醫院資訊系統應用實踐歷程之社會效果分析 －以醫令資訊系統為例

A Social Consequences Analysis in the Enactment of Hospital Information Systems(HIS)-in-Practice: Take Computer Physician Order Entry Systems(CPOE) for Example

龔鴻裕(Hung-Yu Kung)

指導教授 ： 宋鎧

國立中央大學/管理學院/資訊管理學系/博士(2006年)

摘要

本研究採取探索性研究方法探討醫院資訊系統應用(Hospital Information Systems(HIS)-in-Practice)之實踐歷程(The Enactment of HIS-in-Practice)。藉由聚焦於資訊系統實際使用行為(actual usage)，探索醫院資訊系統應用如何被組織所定義、如何執行與如何使用等相關社會效果(Social Consequences)議題，以釐清醫院資訊系統應用與持續應用醫院資訊系統之作為(Ongoing, situated use of HIS)之關係。
本研究發現組織成員在長期、持續使用資訊系統的行為中，透過學習與反思的過程，逐漸提升本身的資訊素養與對資訊系統的瞭解，逐漸淡化資訊系統之創新科技特質，掌握資訊系統實際功能，進而於資訊系統應用之實踐歷程中，依組織策略調整資訊系統之角色與定位，扭轉於系統設計、發展與導入階段的科技主導，而形成組織主導的現象。
本研究歸納出六個研究命題，用以說明資訊系統應用之實踐歷程即是組織依本身策略，重新定義資訊系統角色定位並落實之歷程；而在系統長期使用下，資訊系統應用除提升組織常規的效率性外，亦逐漸成為管理權限制專業權的重要手段與工具。

關鍵字

醫院資訊系統應用 ； 醫院資訊系統 ； 資訊系統應用實踐歷程

並列摘要

This exploratory research investigates the Enactment of Hospital Information Systems(HIS)-in-Practice. Through focusing on actual usage of information systems, this study explores some social consequences about how to define HIS-in-Practice by organization, to implement and use in order to distinguish the relationship between HIS-in-Practice and ongoing, situated use of HIS.
This study analyses the actual usage of information systems in long term or continue-used by organization members. Through the process of learning and introspection, organization members gradually extend their understanding and accomplishments of information systems and weaken characteristics of creating new technology in information systems, well-controlled the actual function of information systems, therefore; in the Enactment of HIS-in-Practice, in terms of organization strategy to adjust the rules and orientations of information systems to reverse the system design, develop and implementation of technology-orientated to organization-orientated.
This study argues six research propositions in order to explain the Enactment of HIS-in-Practice is the enactment according to the strategy of organization, re-identify rules of information systems as well. Due to the long-term use of systems, the application of information systems could increase not only the efficiency of organizational routine but gradually become an important means and tool of management system limit profession.

並列關鍵字

HIS-in-Practice ； Hospital Information Systems(HIS) ； Enactment of Information System(IS)-in-Practice

參考文獻

121. Poulsen, J.(2003), “醫療事故原因分析”, 如何建構病患安全環境研討會, 中華民國醫師公會全國聯合會

162. 台灣地區醫療機構現況及醫院醫療服務量統計(2003), 行政院衛生署.

203. 黃興進(2002), "醫療管理資訊系統研究議題之探討", 資訊管理學報, 9(專), 101-116.

3. Bailey, J.E. and S.W. Pearson(1983), “Development of a tool for measuring and analyzing computer user satisfaction,” Management Science, 29(5), 530-545.

4. Bancroft, N.H.(1992), New partnerships for managing technological change. NY: John Wiley and Sons, Inc.