| 摘要: | 在全球人口結構逐漸轉變成高齡化社會的趨勢下，老年人口數越來越多，加以疾病型態的轉變，慢性病患者也迅速增加，然而，隨著資通訊技術、生理量測技術，以及照護用設備日新月異的發展，促使遠距醫療照護服務產業與市場的快速成長。 1995年台灣衛生署就開始推動多個遠距健康照護的試行計劃，經濟部更在2006到2008年針對健康照護服務推動一系列的計畫，目的在建立銀髮族健康照護示範體系，提升台灣銀髮族生活品質，並帶動健康照護服務產業的發展。而國內學者針對遠距健康照護的研究大多強調科學層面，著重在資訊平台語系統的建置，較少以使用者的觀點，進行人性化的關懷需求。 本研究以「科技接受度模型」（Technology Acceptance Model，TAM）為基本架構，加上創新特性的相對優勢，包括便利性與成本，以及產品屬性，包括複雜度、口碑、知覺價格、醫療專業等四項，發展成為本研究之研究架構並發展量表。 研究結果顯示除「認知易用性 → 認知有用性」與「複雜度 → 採用意圖」檢定結果為不顯著外，其餘所有相關路徑檢定均顯著，研究假說亦都獲得支持。而影響消費者採用遠距健康照護服務的最主要因素為「認知易用性」與「知覺價格」，接著分別為「口碑」、「醫療專業」、「認知有用性」、「相對優勢」（間接影響）。 本研究藉此瞭解影響消費者對於採用遠距健康照護服務的主要因素，以提供未來政府與業者推動以及改善建置遠距健康照護服務之參考。 The global demographic trend into an aging society, becoming more and more elderly population, changing in disease patterns, chronic diseases also increased rapidly, however, with the information and communications technology, physical measurement techniques, and health care equipment development rapidly to facilitate remote health care services industry and the market's rapid growth. 1995, Department of Health of Taiwan began to promote a lot of telecare pilot program, Ministry of Economic Affairs in 2006 to 2008 to promote a series of plans for health care services aimed establishing demonstration systems at elder healthcare, enhancing Taiwan's elder quality of life and promote telecare services industry. Most domestic telecare research emphasizes the scientific level, focus on building IT platforms and systems, less to the user's point of view, and lack of the humane care needs. In this study, the "Technology Acceptance Model" (TAM) as the basic architecture, coupled with comparative advantages, including convenience and cost, and product attributes, including complexity, word of mouth, perceived price, and medical professions, develope a model for this research and the scale. The results showed that in addition to "perceived ease of use → perceived usefulness" and "complexity → use of intent" test result is not significant, all other test were significantly, research hypotheses also are supported. Affecting consumer adoption of telecare services the most important factor for the "perceived ease of use" and "perceived price", and then are "word of mouth", "medical profession", "perceived usefulness", "comparative advantage" ( indirect effects). |
