背景：最近幾年，數位學習（e-learning）風潮逐漸吹到醫療產業，從2002年的數位學習國家型科技計畫，到2007年新制醫院評鑑基準明定教學醫院應具備網路教學設備，短短不到十年光陰，卻是醫療產業數位學習發展的大躍進。截至2008年為止，臺灣醫院建置e-learning學習系統比率已達55%，且還在增加當中，顯示醫療機構推行e-learning已是刻不容緩的趨勢。
目的：本研究欲了解醫護人員對e-learning學習系統之使用意願與實際使用情況，並深入探討影響e-learning使用成效之相關因素。
方法：本研究以科技接受模式為基礎，結合著重外在環境探討之資訊系統成未狾﹞峊H探討學習動機為主之自我決定理論，並採兩階段之問卷調查搜集資料。
結果：影響e-learning使用成效之相關因素包含系統品質、資訊品質、網路及電腦操作能力、心理需求層面之自主性、勝任感、關聯性及自覺有用。使用者的心理需求與使用成效有直接關係；而系統及資訊品質、網路與電腦操作能力則會間接影響使用成效，中介變項為使用者之自覺有用。
討論與建議：研究顯示，科技接受模式結合資訊系統成資訊系統成未狾☆菃琩M定理論佳，建議醫療機構在推行e-learning時，首先著重外在環境與醫護人員之網路電腦操作能力的提升。 Background: The way to learning medical clinical knowledgr and information with electronic facilities (abbreviate to e-learning) is more and more popular in hospital recently. There are hastily progress for the e-learning development of medical industries. Since year 2002 to 2007. The National Science & Technology Program start to focus on the general educational way of e-learning in 2002 year, and the teaching hospital had to prepare the internet teaching equipment that was new hospital accreditation that teaching hospital should have e-learning. The last decade, e-learning development in hospital has made a mighty advance. However, previous studies have shown that there are still many restrictions on e-learning.
Aim: This study would like to evaluate the effectiveness of e-learning use, and investigate the main factor in use of e-learning effectiveness.
Motheds: This survey research is based on Technology Acceptance Model (TAM), integrating with Information System Success Model (I/S Success Model) and Self-determination Theory (SDT). The questionnaire survey carried out in two stages.
Results: The results shows that system quality, information quality, computer & internet competence,
perceived autonomy support, perceived competence, perceived relatedness, and perceived usefulness will affect the effectiveness of e-learning.
Discussion and suggestion: To integrate TAM with I/S Success Model is better than SDT. System quality and information quality are the most important in building e-learning on hospital. Second, the computer & Internet competence for medical personnel are also influential when managers want to build e-learning system in hospital.
