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研究生: 鄭佑璇
Cheng, Yu-Hsuan
論文名稱: 突破數據孤島:人工智慧可供性如何促進醫療敏捷
Breaking Data Silos: How AI Affordances Enable Healthcare Agility
指導教授: 黃振皓
Huang, Chen-Hao
學位類別: 碩士
Master
系所名稱: 管理學院 - 企業管理學系
Department of Business Administration
論文出版年: 2026
畢業學年度: 114
語文別: 中文
論文頁數: 112
中文關鍵詞: 可供性實現資訊科技人工智慧敏捷醫療敏捷交織校準數位轉型
外文關鍵詞: Affordance Actualization, Healthcare Agility, Agility, Digital Transformation, Information Technology, Alignment, Imbrication, Artificial Intelligence
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  • 隨著資訊科技 (Information Technology) 被企業廣泛應用於提供產品及服務的流程中,尤其是人工智慧浪潮來襲,如何有效的導入人工智慧 (Artificial Intelligence) 幫助組織完成數位轉型並提高組織效率成了企業培養競爭優勢的關鍵因素之一。有鑑於數位轉型 (Digital Transformation) 以及人工智慧的快速發展,企業開始利用內部擁有的科技以及人才來實踐組織欲達成之轉型目標;然而人工智慧隨之而來的轉型並非有科技及人員就能輕鬆完成的,其具體轉型歷程以及行動軌跡在醫療產業中少被人提及且深入研究。
    為了探討此議題,本研究採質性分析方法中的個案研究法,以全國具領導地位且具一定規模的醫學中心「中國醫藥大學附設醫院 (China Medical University Hospital, CMUH)」 作為本研究之研究個案,探討其如何利用人工智慧來達成醫療敏捷。本研究依據中國醫藥大學附設醫院在達成提供給病患更加敏捷的醫療服務所經歷的人機互動過程,將其轉型歷程分為三個階段:「數據奠定期」探討院方如何建構資訊科技基礎建設、「數據訓練期」聚焦院方如何進一步利用人工智慧完成下階段目標、以及「數據應用期」說明成果的落地應用如解決數據孤島問題,針對每一階段依序分析中國醫藥大學附設醫院在每個階段中的行動過程。本研究的貢獻為深入分析現象以歸納出情境中的脈絡,進而產出一套有助於幫助企業推動轉型的流程架構,為面臨相同課題的企業提供參考。

    As information technology has been widely applied by firms in the delivery of products and services, especially with the rise of artificial intelligence, effectively utilizing AI has become a key factor for organizations to achieve digital transformation and improve operational efficiency. In response to the rapid development of digital transformation and AI, firms have begun to utilize their technologies to pursue transformation goals. However, AI-driven transformation cannot be easily accomplished simply by possessing technologies and human resources. In particular, the specific transformation process and action trajectories of AI adoption in the healthcare industry remain under explored.
    To explore this issue, this study adopts qualitative case study approach and selects China Medical University Hospital as the case. This study investigates how the hospital utilize artificial intelligence to achieve healthcare agility, focusing on the interactions between technology and organizational members, and how can data silo problems be solved through actions. Based on socio-technical interaction process by China Medical University Hospital in pursuing agile healthcare services, this study categorizes the transformation process into three stages: (1) Data Foundation Stage, (2) Data Training Stage, and (3) Data Application Stage. This study is going to point out the action processes undertaken by the hospital within each stage.
    The contribution of this study lies in its in-depth analysis of the phenomenon to identify the underlying mechanisms, thereby developing a framework that could assist organizations in actualizing digital transformation and provide reference for organizations facing similar changes.

    摘要 i Breaking Data Silos: How AI Affordances Enable Healthcare Agility iii 誌謝 vii 目錄 viii 表目錄 xi 圖目錄 xii 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究問題與目的 2 第三節 研究範圍與流程 3 第四節 論文架構 6 第二章 文獻探討 8 第一節 醫療領域循證決策 (Evidence-based decision-making) 8 第二節 敏捷 (Agility) 10 一、 資訊科技 (Information Technology) 在醫療領域中的角色 10 二、 醫療敏捷 (Healthcare Agility) 11 第三節 醫療領域中的數據孤島 13 一、 語意孤島 14 二、 資訊流孤島 14 三、 數據孤島 14 第四節 可供性實現 15 一、 可供性實現理論歷史回溯 16 二、 可供性實現過程和核心要素 22 三、 可供性實現相關研究 25 第五節 校準 (Alignment) 26 一、 理論發展 26 二、 校準在可供性實現理論的角色 30 第六節 交織 (Imbrication) 31 第三章 研究方法與架構 33 第一節 研究方法 33 一、 質性研究與量化研究 33 二、 個案研究 36 第二節 研究架構 38 第三節 研究對象 41 一、 中國醫藥大學附設醫院在醫療領域具有一定程度影響力1 41 二、 中國醫藥大學附設醫院達成醫療敏捷成果顯著2 42 三、 中國醫藥大學附設醫院擁有具共識的社會網路關係3 42 第四節 資料蒐集與分析 43 一、 資料蒐集 43 二、 資料分析 47 第四章 個案描述 49 第一節 產業概況 49 一、 醫療產業數位轉型沿革 49 數位化 (Digitization) 49 第二節 個案背景 53 一、 中國醫藥大學附設醫院背景 53 二、 中國醫藥大學附設醫院智慧醫療相關部門 54 三、 中國醫藥大學附設醫院智慧醫療措施 57 第五章 個案分析 62 第一節 數據奠定期 63 一、 感知語意孤島痛點 63 二、 可供性實現、校準與交織 64 第二節 數據訓練期 70 一、 感知資訊流孤島問題 70 二、 可供性實現、校準與交織 70 第三節 數據應用期 75 一、 感知數據孤島問題 75 二、 可供性實現、校準與交織 76 第四節 三階段總結 83 第六章 研究結論與建議 85 第一節 結論與研究貢獻 85 一、 研究發現 85 二、 研究貢獻 86 第二節 研究限制與未來研究方向 87 一、 研究限制 87 二、 未來研究方向 88 參考文獻 89

    Abuhamda, E., Ismail, I. A., & Bsharat, T. (2021). Understanding quantitative and qualitative research methods: A theoretical perspective for young researchers. International Journal of Research, 8(2), 71-87.
    Alrabghi, A., & Tameem, A. (2025). Empowering Healthcare Agility: A Strategic Framework for Pandemic-Responsive Operational Planning. Journal of Multidisciplinary Healthcare, 3321-3330.
    Anderson, C., & Robey, D. (2017). Affordance potency: Explaining the actualization of technology affordances. Information and Organization, 27(2), 100-115.
    Andrews, K. R. (1971). Corporate strategy. Richard d Irwin.
    Awrahman, B. J., Aziz Fatah, C., & Hamaamin, M. Y. (2022). A review of the role and challenges of big data in healthcare informatics and analytics. Computational intelligence and neuroscience, 2022(1), 5317760.
    Badgujar, P. (2022). Streamlining Data Integration for Organizational Agility: Overcoming Challengesand Harnessing Technology. Journal of Technological Innovations, 3(4).
    Barker, W., Chang, W., Everson, J., Gabriel, M., Patel, V., Richwine, C., & Strawley, C. (2024). The evolution of health information technology for enhanced patient-centric care in the United States: data-driven descriptive study. Journal of Medical Internet Research, 26, e59791.
    Baskarada, S. (2014). Qualitative case study guidelines. The qualitative report, 19(40), 1-25.
    Bates, D. W., Leape, L. L., Cullen, D. J., Laird, N., Petersen, L. A., Teich, J. M., Burdick, E., Hickey, M., Kleefield, S., & Shea, B. (1998). Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. Jama, 280(15), 1311-1316.
    Baxter, P., & Jack, S. (2008). Qualitative case study methodology: Study design and implementation for novice researchers. The qualitative report, 13(4), 544-559.
    Belliger, A., & Krieger, D. J. (2018). The digital transformation of healthcare. In Knowledge management in digital change: new findings and practical cases (pp. 311-326). Springer.
    Benbasat, I., & Zmud, R. W. (2003). The identity crisis within the is discipline: Defining and communicating the discipline’s core properties1. MIS quarterly, 27(2), 183-194.
    Benbya, H., Leidner, D. E., & Preston, D. (2019). MIS Quarterly research curation on information systems alignment. MIS quarterly, 1-19.
    Benbya, H., & McKelvey, B. (2006). Using coevolutionary and complexity theories to improve IS alignment: A multi–level approach. Journal of Information technology, 21(4), 284-298.
    Berghaus, S., & Back, A. (2016). Stages in digital business transformation: Results of an empirical maturity study.
    Brennen, J. S., & Kreiss, D. (2016). Digitalization. The international encyclopedia of communication theory and philosophy, 1-11.
    Brown, C. V., & Magill, S. L. (1994). Alignment of the IS Functions with the Enterprise: Toward a Model of Antecedents. MIS quarterly, 18(4), 371-403.
    Brown, J. L., & Agnew, N. M. (1982). Corporate agility. Business horizons, 25(2), 29-33.
    Burton-Jones, A., Akhlaghpour, S., Ayre, S., Barde, P., Staib, A., & Sullivan, C. (2020). Changing the conversation on evaluating digital transformation in healthcare: Insights from an institutional analysis. Information and Organization, 30(1), 100255.
    Butler, A. E., Copnell, B., & Hall, H. (2018). The development of theoretical sampling in practice. Collegian, 25(5), 561-566.
    Campbell, D. T., & Fiske, D. W. (1959). Convergent and discriminant validation by the multitrait-multimethod matrix. Psychological bulletin, 56(2), 81.
    Chandler, A. D. (1962). Strategy and structure: Chapters in the history of the industrial empire. Cambridge Mass, 5(1), 12-48.
    Charmaz, K. (2012). The power and potential of grounded theory. Medical sociology online, 6(3), 2-15.
    Ciborra, C. (2006). Imbrication of representations: Risk and digital technologies. Journal of Management Studies, 43(6), 1339-1356.
    Colicchio, T. K., Del Fiol, G., & Cimino, J. J. (2020). Health information technology as a learning health system: call for a national monitoring system. Learning Health Systems, 4(1), e10207.
    Colin, M. N., Octaviany, S. T., Darmawan, M., Anggi, J. F., Kusuma, C. F., & Kautsar, A. P. (2025). Meta-analysis of randomized controlled trials of electronic health interventions to reduce medication errors. npj Digital Medicine.
    Coulson-Thomas, C. (2022). Executive, board and corporate agility. Effective Executive, 25(1), 13-33.
    Cresswell, K., & Sheikh, A. (2013). Organizational issues in the implementation and adoption of health information technology innovations: an interpretative review. International journal of medical informatics, 82(5), e73-e86.
    Creswell, J. W. (2013). Steps in conducting a scholarly mixed methods study.
    Creswell, J. W., & Creswell, J. D. (2017). Research design: Qualitative, quantitative, and mixed methods approaches. Sage publications.
    David, R., Baumann, K., Le Franc, Y., Magagna, B., Vogt, L., Wildmann, H., Jouneau, T., Koivula, H., Madon, B., & Nyberg Akerstrom, W. (2023). Converging on a semantic interoperability framework for the European Data Space for Science, Research and Innovation (EOSC).
    De Mello, B. H., Rigo, S. J., Da Costa, C. A., da Rosa Righi, R., Donida, B., Bez, M. R., & Schunke, L. C. (2022). Semantic interoperability in health records standards: a systematic literature review. Health and technology, 12(2), 255-272.
    Denzin, N. K. (2017). The research act: A theoretical introduction to sociological methods. Routledge.
    Denzin, N. K., & Lincoln, Y. S. (2011). The Sage handbook of qualitative research. sage.
    Doz, Y. L., & Kosonen, M. (2010). Embedding strategic agility: A leadership agenda for accelerating business model renewal. Long range planning, 43(2-3), 370-382.
    Draucker, C. B., Martsolf, D. S., Ross, R., & Rusk, T. B. (2007). Theoretical sampling and category development in grounded theory. Qualitative health research, 17(8), 1137-1148.
    Falla, J. F. S., Karwowski, W., Jahani, S., Rabelo, L., & Hancock, P. (2025). Agile healthcare: The role of information technology ambidexterity and human resource practices fostering workforce agility and job performance. International Journal of Industrial Ergonomics, 110, 103818.
    Gao, F., & Sunyaev, A. (2019). Context matters: A review of the determinant factors in the decision to adopt cloud computing in healthcare. International Journal of Information Management, 48, 120-138.
    Gaver, W. W. (1991). Technology affordances. Proceedings of the SIGCHI conference on Human factors in computing systems,
    Gerow, J. E., Thatcher, J. B., & Grover, V. (2015). Six types of IT-business strategic alignment: an investigation of the constructs and their measurement. European Journal of Information Systems, 24(5), 465-491.
    Gibson, J. J. (1977). The theory of affordances. Hilldale, USA, 1(2), 67-82.
    Gibson, J. J. (2014). The ecological approach to visual perception: classic edition. Psychology press.
    Gill, P., Stewart, K., Treasure, E., & Chadwick, B. (2008). Methods of data collection in qualitative research: interviews and focus groups. British dental journal, 204(6), 291-295.
    Goodhue, D. L., & Thompson, R. L. (1995). Task-technology fit and individual performance. MIS quarterly, 19(2), 213-236.
    Gougjehyaran, H. G., Maleki, R. N., & Sahebihagh, M. H. (2025). Managerial agility in nursing: a concept analysis. BMC nursing, 24(1), 1088.
    Haux, R. (2006). Health information systems–past, present, future. International journal of medical informatics, 75(3-4), 268-281.
    Henderson, J. C., & Venkatraman, H. (1999). Strategic alignment: Leveraging information technology for transforming organizations. IBM systems journal, 38(2.3), 472-484.
    Hill, A. B. (1937). Principles of medical statistics.
    Hu, G., Liu, Y., Liu, K., & Yang, X. (2023). Research on data-driven dynamic decision-making mechanism of mega infrastructure project construction. Sustainability, 15(12), 9219.
    Huang, H. (2019). Pacs-based multimedia imaging informatics: Basic principles and applications. John Wiley & Sons.
    Ingram, C., Teigland, R., & Vaast, E. (2014). Solving the puzzle of crowdfunding: Where technology affordances and institutional entrepreneurship collide. 2014 47th Hawaii international conference on system sciences,
    Jen, M. Y., Kerndt, C. C., & Korvek, S. J. (2017). Health information technology.
    Jha, A. K., DesRoches, C. M., Campbell, E. G., Donelan, K., Rao, S. R., Ferris, T. G., Shields, A., Rosenbaum, S., & Blumenthal, D. (2009). Use of electronic health records in US hospitals. New England Journal of Medicine, 360(16), 1628-1638.
    Jónasdóttir, H., & Müller, S. D. (2020). Theorizing affordance actualization in digital innovation from a socio-technical perspective: The case of the video game industry. Scandinavian Journal of Information Systems, 32(1), 5.
    Kotis, K., Athanasakis, I., & Vouros, G. (2014). Semantic integration & single-site opening of multiple governmental data sources. arXiv preprint arXiv:1407.0481.
    Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of electronic health records to support population health: a systematic review of the literature. Journal of medical systems, 42(11), 214.
    Kumar, R., & Qu, Y. (2025). Utilizing Large Language Model Enabled Agents to Streamline Business Decision Making. European Journal of Electrical Engineering and Computer Science, 9(5), 14-21.
    Legner, C., Eymann, T., Hess, T., Matt, C., Böhmann, T., Drews, P., Mädche, A., Urbach, N., & Ahlemann, F. (2017). Digitalization: opportunity and challenge for the business and information systems engineering community. Business & information systems engineering, 59(4), 301-308.
    Leonardi, P. M. (2011). When flexible routines meet flexible technologies: Affordance, constraint, and the imbrication of human and material agencies1. MIS quarterly, 35(1), 147-167.
    Loebbecke, C., & Picot, A. (2015). Reflections on societal and business model transformation arising from digitization and big data analytics: A research agenda. The journal of strategic information systems, 24(3), 149-157.
    Magalhães, T., Paulo, M. S., Paias, J., Hirata, A., & Spijker, J. (2026). Digitalisation and Healthcare Workers: European Trends, Workforce Competencies. In Older Workers in a Digital Era (pp. 277-295). Springer.
    Markus, M. L., & Silver, M. S. (2008). A foundation for the study of IT effects: A new look at DeSanctis and Poole's concepts of structural features and spirit. Journal of the association for information systems, 9(10), 5.
    Miles, M. B., & Huberman, A. M. (1994). Qualitative data analysis: An expanded sourcebook. sage.
    Morais, D., Pinto, F. G., Pires, I. M., Garcia, N. M., & Gouveia, A. J. (2022). The influence of cloud computing on the healthcare industry: a review of applications, opportunities, and challenges for the CIO. Procedia Computer Science, 203, 714-720.
    Norman, D. A. (1988). The psychology of everyday things. Basic books.
    Ntinda, K. (2019). Narrative research. Handbook of research methods in health social sciences, 411-423.
    Odeh, I. M., & Alkshali, S. J. (2024). THE IMPACT OF STRATEGIC AGILITY ON THE QUALITY OF HEALTHCARE AT JORDANIAN PRIVATE HOSPITALS.
    Oranga, J., & Matere, A. (2023). Qualitative research: Essence, types and advantages. Open Access Library Journal, 10(12), 1-9.
    Orlikowski, W. J., & Iacono, C. S. (2001). Desperately seeking the “IT” in IT research–a call to theorizing the IT artifact. Information systems research, 12(2), 121-134.
    Patel, J. (2019). Bridging data silos using big data integration. International Journal of Database Management Systems, 11(3), 01-06.
    Patri, R., & Suresh, M. (2019). Agility in healthcare services: a systematic literature exploration. International Journal of Services and Operations Management, 32(3), 387-404.
    Rajaei, O., Khayami, S. R., & Rezaei, M. S. (2024). Smart hospital definition: Academic and industrial perspective. International journal of medical informatics, 182, 105304.
    Reed T. Sutton, D. P., Daniel C. Baumgart, Daniel C. Sadowski, Richard N. Fedorak & Karen I. Kroeker. (2020). An overview of clinical decision support systems: benefits, risks, and strategies for success. npj Digital Medicine.
    Reeves, S., Kuper, A., & Hodges, B. D. (2008). Qualitative research methodologies: ethnography. Bmj, 337.
    Reich, B. H., & Benbasat, I. (1996). Measuring the linkage between business and information technology objectives. MIS quarterly, 20(1), 55-81.
    Reich, B. H., & Benbasat, I. (2000). Factors That Influence the Social Dimension of Alignment Between Business and Information Technology Objectives1. MIS quarterly, 24(1), 81-113.
    Sackett, D. L., Haynes, R. B., & Tugwell, P. (1985). Clinical epidemiology: a basic science for clinical medicine. In Clinical epidemiology: a basic science for clinical medicine (pp. xiii, 370-xiii, 370).
    Sambamurthy, V., Bharadwaj, A., & Grover, V. (2003). Shaping agility through digital options: Reconceptualizing the role of information technology in contemporary firms. MIS quarterly, 237-263.
    Sanazaro, P., Hart, J. T., & Williamson, J. (1973). Effectiveness and Efficiency: Random Reflections on Health Services. In: JSTOR.
    Schendel, D. E., & Hofer, C. W. (1979). A new view of business policy and planning. Strategic Management, Boston: Little, Brown Boston.
    Schlosser, F., Beimborn, D., Weitzel, T., & Wagner, H.-T. (2015). Achieving social alignment between business and IT–an empirical evaluation of the efficacy of IT governance mechanisms. Journal of Information technology, 30(2), 119-135.
    Singh, D., Singh Oberoi, J., & Singh Ahuja, I. (2013). An empirical investigation of dynamic capabilities in managing strategic flexibility in manufacturing organizations. Management Decision, 51(7), 1442-1461.
    Stake, R., & Visse, M. (1995). Case study research. Springer.
    Stipelman, C. H., Kukhareva, P. V., Trepman, E., Nguyen, Q.-T., Valdez, L., Kenost, C., Hightower, M., & Kawamoto, K. (2022). Electronic health record-integrated clinical decision support for clinicians serving populations facing health care disparities: literature review. Yearbook of Medical Informatics, 31(01), 184-198.
    Stoumpos, A. I., Kitsios, F., & Talias, M. A. (2023). Digital transformation in healthcare: technology acceptance and its applications. International journal of environmental research and public health, 20(4), 3407.
    Strauss, A., & Corbin, J. (1998). Basics of qualitative research techniques.
    Strong, D. M., Volkoff, O., Johnson, S. A., Pelletier, L. R., Tulu, B., Bar-On, I., Trudel, J., & Garber, L. (2014). A theory of organization-EHR affordance actualization. Journal of the association for information systems, 15(2), 2.
    Stuckey, H. L. (2013). Three types of interviews: Qualitative research methods in social health. Journal of Social Health and Diabetes, 1(02), 056-059.
    Teece, D., Peteraf, M., & Leih, S. (2016). Dynamic capabilities and organizational agility: Risk, uncertainty, and strategy in the innovation economy. California management review, 58(4), 13-35.
    Tisdell, E. J., Merriam, S. B., & Stuckey-Peyrot, H. L. (2025). Qualitative research: A guide to design and implementation. John Wiley & Sons.
    Tsai, C. H., Eghdam, A., Davoody, N., Wright, G., Flowerday, S., & Koch, S. (2020). Effects of electronic health record implementation and barriers to adoption and use: a scoping review and qualitative analysis of the content. Life, 10(12), 327.
    Tucker, A. L., & Edmondson, A. C. (2003). Why hospitals don't learn from failures: Organizational and psychological dynamics that inhibit system change. California management review, 45(2), 55-72.
    Van de Wetering, R. (2021). IT ambidexterity and patient agility: the mediating role of digital dynamic capability.
    Vaughn, V. M., Saint, S., Krein, S. L., Forman, J. H., Meddings, J., Ameling, J., Winter, S., Townsend, W., & Chopra, V. (2019). Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies. BMJ quality & safety, 28(1), 74-84.
    Venkatraman, N., & Camillus, J. C. (1984). Exploring the concept of “fit” in strategic management. Academy of management review, 9(3), 513-525.
    Venkatraman, N., Henderson, J. C., & Oldach, S. (1993). Continuous strategic alignment: Exploiting information technology capabilities for competitive success. European Management Journal, 11(2), 139-149.
    Vest, J. R., & Gamm, L. D. (2010). Health information exchange: persistent challenges and new strategies. Journal of the American Medical Informatics Association: JAMIA, 17(3), 288.
    Vial, G. (2021). Understanding digital transformation: A review and a research agenda. Managing digital transformation, 13-66.
    Volkoff, O., & Strong, D. M. (2013). Critical realism and affordances: theorizing IT-associated organizational change processes1. MIS quarterly, 37(3), 819-834.
    Wagner, H.-T., Beimborn, D., & Weitzel, T. (2014). How social capital among information technology and business units drives operational alignment and IT business value. Journal of Management Information Systems, 31(1), 241-272.
    Woll, A., & Tørresen, J. (2022). What is a smart hospital? A review of the literature. Human-Automation Interaction: Manufacturing, Services and User Experience, 145-165.
    Ye, J., Woods, D., Jordan, N., & Starren, J. (2024). The role of artificial intelligence for the application of integrating electronic health records and patient-generated data in clinical decision support. AMIA Summits on translational science proceedings, 2024, 459.
    Yin, R. K. (2003). Designing case studies. Qualitative research methods, 5(14), 359-386.
    Yoo, Y., Henfridsson, O., & Lyytinen, K. (2010). Research commentary—the new organizing logic of digital innovation: an agenda for information systems research. Information systems research, 21(4), 724-735.
    Yu, L., Lu, Y., & Zhu, X. (2012). Smart hospital based on internet of things. Journal of networks, 7(10), 1654.
    Zhou, N., Esparza, S. G., & Garshol, L. M. (2019). A Semantic Schema for Data Quality Management in a Multi-Tenant Data Platform. arXiv preprint arXiv:1908.10754.

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