骨科電腦手術導航系統之IPA：骨科醫師之觀點

Computer Assisted Orthopaedic Surgery Systems: From Orthopedic Physicians’ Viewpoint

骨科手術電腦導航系統為近年來資訊科技於骨科手術的最新應用，藉由導航系 統預期將可提高骨科手術精確度並延長相關醫療器材的壽命，然而導航系統目前在國 內的使用現況及醫師使用意願相關研究仍相當缺乏。本研究之目的即在於了解骨科醫 師對使用骨科電腦手術導航系統之接受度以及使用現況，以供未來該技術持續推廣 之參考。問卷調查法為本研究採用之研究方法，國內教學醫院骨科醫師為對象，針 對其對電腦導航系統屬性的認知，進行重要與表現程度分析（Importance Performance Analysis: IPA），以進一步理解骨科醫師對於電腦導航系統的評估。研究結果顯示國 內骨科醫師對於導航系統的使用仍不普遍，而導航系統操作方式缺乏彈性、不容易使 用、以及導航系統所提供操作說明不足，是目前使用者重視而不滿意的項目。本研究 的結果除可提供衛生主管單位與醫院作為提升導航系統接受度的依據外，並可提供相 關廠商在設計發展導航系統時之參考用。

Computer Assisted Orthopaedic Surgery Systems (CAOS) are the latest application of Information Technology in orthopedic surgery in recent years. CAOS are expected to enhance the accuracy of orthopedic surgery and extend the durable life of the relevant medical equipment, but research about the situation of CAOS utilization and intention to use is still very lacking. Therefore, this study investigates the domestic status quo of CAOS utilization and explores the orthopedic physician’s acceptance of CAOS by utilizing Technology Acceptance Model. Lastly, Importance Performance Analysis (IPA) is utilized to give priority to sort the relevant attributes of CAOS. The overall findings reveal that the use of CAOS by orthopedic physicians is still not common in Taiwan, while some attributes, such as rigid mode of operation, not easy to use, and inadequate instructions, which are highly valued but not satisfactory for orthopedic physicians. The results provided as the basis to enhance the acceptance of CAOS of health authorities and hospitals and to serve as a reference for vendors in the design and development of CAOS as well.