Browsing by Author "Liu, Chung-Feng"

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A Call for Safer Utilization of Radio Frequency Identification in the e-Health Era
(2011-10-01)
Liu, Chung-Feng
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Hwang, Hsin-Ginn
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Kuo, Kuang-Ming
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Hung, Won-Fu
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資訊管理與財務金融系註：原資管所+財金所
The main purpose of this study was to investigate the perceptions of the electromagnetic interference (EMI) caused by radio frequency identification (RFID) with medical devices among hospitals as well as to call the attention of medical institutions to the development of RFID applications. A survey sponsored by the Department of Health of Taiwan was conducted and the target subjects were every hospital in Taiwan (486 in total). The survey topics included testing of RFID interference with medical devices and perceptions of safety issues of RFID. The main targets of the survey were the Chief Information Officers (CIOs) or the main person responsible for RFID systems in each hospital. Of the original 486 questionnaires mailed, 273 were returned. A return rate of 56.17% was obtained. The survey results revealed that only six hospitals had carried out tests on interference by RFID with medical devices, and the results of these tests indicated that RFID does not interfere with medical devices. A majority of hospitals understood that RFID may interfere with medical devices but did not think that this would seriously harm patients. The application of RFID in the healthcare industry is certainly promising; however, EMI issues must be appropriately handled. This study asserts that most hospitals do not understand or pay insufficient attention to the issue of RFID interference with patient safety or medical devices. In addition, most hospitals believe that the problem of RFID should be resolved by RFID vendors. Therefore, this study argues that medical institutions should develop more understanding of RFID issues and that more attention should be given to the potential problems of RFID interference when developing RFID applications.
E-Healthcare Maturity in Taiwan
(2011-09-01)
Liu, Chung-Feng
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Hwang, Hsin-Ginn
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Chang, Hui-Chuan
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資訊管理與財務金融系註：原資管所+財金所
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Department of Information Management and Finance
The purpose of this study was to explore the status of e-healthcare maturity in Taiwan following a nationwide investigation sponsored by the Department of Health. Based on Nolan's stage model and related studies, we propose a multidimensional model to gain a better understanding of the current status of e-healthcare maturity in hospitals. The target subjects included every hospital in Taiwan. A total of 538 hospitals were successfully interviewed, showing a high response rate of 94.4%. The results indicate that the overall e-healthcare maturity of Taiwanese hospitals is fairly high. Such a high degree of maturity is critical for formulating e-healthcare policy to stimulate the exchange of electronic medical record. This article provides a brief comparison of the situation in other countries and posits that Taiwan holds a position of relative maturity in the world of e-healthcare development.
Exploring Nursing E-Learning Systems Success Based on Information System Success Model
(2011-12-01)
Chang, Hui-Chuan
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Liu, Chung-Feng
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Hwang, Hsin-Ginn
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資訊管理與財務金融系註：原資管所+財金所
;
Department of Information Management and Finance
E-learning is thought of as an innovative approach to enhance nurses' care service knowledge. Extensive research has provided rich information toward system development, courses design, and nurses' satisfaction with an e-learning system. However, a comprehensive view in understanding nursing e-learning system success is an important but less focused-on topic. The purpose of this research was to explore net benefits of nursing e-learning systems based on the updated DeLone and McLean's Information System Success Model. The study used a self-administered questionnaire to collected 208 valid nurses' responses from 21 of Taiwan's medium-and large-scale hospitals that have implemented nursing e-learning systems. The result confirms that the model is sufficient to explore the nurses' use of e-learning systems in terms of intention to use, user satisfaction, and net benefits. However, while the three exogenous quality factors (system quality, information quality, and service quality) were all found to be critical factors affecting user satisfaction, only information quality showed a direct effect on the intention to use. This study provides useful insights for evaluating nursing e-learning system qualities as well as an understanding of nurses' intentions and satisfaction related to performance benefits.
Key factors affecting healthcare professionals to adopt knowledge management: The case of infection control departments of Taiwanese hospitals
(2011-01-01)
Chen, Yu-Hui
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Liu, Chung-Feng
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Hwang, Hsin-Ginn
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資訊管理與財務金融系註：原資管所+財金所
;
Department of Information Management and Finance
Facing new infectious diseases that are result of continuous mutation of virus and bacteria and ever advancing communication and medical technologies, infection control professionals (ICPs) in the healthcare industry must be able to obtain instantly the needed knowledge in order to increase efficiency and effectiveness in their practice. The purpose of this study is, after an exhaustive literature review and necessary interviews with specialists in this field, to propose a research framework that explores the factors that affect the ICPs' willingness to adopt knowledge management (KM) into their tasks and to validate the usefulness of this research framework through a survey study. The research framework includes four constructs that affect infection control professionals' decision and willingness to introduce and to adopt infection control KM, and they are namely: hospital characteristics, infection control department, external environment, and project planning. The study conducted a survey among ICPs from 425 hospitals in Taiwan. A total of 227 valid questionnaire responses were returned from the ICPs from 90 hospitals. Among these responses, 55.00% are from medical centers and 47.83% are from regional hospitals. After analyzing the responses through the discriminant analysis method, the study found that "Hospital Resource Support," "Colleagues' Attitude," and "Users' Participation" are the three factors that significantly impact the professionals' willingness for adopting KM in infection control departments. This study not only provides the healthcare industry an understanding about introduction and impact of KM, which can assist in their decision making, but also emphasizes the importance of use of actual data in the study of research framework for introduction of KM in healthcare industry. Therefore, this study presents important results in both practical and academic aspects. (C) 2010 Elsevier Ltd. All rights reserved.
The Differing Privacy Concerns Regarding Exchanging Electronic Medical Records of Internet Users in Taiwan
(2012-12-01)
Hwang, Hsin-Ginn
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Han, Hwai-En
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Kuo, Kuang-Ming
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Liu, Chung-Feng
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資訊管理與財務金融系註：原資管所+財金所
This study explores whether Internet users have different privacy concerns regarding the information contained in electronic medical records (EMRs) according to gender, age, occupation, education, and EMR awareness. Based on the Concern for Information Privacy (CFIP) scale developed by Smith and colleagues in 1996, we conducted an online survey using 15 items in four dimensions, namely, collection, unauthorized access, secondary use, and errors, to investigate Internet users' concerns regarding the privacy of EMRs under health information exchanges (HIE). We retrieved 213 valid questionnaires. The results indicate that the respondents had substantial privacy concerns regarding EMRs and their educational level and EMR awareness significantly influenced their privacy concerns regarding unauthorized access and secondary use of EMRs. This study recommends that the Taiwanese government organizes a comprehensive EMR awareness campaign, emphasizing unauthorized access and secondary use of EMRs. Additionally, to cultivate the public's understanding of EMRs, the government should employ various media, especially Internet channels, to promote EMR awareness, thereby enabling the public to accept the concept and use of EMRs. People who are highly educated and have superior EMR awareness should be given a comprehensive explanation of how hospitals protect patients' EMRs from unauthorized access and secondary use to address their concerns. Thus, the public can comprehend, trust, and accept the use of EMRs, reducing their privacy concerns, which should facilitate the future implementation of HIE.