影響醫院醫療人員持續使用化學治療資訊系統之意圖

Continued Intention to Use Chemotherapy Information Systems for Medical Staff in Hospitals

前言：我國十大死因首位為惡性腫瘤，化學治療是一項不可或缺的治療方式。化療藥物屬於具毒性的危險藥物，且化學治療藥物種類多，並非只有單一適應症，必須依據不同癌症別，產生多樣性化療計畫與藥物組合，醫療人員也需花費時間反覆雙重核對化療相關作業流程，因此醫療機構必須藉由資訊系統來輔助醫療人員於化學治療作業流程，提升用藥安全與醫療品質。
目的：探討系統品質、資訊品質、服務品質、使用者滿意度與主觀規範是否影響醫療人員持續使用化學治療資訊系統的意向，以及各因素之間的關聯性。方法：參考資訊系統成功模式發展問卷，並完成信效度檢定，以南部某區域醫院使用化學治療資訊系統之114位醫療人員為研究對象，並使用SPSS 24.0、SmartPLS 3.0為資料分析工具，建立結構方程模型，檢定本研究提出之架構中各個構面之間的關係。
結果：系統與資訊品質皆正向顯著影響醫療人員對於化學治療資訊系統使用的滿意度；使用者滿意度與主觀規範皆正向顯著影響醫療人員持續使用化學治療資訊系統意圖。

The leading cause of death in our country is malignant tumors, and chemotherapy is an essential treatment method. With the toxic and hazardous nature of chemotherapy drugs and the complexity of chemotherapy plans, information technology plays a vital role in supporting medical staff in providing accurate treatments to cancer patients. The objective of this research was to explore the potential impact of system quality, information quality, service quality, user satisfaction, and subjective norms on the medical staff's intention to continuously use chemotherapy information systems. This study employed the information system success model to develop a questionnaire and conducted reliability and validity tests. The research focused on 114 medical personnel who utilized the chemotherapy information system in a regional hospital in the southern region. SPSS 24.0 and SmartPLS 3.0 were utilized as data analysis tools to establish a structural equation model and examine the relationships between the various aspects proposed in this study. The study's results revealed that both system quality and information quality significantly and positively influenced medical staff's satisfaction with the chemotherapy information system's usage. Additionally, user satisfaction and subjective norms also had a significant and positive impact on the medical staff's intention to continue using the chemotherapy information system.