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本論文永久網址:

研究生:

李延浚

研究生(外文):

Yen-Chun Lee

論文名稱:

運用醫療管理系統改善醫務管理之研究-以大陸某醫療集團為例

論文名稱(外文):

A Study of Using the Hospital Information System to Improve Health Care Management

指導教授:

梁錫卿

、王淑卿

指導教授(外文):

Shyi-Ching Liang、Shu-Ching Wang

學位類別:

博士

校院名稱:

朝陽科技大學

系所名稱:

資訊管理系博士班

學門:

電算機學門

學類:

電算機一般學類

論文種類:

學術論文

論文出版年:

2013

畢業學年度:

102

語文別:

英文

論文頁數:

162

中文關鍵詞:

層級分析法、企業架構、資訊科技治理、醫療管理系統

外文關鍵詞:

Analytic Hierarchy Process (AHP)、Enterprise Architecture (EA)、information technology management、Healthcare Information System (HIS)

相關次數:

被引用:2
點閱:819
評分:
下載:85
書目收藏:1

List of Table ……………………………………………………………………………………………………….IX
List of Figures …………………………………………………………………………………..…………………..X
Chapter 1 Introduction ……………………………………………………………………………..…………1
1.1 Research Background ………………………………………………………….……………………..1
1.2 Research Motivation …………………………………………………………………………………3
1.3 Research Objective …………………………………………………………………………………6
1.4 Research Process …………………………………………………………………………………………8
1.5 Research Scope ………………………………………………………………….…………………… 11
1.6 Research Limitations …………………………………………………………………………………11
Chapter 2 Literature Review …………………………………………………………………………………13
2.1 Healthcare Information System (HIS) …………………………………………………..….…13
2.2 Evaluation system in medical institutions ………………………………………….………19
2.3 Technology Acceptance Model (TAM) ………………………………………………….………21
2.4 Related Theories on Enterprise Architecture (EA) …………………………………..………25
2.4.1 The reason and development of Enterprise Architecture (EA) …….….….25
2.4.2 The introduction of the United States government Federal Enterprise Architecture (FEA) Framework ………………………………………………………………………..30
2.5 The concept of Analytic Hierarchy Process (AHP) ………………………………………….39
2.5.1 Application and connotation of Analytic Hierarchy Process (AHP) ……………39
2.5.2 Steps of AHP ………………………………………………………………………………………..41
2.6 RFM Model ……………………………………………………………………………………………….43
Chapter 3 Research Design ………………………………………………………………………………..48
3.1 Study of medical management needs …………………………………………………………52
3.2 Study on the requirements of Healthcare Information System (HIS) ……………53
3.3 Functional requirements of healthcare management …………………………………..55
3.4 Improve the efficiency of medical management by Healthcare Information System (HIS) ………………………………………………………………………………………………………..56
3.5 Research propositions and research methods …………………………………………..56
3.5.1 Study on medical management needs ………………………………………………….58
3.5.2 Study on the need of Healthcare Information System (HIS) ……………………63
3.5.3 Functional requirements of medical management ……………………………67
3.5.4 Improvement of medical management through Healthcare Information System (HIS) ………………………………………………………………………………………………………..83
Chapter 4 Research Conclusion and Contribution ………………………………………………….89
Chapter 5 Suggestions for Future Study ………………………………………………………………….92
Reference ………………………………………………………………………………………………………..94
附錄一問卷（醫療管理系統需求研究） ………………………………………………………….99
附錄二問卷（IT服務組合指標調查問卷） ………………………………………………..103
附錄三問卷（醫療管理系統服務組合問卷） ………………………………………………..114
附錄四問卷（醫療管理系統效益問卷） ………………………………………………………..124
附錄五醫療管理系統需求研究問卷信效度分析 …………………………………………128
附錄六醫療管理需求結構方程模型與多元回歸分析 …………………………………140
附錄七 IT服務組合指標AHP圖表 ……………………………………………………………….144
附錄八醫療管理系統服務組合AHP圖表 ………………………………………………………..147
附錄九醫療管理系統效益問卷信效度分析 ………………………………………………..150
Table 2 1Healthcare Information System (HIS) ………………………………………………..18
Table 2 2 Standards for Enterprise Architecture (EA) …………………………………………27
Table 2 3 Comparison of Enterprise Architecture (EA) …………………………………………29
Table 2 4 Stone architecture ……………………………………………………………………………….47
Table 3 1 Technology Acceptance Model (TAM) data distributions …………………..61
Table 3 2 Results of Technology Acceptance Model (TAM) hypothesis …………………..62
Table 3 3 Comparison table of traditional RFM Model and medical analysis model ……………………………………………….. ……………………………………………….. …………………68
Table 3 4 Questionnaire of data distribution status of medical management system effectiveness ……………………………………………………………. ………………. ……………….…..85
Table 3 5 Descriptive statistics table of the cognitive of accuracy, reliability and consistency of the system ……………………………………….……………….…………….………85
Table 3 6 Descriptive statistics table of the cognitive of system response and the capability of help ………………………………………………………….…………………………….…………….…………….86
Table 3 7 Descriptive statistics table of the cognitive of information quality provided by the system ……………………………….…………………………………………………….………………87
Table 2 1Healthcare Information System (HIS) 18
Table 2 2 Standards for Enterprise Architecture (EA) 27
Table 2 3 Comparison of Enterprise Architecture (EA) 29
Table 2 4 Stone architecture 47
Table 3 1 Technology Acceptance Model (TAM) data distributions 61
Table 3 2 Results of Technology Acceptance Model (TAM) hypothesis 62
Table 3 3 Comparison table of traditional RFM Model and medical analysis model 68
Table 3 4 Questionnaire of data distribution status of medical management system effectiveness 85
Table 3 5 Descriptive statistics table of the cognitive of accuracy, reliability and consistency of the system 85
Table 3 6 Descriptive statistics table of the cognitive of system response and the capability of help 86
Table 3 7 Descriptive statistics table of the cognitive of information quality provided by the system 87
Table 3 8 descriptive statistics table of satisfaction with the system 88
Figure 1 1 research model 10
Figure 2 1 Technology Acceptance Model (TAM) 23
Figure 2 2 Federal Enterprise Architecture Reference Model 33
Figure 2 3 Steps of Analytic Hierarchy Process (AHP) 42
Figure 2 4 RFM Model 44
Figure 3 1 research framework 49
Figure 3 2 Verification of the research propositions concepts 57
Figure 3 3 Research architecture diagram 60
Figure 3 4 IT service composition index AHP class diagram 65
Figure 3 5 Function of orders follow-up management process 67
Figure 3 6 Function of updated orders follow-up management process 69
Figure 3 7 Case Lists 71
Figure 3 8 Case list-Process descriptions 71
Figure 3 9 Action items 73
Figure 3 10 Action items - Process description 73
Figure 3 11 Patient care 74
Figure 3 12 Patient care-Process descriptions 75
Figure 3 13 Health educations on drugs 76
Figure 3 14 Health educations on drugs - Process descriptions 76
Figure 3 15 Action items 77
Figure 3 16 Action list - Process descriptions 78
Figure 3 17 Sending management 80
Figure 3 18 Sending content modules 80
Figure 3 19 Sending management - Process descriptions 81
Figure 3 20 Sending query 82
Figure 3 21 Function of Orders Analysis Model 83

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