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  • 學位論文

在職場健康促進方案中個人健康紀錄裝置使用意願之個案研究--以B保險公司為例

A Study on the Use Intention of Personal Health Record in Health Promotion Program in Workplace-- A Case Study of Insurance Company B

指導教授 : 林福仁

摘要


職場健康促進已成為公共衛生推廣要項,而隨著科技進步,職場健康促進方法已由傳統形式加入新媒介,包含穿戴式裝置等多元方式。個人健康紀錄(PHR)應用於職場健康促進固然提升管理的效率與使用者便利性,但也因在企業組織營運情境脈絡下,產生其他疑慮與問題。過去關於個人健康紀錄裝置之研究,多探討對其使用之意見調查與看法,或針對普遍大眾進行研究使用意願之影響因素,未見針對組織或其他脈絡情境下探討使用意願影響因素之研究。本研究擬透過個案研究,了解在職場中健康促進之情境下,影響使用個人健康紀錄裝置意願之因素。 本研究採用整體性單個案研究設計,將B保險公司視為代表性之個案,並以質性研究-訪談法與量化研究-問卷調查法進行研究。透過質性研究訪談法,邀請B公司健康促進推廣負責人及PHR裝置使用者-公司職員進行訪談,針對本研究之PHR發表其觀察、體驗與觀點,藉多方角度了解組織推動健康促進方案中對於PHR之意見;另一面採用問卷調查法,廣泛性了解B公司員工對於組織推動健康促進方案中PHR使用意願影響因素,以全面性了解組織健康促進進行狀況。 本研究以問卷調查法進行統計分析,顯示「組織健康促進文化」程度、「裝置近用性」、「年齡」、「人際支持」四項為職場健康促進方案中顯著影響PHR使用意願且呈現正相關。除上述四項,質性研究中也發現使用者對於「裝置近用性」、「資料隱私性」及「紀錄行為隱私性」等三項較為關注。 結論:本研究以個案研究的方式探討職場情境中PHR使用意願之影響因素。有別於個人自由採用PHR的,職場情境中有其特殊性,得作為未來相關研究或組織推行職場中PHR推行之參考。

並列摘要


Workplace Health Promotion (WHP) is a critical issue in public health. In a contemporary society, new methods have been introduced to this field, such as wearable devices. The personal health record (PHR) is an efficient and convenient way to WHP. However, in the context of organizational operation, there are some concerns about this method. Previous studies focused on users’ experiences or factors influencing the willingness to use PHR. These arguments do not analyze how an organizational context can influence an individual’s willingness. This research aims to fill this gap by analyzing the factors that facilitate an individual’s willingness to use personal health recording device through the case study. In this research, I use a single-case holistic design of Company B. I used a mixed method, including qualitative and quantitative methods, to conduct this study. I interviewed managers and employees, who are also PHR users, to understand their observations and their thoughts on the PHR. Meanwhile, I also surveyed to understand the factors essential in the decision process. This study found that the organizational health promotion culture, the accessibility of the device, age, and interpersonal support are the four significant factors that facilitate the use of PHR. The interview suggests a similar result. The accessibility, the privacy of the record, and the privacy of the recording process are the key in the decision-making process. In conclusion, this research analyzed the factors that affect individuals’ willingness to use PHR service. Different from an individual’s personal preference, the organizational context is an essential factor needed to be emphasized in future policy.

參考文獻


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