以「資訊系統接受後持續使用模式」探討住院病患使用床邊資訊系統之意願

Introduction: Due to the advance of Information and Communication technology, Bedside information system (BIS) is becoming one of the important tools for enhancing the quality of care, while ＂doctor-patient relationship-centered＂ gradually becomes the mainstream of healthcare. Method: In this study, we developed a questionnaire based by Post-Acceptance Model of Information System Continuance (PAM) and Theory of Planned Behavior (TPB) which passed the reliability and validity tests to explore important factors affecting the continuance usage of BIS. 109 valid samples of orthopedic ward inpatients in a north area hospital were collected, with 81.3% effective recovery rate. SPSS 22 and Smart PLS 2.0 software were used to analyze the data. Results: The results show that the inpatients' consistency can significantly affect their perceived usefulness and satisfaction to the system (ß=0.81, t=21.83; ß =0.52, t=17.71); perceived usefulness significantly affect satisfaction (ß=0.36, t=2.92); both satisfaction and perceived behavioral control significantly affect continuance usage (ß=0.51, t=6.32; ß=0.34, t=4.66). Conclusion: In summary, this study confirmed that inpatients' continuance usage of BIS is significantly affected by their ＂perceived usefulness＂, ＂satisfaction＂ and ＂perceived behavior control＂. We recommended that hospitals should devote to update and maintain BIS regularly, conduct satisfaction survey, and provide promotion and education training to enhance inpatients' using willingness of BIS.