整合解構計畫行為理論探討遠距居家照護系統影響使用之因素

An Empirical Study on Using Factors of Tele-home Care Systems with Decomposed Theory of Planned Behavior

陳奕瑋(Chen, Yiwei)

指導教授 ： 黃維民

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(2013年)

摘要

台灣目前面臨著人口老化及疾病慢性化的問題，人口結構高齡化使得需要長期接受照護的人數增加，連帶其病患的家庭照顧者也需要負擔起相關的照護工作。近年來，醫療資訊科技的進步帶來全新的照護模式以及效能，遠距居家照護即為其中的一種。透過遠距居家照護模式，需要長期照護的民眾以及其主照顧者，能夠擁有更好的照護品質，同時也能減輕其家庭照顧者的負擔。因此，了解被照護者接受遠距居家照護模式之使用因素，就顯現出其重要性。
本研究整合科技接受模式、計畫行為理論、整合性模式等相關理論，並藉由過去相關文獻，加入「信任」變數，以解構計畫理論(Decomposed Theory of Planned Behavior, DTPB)為基礎，目的在於探討居家個案及其主照顧者對遠距居家照護系統的影響使用因素。本研究針對台灣東部地區現有遠距居家照護系統共250位使用者進行問卷調查，回收有效問卷112份，問卷有效回收率為44.8%，並利用統計軟體SPSS 17.0版及SmartPLS 2.0對資料進行分析。研究結果發現，行為態度、主觀規範、信任、認知有用性及系統品質會正向影響THC使用者的「行為意圖」，信任會正向影響行為態度、主觀規範以及知覺行為控制，認知有用性會影響行為態度，系統品質會影響認知有用性及易用性。整體模型解釋能力為66.1%。

關鍵字

解構計畫行為理論 ； 主照顧者 ； 遠距居家照護 ； 信任 ； 整合性模式

並列摘要

There are some problems such as aging population and chronic disease in Taiwan. More and more people need long-term care as well as their family members. In recent years, the advanced medical and healthcare technology leads us into the new healthcare styles. One of them is the Tele-healthcare system (THC). By THC, the patients and caregivers can enhance more healthcare efficiency and reduce their burdens. Therefore, to understand those factors which will influence patients and caregivers to use THC assumed to be quite important.
In this empirical study, Technology Acceptance Model (TAM), Theory of Planned Behavior (TPB), and B & P model were integrated. Moreover, based upon the Decomposed Theory of Planned Behavior (DTPB) with related critical literature, the factor of trust was developed into the conceptual model, trying to explore patients and caregivers’ using factors with Tele-healthcare systems.
We investigate the 250 patients and caregivers who use the THC currently in rural areas of eastern Taiwan and 112 effective questionnaires were responded. The statistical software package SPSS17.0 and SmartPLS were then applied for analysis. The results indicated that the attitude, subject norm, trust, perceived usefulness and system quality might have positive influence significantly on intention to use. The attitude, subject norm and perceived behavior control have also positive impact on trust. The perceived usefulness will influence attitude and the system quality will also influence perceived usefulness and perceived ease of use. The model can explain the variance by 66.1%.

並列關鍵字

Decomposed Theory of Planned Behavior (DTPB) ； Primary Caregivers ； Tele-healthcare Systems ； Trust ； B & P Model

參考文獻

29. 魏文欽，賴佳伶 (2011)。影響美妝網站使用意圖關鍵因素之實證研究。中華理論結構模式LISREL學會，4(2)，70-94。

68. Teo, T.S.H., Srivastava, S.C., & Jiang, I. (2008).Trust and Electronic Government Success: An Empirical Study. Journal of Management Information Systems, 25(3), 99-131.

31. 蘇建源，陳昭銘、阮金聲 (2010)。護理人員遵守資訊安全規範意向之研究。電腦稽核，22，50-62。

28. 蔡顯童，賴子珍，邱雅鈴(2011)。從多元觀點探討使用者對與電子書閱讀器的採用行為。電子商務學報，13(4)，841-872。

26. 蔡宗宏，謝輝龍，莊碧焜，蘇素匹 (2011)。遠距健康照護評估量表之發展與驗證。電子商務學報，13(2)，435-464。