任務-科技適配度對行動裝置應用於遠距醫療影像系統之實證研究-以台灣中部某醫療機構為例

An Empirical Study of Task-Technology Fit Model on Teleradiology System in Healthcare Organizations by the Application of Mobile Devices in Central Taiwan

黃大維(David Huang)

指導教授 ： 黃維民

國立中正大學/管理學院/資訊管理學系/碩士(2014年)

摘要

財團法人醫院評鑑暨醫療品質策進會及國際醫療品質認證（JCI，Joint Comission International）落實在醫療院所評鑑之精神，再再強調醫療院所必須「以病人為中心」為經營方針，而各層級醫療院所也努力將醫療品質做到最好，而影像醫學檢查結果自然而然擔負起臨床醫護最重要之參考指標及診斷利器。
遠距醫療的目的，因應醫療品質需求而蓬勃發展，其特性可以兩句話來概括：「打破時空限制」和「資源共享，節省成本」。就前者而言，遠距醫療快速傳輸及無遠弗屆的特點，能夠爭取診療時效，對急症及重大疾病患者來說是莫大的福音；而涵蓋面無限的網路世界，將醫學中心的醫師和護理人員的專業知識與服務，提供給偏遠及離島地區的民眾、醫師和護理人員，使病患不需親身至大醫院求診，醫師可透過本系統進行視訊會議、遠距教學以及隔空會診等。就後者而言，透過電腦網際網路上的應用，使醫療中心不用重複投資購買昂貴的醫療器材與設備，同時利用遠距醫療網路系統，在偏遠的地區的小型醫院及診所的醫師，可即時且互動式的得到大型醫學中心專家的專業顧問與諮詢，病人無須耗費時間金錢轉診到大型醫院，如此可以提昇醫療服務水準，亦可節省許多龐大的醫療成本及提供患者能在最短時間得到最準確的臨床診斷。
利用行動裝置與醫療系統做結合與應用，讓醫療過程及醫療行為與Ｅ化結合，除了可改變原本的醫療流程，利用遠距醫療影像系統更能有效改善臨床醫療的會診機制，並在第一時間提供影像診療資訊，讓第一線醫護人員做出最即時性的醫療處置行為，確實的提升病患就醫之醫療品質及符合醫院評鑑“以病人安全為中心”之理念，亦可讓臨床醫療人員瞭解現今醫療環境的需求以及為提升病患的照護品質，現今醫療行為與資訊科技結合的趨勢，並以任務/科技適配度模式(TTF)為研究架構，進而瞭解醫療人員對於將行動裝置與遠距醫療影像系統結合之接受度、使用意願與實際使用後對於臨床醫療行為的改變。

關鍵詞: 以病人為中心、行動裝置、遠距醫療網路系統、任務/科技適配度模式

關鍵字

遠距醫療網路系統 ； 行動裝置 ； 以病人為中心 ； 任務/科技適配度模式

並列摘要

Taiwan Joint Commission on Hospital Accreditation and JCI (Joint Comission International）implement the spirit of the evaluation in hospitals. Amassing medical institutions must emphasize "patient-centered" approach to business. The medical institutions at all levels are also trying to do the best quality of care, the medical imaging findings naturally take care of the most important clinical and diagnostic tool reference index.
The purpose of telemedicine, in response to booming demand for quality of care. Its characteristics can be summarized in two words：「To break the constraints of time」and「Resource Sharing and Cost savings」. In the former case, telemedicine fast transmission and far-reaching features be able to fight aging clinics. For patients with acute and critical illness is a great gospel, the unlimited coverage network in the world, the medical center physicians and nurses and service expertise, available to people in remote and outlying areas, physicians and nurses, so that patients do not need personally to large hospital for treatment. Physicians may be video conferencing, distance learning, and so on through the system taking a consultation. In the latter case, through the application of computers on the Internet, so medical centers need to repeat expensive medical equipment to invest and equipment. While using telemedicine network system, physicians in remote areas of small hospitals and clinics, immediate and interactive large medical center to get expert professional consulting and advisory. Patients do not need to spend time and money to large referral hospital. So can improve the standard of health care services, can also save a lot of huge medical costs and provide patients can get the most accurate in the shortest time clinical diagnosis.
The use of mobile devices and applications in conjunction with the health care system to do. Let medical procedures and medical practices combined with digital, in addition to changing the original medical procedures. Imaging systems using telemedicine consultation mechanism is more effective in improving clinical care, and to provide medical image information in the first time to the first line health care workers to make the most immediate disposal of medical behavior. Indeed enhance the quality of care of patients with medical and hospital accreditation in line with the "patient safety center" concept, also allow clinical staff to understand the needs of today's health care environment and to enhance the quality of patient care. Today medical practices and information technology combined with the trend, and task / technology adaptation of the model (TTF) for the study of architecture. Further understanding of the medical staff to accept the combination of mobile devices and remote medical imaging systems degree, for clinical behavior change after use will and actual use.

Keywords: patient-centered, mobile devices, telemedicine network system, the task / technology adaptation of the model

並列關鍵字

telemedicine network system ； mobile devices ； patient-centered ； the task / technology adaptation of the model

參考文獻

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