衛生福利部所提為期四年之「台灣健康雲」計劃，主要集合醫療雲、照護雲、保健雲及防疫雲為一體的健康雲(Health Cloud)。期望實現醫療照護資訊共享及強化國人自我健康意識。在健康雲的照護模式中，衛生福利部將透過資訊科技結合雲端運算，推動全國性電子病歷交換中心、網路監測系統，打造共同的醫療照護IT資源平台以及重視醫療預防保健，將主動提供民眾自我健康管理及預防保健資訊之雲端平台，這些健康雲的新照護服務模式，究竟哪些因素會影響健康雲計畫的推動？針對健康雲的使用者，一般民眾為健康雲實施的主要利害關係人，為探討實施健康雲的關鍵因素分析，本研究以計劃行為理論結合現狀偏好理論提出整合模型。研究架構分別為「使用行為意圖」及「抗拒轉換意圖」兩個主要構面的前因進行探討。本研究採問卷調查法，以年滿20歲以上民眾為問卷發放對象。並採用結構方程模式(SEM)進行假說驗證。共發放1300份問卷，其有效問卷783份，有效回收率60.2%。經由本研究結果得知，影響一般民眾對「台灣健康雲」計畫實施之關鍵因素，以「態度」、「知覺行為控制」、「知覺價值」、「轉換成本」及「知覺風險」最為顯著(p<0.001)，其次為「沉沒成本」與「慣性」(p<0.01)。本研究結果可提供政府相關單位及醫院管理者作為政策推動之考量因素，以更確保未來健康雲應用之實質效果來提升醫療照護品質。建議政府相關單位對於未來發展建置健康雲時，在民眾實際操作階段期間，應加強民眾對於健康雲的認識，並強化醫療資訊安全管理，建立完善醫療法規規範。站在醫院管理者的角?，健康雲的實施有助於重新檢視該醫院雲端系統功能或是教育訓練分針，為此更能確保健康雲在醫療照護上發揮實質效果。 The "Taiwan Health cloud" program proposed by Ministry of Health and Welfare consists of four years. There are four components in Health Cloud, include Medical Cloud, Care Cloud, Wellness Cloud and Epidemic Cloud. Expect to achieve medical information sharing and enhanced medical care of people self-health awareness. The "Taiwan Health cloud" program proposed by Ministry of Health and Welfare consists of four years. There are four components in Health Cloud, include Medical Cloud, Care Cloud, Wellness Cloud and Epidemic Cloud. Expect to achieve medical information sharing and enhanced medical care of people self-health awareness. What kinds of key factors can affect the health promotion plan of The Health Cloud? Key stakeholders for the health cloud are citizens. In order to investigate key factors of the health cloud, this study develops an integrated model, according to the Theory of Planned Behavior (TPB) and status quo bias (SQB) perspectives. Research framework including "behavioral intention" and "user resistance" the antecedent factors of two major perspectives were discussed. This study applied questionnaires to collect data. Participants were 20–year old Structural equation model (SEM) was used to examine the data. A total of 1300 questionnaires were distributed and a valid sample of 783 citizens was collected for data analysis ( response rate is 60.2%). The results indicated that the key factor of citizens’ for implement the health cloud program are attitude, perceived behavior control, perceived value, switching costs, and perceived risk have significant influence (p<0.001). Sunk cost and Inertia have significant influence (p<0.01). This study results provide government and medical managers insights into factors for understanding strategies. To ensure that the health cloud the substance of applications effects to enhance the quality of health care. Recommends that government development of the health cloud in the future, enhanced the health cloud understanding of people and strengthening health Information Security Management, establish and improve medical norms and regulations during the people actual operation phase. Implementation of the health cloud helps to view hospital system function and education training guidelines to ensure that the health cloud the substance of applications effects.
