影響民眾使用健康存摺系統意圖之因素研究

A Study on Factors Associated with The Intention of People to Adopt Health Bank

賴怡芳(YI-FANG LAI)

指導教授 ： 阮金聲

國立中正大學/管理學院/資訊管理系醫療資訊管理研究所/碩士(2016年)

摘要

摘要
隨著人口老化及慢性疾病盛行率的增加，引起的高醫療花費也成為國家健保財務的重大負擔。因此，如何有效兼顧就醫便利性與舒緩健保財務壓力，將是全民健康保險必須努力克服的問題。另方面，由於科技的進步與網路的快速發展，科技產品與網際網路互相激盪促進，越來越深入民眾的生活，網際網路早已成為民眾生活不可或缺的部分。有鑑於此，衛生福利部中央健康保險署於民國103年9月推動結合網際網路與醫療資訊的「健康存摺」系統提供民眾使用。不但可以讓醫療資訊更加透明、便民，也寄望藉由健康存摺的實施，減少不必要或重複的就醫行為，並改善健保財務問題。
本研究以解構計畫行為理論為基礎，以問卷調查法進行資料收集，共計發放380份，得有效問卷239份，並以部份最小平方法來建構結構方程模式，驗證本研究假說，研究結果顯示，知覺有用性、知覺易用性、相容性、外部影響、人際影響、親人影響、電腦自我效能、促進條件、態度、主觀規範、知覺行為控制與行為意圖具有顯著影響關係。而健康意識、知覺風險、健康識能與行為意圖則無顯著影響，期望能藉由本研究提供結論及建議給相關單位做為參考依據。

關鍵字

健康存摺系統 ； 解構計畫行為理論

並列摘要

Abstract
As people aged and prevalence rate of chronic diseases increases, higher medical expense becomes a huge finance burden to our nation’s universal health insurance system. As a result, how to take care both the convenience of seeking medical advice and ease of finance burden to health insurance would be a tough problem for our universal health insurance system to solve. On the other hand, as technology advances and internet rapidly grows, technology products and internet become popular and indispensable among daily life of people. In that way, National Health Insurance Administration offers health bank service integrated with internet and health information for people to use. Implementation of Health bank service not only makes health information more transparent and easy to use but also reduces non-necessary seeking medical advice and improves universal health insurance financial problems.
This study aims to design a model of the factors affecting the intention of people to adopt Health Bank Service. The proposed model is based on the theory of Decomposed Theory of Planned Behavior and data is collected through distributed questionnaire. 380 copies of questionnaire were distributed and 239 copies of questionnaire were collected. Partial Least Squares were employed as data analysis tools to confirm our hypotheses and test against the research model. The findings of the study reveal that perceived usefulness, perceived ease of use, compatibility, external influence, interpersonal influence, family influence, computer self-efficacy, facilitating conditions, attitude, subjective norm, perceived behavioral control and behavioral intention can be critical predictors of intention of people to adopt health bank service. The results also suggest that health consciousness, perceived risk, health literacy and behavioral intention would not be critical predictors of intention of people to adopt health bank service. The study hopes to provide findings and suggestions to associated government departments for reference.

並列關鍵字

Health Bank ； Decomposed Theory of Planned Behavior

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