醫學影像儀器保養管理系統之建置與成效評估

Development and Performance Evaluation of Medical Imaging Maintenance Management System

趙慶勇(Ching-Yung Chao)

指導教授 ： 邱泓文

臺北醫學大學/醫學科技學院/醫學資訊研究所/碩士(2014年)

https://doi.org/10.6831/TMU.2014.00068

摘要

隨著醫療科技的發展，醫學影像儀器越來越精密，故醫學影像儀器品質保證與儀器保養、維修紀錄就越顯重要。傳統上，使用紙本記錄單來紀錄醫學影像儀器所有的品保、保養、維修等紀錄，不僅不便於管理者的管理與監督，更可能因線上工作人員的疏忽，而造成紙本紀錄單的遺失，使得日後醫院評鑑作業時資料統整不易，影響評鑑工作。
本研究以醫事放射師及管理人員之觀點為出發點，使用Dreamweaver with PHP with MySQL利用「使用者自建模式」撰寫開發醫學影像保養管理與維修紀錄管理系統，自2011年上線至今，已經累積1萬4千多筆的資料，目前以每日20筆的資料量持續增加。成效評估方式是根據DeLone & McLean 資訊模型進行問卷滿意度調查與分析，問卷對象為北部某區域教學醫院使用此管理系統之醫事放射師、醫學工程師、維修工程師，針對資訊品質、系統品質、服務品質、使用者意願/使用、使用者滿意度、系統效益等構面
xiii
進行滿意度調查，以普查方式發出22份問卷，問卷回收率為100%，Cronbach’s α信度為0.83，問卷收集期間為2014年03月1日至2014年03月15日。
根據問卷調查結果顯示使用者滿意度達90%以上非常滿意，使用者有願意持續使用本系統，可見系統成效良好，實用性很高，能有效減少紙本管理，協助管理者管理文件事務工作，使用介面上非常容易操作，實務上使用者能用最少的精力使用。使用者自行設計系統，程式設計師就是醫療人員也減少了程式設計人員難以了解專業領域的困擾，目前醫療影像保養與維修紀錄管理系統為剛萌芽階段，可供參考之文獻極少，希望以實作之範例能提供各醫院發展醫療影像保養與維修紀錄管理系統之參考。另外本研究之成果也有助於醫療機構瞭解臨床資訊管理系統之滿意程度，作為探討大型資訊系統或醫療資訊系統之使用者滿意度、系統成功以及評估使用之相關學術研究之參考。

關鍵字

醫學影像儀器保養與管理系統 ； 資訊系統評估 ； Dreamweaver ； PHP ； MySQL ； 使用者滿意度

並列摘要

With the development of medical technology medical imaging equipment becomes more accurate. So the medical imaging equipment quality assurance, instrument maintenance and repair records become more and more important. Traditionally, paper records were used to record all medical imaging instrument quality assurance, maintenance, repair and other records. But such an approach is not suitable for management and supervision. Otherwise, resulting in the loss of paper records is more likely due to the negligence of staff on duty. Thus making the future hospital accreditation data integration job is not easy to effectiveness of the hospital accreditation.
Developing a suitable maintenance of Medical Imaging Maintenance Management System (MIMMS) to assist staff and managers will be very important. However, to develop a MIMMS and design processes for staff and programmers to be not easy. The objective of this study is to develop a MIMMS with management personnel and radiological technologists view points. In this study, we use Dreamweaver and PHP with MySQL by "End-User computing" mode to develop this MIMMS.
xv
Since 2011 MIMMS on the line, we had accumulated more than 14000 data. The current amount of data continues to increase 20 data daily. Effectiveness evaluation methods are questionnaire satisfaction survey and analyzed according to DeLone & McLean information model. The objects of questionnaire survey includes radiological technologists, medical engineers and maintenance engineers using this MIMMS in a northern regional teaching hospitals, for information quality, system quality, service quality user wishes / use, user satisfaction, system effectiveness facet satisfaction surveys. Total 22 questionnaires were collected during March 1, 2014 to March 15, 2014 with a response rate of 100%. The Cronbach’s α reliability was 0.83.
The survey results show that over 90% users are very satisfied for this system, and the user is willing to continue to use the system. This system has a good system performance, high availability and can effectively reduce paper management, help managers manage files affairs. Otherwise, use the interface is very easy to operate, the user can practice with minimal effort.
When users design their own systems, medical staff as programmer can reduce programming difficult to understand difficult areas of expertise. Currently MIMMS researches are preliminary, few literatures available for reference. I hope this study can create the examples to provide reference for the development of medical imaging maintenance and repair records management system for other hospitals. Another contribution of this study is to help healthcare organizations understand the satisfaction level of clinical information management systems.

並列關鍵字

Medical Imaging Maintenance Management System (MIMMS) ； Information Systems Evaluation ； Dreamweaver ； PHP ； MySQL ； User Satisfaction

參考文獻

皮世明、許通安、范錚強（2001.1）。影響資訊系統服務品質的因素研究。資訊管理研

財團法人醫院評鑑暨醫療品質策進會（2013）。102年度醫院評鑑基準及評量項目。

余珮蓉；曾琦琳（2005）。降低加護病房呼吸器耗損率之改善方案。慈濟護刊，7（6），

蔡宗宏、黃暉庭（2007）。醫療資訊系統成功模型之研究。醫管期刊，8（4），281~300。

黃興進（2002）。醫療資訊管理系統研究議題之探討。資訊管理學報，第九卷，101~116。