台大醫學中心住院醫師對e-Hospital期望之分析研究
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2002
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國內醫療院所的電子商務觀念與活動，不論在實務上或學術上，都還是起步階段。台大醫學中心於90年6月，正式提出國內第一個由醫療機構提供病患、院內醫護人員及策略聯盟之醫療診所具個人化、主動式之醫療諮詢及醫療保健規劃網站「台大醫學中心e-Hospital」，即是因應未來電子商務所成立的醫療資訊網路平台。目前國內醫療院所電子商務應用之研究，皆針對Business to Business（B2B）電子商務模式，例如：支援醫院與藥品等醫（衛）材供應商之間的業務往來、醫院與醫院間的轉診服務，以及醫院與健保局之間的保險業務等。至於醫院對病人之間的Business to Customer（B2C）電子商務模式，國內學術研究亦多所著墨，而對於醫院與醫護人員間Business to Employee（B2E）電子商務模式，卻少有著墨。
為了分析台大醫學中心住院醫師對於對目前醫療資訊網站（Intranet）所提供的功能及服務項目內容之滿意度，以及台大醫學中心e-Hospital醫療資訊網站系統B2E模式中的功能及服務項目內容之需求度，本研究從文獻中分析歸納出五大類功能及服務項目，以問卷調查量化研究方式，針對台大醫學中心551位住院醫師進行普查。問卷總回收率為65.38%，有效率為64.97%，本研究的結果與發現如下：
一、台大醫學中心住院醫師對目前醫療資訊網站（Intranet）所提供的功能及服務內容的總體感覺相當不滿意，即使以五大類功能服務來個別分析，滿意度也是偏低，此結果說明了台大醫學中心對於目前醫療資訊網站所提供的各項醫療資訊相關服務，仍有一段相當大的努力空間。
二、台大醫學中心住院醫師對於建置e-Hospital，將提供整合型之各項教學、醫療及研究支援服務的看法，大致上呈現同意的態度，對於e-Hospital將提供B2E模式之五大類功能服務的需要程度，台大醫學中心的住院醫師們認為很需要。
三、台大醫學中心的住院醫師對於五大類功能服務重要性優先順序分別為：（1）醫療門診住院服務、（2）醫療資訊系統服務、（3）醫療研究發展服務、（4）醫療繼續教育服務、（5）醫療行政管理服務，顯見住院醫師較注重醫療行為時醫療資訊的提供和運用的功能。
從研究結果中，研究者可以得知對於目前醫療資訊網站（Intranet）所提供的功能及服務內容的總體感覺相當不滿意，以及對於建置e-Hospital，將提供整合型之各項教學、醫療及研究支援服務的看法，大致上呈現同意且需要的態度，並且瞭解住院醫師五大類功能及服務不滿意及需要的項目，提出一些建議，進而改善台大醫學中心e-Hospital醫療資訊網站系統中B2E模式之功能及服務項目，甚至還可以提供一些建言，讓其他醫學中心在建置類似的醫療資訊網站系統時的參考。
The concepts and activities of e-commerce, whether in practiceor as an area of academic concern, are still at the early stage of development at every hospital in Taiwan. There were many studies about business to business (B2B) model and business to customer (B2C) model of e-commerce, but only a few studies about business to employee (B2E) model. The two purposes of this study were to investigate resident physicians’ satisfaction of using the functions and service content items provided by Intranet, and their expectation of necessity of the e-Hospital medical information B2E model system at National Taiwan University Medical Center (NTUMC). From analysis of the 319 copies (total return rate: 64.97%) of questionnaires, three major results and findings were summarized as follows: 1.Resident physicians at NTUMC were not satisfied with the functions and service content items provided by Intranet. Even by means of the five-category investigation, the degree of their satisfaction was still low. The results indicated that NTUMC had to make great efforts to provide them with better functions and service content items related to medical information. 2.Resident physicians at NTUMC agreed to build the e-Hospital medical information system providing them with support services of medical training, medical treatment and medical study. Through a five-category questionnaire survey of e-Hospital B2E model system, they felt that NTUMC needed to build the best e-Hospital medical information system and answer their requests. 3.The priority of the five categories of which resident physicians felt the degree of importance was: (1) medical out patients department (OPD) and ward admission service, (2) medical information service, (3) medical research and development service, (4) medical continuing education service, and (5) medical administration and management service.
The concepts and activities of e-commerce, whether in practiceor as an area of academic concern, are still at the early stage of development at every hospital in Taiwan. There were many studies about business to business (B2B) model and business to customer (B2C) model of e-commerce, but only a few studies about business to employee (B2E) model. The two purposes of this study were to investigate resident physicians’ satisfaction of using the functions and service content items provided by Intranet, and their expectation of necessity of the e-Hospital medical information B2E model system at National Taiwan University Medical Center (NTUMC). From analysis of the 319 copies (total return rate: 64.97%) of questionnaires, three major results and findings were summarized as follows: 1.Resident physicians at NTUMC were not satisfied with the functions and service content items provided by Intranet. Even by means of the five-category investigation, the degree of their satisfaction was still low. The results indicated that NTUMC had to make great efforts to provide them with better functions and service content items related to medical information. 2.Resident physicians at NTUMC agreed to build the e-Hospital medical information system providing them with support services of medical training, medical treatment and medical study. Through a five-category questionnaire survey of e-Hospital B2E model system, they felt that NTUMC needed to build the best e-Hospital medical information system and answer their requests. 3.The priority of the five categories of which resident physicians felt the degree of importance was: (1) medical out patients department (OPD) and ward admission service, (2) medical information service, (3) medical research and development service, (4) medical continuing education service, and (5) medical administration and management service.
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台大醫學中心, 住院醫師, 醫療資訊網站, e-Hospital醫療資訊網站系統, 電子商務, 電子企業, National Taiwan University Medical Center, Resident Physician, Medical Information Website（Intranet）, e-Hospital Medical Information System, e-Commerce, e-Business