放射性藥品管理導入無線射頻辨識技術之研究

Applying RFID Technology to the Management of Radiopharmaceutical Agents

林政彥(Cheng-Yen Lin)

指導教授 ： 古思明

元智大學/管理學院/管理研究所/博士(2009年)

摘要

目標：高科技的導入，除了能幫助醫院更精準的改善內部環境，也可使得醫院內部資訊與外界供應商系統相互連結，透過供應鏈的概念，使得醫院與上游、下游產業增加更多的綜效。由於導入無線射頻辨識系統（RFID）成本甚高，醫院必須藉由全面的評估來考慮導入後的影響，以做為決策的參考。因此，除了須有完善的評估方法，醫院更應該循著系統化的導入依序建置RFID系統，才能將RFID在醫療產業中發揮極致效益。
方法：本研究透過文獻整理與探討，整理出相關題項，針對已導入RFID的醫院專家進行深度訪談與題項縮減，訂定出醫療院所導入RFID之績效評估指標，續針對國內已導入RFID的醫院工作人員進行問卷測量，藉由因素分析，歸納為重要因素與評估指標，融入個案醫院導入RFID應用實例開發。系統建置完成後，再依重要指標進行使用者滿意度與重視程度的測量，將理論驗證進行實務導入。
結果：透過文獻整理出319題項，經19位專家進行題項縮減，訂定出醫療院所導入RFID之績效評估指標114項，縮減率為64.26%，續針對國內已導入RFID的10家醫院內的128位工作人員進行問卷測量，歸納為六大因素26項評估指標，並對上述導入RFID效能評估的26項重要指標進行測量，對指標滿意度前三名的項目為「資訊的正確性」、「資訊的完整性」、「使用者的滿意度」、「所需等待時間」、「正確使用資訊的滿意度」、「讀取的便利性」、「問題解讀的正確度」、「對資訊系統整體滿意度」。依個人認知指標的重視程度，前三名的項目為「資訊的即時性」、「資訊的正確性」、「讀取的便利性」、「組織反應能力的改進」、「使用者的滿意度」。
結論：RFID的導入，能幫助醫療產業改善內部運作，並促進組織間系統的連結，使醫院上、下游廠商間產生許多綜效。由於導入成本甚高，醫界必須做全面的評估。本研究建立醫療院所導入RFID系統之績效評估指標，並且建構醫療部門導入RFID系統之應用模式。研究宗旨為透過本研究的建立，讓我國醫療產業更為蓬勃發展，人民普享健康的生活環境。

關鍵字

條碼，無線射頻辨識，系統導入，供應鏈管理，績效評估

並列摘要

Objectives: The introduction of technology enables the hospital to further improve the environment internally, and facilitates the connection with outer suppliers, which imply through the concept of supply chain, there is more synergy between a hospital and related industry. Since there is considerable cost of RFID introduction, a hospital should evaluate the overall impact before making decision. Therefore, not only a profound evaluation approach is essential, but also a hospital should follow system implementation in the process of facilitating RFID. Thus RFID can reveal its full effect in medical industry.
Methods: Our research concludes topics through literature review. After interviewing specialists from hospitals already deploy RFID and topic filtration, we set up performance evaluation index for RFID introduction. Afterwards, we performed questionnaire survey to staff from hospitals that already deploy RFID. Crucial factors and evaluation index are concluded by factor analysis, and apply them into our case study. After the deployment of RFID system, we measured user satisfaction and attention degree by key index.
Results: We originally concluded 319 topics through literature review, and 19 specialists were invited for topic filtration. Finally 114 indexes were determined for performance evaluation. The reducing rate was 64.26%. Then we performed questionnaire survey to 128 staff from 10 hospitals already deploy RFID. We concluded 6 crucial factors and 26 belonging evaluation index, which were put into measurement approach. In the category of user satisfaction, the ranking is “information accuracy”、 “information completion”、 “user satisfaction”、 “waiting period”、 “satisfaction of applying information”、 “reading convenience”、 “accuracy of interpreting problem”、 “satisfaction of information system”. In the category of individual attention degree, the ranking is “information immediacy”、 “information accuracy”、 “reading convenience”、 “improvement of organization response ability”、“user satisfaction”.
Conclusions: The deployment of RFID enables medical industry to improve interior operation, and facilitates the connection between related organizations, which improves synergy among them. Since there is considerable cost to deploy RFID, a hospital should make cautious evaluation in advance. Our research sets up performance evaluation index for deploying RFID, and develop an application model for medical system. This research aims to prosper our medical industry, and to provide people with healthier environment.

並列關鍵字

Barcode, Radio Frequency Identification；RFID, System Implementation, Supply Chain Management, Performance Evaluation

參考文獻

11. 國立臺灣大學環境保護暨職業安全衛生中心 (2008)，，(Retrieved May. 2008)。

33. 黃琡雅 (2005)，“醫療產業RFID應用規劃案簡介，於經濟部技術處示範性資訊應用專案辦公室”，《推動優質健康促進服務-醫療產業RFID推廣導入說明會》，台北：臺北市立聯合醫院中興院區。

39. 廖訓禎 (2002)，“未完成就醫程序提早離開急診之病患”，《Journal of Taiwan Emergency Medicine》，4 (2)，40-49。

42. 劉立 (2005)，“規劃案分析說明-於經濟部技術處示範性資訊應用專案辦公室”， 《推動優質健康促進服務-醫療產業RFID推廣導入說明會》，台北：臺北市立聯合醫院中興院區。

1. Adams, H.G., and Campbell, A.F. (1985), “Automated radiographic report generation using barcode technology,” AJR Am J Roentgenol, 145(1), 177-180.