任務科技配適模式探討長照管理資訊系統使用成效之研究

An investigation of Long-term care management information systems' performance from the Task-Technology Fit Perspective

彭治豪(Zhi-Hao Peng)

指導教授 ： 李宜昌

中山醫學大學/健康管理學院/醫療產業科技管理學系碩士班/碩士(2017年)

摘要

近年來台灣國民的平均壽命逐年延長，老年人口急速增加，而慢性病和衰老導致的失能人口與日俱增，這些情形造成越來越多人需要利用長期照顧的資源，根據衛生福利部的統計與推估，2017年長期照顧的需求人數高推估為近74萬人，低推估為近66萬人，到2026年長期照顧的需求人數高推估為100萬人，低推估為92萬人，這顯示出長期照顧的需求勢必日益提高，而隨著需求的遽增所產生的問題也越來越多，像是長照機構人員的工作效率與績效，住民照護的資料保存等等，解決與改善上述問題的核心在於機構使用的資訊管理系統，因此本研究目的在於探討長照機構使用資訊管理系統的使用成效，利用任務科技配適模式，瞭解長照機構專業人員的任務特性、管理資訊系統的科技特性、系統與工作之配適程度、使用者滿意度與使用行為對於個人工作績效會產生如何的結果。本研究以問卷為研究工具，採便利取樣，總共回收125份問卷，有效樣本為121份，回收率16.67%，其中護理人員為67份。
　　研究結果發現：（1）科技特性對任務科技配適度有顯著影響；（2）任務特性與科技特性之交互作用對任務科技配適度有顯著影響；（3）任務科技配適度對使用者滿意度與使用行為有顯著影響；（4）使用者滿意度與使用行為相互有顯著影響；（5）使用者滿意度與使用行為對個人績效有顯著影響；（6）任務科技配適度對個人績效的影響不顯著，然而進一步針對護理人員深入分析的發現任務科技配適度對個人績效的影響卻是顯著的。針對上述的發現，本研究提出理論與實務上的建議。

關鍵字

長照管理資訊系統 ； 長照機構 ； 任務科技配適模式 ； 工作績效 ； 問卷調查

並列摘要

Increasing aging population and disabled elders makes Taiwan steps into aging society in recent decade. People of aging and with disabilities need the resources of long term care systems. According to the estimation of Minister of Health and Welfare in 2017, population between 660 thousands and 740 thousands of older adults need long term care services. The people who need these services will increase to 920 thousands to 1 billion in 2026. More and more requirement of long term care emerges the certain degree of pressure to facilities. The efficiency and performance of long term care management such as staff and data management can be improved by Long Term Care Information Systems(LTCIS). Therefore, how LTCIS fit with long term care tasks’ need is a key issue for long term care management. The purpose of this study is to explore the degree of fitness between tasks and IT functionality, and how this fit influence the staffs’ satisfaction with LTCIS, their usage, and their work performance in long term care facilities. A total of 750 questionnaire delivered to staffs in various long term care facilities and 121 questionnaire returned were valid which yielded as 16.67% of response rate. In these questionnaire, 67 were responded by nursing staffs. Six research findings derived from data analysis results: (1)IT characteristics have significant impact on the fit between task and IT(task-IT-fitness); (2)The interaction between task characteristic and IT characteristic has impact effect on task-IT-fitness; (3) task-IT-fitness has influences on users’ usage intention and their satisfaction on LTCIS; (4) users’ usage intention and their satisfaction on LTCIS have mutually impact each other; (5) users’ usage intention and their satisfaction on LTCIS have significant impact on long term care givers’ work performance; (6) compared with prior literature, task-IT-fitness has no significant influence on long term care givers’ work performance on the contrary. In depth, we divided the sample and did the path analysis on 67 respondents who were nursing staffs. The result revealed that for these nursing staffs task-IT-fitness has impact on their work performance significantly. This finding might provide the truth that current LTCIS should design more appropriate functions for the staffs other than nursing to improve these staffs work efficiency and effectiveness.

並列關鍵字

Long Term Care Information Systems (LTCIS) ； Long Term Care Facilities ； Task-Technology Fit ； Work Performance ； Questionnare Survey

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