電子圖書館成功模式之探討－－以衛生署所屬醫院電子圖書館為例

Exploration of ISS Model for Electronic Library — A Case Study of “Hospitals Electronic Library” of Department of Health, The Executive Yuan

醫療產業為一高度知識密集產業，醫院的智慧資本主要是來自醫療專業人員的知 識。醫療專業人員為提供病患最佳的醫療照護服務，必須學習如何快速搜尋日新月異 的醫學相關資訊，而電子圖書館（e-library）正是此最佳途徑。行政院衛生署也於民國 91年建立電子圖書館，提供所屬院所使用。 本研究為瞭解行政院衛生署電子圖書館之特性及使用情形，以DeLone & McLean （2003）的資訊系統成功模型（Information System Success Model, ISS Model）為基 礎，經修改後為本研究架構，探討此電子圖書館的成功模式。 本研究以署立醫院之醫事人員為研究對象，利用變異數分析及結構方程模式等 統計方法探討各相關因素關係。結果顯示（1）影響使用此電子圖書館的因素符合 DeLone & McLean資訊系統成功模型的理論，直接影響「使用意願」的變數有「資訊 品質」、「系統品質」、「服務品質」。（2）影響醫療人員使用此電子圖書館淨效益 之因素依序為「使用意願」、「滿意度」、「資訊品質」、「系統品質」、「服務品 質」。（3）醫事人員對使用此電子圖書館有正面認同。（4）統計每週使用此電子圖 書館次數者不多，顯示醫護人員經常使用此電子圖書館人數不多。

The health (medicine) industry is a knowledge intensive industry. The health knowledge came from the intellectual capital of professionals within this business. While facing advanced medical knowledge, medical staffs have to learn new medical information as quickly as possible so to provide quality health care and e-library turns to be the best channel. Therefore, Department of Health (DOH) established an e-library system in the internet to support it’s hospitals. In this study, the Information System Success Model (DeLone & McLean, 2003) is adopted and revised to explore the characteristics and usage of DOH’s e-library system and it’s impact. The subjects in this survey are medical professionals from 25 DOH hospitals. ut Branches and those under outsourcing management were not selected. The research results shows the following. First, factors that influence the usage of DOH’s e-library system fit into DeLone & McLean’s ISS Model. The variables influence “intension to use” are information quality, system quality, and service quality. Secondly, factors that influence the “net benefit of using the e-library system” are “intension to use”, “satisfaction level”, “information quality”, “system quality” and “service quality” in that order. Thirdly, medical staffs all have positive attitude toward the usage of DOH’s e-library system. Finally, the weekly statistics reveals that there are not many medical staffs using the e-library.