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  • 學位論文

個人抗拒與群體抗拒對組織衝突之影響- 以醫院導入PACS系統為例

The Effects of Individual Resistance and Group Resistance on Organization Conflict:A Study of Implementing the PACS System in Hospitals

指導教授 : 洪為璽
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摘要


隨著資訊科技快速發展,許多企業開始導入資訊系統並將企業電子化視為企業的主要目標。使整體醫療產業朝利基化發展,因為不斷有新競爭者加入到這個逐漸趨於飽和的市場。因此,醫療院所也開始朝向電子化邁進,藉以改善作業流程,期望提升醫療效率與品質,以及醫院管理績效。在組織導入資訊系統時,如何成功導入為一大難題,克服使用者抗拒是最重要的因素之ㄧ。本研究探討「個人抗拒」是否會產生「群體抗拒」,「個人抗拒」、「群體抗拒」是否會產生「組織衝突」,並加入調節變數人格特質「開放性」、「謹慎性」、「外向性」、「友善性」、「神經質」探討人格特質是否會對個人抗拒與組織衝突有調節效果;另外也加入調節變數「部門文化」探討群體抗拒與組織衝突是否有調節效果。 本研究以曾經歷過PACS導入過程之醫院人員為研究對象,有效問卷共有156份,以SPSS 20及PLS 2.0為資料分析工具,並建立結構方程模型,檢定研究架構中各構面之關係。研究結果發現「個人抗拒」對「群體抗拒」有顯著影響,「個人抗拒」對「組織衝突」有顯著影響, 加入調節變數後,人格特質「開放性」會正向調節個人抗拒對組織衝突之影響;「部門文化」會負向調節群體抗拒對組織衝突之影響。

並列摘要


With the rapid development of information technology, many enterprises began to implement information system and e-business as a major goal of the enterprise. The overall development of the medical industry towards niche markets gradually and it has become saturated since many new competitors are joining the industry. Thus, hospitals have begun to adopt electronic techologies to improve workflow, enhance medical efficiency and quality, as well as hospital management performance. Thus, how to successfully implement information systems is a major issue to reduce user resistance. This study aims to investigate whether Individual Resistance will affect Group Resistance; whether Individual Resistance will affect Organizational Conflict; whether Group Resistance will affect Organizational Conflict; whether Openness, Conscientiousness, Extraversion, Agreeableness, Neuroticism will moderate the relationship between Individual Resistance and Organizational Conflict; and whether Department Culture will moderate the relationship between Group Resistance and Organizational Conflict. In this study, a total of 156 questionnaires were collected, and using SPSS 20 and PLS 2.0 as data analysis tools, and the structural equation model technique was utilized to verify the path relationships in the proposed research framework. The results found that Individual Resistance significantly affect Group Resistance; Individual Resistance significantly affect Organizational Conflict; Openness significantly moderate the relationship between Individual Resistance and Organizational Conflict; and Department Culture negatively moderate the relationship between Group Resistance and Organizational Conflict.

參考文獻


林東清、孫培真、徐景智 (2000)。影響資訊系統使用者抗拒行為之原因:以計劃行為理論為基礎之整合研究。資訊管理研究,2(2),1-26。
連俊瑋 (2005)。從使用者的觀點探討醫院PACS的使用與效益:兩階段研究。資訊管理學報,12(S),1-25。
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劉奇芝 (2012)。以調適結構理論與差異事件觀點探討醫院導入資訊系統過程之衝突與抗拒-以導入PACS為例。未出版之碩士論文,國立中正大學資訊管理研究所,嘉義縣。

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