民眾下載健康存摺資料影響因素之實證研究

何冠霖

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民众下载健康存摺资料影响因素之实证研究

An Empirical Investigation of the Factors that Influence Individuals to Download Medical Data from My Health Bank

何冠霖 , 硕士　　导师：郭光明　　

繁体中文

健康存摺；健康促进模式；个人健康纪录；认知障碍；认知自我效能；认知健康状态； My health bank ； Personal health record ； Perceived barriers ； Self-efficacy ； Perceived health status

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摘要 │ 参考文献 (76) │ 国际计量

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Background and purpose: My health bank, issued by the Ministry of Health and Welfare of Taiwan, aimes to make people to understand medical information more clear and enable people to get their medical record and medication knowledge conveniently. However, the system was applied rarely and the usage was not high till now, Why people did not want to apply My health bank is therefore the issue that should be understood and resolved. If people have difficulty and problem, it is necessary to help people to conquer the barrier and solve the problem in order to increase the application rate of My health bank. The aim of this study is to understand the influencing factors and enable people to make use of My health bank.
Materials and methods: According to Pender's health promotion model, the research model includes seven factors: perceived benefits, perceived barriers, self-efficacy, perceived health status, health value, cues to action, social influence. The study utilized survey methodology and questionnaires were used to collect responses from individuals that was over 20 years old and came to a large regional hospital in southern Taiwan. 
Results and Conclusion: Totally, 258 questionnaires were distributed and 221 responses were collected, resulting in a response rate of 86%. The results of discriminant analysis showed that perceived barriers, perceived self-efficacy, and perceived health status significantly predict the use of My health bank. Based on the results, it is inferenced that the possible reason that individuals not applying for My health bank may be due to the requirement of card readers, household numbers of the household registers, computer harware and software. On the other hand, those who have applied for My health bank are in better health. This study suggests that the government should lower the barriers for the application of My health bank by individuals. Futher, the “opt-out system,” proposed by the Australia’ E-health, can also be adopted to reduce these obstacles. Finally, to increase the numbers of application counters for My health bank among hospitals are also suggested.

参考文献 ( 76 ) 〈TOP〉

王瑞霞, & 陈彰惠. (2003). 由文献回顾检视潘得健康促进模式. 护理杂志, 50(6), 62-68.
连结：
史佳慧, 潘美连, 温信财, 何政勳, 李丽惠, & 王大为. (2015). 影响医院医师及资讯主管电子病历交换意图之因素. 医疗资讯杂志, 24(4), 13-26.
连结：
吴明苍. (2014). 健康促进生活型态量表编制之研究. 运动休闲管理学报, 11(4), 68-85.
连结：
吴姿莹, & 卓俊怜. (1998). 健康促进模式与健身运动促进. 中华体育季刊, 12(1), 51-62.
连结：
吕舒雯, & 戴美玲. (2013). 探讨某医疗机构之门诊民众对B型肝炎的认知及其筛检行为的影响因素. 护理杂志, 60(3), 51-63.
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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（）。