以整合觀點探討醫院推行品管圈效益之研究：以知識分享意願為調節變數

Exploring the Quality Control Circle Effect in Hospitals from an Integrative Perspective: Using Knowledge Sharing as the Moderator Variable

目的：本研究目的旨在提出一個概念模式，用以探討影響品管圈參與者對醫院推行品管圈參與行為意圖與品管圈效益之因素。本研究以計畫行為理論為基礎，結合知覺價值、知識分享意願等理論，並假設一個理論模式來預測與解釋品管圈參與者其參與行為意圖與品管圈效益之影響。此外，並探討品管圈參與者知識分享意願對行為意圖、品管圈效益調節效果。方法：本研究以南區醫療網醫療院所（包括：地區醫院、區域醫院、安養中心）之醫事人員為調查對象，發出500份問卷，回收有效問卷291份，有效回收率為58.2%。採用結構方程模型進行資料分析。結果：分析結果顯示：(1)主觀規範、知覺行為控制與知覺價值對行為意圖具有顯著正向影響，行為意圖對品管圈效益具顯著正向影響。(2)知識分享意願在知覺行為控制與行為意圖、行為意圖與品管圈效益間具有顯著的正向調節效果。結論：研究結果將有助於未來醫療相關機構在品管圈教育訓練及實務應用之參考，並作為未來相關研究之依據。

Objective: This paper proposes a conceptual model to investigate the factors affecting quality control circle (QCC) participants' behavioral intentions and the QCC effect of the promotion of health care quality on the various levels of management of hospitals or on participants from other institutions. To explain and predict behavioral intentions, this paper uses the theory of planned behavior to develop a research model and integrates perceived value to hypothesize a theoretical model. In addition, participants' knowledge sharing was adopted as the moderator effect and as predictive of behavioral intentions. This paper also discusses the QCC effect. Methods: A self-report questionnaire was used to investigate hospital staff from the medical network (local hospitals, regional hospitals, and nursing homes) in Southern Taiwan. Of the 500 distributed questionnaires, we received 291 completed questionnaires ‒ a response rate of 58.2%. The data were analyzed using structural equation modeling (SEM). Results: The results showed the following: (1) subjective norm, perceived behavior control, and perceived value had a significantly positive effect on behavioral intention, and behavioral intention had a significantly positive effect on QCC effect; (2) knowledge sharing has a significant moderating effect on the relationship between perceived behavioral control and behavioral intention as well as the relationship between behavioral intention and QCC effect. Conclusions: The results may be used for future research and to help health care institutions seek to improve the QCCs of in-service education and practice.