隨著雲端運算的興起，讓醫療資訊可結合雲端科技，發展出一套創新的醫療服務。為了因應國內醫療政策、健保給付規定、醫院評鑑以及消費者知的權利之需求，讓健保雲端藥歷查詢的實施逐漸成為各家醫院的重要基礎建設之一。然而，目前卻缺乏一套客觀、有效的使用者滿意?評估方法，致使健保雲端藥歷查詢難以展現其真正的價值。有鑑於此，本研究以差???觀點為基礎，整理過去相關文獻，以DeLone & McLean(2003)的資訊系統成功模型中的品質構面為自變數來衡量對於健保雲端藥歷查詢之使用者滿意?影響，期望?明造成使用者滿意?差?的原因所在。因此，本研究目的旨在探討在使用者對於健保雲端藥歷查詢滿意度的因素及其後續績效的影響。在模式驗證方面，本研究是以醫師及藥師為研究對象。資料分析方面，本研究採用SPSS及Visual PLS(Partial least squares, PLS) 1.04軟體為統計軟體， 進行描述性統計分析、信度、效度及假說檢定，選用。本研究發放75份問卷，回收有效樣本共71份，有效回收率為95%。經由變異數分析與線性迴歸分析進行假說驗證。經由研究結果顯示：(1)當系統品質、服務品質及資訊品質各構面期望與感受之間有正向差異時，對使用者滿意度會產生較大的影響；(2)各群組間系統品質、服務品質及資訊品質各構面期望與感受之間的差異大小對使用者滿意度皆產生顯著影響；(3)使用者滿意度也會對績效產生正向影響，且各群組間使用者滿意度與績效屬高度相關。因此，本研究結果可提供已實施健保雲端藥歷查詢系統之醫療院所，瞭解哪些因素會影響到使用者滿意度及其對績效的影響，?檢視系統使用者需求以提供更適切的系統功能服務與改善，本量表更可供後續研究學者繼續深入探討與重要?考。 Along with the cloud computing rise, medical information can be combined with cloud technology that development an innovative medical services. In order to response the medical policy, National Health Insurance regulations, hospital accreditation and protect consumers’ right to know, National health insurance PharmaCloud Implementation gradually become an important infrastructure of hospitals. This study purpose is combining the information system success model and discrepancy theory to evaluate user's satisfaction and performance. By comparing user’s gap between want and have, we can understand the influencing factors of on information systems among different user groups (physicians and pharmacists). The independent variables are information quality, system quality, and service quality and the dependent variable is user satisfaction and performance on information systems. A survey was conducted. This study used SPSS and Visual PLS 1.04 software for statistical software. There were 71 usable responses (response rate is 95%) from the users of a regional hospital. ANOVA and regression analysis method was employed to test the research hypotheses. The results indicated that: (1) For user’s groups of physicians and pharmacists, the gap of system quality, information quality, and service quality is the influencing factor on user satisfaction; (2) Each group of system quality, information quality and service quality, the magnitude of discrepancy is positively related to user satisfaction; (3) For user’s groups of physicians and pharmacists. User satisfaction has a positive effect on performance; (4) Understanding of user expectation is very important, so that we can devote limited resources, provide a more appropriate service and improve system functionality to improve user satisfaction on information systems. The implications of these findings are discussed, and managerial guidelines are presented.
