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透過網路調查個人對於健康紀錄之接受度

On the individuals' acceptance on personal health records: an Internet survey

Abstracts


近幾年電子病歷快速拓展,在病歷格式及交換已有不同的討論,政府提升醫療院所醫療資訊化及病歷電子化的推動,達到醫療院所病歷電子化及病歷互通,減少病人用藥重複及檢驗,降低成本提升照護品質;本研究藉此延伸個人健康紀錄的應用,瞭解民眾對於個人化電子病歷平台之接受度,民眾透過個人化電子病歷平台進行個人健康紀錄及就醫病歷查詢,從中管理自身健康狀況取得累積的就醫紀錄,期望達到就醫紀錄透明化,方便及時取得就醫內容與其親友及相關醫療人員討論病況,將病歷自主權回歸病人自身。本研究為採用驗證性因素分析,來獲得最佳解釋模型。知覺易用性可解釋知覺有用性74.7%之變異,知覺有用性與知覺易用性可解釋使用態度67.4%變異,其他相關變項可以解釋使用意願72.6%之變異。研究所建構之模型符合配適度,所得到結果也符合科技接受模式理論,大部分民眾對於推行個人化電子病歷平台均持正向態度願意使用,政府、醫院可針對個人化電子病歷平台的有用性、易用性進行推廣,並需注意民眾資料隱私及安全的保護機制,提升使用意願。

Parallel abstracts


This study aims to investigate how well people use the electronic medical record platform. They can make good use of their health records through personalized electronic medical record platform. By inquiring personal health record and medical record online, they are able to manage their own health conditions and understand their history of medical care. It is expected that medical records can be transparent so that people can have access to their records and discuss their conditions with their friends, relatives, and related medical personnel easily. The model for the best explanation is conducted through Confirmatory Factor Analysis. Perceived ease of use can explain the 74% variation of Perceived usefulness, while perceived usefulness and perceived ease of use can explain the 67.4% variation of users' attitude. Other variables can explain the 72.6% variation of users' willingness. The model constructed according to the study meets goodness to fit, and the results conform to technology acceptance model. Therefore, the government and hospitals can promote a personalized electronic medical record platform in terms of its usefulness and usability. Although most people have positive attitude toward the platform, the mechanism for the protection of information privacy and security shall be taken into consideration so as to promote their willingness to use it.

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