| Summary: | 碩士 === 國立屏東科技大學 === 資訊管理系所 === 97 === Ever since the implementation of the global budget payment system by the National Health Care System, competition within the Taiwan medical industry is getting fiercer every day, as a result of limited financial resources. How to cut down the cost is now the focus of hospital management in Taiwan; therefore, the assistance of information systems is becoming a necessity. A hospital is a highly complicated organization by its own nature, and the implementation of information technology in such an environment is different from other industries. The main purpose of introducing information systems in hospitals is not only to increase their operational efficiency, but more importantly to assist medical staff in decision making on clinically relevant matters, which in turn will improve the quality of medical care in general. When information systems are used to simplify the operations of a hospital, the effectiveness and quality of the information systems are among the prime concerns.
This research is based on the information system success model proposed by DeLone & McLean in 2003. It measures the user’s satisfaction with a hospital’s information system based on system quality, information quality and service quality. By also taking into account the influence of system and information quality on service quality (Bharati & Berg, 2005), we construct a satisfactory path analysis for users of hospital information systems, and verify it with structural equation modeling.
Our research successfully collected 581 valid samples of user’s replies, categorized into bureaucratic culture, supportive culture, and innovative culture, according to the cultural patterns of hospital organizations. By analyzing and comparing the relations to path and structure of the three sample groups, we show that these three groups of samples exhibit substantial divergences in structure. Also, we observe a significant relation between the two path values of user’s satisfaction affected by service quality and system quality - between Bureaucratic Culture and Innovative Culture, and between Bureaucratic Culture and Supportive Culture. We suggest that hospital managers and information sector staff should understand the evaluation factors that affect the satisfaction of information system users, in order to improve the quality and efficiency of hospital information system.
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