摘 要
我國醫療機構面臨全民健康保險各項制度的規範與醫院評鑑制度的檢核，促使醫療院所管理者必須有系統化的進行績效與成本的控管。面對新制醫院評鑑更嚴格的要求，如何利用資訊化系統以整合評鑑資料，掌握評鑑各項目資料正確性以及落實實地評鑑流程與規則，成為許多醫療院所考量採用的方法。
本研究應用科技接受模式為研究基礎架構，並放入影響系統導入相關因素為其外部變數，形成一整合模式。透過本個案之實證研究，以實際使用過系統的員工作為本研究對象，探討專案團隊與系統特性此兩構念與成功導入知識管理系統之關係，以作為往後組織導入其它資訊管理系統之參考。
透過本研究可知，「系統特性」是系統導入成功與否的重要關鍵，新系統必須先讓使用者感受其「易用性」後，方能認知其「有用性」，進而提高其「使用態度」。因此，專案經理在選擇系統及規劃教育訓練課程時，必須先了解團隊成員使用既有系統之習慣與程度，再與資訊部門及外部顧問針對組織內軟硬體設備的資源及新系統之操作方法進行了解，並邀請團隊成員一起討論，設計規劃出一個盡量貼近專案團隊內部成員目前操作環境的界面；且經由快速及暢通的雙向回饋機制，不斷修改系統操作方式，以符合使用者需求，方能使專案團隊內部成員感受此系統之「易用性」而願意使用，並透過系統「認知有用性」以增加對系統整體使用滿意度。

關鍵詞：知識管理；新制醫院評鑑；專案團隊；科技接受模式

Abstract
According to the regulations of National Health Insurance and Hospital Accreditation in Taiwan, the managers of hospitals have to improve the performance and control the cost of the institutions systemically. Facing the stricter requirements from the Reformed Hospital Accreditation, how to integrate the various information via informatic systems to ensure the accuracy of every item of accreditation and its process and rules becomes the major consideration of many medical institutions in Taiwan. This study is based on Technology Acceptance Model (TAM) using two external variables: project team (PT) and knowledge management system (KMS) to evaluate the attitude and satisfaction of the system users in the hospital.
Materials and Methods: The personnel who are allowed to use KMS in one southern medical center were enrolled into this study. Questionnaire survey was performed and totally 258 questionnaires were retrieved with 230 effectively responded (89.15%). The collected data were analyzed by SPSS 12.0 software. The statistic methods included descriptive statistics, factor analysis, reliability and validity tests, and analysis of variance. Structural equation modeling (SEM) was also applied for path analysis.
Results: 1.Introducing KMS into hospital, the internal members of PT and characteristics of KMS significantly influenced the perceived ease of use of the system. However, the internal and external members of PT and characteristics of KMS didn’t significantly affect the perceived usefulness of the system. 2.The perceived usefulness and ease of use of the KMS in hospital significantly influenced the attitude toward use of the system. Perceived ease of use significantly affected perceived usefulness of the system. Perceived usefulness also significantly affected overall satisfaction of the system. 3.The majority of the personnel in the studied hospital supported the implantation of KMS and had acceptable satisfaction of using it.
Conclusions and suggestions: The characteristic of the system is the key factor for successful introduction of KMS. According to the results of this study, a new system must let the user to perceive the ease of use, then identify its usefulness, and thus improve the attitude toward use. When selecting system and planning educational program, the project manager should understand the habit and level using the existing system of the team members, and then asks the colleagues of informatics department and external consultant to evaluate the resources of hardware and software in organization and the operating process of the new system. Through the discussion with the team members, an interface that closes to the existing system will be evolved. Continuous improvement of the operational process via rapid, fluent and bi-directional feedbacks can develop a user friendly system to let the internal members of PT willing to use it due to perceived ease of use; then feel its usefulness and increase the satisfaction of the usage of KMS.

Keywords: Knowledge Management; Reformed Medical Accreditation; Project Team; Technology Acceptance Model

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