電子病歷所產生壓力對於病歷室人員工作疲憊與工作績效影響之研究

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电子病历所产生压力对於病历室人员工作疲惫与工作绩效影响之研究

The Impact of Stress from Electronic Medical Records on the Work Exhaustion and Work Performance of Medical Record Department Staff

张维晏 , 硕士　　导师：郭光明　　

繁体中文

电子病历；病历管理；病历资讯管理； electronic medical records ； medical records management ； medical information management

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摘要 │ 参考文献 (49) │ 国际计量

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Background and purpose: In recent years, our government units and medical institutions are actively planning and promoting electronic medical records. Not only to effectively using information technology to save manpower, resources and space, for medical institutions, but also to cut down the costs and to improve performance. However, the negative impact of information technology is slowly emerging, too. It is because the electronic medical records in the future are going to completely replace the paper medical records. The medical record department staffs could be negatively influenced by electronic medical records. This study is specifically for this phenomenon.
Materials and Methods: Based on the literatures of electronic medical records, five variables including techno overload, techno invasion, techno complexity, techno insecurity and techno uncertainty, are proposed and used to predict the determinants of work exhaustion and work performance of the medical record department staffs.
Results And Conclusion: Totally, 235 questionnaires were distributed and 204 valid questionnaires were collected. The response rate was 86.8%. The result was analyzed by the factor analysis (including reliability and validity test) and the structural equation modeling. In the five independent variables, the techno overload (β = 0.259, p< .001), techno invasion (β= 0.160, p < .05), the techno complexity (β = 0.257, p < .001), and techno uncertainty (β = -0.125, p< .05) could significantly predict the work exhaustion of the medical record department staffs. Further, work exhaustion (β = -0.377, p< .001) can be used to predict the work performance of the medical record department staffs. According to the result of the data analysis, this study recommends that the hospital organizational managers should regularly take the initiative to understand and improve the determinants of work exhaustion and the work performance of the medical record department staffs. The medical record department staffs can thus reduce the work exhaustion which was caused by the electronic medical records. In the view of this, the medical record department staffs can also improve their work performance.

参考文献 ( 49 ) 〈TOP〉

李婉怡, & 赵佩如. (2004). 医疗产业员工对电子病历之科技接受模式探讨－以中南部地区为例. 医务管理期刊, 5(2), 243-269.
连结：
李淑宜, 欧淑仪, & 张宏泰. (2015). 实施电子病历废除纸本保存之效益分析－以南部某医学中心为例. 病历资讯管理, 13(2), 1-18.
连结：
范碧玉, 刘珠婵, 周文钰, & 刘怡伶. (2009). 台湾病历管理从业人员对实施电子病历之态度调查. 病历资讯管理, 9(1), 44-55.
连结：
连淑君, & 龙李坤. (2013). 工作生活品质、工作压力与互作绩效之关联性研究－以海军军士官为例. 航运季刊, 22(1), 65-86.
连结：
庄静薇, 范碧玉, & 杨铭钦. (2010). 跨越病历资讯管理新时代－谈纸本病历数位化之策略. 病历资讯管理, 9(2), 72-83.
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使用DOI作为永久连结

引用含有DOI的文献

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。 如想对DOI的使用与概念有进一步了解，请参考 （ ） 。

DOI可强化引用精确性、增强学术圈连结，并给予使用者跨平台的良好使用经验，目前在全世界已有超过五千万个对象申请DOI。如想对DOI的使用与概念有进一步了解，请参考（）。