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電子化病歷交換之關鍵因素 Crucial Factor Influencing The Introduction of Electronic Patient Record Interchange Among Hospital

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電子化病歷交換之關鍵因素

Crucial Factor Influencing The Introduction of Electronic Patient

Record Interchange Among Hospital

郭光明a Kuang-Ming Kuo a奇美醫學中心 洪銘建b Ming-Chien Hung 蕭如玲b Ju-ling Hsiao b國立中正大學資管所

mkuo@mail.chimei.org.tw chemy@mis.ccu.edu.tw ng5012@mail.cyccatv.net.tw 摘要 隨著衛生署陸續推動病歷電子化及病歷共享試辦計畫,跨院間進行病歷交換似乎 是未來必然之趨勢,但各醫院在健保給付條件日漸嚴苛的狀況下,是否願意另外 再投入成本與其它醫院進行電子化病歷交換尚無法確定,而影響醫院與醫院間進 行電子化病歷交換之因素為何亦屬未知,因此有必要針對這些問題進行深入之研 究。本研究以社會交換理論及交易成本理論為基礎,從社會及經濟兩個構面,提 出 6 項影響醫院採用電子化病歷交換因素的假說,並透過區別分析來驗證本研究 所提出的假說。研究母體為國內所有區域級以上醫院,調查樣本共寄發 86 份問 卷,回收有效問卷 36 份,有效回收率為 42%。,研究結果發現:影響力、預期 效益、不確定性及相互投資等因素能夠有效的區別影響醫院採用電子化病歷交換 關鍵詞:社會交換理論、交易成本理論、電子化病歷交換 6

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