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CHAPTER 6: CONCLUSION 6.1 Summary
In Taiwan, many government-supported projects aim to establish e-health services, but most of these efforts fail because of insufficient customer adoption. Once government support ends, so does the service. Therefore, the aim of this study is to determine key service features that can attract customers to adopt and continue to use e-health services. The final goal is to make the e-health services sustainable. We divided customers into three groups: potential customers, adopters, and adopters who are willing to continue to use the service. We use the service concept to classify our service features into five categories: by whom, what, for whom, when, and how. We are interested in identifying the service features that can interest potential customers, enhance their willingness to adopt the service, and motivate existing customers to continue using the service. We compare opinions on service features across these three groups and determine features on which opinions differ significantly across the groups. The results can help hospitals such as NTUH to design e-health services.
The results indicate that the factors affecting patients’ intention to adopt the services are:
(1) The channel to join the service (through patients’ self- evaluation) (2) The components of the services (symptom analysis, alarm service) (3) Disease type and age
(4)The frequency of service provision
(5) Satisfaction with the service and platform. (Operational satisfaction with the platform, Medical satisfaction with the platform, Operational satisfaction with the service)
Moreover, the factors that affect patient decisions to use the services include:
(1) The channel to join the service (through patients’ self- evaluation, social relationships, professional suggestion)
(2) The components of the service (symptom analysis, health education information, medical information)
(3) Disease type and age
(4)The frequency of service provision
(5) Satisfaction with the service and platform. (Operational satisfaction with the platform, Medical satisfaction with the platform, Medical satisfaction with the service,
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Operational satisfaction with the service)
Furthermore, the results indicate the factors affecting patients’ decisions to continue using the service are:
(1) The components of the service (physiological data recording, symptom analysis) (2) Disease type and age
(3) Satisfaction with the service and platform. (Operational satisfaction with the platform, Medical satisfaction with the platform, Medical satisfaction with the service, Operational satisfaction with the service)
6.2 Limitations and Suggestions for Future Research.
In this study, we summarize important e-health service features based on past research and explore their impacts on different usage stages. The results can help e-health service designers to understand what the important service features are and how to increase patients’ use levels. In this study, we examine user type into age and disease. We suggest that future researcher could take different family income or the wiliness of family members into consider, we also suggest that future researchers should build upon the model developed in this study through a further examination of the service factors identified. Moreover, our data were all collected from NTUH.
NTUH is one of the largest medical centers in the metropolitan area of Taiwan, and hence the results of this research may to some extent reflect patients’ opinions in the metropolitan areas of Taiwan. Future researchers could conduct similar research focusing on individuals residing in rural areas. A survey conducted across different areas could also further verify the results of this study.
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AppendixA: Qustionaire
台大醫院遠距照護 個案意見調查表
Items 題目 如選項
符合
請打勾
SR1 因為透過親友介紹管道得知本服務
SR2 因為透過病友會介紹管道得知本服務
SR3 因為親友建議使用該儀器使用該種廠牌的測量儀器
SE1 因為透過上網或報章雜誌搜尋得知本服務
SE2 因為價格實惠使用該廠牌儀器
SE3-1 因為方便攜帶使用該廠牌儀器
SE3-2 因為測量準確使用該廠牌儀器
SE4 因為信任該廠牌使用該廠牌儀器
PF1 因為透過醫師介紹得知本服務
PR1-1 目前使用本系統平台最滿意的部分為生理數值紀錄
PR1-2 目前使用本系統平台最滿意的部分為飲食紀錄
PR1-3 目前使用本系統平台最滿意的部分為胰島素紀錄
PR1-4 目前使用本系統平台最滿意的部分為藥物紀錄
PR1-5 目前使用本系統平台最滿意的部分為運動紀錄
PR1-6 目前使用本系統平台最滿意的部分為壓力量表紀錄
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PR1-7 目前使用本系統平台最滿意的部分為血糖量測情形
PR2-1 目前使用本系統平台最常使用的部分為生理數值紀錄
PR2-2 目前使用本系統平台最常使用的部分為飲食紀錄
PR2-3 目前使用本系統平台最常使用的部分為胰島素紀錄
PR2-4 目前使用本系統平台最常使用的部分為藥物紀錄
PR2-5 目前使用本系統平台最常使用的部分為運動紀錄
PR2-6 目前使用本系統平台最常使用的部分為壓力量表紀錄
PR2-7 目前使用本系統平台最常使用的部分為血糖量測情形
AF1-1 目前使用本系統平台最滿意的部分為三個月內分析
AF1-2 目前使用本系統平台最滿意的部分為抽血報告
AF1-3 目前使用本系統平台最滿意的部分為每日記錄表單
AF1-4 目前使用本系統平台最滿意的部分為控制目標
AF2-1 目前使用本系統平台最常使用的部分為三個月內分析
AF2-2 目前使用本系統平台最常使用的部分為抽血報告
AF2-3 目前使用本系統平台最常使用的部分為每日記錄表單
AF2-4 目前使用本系統平台最常使用的部分為控制目標
AF3-1 未來，我會希望照護系統平台提供各餐卡路里試算、記錄及
圖表追蹤
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AF3-2 未來，我會希望照護系統平台提供運動卡路里消耗自動換算
AF4-1 對於定期健康報告書服務的看法
AF4-2 我認為提供定期健康報告書服務是最為優先的
HI1 目前使用本系統平台最滿意的部分為知識報你知
HI2 目前使用本系統平台最常使用的部分為知識報你知
HI3-1 未來，我會希望照護系統平台提供衛教影音
HI3-2 未來，我會希望照護系統平台提供定期電子報
HI4 我認為衛教服務是最為優先的
MI2-1 目前使用本系統平台最常使用的部分為主要治療藥物
MI2-2 目前使用本系統平台最常使用的部分為醫師和醫院
MI2-3 目前使用本系統平台最常使用的部分為就診檢查記錄
MI2-4 目前使用本系統平台最常使用的部分為糖尿病病史
MI2-5 目前使用本系統平台最常使用的部分為家族病史
MI3-1 未來，我會希望照護系統平台提供預約掛號
MI3-2 未來，我會希望照護系統平台提供客服諮詢
MI3-3 未來，我會希望照護系統平台提供查詢處方箋
MI3-4 未來，我會希望照護系統平台提供藥物諮詢
MI3-5 未來，我會希望照護系統平台提供特約門診
MI4 我認為提供諮詢服務是最為優先的
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MI5-1 未來除了原有照護服務之外，我會希望提供醫師遠距專業諮
詢
MI5-2 未來除了原有照護服務之外，我會希望提供遠距即時辦門診
MI5-3 未來除了原有照護服務之外，我會希望提供優先掛號服務
MI5-4 未來除了原有照護服務之外，我會希望提供健康管理
MI5-5 未來除了原有照護服務之外，我會希望提供減重計畫
AS1 未來，我會希望照護系統平台提供親友同步通報服務
AS2-1 我對於量測異常警示服務的看法：
我可以自行處理，不需要量測異常警示服務我需要個管師評估處 理除了個管師處理，我希望鎖定特定親友同步通報除通報親友 外，如病情所需，系統能自動緊急救護派送
AS2-2 我對於提醒服務(
如定期用藥、量測提醒、以及相關資訊之告知
)的看法：(可複選並排序)
以電話聯絡以手機簡訊通知透過平台發送訊息即可以發送郵
以電話聯絡以手機簡訊通知透過平台發送訊息即可以發送郵