、其他部門管理者)所考慮之關鍵因素、以及使用者(院內之醫護人員)對行動資訊系統於其工作中的接受度做為探討內容。 本研究主要分為兩個部份:首先,從各相關文獻中,歸納出產業環境因素、組織因素、行動資訊系統的特性三個構面,做為個案醫院參與導入專案之相關管理者導入行動資訊系統的主要考量因素層面,再依據問卷結果,分別整理出影響導入行動資訊系統的關鍵因素,總分排名發現:「行動資訊系統資料存取的安全性」為全部參與專案之相關管理人員表示關鍵的考慮因素;而單以資訊人員來看,「醫院的資訊基礎建設架構」為其最主要考慮之因素;其他部門管理者則以「行動資訊系統所產生磁場強度對醫院儀器和病人的影響」、「行動資訊系統資料的存取速度」、及「行動資訊系統資料存取的安全性」並列為主要優先考慮因素。 本研究的第二部份則是以使用者(醫師及護理人員)的角度,以其對行動資訊系統的需求和科技接受模式為架構,探討導入行動資訊系統於醫護作業上,使用者的接受度(認知易用性與認知有用性)。研究發現,醫師對於行動資訊系統功能之「使用動機」上、以及對行動資訊系統接受度「認知有用性」中的「環境」因素,和其對行動資訊系統使用意願有顯著的關係。而護理人員方面,對於行動資訊系統功能之需求(使用動機、搜尋醫學或辦公資料)、及對導入的接受度,特別在「認知易用性」的「資訊教育程度」、「系統」因素和「認知有用性」的「個人」、「環境」因素,皆與其對導入醫護作業工作中之使用意願有顯著相關。
Under the government’s vigorous impetus, most of the large-scale medical institutes have already built extensive informational infrastructure, especially hospitals, which are becoming information based organizations. In the near future, the way of practiced medicine would possibly undergo significant changes. So enhancing mobile information in hospitals has become a key goal for all medical institutions. This research was conducted in some medical centers in Northern Taiwan, during their process of incorporating mobile information technologies into their normal operations; it focuses on the level of importance of different factors considered by the personnel involved in the incorporation process and the level of acceptance for users of these technologies This research is divided in two sections: first, from related literature, summary the environmental factors, organization factor and the specific characteristics of mobile information technologies, to be the three principal factors taken into consideration by the relevant personnel (IT personnel, managers) during the process. Then, based on the result of questionnaires, find out the deciding factors that ensure the success of the process, demonstrate using the ranking system that “security of data transfer in mobile information technology” is the most important factor to be considered; from the perspective of managers, IT personnel consider “basic mobile infrastructure in the medical facilities” to be the most important factor; “the influence of the magnetic fields generated by the mobile devices on patients and medical equipments”, “the speed of data transfer for mobile information technology” and “security of data transfer in mobile information technology” are the principal factors in order to be considered by managers of other departments. The second section of this research examines the response of the users (doctors and nurses), taken into account their need by using Technology Acceptance Model (abbreviated as TAM), and finding the level of acceptance of the process of combining mobile information technology into daily medical operations. The result of the research shows that for doctors, there exists a strong correlation among the need for mobile information technology – the motivation to use the technology during work, the “usefulness” environmental factor in the level of acceptance of mobile information technology, and the desire to use these mobile systems. And for nurses, the correlation is among the need for mobile information technology (motivation to use, search for medical or operational information), the level of acceptance to the new technology (especially on factors such as “ease of use” in “level education on informational technologies” and “usefulness” in “personal” and “environmental” factors), and desire to use these mobile systems.