| Summary: | 碩士 === 國立中正大學 === 醫療資訊管理研究所 === 99 === The Issue of Healthcare Quality has become an important issue now in TAIWAN because many medical misconduct problems and errors have happened and as a result many patients died. The hospital accreditation is an external peer review institution with a high standard. Taiwan’s government also uses it and requires hospitals to follow the PDCA cycle to run every medical process. In order to manage and reuse the output of accreditation data and information, hospitals began to use the Knowledge Management Systems (KMS).
This research chose 2 case Hospitals that were pioneers of using a KMS for their accreditation. We interviewed the case hospitals to know the KMS status now and followed the conclusion of the interview and literature review to build a KMS success model validating the Hospital’s Accreditation KMS. We used a survey questionnaire to collect the data from hospitals that use KMS on accreditation in hospital. 200 questionnaires were sent out and 104 useful responses were retrieved. Path Analysis of Structural Equation Modeling (SEM) was used to validate the hypotheses. The result revealed that System Quality, Knowledge/Information Quality of the KMS significantly influenced users’ Perceived Benefit and User Satisfaction of the system. Meanwhile, Service Quality significantly influenced User Satisfaction. Additionally, Perceived Benefit significantly influenced User Satisfaction and further to significantly influence System Usage.
The KMS of Hospital’s Accreditation was adopted directly from the enterprise version without adjustment to medical environment. While interviewing with the case hospitals, we also observed the gap on the system support and user need, so we based on the literature review and designed a KMS function comparison questionnaires to invite 7 experts who are professional of Health Information Systems to evaluate the current KMS of Hospital’s Accreditation. The experts recommended that before building a KMS, managers should understand the scope of the tasks such as before, during or after the accreditation. In addition to the existed functions of a knowledge repository, search engine and accreditation management systems also have the platform to integration the groupware, knowledge maps and knowledge directory to form a portal to push the collaborative in the accreditation work. The above conclusion also served as a reference for hospital to build KMS and expand it in the future.
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