臺灣博碩士論文加值系統

在腎病(Kidney Disease)患數不斷攀升下，政府雖善盡各種衛教知識宣導活動，但資訊無法即時取得、資訊正確性未被確認、不能有效查詢，使得防治成效無法有效擴大。為此本研究提出「腎病資訊服務網架構」，以(1)加速腎臟衛教知識的傳播；(2)避免不實資訊所造成的傷害；(3)方便查詢與諮詢。
為使服務網架構能正確且有效，本研究透過(1)科技接受模式(Technology Acceptance Model)探討使用者對使用「腎病資訊服務網」之行為意圖(Behavior Intention)；(2)並透過對腎臟知識等相關文獻，歸納、轉化資料成知識；(3)根據腎病演化過程，建立防治階段/架構表(Prevention Phase/Architecture)；(4)依影響行為意圖之要因及架構表開發系統。
本研究成果發現，科技接受模式下各項假設均成立，且其(a)知覺有用性對行為意圖有正向影響；(b)知覺易用性對行為意圖有正向影響；另外，兩個外部變數(External Variables)；(c)自我效能(Self-Efficacy)對知覺易用性有正向影響；(d)主觀規範(Subjective Norm)對知覺有用性有正向影響，故驗證科技接受模式是適用於腎病資訊服務網之應用情境中。除此之外，本研究所建置之防治網(Prevention Information Website)，經滿意度調查結果顯示，不管是在系統設計、系統操作、資訊內容、互動機制、系統機制、自我學習及腎病知識等七大構面皆達高度滿意之效果。

In the case of kidney disease patients climbed, government made all kinds of health education knowledge advocacy activities. However, the information couldn’t instant acquire, correctness without confirming, and couldn’t effectively query, causing the effective of prevention and treatment couldn’t be expanded. Therefore, this research proposed a “Kidney prevention Information Website Architecture” to (1) speed up the spread of kidney health education knowledge; (2) avoid the mischief from false information; (3) easily inquire and consult.
To make the architecture of website correct and effective, this research (1) uses Technology acceptance model to discuss the users’ intention to consult “Kidney Information Website”; (2) generalizes and transforms kidney related literatures into knowledge; (3) follows the nephropathy evolution to establish a prevention phase/architecture; (4) refers the factors and architecture affecting the intent of use to develop system.
This research results discover if the hypothesis in the Technology Acceptance model are valid and (a) perceived usefulness has positive effect on the intent of use; (b) perceived ease of use has positive effect on behavioral intentions; otherwise, two external causes include (c) self-efficacy has positive effect on perceived ease of use; (d) subjective norms have positive effect on perceived usefulness. These verify Technology Acceptance Model applying to the application situation of “Kidney Information Website Architecture”. In addition to these, after the satisfaction survey, this research finds that the website is highly satisfied with the results in 7 dimensions including system design, system operation, information content, interactive mechanism, system mechanism, self-learning, and Kidney disease knowledge.

摘要......i
英文摘要......ii
誌謝......iii
目錄......iv
表目錄......vii
圖目錄......ix
第一章 緒論......1
1.1研究背景與動機......1
1.2研究目的......2
1.3研究流程......3
第二章 文獻探討......5
2.1科技接受模式(Technology Acceptation Model, TAM)......5
2.2 主觀規範(Subjective Norm)......6
2.3 自我效能(Self-Efficacy)......6
2.4 質性訪談法(Qualitative Interview)......7
2.4.1 KJ法(KJ Method)......7
2.4.2 焦點團體訪談法(Focus Group Interviews, FGI)......7
2.4.3 德爾菲法(Delphi Method)......7
第三章 研究方法......9
3.1 研究方法與步驟......9
3.2 科技接受模式(TAM)架構......10
3.2.1 分析影響行為意圖之問卷設計......11
3.2.2 分析影響行為意圖之問卷蒐集......13
3.2.3 影響行為意圖之問卷分析與結果......13
3.3 建立系統架構表......14
3.3.1運用KJ法確立系統雛形架構表......14
3.3.2 運用焦點團體訪談法(FGI)確認KJ法結果......16
3.3.3 運用德爾菲(Delphi Method)問卷確認FGI結果......22
第四章 實證研究成果......35
4.1 建置腎病資訊服務網......35
4.1.1 根據腎病資訊服務網架構表進行資料收集......35
4.1.2 透過ECRS(Eliminate, Combine, Rearrange, Simplify)整理衛教資訊......41
4.1.3系統開發......42
4.1.4 系統成果呈現......45
4.2 滿意度問卷設計......53
4.2.1 運用KJ法建置滿意度問卷雛形......53
4.2.2 運用焦點團體訪談法(FGI)確認KJ法結果......55
4.2.3 運用德爾菲法確認問卷適切性......60
4.3 滿意度問卷收集......68
4.4 滿意度問卷分析......68
第五章 結論......70
5.1 研究成果......70
5.2 管理意涵......70
5.3 未來研究方向......71
參考文獻......72
附錄一、以TAM探討影響使用者使用腎病資訊服務網之行為意圖要因之問卷......76
附錄二、建立腎病資訊服務網架構表之第一次德爾菲問卷......79
附錄三、建立腎病資訊服務網架構表之第二次德爾菲問卷......84
附件四、建立滿意度問卷架構表之第一次德爾菲問卷......90
附件五、建立滿意度問卷架構表之第二次德爾菲問卷......93
附件六、滿意度調查問卷......96
Extended Abstract......99

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