自1995 年以來，在台灣有99.6%民眾納入全民健康保險，在這樣的健康照護系統中，易造成民眾逛醫院的情況發生；再者有鑑於台灣人口老化，慢性疾病以及長期照護變得更加普遍，也提昇台灣民眾對自我健康管理的需求。有鑑於此，中央健康保險署於網路平台建立全民健保健康存摺，以儲存每位民眾的健康照護資訊。全民健保健康存摺的目的主要是鼓勵民眾在健康照護過程中，透過健康存摺的使用讓民眾對自己的健康把關。儘管健康存摺有許多潛在優勢，但只有0.57%的台灣民眾有使用過健康存摺來查詢個人就醫記錄。回顧過去相關文獻，主要在於健康資訊管理採用的議題探討，卻缺乏民眾對健康存摺的使用議題。基於此動機，本研究目的是希望瞭解那些重要因素會影響民眾對於健康存摺的使用意圖。因此，根據健康行為以及科技接受的理論觀點，提出研究模型來解釋民眾使用健康 存摺於自我健康管理的使用意圖。本研究採用實證研究方法，以年齡20 歲以上民眾為研究對象進行問卷調查，並以結構方程模式進行資料分析來驗證研究模式變數間之因果關係。因此，期望本研究之成果能作為中央衛生主管機關以及醫院對於提昇使用健康存摺之策略參考，並增益學術界對於個人採用健康資訊科技之相關研究。 Since 1995, National Health Insurance (NHI) in Taiwan has managed to provide coverage to 99.6 percent of the nation’s citizens. Easy access to the healthcare system has resulted in a high number of consultation visits to hospitals. As Taiwan’s society ages, chronic illnesses and long-term care have become more common. This need is increasing the demand for self-health management for Taiwanese citizens. Thus, the NHI Administration intends to build an Internet platform by storing every citizen’s healthcare information in the NHI health bank. The goal of the NHI health bank is to encourage citizens to take individual responsibility for their health and to be more engaged in the healthcare process. Despite its tremendous potential, only 0.57 percent of the citizens in Taiwan are using the health bank for queries regarding personal medical records. Although several prior researches have focused on the factors impacting the adoption or use of health information management, the literature directly related to citizens’ usage behavior toward the health bank is scant. Therefore, the objective of this study is to explore the significant factors affecting citizens’ intention to use the health bank. From the perspective of health behavior and technology acceptance theories, this study proposes a preliminary model to explain citizens’ intention to use the health bank in self-health management. This theoretical model is then empirically validated using survey data from Taiwanese citizens over 20 years old, and the structural equation model was used to examine the data. The results of this study provide valuable suggestions about how to promote citizens’ willingness to adopt the health bank, which can be useful for the government and hospitals to increase the likelihood of health bank usage. Furthermore, providing the grounds for a model of health information technology acceptance can serve as the starting point for future research in this relatively unexplored yet potentially fertile research area.
