影響醫院導入全民健保“電子化醫療影像專業審查系統”之相關因素

Background: The electronic government era already approached, the bureau of National Health Insurance has implemented and promoted the ”Digitized Medical Image Claim System” in order to reduce the administrative cost and improve medical quality and efficiency. This research purposes includes understanding the intention, system adoption situation, and influential factors to hospital. Methods：This research adopts cross-sectional approach. The research subjects are 453 contracted medical care institutions with the evaluated level as district hospital and above. The research tool is structured questionnaire. The questionnaire was put to test in the period of April 20, 2007 to June 15, 2007, after verifying validity and reliability. Total of 152 valid questionnaires were retrieved and the response rate was 33.55%. Results：The result showed that ”medical institution” (p＜0.05) and ”technological cognition” (p＜0.01) would affect the hospital's will in implementing the ”Digitized Medical Image Claim System.” Top and middle management's support (p＜0.001, users' participation (p＜0.001), perceived usefulness (p＜0.01), ease-of-use compatibility (p＜0.01), and cost (p＜0.01) were crucial variables in these factors. Conclusions：What's noticeable was that system implement intention (Odds radio=6.475) and hospital possession of PACS facility (Odds Radio=14.695) were the significant variables regarding hospital's actual adoption of the ”Digitized Medical Image Claim System.” This result is worthy of the attention from the bureau of National Health Insurance.