從社會認知觀點探討醫師專業知識分享

Understanding Medical Physicians' Knowledge Sharing: The Social Cognition Perspective

10.6182/jlis.2006.4(1.2).097

郭峰淵(Feng-Yang Kuo)；曾繁絹(Fan-Chuan Tseng)；劉家儀(Chia-Yi Liu)

知識管理 ； 知識分享 ； 醫療專業 ； knowledge management ； knowledge sharing ； medical expertise

圖書資訊學刊

4卷1&2期（2006 / 12 / 01）

97 - 114

繁體中文

本研究利用質性研究的訪談法蒐集醫師對專業知識分享的意見與作法，資料蒐集後以社會認知理論的個人、環境、行為互動關係觀點予以解析，並說明醫療專業知識分享行為的多元面向與影響因素。研究結果發現：受到醫院管理經營模式的轉型、醫師績效與薪資結構的改變，以及教學、研究、與服務的多項職責需求，使醫師間知識分享的互動與效果受到擠壓。此外，由於醫療不確定性以及同事情誼的維護，傾向以尊重他人專業意見為原則，一方面強化個人內在標準和行動後的自我評估機制，但可能因而阻礙了深入的知識分享或處理經驗的學習。最後本研究建議，醫學專業知識庫的系統設計與資訊服務應審慎評估醫療環境、科技、醫師三方面的相互影響程度。

The continuous progress in acquiring professional knowledge for medical professionals is considered as a critical successful factor in the health industry. Based on the Social Cognitive Theory, this study explores the reciprocal interactions of the environment, the medical physicians, and their practices to understand the factors that may impact the physicians' knowledge sharing activities. Our findings reveal that physicians' knowledge sharing may be impeded by the environmental factors such as the hospital's incentive system, the requirement for research and publications, and the uncertainty of medical practices. In addition, personal factors such as social efficacy and self-regulatory capability are critical to physicians' level of willingness to share their expertise. We conclude that the complexity of medical environment requires various knowledge sharing channels for successful knowledge sharing among physicians. We further suggest that the design of information technology-based knowledge management systems in the medical domain incorporate relevant personal, behavioral and environmental factors to facilitate effective knowledge sharing among physicians.

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