以資訊系統成功模式探討中部某醫學中心導入床邊照護系統之效益評估

近年來於主管機關的帶頭下日漸於各行業朝向智慧化的發展，而且技術上也因為4G、5G科技的進步、物聯網運用的日漸成熟、大數據使用影響決策、雲端計算技術的快速發展，在醫療產業也帶來新的變革。從原有的單機(儀器設備)的使用，到現在各工作站皆能相互支援，為醫療帶來極大的創新與便利，也改變了醫療模式，進行相應衍生的概念「智慧醫院」，也不再只是個想法，而是被逐一落實。醫療院所的智慧化成為新趨勢，然而智慧醫院建置的前期時程較長，建置後的使用與帶來的成效目前仍缺乏實證。因此，本研究的研究目的是藉由問卷調查的方式，針對床邊照護系統之使用者在各面向的使用度及滿意度之效益評估。研究方法為針對中部已導入智慧醫院四區塊之一的床邊照護系統之醫學中心為研究對象，利用資訊系統成功模式作為理論基礎，以電子問卷調查法收集資料數據，從組織行為、系統品質、醫療資料品質、安全品質、服務品質、使用者意圖、滿意度、淨效益等八個構面，以研究樣本186份有效問卷進行分析與探討。根據研究結果顯示，智慧醫院的導入是有其效益的，然服務品質與系統品質是能影響滿意度的主要因素。本研究之結果能提供醫院管理者對於是否完整建置智慧醫院能有參考依據並提出適當的建議，期望能對醫療界，學術界及資訊界能有所貢獻。

Intelligent trades have been gradually developing due to the lead of the administration, and it also brings some new reforms to the medical industry with the technology improvement of 4G/5G、the maturing IOT usage、the decisive decision made in using Big Data、and the rapid development in cloud computing technology. Progressing from the use of individual medical machines to mutally assisstant work stations, it brings a huge innovation and convenience to the medical field, altering the methods of medical treatment, and the notion derived from this—"Intellectual hospital”, has been implemented gradually rather than just an idea. The intellectualization of medical facilities has become a new trend recently. Nevertheless, the preceding constructions of the intellectualized hospital are relatively long, and the usage and the effectiveness it will bring about after constructed are still lack of practical evidence so far.Therefore, the purpose of this study is:assessing the usage and satisfaction of the Patient Infotainment Terminal from different directions by questionaire. Our method is to study against the medical centers in the middle area of Taiwan that have introduced one of the four sections of intellectual hospital, the bedside care system. Utilizing the information system success mode as a theretical foundation, collecting datas from the aspect of information quality、system quality、safety and medical service quality、usage degree、user contentment、and benefits by electronic questionnaire, we collected 186 effective questionnaires in total as study samples to analyze and discuss. According to the study, the introduction of itellectual hospital has it’s benefits. however, the quality of system and information service are still factors that may influence the satisfaction degree.The result of this study provide hospital manager to consider as a reference, and it also gives some suitable advices against whether or not to build an intellectual hospital thoroughly, wish it would have some dedications to the medical、academic and information field.