整合自我效能、信任、組織支持與動機因素探索醫療知識庫系統之使用意圖－以台灣某教學醫院為例

The Integration of Self-Efficacy, Trust, Organizational Support, and Personal Motivation to Explore Behavioral Intention of Health Knowledge Repository Systems-an Empirical Study of Teaching Hospital

10.29767/ECS.200809.0005

黃暉庭(Hui-Ting Huang)；蔡宗宏(Chung-Hung Tsai)

自我效能 ； 制度信任 ； 人際信任 ； 組織支持 ； 醫療知識庫 ； Self-Efficacy ； Interpersonal Trust ； Institutional Trust ； Organizational Support ； Health Knowledge Repository Systems

Electronic Commerce Studies

6卷3期（2008 / 09 / 30）

377 - 409

繁體中文

本研究以技術接受模式為基礎，整合自我效能、信任、組織支持與動機因素，以解釋台灣某教學醫院員工對知識庫系統之使用意圖。經過相關分析、迴歸分析與變異數分析之驗證。研究結果發現：(1)易用性認知、制度信任、人際信任、組織支持分別對有用性認知、主觀規範、愉悅性認知均有正向顯著性的影響。(2)有用性認知、主觀規範與愉悅性認知對醫療知識庫系統的使用意圖也均有正向顯著性的影響。(3)值得注意的是：輸出品質對有用性認知與愉悅性認知的影響均不顯著，而人際信任與制度信任對兩者的影響卻都顯著，顯示信任因素的重要性比輸出品質來的重要。(4)在差異性分析方面，性別、主管與非主管、職務類別對某些研究變項有顯著差異，而年齡、學歷、年資等變項對所有研究變項則無顯著差異。本研究可以作為未來研究之基礎，且當知識庫系統最初引進於醫院時，也可以提供給組織管理者一些實務的洞視與方案。

Based on TAM (Technology Acceptance Model), the purpose of the present study is to integrate self-efficacy, trust, organizational support, and personal motivation into TAM to explain the behavioral intention of health knowledge repository systems of one teaching hospital's employees in Taiwan. The findings show: (1) perceived ease of use, institutional trust, interpersonal trust, and organizational support all have significantly influence on perceived useful, subjective norm, and perceived enjoyment. (2) Our findings also suggest perceived useful, subjective norm, and perceived enjoyment as three important antecedents directly influence users' intention to use system. (3) In addition, among the antecedents, output quality hasn't significant influence on perceived useful and perceived enjoyment. Furthermore, interpersonal trust and institutional trust are two significant determinants of perceived useful and perceived enjoyment. That is, interpersonal trust and institutional trust are more important than output quality to predict perceived useful and perceived enjoyment. (4) Gender, supervisor or not, and the kinds of professionals have significant difference on certain constructs, whereas age, educational level, and work experience have not significant difference on all constructs The findings may be used as theoretical base for future research and can also offer empirical foresight and practical solutions to managers of organizations when the knowledge repository systems are being introduced initially into the hospitals.

1. Ajzen, I. ,and Fishbein, M.(1980).Understanding Attitudes and Predicting Social Behavior.NJ:Prentice-Hall, Englewood Cliff.
2. Alavi, M. ,Leidner, D. E.(2001).Review: Knowledge Management and Knowledge Management Systems: Conceptual Foundations and Research Issues.MIS Quarterly,25(1),107-136.
3. Alavi, M. ,Leidner, D. E.(1999).Knowledge Management Systems: Issues, Challenges and Benefits,.Communication of AIS,1(7),1-37.
4. Ba, S. ,Stallaert, J. ,Whinston, A. B.(2001).Research Commentary: Introducing a Third Dimension in Information Systems Design-The Case for Incentive Alignment,.Information Systems Research,12(3),225-239.
5. Bandura, A.(1997).Self-Efficacy: The Exercise of Control.New York:W. H. Freeman.
6. Bandura, A.(1978).The Self-System in Reciprocal Determinism,.American Psychologist,33(4),344-358.
7. Blau, P. M.(1964).Exchange and Power in Social Life.NY:John Wiley and Sons.
8. Bock, G. W. ,Zmud, R. W. ,Kim, Y. G., ,Lee, J. N.(2005).Behavioral Intention Formation in Knowledge Sharing: Examining the Roles of Extrinsic Motivators, Social-Psychological Forces, and Organizational Climate.MIS Quarterly,29(1),87-111.
9. Boon, S. D. ,Holmes, J. G. , R. A. Hinde,, J. Groebel(eds.）(1991).Cooperation and Prosocial Behaviour.Cambridge, UK:Cambridge University.
10. Compeau, D. R. ,Higgins, C. A.(1995).Computer Self-Efficacy: Development of a Measure and Initial Test.MIS Quarterly,19(2),189-211.
11. Constant, D. ,Kiesler, S. ,Sproull, L.(1994).What's Mine Is Ours or Is It? A Study of Attitudes about Information Sharing,.Information Systems Research,5(4),400-421.
12. Davenport, T. H.(1994).Information Week.
13. Davenport, T. H. ,De Long, D. W. ,Beers, M. C.(1998).Sloan Management Review.
14. Davenport, T. H. ,Prusak, L.(1998).Working Knowledge: How Organization Manage What They Know.School Press:Harvard Business.
15. Davis, F. D.(1986).Systems: Theory and Results, Doctoral Dissertation,.Massachusetts Institute of Technology.
16. Davis, F. D.(1989).Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology.MIS Quarterly,13(3),319-339.
17. Davis, F. D. ,Bagozzi, R. P. ,Warshaw, P. R.(1989).User Acceptance of Computer Technology: A Comparison of Two Theoretical Models,.Management Science,35(8),982-1002.
18. Davis, F. D. ,Bagozzi, R. P. ,Warshaw, P. R.(1992).Extrinsic and Intrinsic Motivation to Use Computers in the Workplace.Journal of Applied Social Psychology,22(14),1111-1132.
19. Debrand, C. C. ,Johnson, J. J.(2008).Gender Differences in Email and Instant Messaging: a Study of Undergraduate Business Information Systems Students,.Journal of Computer Information Systems,48(3),20-30.
20. Fishbein, M. ,Ajzen, I.(1975).Beliefs, Attitude, Intention and Behavior:An Introduction to Theory and Research.Addison-Wesley:Publishing Company, Philippines.
21. Fulk, J. ,Flanagin, A. ,Kalman, M. ,Monge, P. R. ,Ryan, T.(1996).Connective and Communal Public Goods in Interactive Communication Systems.Communication Theory,6(1),60-37.
22. Gallupe, B.(2001).Knowledge Management Systems: Surveying the Landscape.International Journal of Management Review,3(3),61-77.
23. Gambetta, D. G. ,Gambetta D. G.(ed.)(1988).Can We Trust Trust?.New York, NY:Basil Blackwell.
24. Gefen, D.(1997).Ease of Use and Intended Use”, Unpublished Doctoral Dissertation.University:Georgia State.
25. Gefen, D. ,Karahanna, E. ,Straub, D. W.(2003).Straub, D. W., Trust and TAM in Online Shopping: An Integrated Model.MIS Quarterly,27(1),52-90.
26. Gist, M. E.(1987).Self-Efficacy: Implications for Organizational Behavior and Human Resource Management.Academy of Management Review,12(3),787-805.
27. Hasan, B.(2006).delineating the Effects of General and System-Specific Computer Self-Efficacy Beliefs on IS Acceptance.Information & Management,43,565-571.
28. Hosmer, L. T.(1995).Hosmer, L. T..Academy of Management Review,20(2),379-403.
29. Igbaria, M. ,Iivari, J. ,Maragahh, H.(1995).Why Do Individual Use Computer Technology? A Finnish Case Study,.Information and Management,29,227-238.
30. Igbaria, M. ,Parasuraman, S. ,Baroudi, J. J.(1996).A Motivation Model of Microcomputer Usage.Journal of Management Information Systems,,13(1),127-143.
31. Kankanhalli, A. ,Tan, B. C. Y. ,Wei, K. K.(2005).Contributing Knowledge to Electronic Knowledge Repositories: An Empirical Investigation,.MIS Quarterly,29(1),113-143.
32. Kankanhalli, A. ,Tan, B. C. Y. ,Wei, K. K.(2005).Understanding Seeking From Electronic Knowledge Repositories: an Empirical Study,.Journal of the American Society for Information Science and Technology,56(11),1156-1166.
33. Kreitner, R. ,Kinicki, A.(1992).Organizational Behavior, Homewood.IL:Richard D. Irwin.
34. Lee, C. C. ,Yang, J.(2000).Knowledge Value Chain.The Journal of Management Development,19(9),783-793.
35. Enablers and Constraints of Knowledge Management in Human Enterprises. Forthcoming
36. Markus, M. L.(2001).Toward a Theory of Knowledge Reuse: Types of Knowledge Reuse Situations and Factors in Reuse Success,.Journal of Management Information Systems,18(1),57-93.
37. Mayer, R. C. ,Davis, J. H. ,Schoorman, F. D.(1995).An Integrative Model of Organizational Trust,.Academy of Management Review,20,709-734.
38. McKnight, D. H. ,Cummings, L. L. ,Chervany, N. L.(1998).Initial Trust Formation in New Organizational Relationships.Academy of Management Review,23(3),472-490.
39. Mooradian, T. ,Renzl, B. ,Matzler, K.(2006).Who Trusts? Personality, Trust and Knowledge Sharing,.Management Learning,37(6),523-540.
40. Moorman, C. ,Zaltman, G. ,Deshpande, R.(1992).Relationships between Providers and Users of Market Research: the Dynamics of Trust Within and Between Organizations,.Journal of Marketing Research,29,314-328.
41. Nahapiet, J. ,Ghoshal, S.(1998).Social Capital, Intellectual Capital, and the Organizational Advantage,.Academy of Management Review,23(2),242-266.
42. Nunnally, J. C.(1978).Psychometric Theory.New York, NY:McGraw-Hill.
43. O''Dell, L. ,Grayson, C. J.(1998).If Only We Know What We Know.NY:The Free Press.
44. Ong, C. S. ,Lai, J. Y. ,Wang, Y. S.(2004).Factors Affecting Engineers' Acceptance of Asynchronous E-Learning Systems in High-Tech Companies.Information and Management,41,795-804.
45. Quintas, P. ,Lefrere, H. ,Jones, G.(1997).Knowledge Management: a Strategic Agenda,.Long Range Planning,30(3),385-391.
46. Rai, A. ,Lang, S. S. ,Welker, R. B(2002).Assessing the Validity of IS Success Models: An Empirical Test and Theoretical Analysis.Information Systems Research,13(1),50-69.
47. Robertson, M. ,Sorensen, C. ,Swan, J.(2001).Survival of the Leanest: Intensive Knowledge Work and Groupware Adaptation,.Information Technology & People,14(4),334-352.
48. Szulanski, G.(1996).Exploring Internal stickiness: Implediments to the Transfer of Best Practice within the Firm,.Strategic Management Journal,17(10),27-43.
49. Teo, T. S. H.(2001).Demographic and Motivation Variables Associated with Internet Usage Activities,.Internet Research: Electronic Networking Applications and Policy,11(2),125-137.
50. Teo, T. S. H. ,Lim, V. K. G. ,Lai, R. Y. C.(1999).Intrinsic and Extrinsic Motivation in Internet Usage,.Omega, The International Journal of Management Science,27(1),25-37.
51. Venkatesh, V.(2000).Determinants of Perceived Ease of Use: Integrating Control, Intrinsic Motivation, and Emotion into the Technology Acceptance Model.Information Systems Research,11(4),342-365.
52. Venkatesh, V. , Davis, F. D.(2000).A Theoretical Extension of the Technology Acceptance Model: Four Longitudinal Field Studies.Management Science,46(2),186-204.
53. Venkatesh, V. ,Davis, F. D.(1996).A Model of the Antecedents of Perceived Ease of Use: Development and Test,.Decision Sciences,,27(3),451-481.
54. Watson S. ,Hewett, K.(2006).A Multi-Theoretical Model of Knowledge Transfer in Organizations: Determinants of Knowledge Contribution and Knowledge Reuse.Journal of Management Studies,43(2),141-173.
55. Wingreen, S. C. ,Baglione, S. L.(2005).Untangling the Antecedents and Covariates of E-Commerce Trust: Institutional Trust vs. Knowledge-Based Trust.Electronic Markets.
56. 邱郁文、林益民、施東河，系統特性(1996)。系統特性、任務特性與電腦自我效能對個人線上學習行為傾向影響。電子商務學報，9(6)，235-266。
57. 洪新原、陳鴻基、葉景琳(1995)。創意支援系統提昇使用者創造力之研究：自我決定理論之解釋與實證。資訊管理學報，13(4)，1-26。
58. 梁定澎、歐陽彥晶、許如欽(1994)。影響台灣企業採用知識管理之因素。資訊管理學報，12(3)，1-38。