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系統識別號 U0026-1808202001243600
論文名稱(中文) HERO藥愛療癒復元中心電子健康紀錄之可行性及可用性評估
論文名稱(英文) Evaluation for the Feasibility and Usability of the Electronic Health Record System for an Integrated Chemsex Care Service
校院名稱 成功大學
系所名稱(中) 公共衛生研究所碩士在職專班
系所名稱(英) Graduate Institute of Public Health(on the job class)
學年度 108
學期 2
出版年 109
研究生(中文) 安作勻
研究生(英文) Tso-Yun An
學號 SB7071094
學位類別 碩士
語文別 中文
論文頁數 70頁
口試委員 指導教授-莊佳蓉
共同指導教授-柯乃熒
口試委員-袁千雯
中文關鍵字 男同性戀  電子健康紀錄  整合性醫療  質性研究 
英文關鍵字 Gay  Electronic Health Record  Integrated Health Care  Qualitative research 
學科別分類
中文摘要 目標:本研究之目標在探討HERO藥愛療癒復元中心所推行之HERO電子健康紀錄之可行性及可用性。
方法:本研究於2019年12月到2020年5月在HERO中心內進行收案。管理者端部分於HERO挑選作業內容與電子健康紀錄提供之功能相關的醫療保健提供者,使用者端的篩選條件則為(1)對電腦設備使用有經驗,(2)曾經使用過HERO服務且有回診意願,(3)必須在六個月內接受兩次的訪談,(4)在第二次訪談之前,至少要使用兩項HERO服務,或其中一項服務使用兩次以上,(5)在第二次訪談前後,需使用此平台重要功能。參與研究最後訪談人數分別為管理者端3人、使用者端13人。訪談是依據FITT框架(Fit between Individuals, Task and Technology, FITT)設計的半結構式訪談,主要訪談內容為是否適合工作流程、是否融入日常生活、人口統計學資料、科技舒適度、技術的運用、效率、有效性、可學習性及滿意度。最後依據逐字稿進行分析及主題分類,並使用Google Analytics進行系統使用次數及使用時間統計。
結果及研究限制:經研究後發現,在管理者端系統所提供的行政計次功能可以提高工作效率、降低資料錯誤率,在活動管理的部分則能簡化工作流程,讓管理者輕鬆掌握參與活動的人數等相關資訊。於使用者端也證實系統確實能夠協助進行健康管理,但因其高度注重個人隱私,而顯示系統隱私保護方面未符合其預期,並認為操作介紹及說明尚未完善。在Google Analytics統計資料中顯示,管理者端登入次數為184次,使用者端為98次,自我評估量表功能使用次數為24次,問卷填寫頁面平均停留時間為14分24秒。本研究的限制有首先因檢驗功能尚未啟用,因此管理者端檢驗功能無法實際操作以進行評估,行政計次功能不全也影響管理者的使用經驗回饋。另外HERO部分服務如感染科、身心科門診及非匿名篩檢的檢驗服務等,為醫院提供,因此與醫院的關係問題,使得醫院端部分相關部門所提供的服務無法配合進行系統測試,造成門診QR code掃描紀錄無法實際運行。第二為HERO電子健康紀錄所提供的服務雖然非常多元,但研究參與者僅佔HERO服務人群的一小部分,在管理者端未包含醫生及個管師,使用者端的樣本也多為團體參與者,門診及匿篩樣本人數較少,因此在醫生、個管師及門診與匿篩使用者部分代表性不足,造成研究結果無法代表整個HERO內部的人群。
結論:本研究發現管理者端功能可提高工作效率、簡化工作流程,顯示系統的可用性及可行性高。在使用者端部分,確認其可以對健康管理提供許多幫助,惟缺乏系統介紹及隱私部分設計不完善,影響使用者的使用意願,造成可用性及可行性較低。
英文摘要 The study aim is find out the feasibility and usability of the Electronic Health Record designed for Healing, Empowerment, Recovery of Chemsex Center. In our research, we collected 3 samples from the administrator terminal and 13 samples from the client terminal for data analysis. Studies have confirmed that functions from the administrator terminal can increase work efficiency and reduce administrative information errors. For event management it can simplify work procedure, let administrators easily manage event participants and other information, feedbacks from the administrator terminal are systems have high feasibility and usability. For client terminal, except some system designed problems, it can provide help at health management, we also find out user's health status will affect the mood of using the system. But its privacy protection did not meet its expectations, affect users' willingness to use it, which makes it low feasibility and usability for users. According to the data collected from Google Analytics, logins from administrator terminal were 184 times, client terminal was 98 times, the usage counter of the self-assessment tool was 24 times, the average time spent on the questionnaire was 14 minutes 24 seconds.
Key Words: Gay, Electronic Health Record, Integrated Health Care, Qualitative research
論文目次 第一章 緒論 1
1.1研究背景及動機 1
1.2研究目的 1
第二章 文獻回顧 3
2.1研究執行機構 3
2.2藥愛文化 4
2.3整合型醫療 6
2.4電子健康紀錄 7
2.5電子健康紀錄相關研究 9
第三章 材料與方法 14
3.1 HERO電子健康紀錄建置目的 14
3.2 HERO電子健康紀錄功能概述 15
3.3研究樣本 17
3.4研究方法 17
3.5分析方法 22
第四章 研究結果 23
4.1 管理者端結果 23
4.2 使用者端結果 29
4.3 Google Analytics 分析資料 55
4.4小結 56
第五章 討論與限制 59
5.1討論 59
5.2研究限制 63
第六章 結論與建議 65
6.1研究結論 65
6.2研究貢獻 65
6.3研究建議 66
參考文獻 68
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