隨著近年來科技的快速發展，以及手持裝置的普及度，促使了近年來社群平台的發展大幅地改變，並在針對醫療保健議題領域中，也正在被廣泛地應用中。由於現代人對健康意識的抬頭，民眾透過手持裝置隨時於社群平台中接收到來自四面八方的健康保健資訊。而現在的民眾、病患傾向於就醫前搜尋相關疾病的資訊，並透過使用社群平台，參與其中之活動、與平台中之他人進行互動、積極尋求更多的資源並加以整合，以實踐病患在就醫前可以事先初步了解病症與治療方式，以減少內心的不確定性與不安性。
本研究採針對一般民眾進行問卷調查方式，探討一般民眾、病患對社群平台之參與動機、涉入程度、醫療價值共創之關聯。本問卷以15歲以上之民眾為受訪對象，透過周遭朋友之網絡提供填答網址，採不記名非隨機方式邀請受訪者填答，有效樣本數為302人。經本研究實證民眾對參與動機、及其涉入程度與價值共創有正向影響，而於社群平台中之學習對醫療價值共創之中介效果。最後根據結果發現提出對管理上與實務上給予適當之建議，提供給衛生主管機關及醫療機構管理者評估管理策略上之參考。

With the rapidly developing of technology and the popularity of Mobile devices in recent years, it makes the social platform widely used. Social platform has been also widely used in the health care field. Due to the awareness of health, people can use the Mobile device and receive the health care information from the Internet at any time. People tend to get the information, interact with others about diseases through the social platform and seeking more resources to integrate actively before going to the hospital. In this case, people can get a preliminary understanding of the disease and treatment to reduce the uncertainty and uneasiness.
This research used a questionnaire survey on the Internet by friends’ network to general public to study the correlation of engagement motivation of participating the social platform, the involvement, and the health care value co-creation. Not randomly invited people must be over 15 years old and could fill in the questionnaire anonymously. Furthermore, the number of valid samples was 302. This evidence-based study showed there was a positive effect of engagement motivation, involvement, and health care value co-creation. However, there was the intermediary effect of involvement and learning on health care value co-creation. Finally, based on the results, this study provided appropriate recommendations for management practice and references for health authorities and medical institution managers to evaluate management strategies.

英文文獻：
Afzal, H., Ali, I., Aslam Khan, M., & Hamid, K. (2010). A study of university students’ motivation and its relationship with their academic performance. Available at SSRN 2899435.
Alder, C. J. (1998). Radiation sensor. In: Google Patents.
Andrews, J. C., Durvasula, S., & Akhter, S. H. (1990). A framework for conceptualizing and measuring the involvement construct in advertising research. Journal of advertising, 19(4), 27-40.
Armstrong, A., & Hagel, J. (1997). Net gain: Expanding markets through virtual communities: Harvard Business School.
Baden-Fuller, C., & Haefliger, S. (2013). Business models and technological innovation. Long range planning, 46(6), 419-426.
Bagnall, R. G. (1989). Researching participation in adult education: A case of quantified distortion. International Journal of Lifelong Education, 8(3), 251-260.
Bagozzi, R. P., & Dholakia, U. M. (2002). Intentional social action in virtual communities. Journal of interactive marketing, 16(2), 2-21.
Baym, N. K. (1995). The emergence of community in computer-mediated communication.
Blackwell, R., Miniard, P. W., & Engel, J. F. (2001). Customer behavior. Mason, OH: South-Western.
Blackwell, R. D., Miniard, P. W., & Engel, J. F. (2001). Consumer behavior 9th. South-Western Thomas Learning. Mason, OH.
Blackwell, R. D., Miniard, P. W., Engel, J. F., & Sánchez, G. (2002). Comportamiento del consumidor.
Bloch, P. H. (1982). Involvement beyond the purchase process: conceptual issues and empirical investigation. ACR North American Advances.
Bloom, B. S. (1956). Taxonomy of educational objectives. Vol. 1: Cognitive domain. New York: McKay, 20, 24.
Bridoux, F., & Stoelhorst, J. (2016). Stakeholder relationships and social welfare: A behavioral theory of contributions to joint value creation. Academy of Management review, 41(2), 229-251.
Broer, S. L., Broekmans, F. J., Laven, J. S., & Fauser, B. C. (2014). Anti-Müllerian hormone: ovarian reserve testing and its potential clinical implications. Human reproduction update, 20(5), 688-701.
Brown, J. S., & Gray, E. S. (1995). The people are the company. Fast company, 1(1), 78-82.
Celsi, R. L., & Olson, J. C. (1988). The role of involvement in attention and comprehension processes. Journal of consumer research, 15(2), 210-224.
Charles, C., Gafni, A., & Whelan, T. (1997). Shared decision-making in the medical encounter: what does it mean?(or it takes at least two to tango). Social science & medicine, 44(5), 681-692.
Coney, K. A., Best, R., & Hawkins, D. (2001). Consumer behavior: Building marketing strategy. In: New York: McGraw-Hill Book Company.
Coulter, A., & Collins, A. (2011). Making shared decision-making a reality. London: King's Fund.
David Holmes, L. (1997). Virtual politics: Identity and community in cyberspace: Sage.
Deci, E. L., & Ryan, R. M. (1985). Self-determination and intrinsic motivation in human behavior. EL Deci, RM Ryan.–1985.
Du, P., Lee, C.-F., Chou, H.-H., & Fang, S.-C. (2017). [(創) 串新] 的服務模式: 以價值共創觀點探索尚品宅配的服務流程與本質. 管理學報, 34(3), 401-430.
Edvardsson, B., Gustafsson, A., Pinho, N., Beirão, G., Patrício, L., & Fisk, R. P. (2014). Understanding value co-creation in complex services with many actors. Journal of Service Management.
Engel, J. F., & Roger, D. (1995). Blackwell (1982), Consumer Behavior. New York: Holt, Renehard, and Winston.
Engel Jr, J. (1993). Outcome with respect to epileptic seizures. Surgical treatment of the epilepsies, 609-621.
Faraj, S., Jarvenpaa, S. L., & Majchrzak, A. (2011). Knowledge collaboration in online communities. Organization science, 22(5), 1224-1239.
Gouillart, F., & Billings, D. (2013). Community-powered problem solving. Harvard business review, 91(4), 70-77, 140.
Grajales III, F. J., Sheps, S., Ho, K., Novak-Lauscher, H., & Eysenbach, G. (2014). Social media: a review and tutorial of applications in medicine and health care. Journal of medical Internet research, 16(2), e13.
Greenwood, C. R., Horton, B. T., & Utley, C. A. (2002). Academic engagement: Current perspectives on research and practice. School Psychology Review, 31(3), 328-349.
Gronlund, N., & Linn, R. (1990). Measurement and Evaluation in Teaching 6th Ed. USA: Mc. In: Millan Publishing Company.
Groth, M. (2005). Customers as good soldiers: Examining citizenship behaviors in internet service deliveries. Journal of management, 31(1), 7-27.
Hagel, I., & Armstrong, A. G. (1997). Net gain. McKinsey Quarterly(1), 140-153.
Hanna, N., & Wozniak, R. (2001). Consumer behavior: An applied approach. Univerza v Mariboru, Ekonomsko-poslovna fakulteta,
Harlen, W., & Deakin Crick, R. (2003). Testing and motivation for learning. Assessment in Education: principles, policy & practice, 10(2), 169-207.
Houle, C. O. (1961). The inquiring mind. Madison, WI. University of Wisconsin Press. Hoyt, DP, & Rhatigan, JJ (1968). Professional preparation of junior and senior college student personnel administrators. Personnel and Guidance Journal, 47(3), 263-270.
Howard, J. Y. S., & Sheth, J. (1969). JN (1969)" The Theory of Buyer Behavior. New York.
Igbaria, M., Shayo, C., & Olfman, L. (1999). On becoming virtual: The driving forces and arrangements. Paper presented at the Proceedings of the 1999 ACM SIGCPR conference on Computer personnel research.
Ismail, A., Hasan, A. B. M., & Sulaiman, A. Z. (2010). Supervisor’s role as an antecedent of training transfer and motivation to learn in training programs. Acta Universitatis Danubius. Œconomica, 6(2).
Jaakkola, E., & Alexander, M. (2014). The role of customer engagement behavior in value co-creation: a service system perspective. Journal of Service Research, 17(3), 247-261.
James, D., & Biesta, G. (2007). Improving learning cultures in further education: Routledge.
Kahn, W. A. (1990). Psychological conditions of personal engagement and disengagement at work. Academy of management journal, 33(4), 692-724.
Kasworm, C. E., & Marienau, C. A. (1997). Principles for assessment of adult learning. New Directions for Adult and Continuing Education, 75, 5-16.
Kohtamäki, M., & Rajala, R. (2016). Theory and practice of value co-creation in B2B systems. In: Elsevier.
Kotler, P., & Scheff, J. (1997). Standing room only: Strategies for marketing the performing arts: Harvard Business School Press.
Kristensson, P., Magnusson, P. R., & Matthing, J. (2002). Users as a hidden resource for creativity: Findings from an experimental study on user involvement. Creativity and innovation management, 11(1), 55-61.
Krugman, H. E. (1965). The impact of television advertising: Learning without involvement. Public opinion quarterly, 29(3), 349-356.
Laaksonen, P. (1994). Consumer involvement: Concepts and research: Routledge.
Lambert, D. M., & Enz, M. G. (2012). Managing and measuring value co-creation in business-to-business relationships. Journal of Marketing Management, 28(13-14), 1588-1625.
Lastovicka, J. L., & Gardner, D. M. (1979). Components of involvement. Attitude research plays for high stakes, 53-73.
Lee, F. S., Vogel, D., & Limayem, M. (2002). Virtual community informatics: what we know and what we need to know. Paper presented at the Proceedings of the 35th Annual Hawaii International Conference on System Sciences.
Lee, K.-L., & Ho, M.-J. (2011). Online social networking versus medical professionalism. Medical education, 45(5), 523.
Leigh, J. H., & Menon, A. (1987). Audience involvement effects on the information processing of umbrella print advertisements. Journal of advertising, 16(3), 3-12.
Lusch, R. F., & Vargo, S. L. (2006). Service-dominant logic: reactions, reflections and refinements. Marketing theory, 6(3), 281-288.
Magnusson, P. R., Matthing, J., & Kristensson, P. (2003). Managing user involvement in service innovation: Experiments with innovating end users. Journal of Service Research, 6(2), 111-124.
Mayo, E. J., & Jarvis, L. P. (1981). The psychology of leisure travel. Effective marketing and selling of travel services: CBI Publishing Company, Inc.
McColl-Kennedy, J. R., Vargo, S. L., Dagger, T. S., Sweeney, J. C., & Kasteren, Y. v. (2012). Health care customer value cocreation practice styles. Journal of Service Research, 15(4), 370-389.
McLawhorn, A. S., De Martino, I., Fehring, K. A., & Sculco, P. K. (2016). Social media and your practice: navigating the surgeon-patient relationship. Current reviews in musculoskeletal medicine, 9(4), 487-495.
McPherson, T., & Fontane, P. (2010). Patient-centered care in the community-based compounding practice setting. Journal of the American Pharmacists Association, 50(1), 37-44.
McWilliam, G. (2000). Building stronger brands through online communities. MIT Sloan Management Review, 41(3), 43.
Michie, S., Miles, J., & Weinman, J. (2003). Patient-centredness in chronic illness: what is it and does it matter? Patient education and counseling, 51(3), 197-206.
Mittal, B. (1989). Must consumer involvement always imply more information search? ACR North American Advances.
Mittal, B. (1995). A comparative analysis of four scales of consumer involvement. Psychology & marketing, 12(7), 663-682.
Mittal, B. L. (1983). Understanding the Bases and Effects of Involvement in the Consumer Choice Process.
Mowen, J. C., & Minor, M. C. (2001). Consumer Behavior: A Framework (Поведение потребителей: структура).
Munn, N. L., Fernald Jr, L. D., & Fernald, P. S. (1969). Introduction to psychology.
Murray, S., Silver, I., Patel, D., Dupuis, M., Hayes, S. M., & Davis, D. (2008). Community group practices in Canada: Are they ready to reform their practice? Journal of Continuing Education in the Health Professions, 28(2), 73-78.
Nambisan, S. (2002). Designing virtual customer environments for new product development: Toward a theory. Academy of Management review, 27(3), 392-413.
Nonaka, I., & Konno, N. (1998). The concept of “Ba”: Building a foundation for knowledge creation. California management review, 40(3), 40-54.
Parker, G. G., Van Alstyne, M. W., & Choudary, S. P. (2016). Platform revolution: How networked markets are transforming the economy and how to make them work for you: WW Norton & Company.
Perrin, A. (2015). Social media usage. Pew research center, 52-68.
Peter, J. P., Olson, J. C., & Grunert, K. G. (1999). Consumer behaviour and marketing strategy: McGraw-hill London, UK:.
Petty, R. E., Cacioppo, J. T., & Schumann, D. (1983). Central and peripheral routes to advertising effectiveness: The moderating role of involvement. Journal of consumer research, 10(2), 135-146.
Piccoli, G., Ahmad, R., & Ives, B. (2001). Web-based virtual learning environments: A research framework and a preliminary assessment of effectiveness in basic IT skills training. MIS quarterly, 401-426.
Plummer, J., & Taylor, J. (2004). Understanding community participation in China. Community Participation in China: Issues and Processes for Capacity Building, 23-92.
Porter, M. E., & Teisberg, E. O. (2006). Redefining health care: creating value-based competition on results: Harvard business press.
Prahalad, C. K., & Ramaswamy, V. (2004). Co‐creation experiences: The next practice in value creation. Journal of interactive marketing, 18(3), 5-14.
Ramaswamy, V., & Gouillart, F. J. (2010). The power of co-creation: Build it with them to boost growth, productivity, and profits: Simon and Schuster.
Ramirez, R. (1999). Value co‐production: intellectual origins and implications for practice and research. Strategic Management Journal, 20(1), 49-65.
Ranjan, K. R., & Read, S. (2016). Value co-creation: concept and measurement. Journal of the Academy of marketing Science, 44(3), 290-315.
Reigeluth, C. M. (1983). Meaningfulness and instruction: Relating what is being learned to what a student knows. Instructional Science, 12(3), 197-218.
Rezabek, L., & Cochenour, J. (1998). Visual cues in computer-mediated communication: Supplementing text with emoticons. Journal of Visual Literacy, 18(2), 201-215.
Rheingold, H. (1993). The virtual community: Finding commection in a computerized world: Addison-Wesley Longman Publishing Co., Inc.
Robertson, T., Zielinski, S., & Ward, J. (1985). Consumer Behavior, Illinois: Scott Foresman and Company,”.
Romm, C., Pliskin, N., & Clarke, R. (1997). Virtual communities and society: Toward an integrative three phase model. International journal of information management, 17(4), 261-270.
Rutten, L. J. F., Agunwamba, A. A., Wilson, P., Chawla, N., Vieux, S., Blanch-Hartigan, D., . . . Hesse, B. W. (2016). Cancer-related information seeking among cancer survivors: trends over a decade (2003–2013). Journal of Cancer Education, 31(2), 348-357.
Saks, A. M. (2006). Antecedents and consequences of employee engagement. Journal of managerial psychology.
Schiffman, L., & Kanuk, L. (2007). Purchasing behavior. In: Upper Saddle River, NJ: Pearson Prentice Hall.
Schiffman, L. G., Kanuk, L. L., & Wisenblit, J. (2000). Consumer Behavior. Upper Saddle River. J: Prentice Hall.
Schuler, D. (1996). New community networks: Wired for change: ACM Press/Addison-Wesley Publishing Co.
Schunk, D. H. (1996). Goal and self-evaluative influences during children’s cognitive skill learning. American educational research journal, 33(2), 359-382.
Shaw, B. R., Han, J. Y., Hawkins, R. P., Stewart, J., McTavish, F., & Gustafson, D. H. (2007). Doctor–patient relationship as motivation and outcome: Examining uses of an interactive cancer communication system. International journal of medical informatics, 76(4), 274-282.
Sheldon, K. M., Turban, D. B., Brown, K. G., Barrick, M. R., & Judge, T. A. (2003). Applying self-determination theory to organizational research. Research in personnel and human resources management, 22, 357-394.
Sherif, M., & Cantril, H. (1947). The psychology of ego-involvements: Social attitudes and identifications.
Skinner, E. A., & Belmont, M. J. (1993). Motivation in the classroom: Reciprocal effects of teacher behavior and student engagement across the school year. Journal of educational psychology, 85(4), 571.
Slama, M. E., & Tashchian, A. (1985). Selected socioeconomic and demographic characteristics associated with purchasing involvement. Journal of marketing, 49(1), 72-82.
Sproull, L. und M. Arriaga. 2007. Online communities. The Handbook of Computer Networks, Bigdoli, H.(ed), Hoboken, NJ: John Wiley & Sons, 248-279.
Sproull, L. (2007). und M. Arriaga. 2007. Online communities. The Handbook of Computer Networks, Bigdoli, H.(ed), Hoboken, NJ: John Wiley & Sons, 248-279.
Swanson, E. B. (1974). Management information systems: appreciation and involvement. Management science, 21(2), 178-188.
Swinyard, W. R. (1993). The effects of mood, involvement, and quality of store experience on shopping intentions. Journal of consumer research, 20(2), 271-280.
Tantalo, C., & Priem, R. L. (2016). Value creation through stakeholder synergy. Strategic Management Journal, 37(2), 314-329.
Tyebjee, T. T. (1979). Response time, conflict, and involvement in brand choice. Journal of consumer research, 6(3), 295-304.
Van Alstyne, M. W., Parker, G. G., & Choudary, S. P. (2016). Pipelines, platforms, and the new rules of strategy. Harvard business review, 94(4), 54-62.
Vargo, S. L., & Lusch, R. F. (2008). Service-dominant logic: continuing the evolution. Journal of the Academy of marketing Science, 36(1), 1-10.
Vargo, S. L., & Lusch, R. F. (2016). Institutions and axioms: an extension and update of service-dominant logic. Journal of the Academy of marketing Science, 44(1), 5-23.
Wager, T. D., & Atlas, L. Y. (2015). The neuroscience of placebo effects: connecting context, learning and health. Nature Reviews Neuroscience, 16(7), 403-418.
Wellman, B., & Gulia, M. (1999). Net-surfers don’t ride alone: Virtual communities as communities. Networks in the global village: Life in contemporary communities, 10(3), 34-60.
Williams, R. L., & Cothrel, J. (2000). Four smart ways to run online communities. MIT Sloan Management Review, 41(4), 81.
Witell, L., Kristensson, P., Gustafsson, A., & Löfgren, M. (2011). Idea generation: customer co‐creation versus traditional market research techniques. Journal of Service Management.
Yi, Y., & Gong, T. (2013). Customer value co-creation behavior: Scale development and validation. Journal of Business research, 66(9), 1279-1284.
Zaichkowsky, J. L. (1985). Measuring the involvement construct. Journal of consumer research, 12(3), 341-352.
方世杰, & 李慶芳. (2016). 公私部門夥伴關係之特質, 整合型研究架構與研究方向. 組織與管理, 9(2), 1-29.
王熙哲, & 丁耀民. (2008). 人際關係網路對虛擬社群使用意願的影響. 資訊管理學報, 第五卷第一期. 連結.
何俐安, & 廖芳君. (2010). 探討多企業實務社群發展歷程之個案研究-以知識長交流會為例. International Journal, 2(3), 161-181.
吳坤良. (1999). 老人的社區參與動機, 參與程度與生活適應之相關研究.
吳銘達, & 鄭宇珊. (2010). 教師教學行為, 學生學習動機對學習成效之影響: 階層線性模式分析. 中等教育, 61(3), 32-51.
吳鴻松. (2008). 科技大學成人學生學習動機與學習滿意度關係之研究─ 以南部某科技大學為例. 高學師範大學, 高雄市.
李勇輝. (2017). 學習動機, 學習策略與學習成效關係之研究-以數位學習為例. 經營管理學刊(14), 68-86.
李堅萍. (2006). 工藝技能學習成效與自我效能之相關性研究. 藝術教育研究(12), 39-64.
李筱蒨. (2017). 共創型商業模式系統化發展架構之研究. 朝陽科技大學企業管理系學位論文(2017 年), 1-105.
林崇德, 郑和钧, & 邓京华. (1995). 高中生心理學. 臺北: 五南.
邱貴發. (1992). 電腦輔助教學成效探討. 視聽教育雙月刊.
邱銘心. (2019). 醫師個人 FACEBOOK 粉絲專頁之醫病互動內容分析研究. Journal of Library and Information Science, 45(2), 96-124.
邱錦昌. (2003). 教育視導與學校效能 教育視導與學校效能 教育視導與學校效能.
張春興. (1999). 教育心理學—三化取向的理論與實踐 (修訂版). 台北: 東華書局.
張春興. (2000). 現代心理學, 臺北: 東華書局.
張春興, & 心理學. (2004). 心理學概要: 臺灣東華.
張春興, & 林清山. (1989). 教育心理學, 臺北: 東華書局.
張春興, & 楊國樞. (1980). 心理學. 台北: 三民.
梁朝雲, 陳佳珩, & 許育齡. (2008). 中文維基百科管理員參與動機與工作型態之研究. 教育資料與圖書館學, 46(1), 81-109.
許淑婷, 許純碩, & 王盈文. (2008). 教師教學態度與學生學習成效之關係探討. 立德學報, 5(2), 62-77.
陳李綢. (1991). 思考模式, 學術經驗與認知策略訓練對大學生後設認知與智力的影響. 教育心理學報.
陳品華. (2006). 技職大學生自我調整學習的動機困境與調整策略之研究. 教育心理學報.
陳啓明, & 邱政鋒. (2009). 成人參與高等回流教育學習動機之量表建構與現況之研究. In: 國立虎尾科技大學學報.
陳舜文, & 魏嘉瑩. (2013). 大學生學習動機之 [雙因素模式]: 學業認同與角色認同之功能. 中華心理學刊, 55(1), 41-55.
曾妙音, 王雅玲, 李瓊雯, & 張恬瑜. (2011). 父母社經地位與國中生學習動機, 學業成就之相關性研究. 家庭教育雙月刊(32), 6-27.
楊堤雅. (2000). 網際網路虛擬社群成員之角色與溝通互動之探討. 國立中正大學企業管理研究所, 碩士論文, 民國八十九年六月.
楊意菁. (2013). 台灣健康資訊網站之內容訊息與公眾溝通分析. 資訊社會研究, 25, 23-46.
廖士程, 李明濱, 謝博生, & 李源德. (2005). 醫病關係與醫療滿意度之全國性普查. 醫學教育, 9(2), 149-161.
劉銘穗. (2019). 共享決策認知、參與動機、參與行為對價值共創之影響─以醫病互動為調節變項. In. 台南.
潘恆嘉, 蔡甫昌, & 陳慶餘. (2004). 醫病溝通. 當代醫學(371), 753-760.
蔡芳旻. (2014). 科技接受模型與涉入程度對購物意願影響之研究-以兩岸消費者購買淘寶網為例.
鄭田. (1995). 交通部電信研究所學員覺察之學習滿意度調查研究. In: 國立交通大學管理科學研究所碩士論文, 未出版, 新竹.
鄭明韋. (1999). 國立空中大學嘉義地區學生學習方式, 學習參與程度與學習成效之研究. 國立中正大學成人及繼續教育研究所碩士論文 (未出版).
鄭采玉. (2008). 國小學生社會領域學習動機與學習滿意度關係之研究 (未出版之碩士論文). 屏東教育大學, 屏東縣.
林文傑. (2018). 所謂的社群，並不是你FB上的粉絲群. 哈佛商業評論. 2018/02/27. 取自：https://www.hbrtaiwan.com/article_content_AR0007797.html