學號：M10516107
論文名稱：智慧醫院之研究-以護理站電子白板為例
頁數：73頁
院所組別：國立臺灣科技大學管理研究所EMBA碩士在職專班
畢業期間及提要別：一百零七學年度第二學期碩士論文提要
研究生：林妙蓮
指導教授：王孔政博士
世界各國都面臨人口老化的問題，臺灣也不例外。根據內政部最新的統計資料，我國在2018年3月底65歲以上老年人口占總人口比率已經達到 14.05％，也就是現今人口結構中，每7 個人中就有1個是老人，代表臺灣已正式邁入「高齡社會(aged society)」意味著未來醫療照護需求人口會越來越多，而醫護人力不足的問題也將日益嚴重，據臺灣醫療改革基金會(Taiwan Healthcare Reform Foundation, THRF)2013年的資料指出臺灣護理師平均1人需照顧13位病人，是日本的近2倍，更是澳洲的近3倍。因此，如何運用物聯網(Internet of things, IoT)技術，優化醫護人員的工作流程，提升醫療服務工作效率，解決醫院人力不足的問題，實為當務之急。本研究探討智慧醫院基礎設備之護理站智慧電子白板(Intelligent Electonic White Board, IEWD)使用狀況與未來需求，以質化研究方法，深度訪談四家醫院之醫療服務人員，其中包含1位督導、3位護理長、5位護理師及7位實習護理師總計16位接受訪談。訪談結果經過整理、歸納與分析，彙整出護理站智慧電子白板目前使用上的方便性與常見的問題及使用人員對未來護理站智慧電子白板功能的期望與建議。本研究結果可以提供醫療IOT相關業者在發展智慧醫院相關系統時或醫院發展智慧醫療相關平台，包括使用者界面、系統優化及未來發展之參考。

Population ageing is becoming increasingly serious problem worldwide, as well as in Taiwan. According to latest statistical data March 2018, from Taiwan Ministry of the Interior, the proportion of people 65 years or older reaches 14.05 %, is regarded as an “aged society”, it means there is 1 elderly of 7 population in Taiwan. It also indicates that more and more people need mediacl cares in near future, and the shortage of healthcare provider will be worse. According to the data from The Taiwan Healthcare Reform Foundation (THRF) in 2013, an average of 1 nurse in Taiwan needs to take care of 13 patients, which is nearly 2 times that of Japan and nearly 3 times that of Australia. To resolve the problem, using and developing IoT to improve the work efficincy of medical staff is urgent priority. This thesis studies the utilization of Intelligent Electonic White Board (IEWD), explore nurses work process and refining expectations by qualitative research method by interview 1 supervisor, 3 head nurses, 5 nurses, and 7 practice nurses from 4 hospitals. The present study has sorted out and analyized the collected data, trying to identify the design gap of Intelligent Electonic White Board by medical staffs’ practical experience, along with discovering a roadmap of an smart hospital in future.

英文文獻
1. Babbie, E. (2015). The practice of social research. Nelson Education.
2. Boopala Krishnan, Sudheer Babu, Sai Prem Shaji, Amar Sainath, Reddy Tamanampudi and Siva Sankara Sai Sanagapati Department of Physics,Sri Sathya Sai Institute of Higher Learning (2016). “Software Based Gateway with Distributed Flow Environment for Medical IoT in Rural Areas,” IEEE,1-5.
3. Communication and coordination of care, International Journal of Medical Informatics. Volume 78, Issue 4, April (2009) , Pages 239-247
4. Denis McInerny (2017). “Smart Hospitals on the Rise by 2020, Market Scale.
5. Hannah Wong, Michael Caesar, Salim Bandali, James Agnew, Howard Abrams (2009).Electronic inpatient whiteboards: Improving multidisciplinary
6. Jane Sutton and Zubin Austin (2015). Qualitative Research: Data Collection, Analysis, and Management. The Canadian Journal of Hospital Pharmacy. (2015) May-Jun; 68(3): 226–231.
7. KMD Architects. (2015). The Smart Hospital, Pages 4-6.
8. Liang, T. P., Wang, Y. W., & Wu, P. J. (2013, May). A system for service blueprint design. In Service Science and Innovation (ICSSI), 2013 Fifth International Conference on (pp. 252-253). IEEE.
9. Oryema Brian, Kim Hyun-Su, Wei Li, Tae Park, Jong (2017). “Design and implementation of an interoperable messaging system for IoT healthcare services,”IEEE, 45-52.
10. Philipp Kindt, Daniel Yunge, Andreas Tobolay, Georg Fischerz, Samarjit Chakraborty (2016). “Dynamic Service Switching for the Medical IOT,” IEEE,1-7.
11. Popovici, I., Morita, P. P., Doran, D., Lapinsky, S., Morra, D., Shier, A, & Cafazzo, J. A. (2015). Technological aspects of hospital communication challenges: an observational study. International Journal for Quality in Health Care, 27(3), 183-188.
12. Smart for Healthcare: Improving Patient Care with Interactive Technology
13. Spyropoulos, B. (2018). Smart Hospital-Room and Modern Photonics Emerging Clinical Reality Based on Optical Systems.Optics, 7(1), 18.
14. Sutton, J., & Austin, Z. (2015). Qualitative research: data collection, analysis, and management. The Canadian journal of hospital pharmacy, 68(3), 226.
15. The University Of Texas Md Anderson Center. (2016). Patient Privacy: Patient Identification On Whiteboards Policy, Utmdacc Institutional Policy # Adm1197.
16. Yin, R. K. (2013). Validity and generalization in future case study evaluations.Evaluation 19(3), 321-332.
17. Yin, R. K. (2017).Case study research and applications: Design and methods. Sage publications.
18. Yu, L., Lu, Y., & Zhu, X. (2012). Smart Hospital based on Internet of Things. JNW, 7(10), 1654-1661.
19. Yüksel, B., Küpçü, A., & Özkasap, Ö. (2017). Research issues for privacy and security of electronic health services.Future Generation Computer Systems,68, 1-13.
英文網路文獻
1. Denis McInerny. (2017). Smart Hospital On The Rise By 2020,
https://marketscale.com/industries/featured/smart-hospitals-on-the-rise-by-2020/
2. Catalina Guran. (2017). Canada’s first smart hospital is becoming a reality, Hospital News,
http://hospitalnews.com/canada-first-smart-hospital-becoming-reality/
3. MEDI+SIGN(the sister company of Noventri) .(2018),
https://medisigndisplays.com/products/digital-patient-room-whiteboard-display/
4. Video Centric Ltd. (2018),
http://www.videocentric.co.uk/smart-healthcare-improving-patient-care/
5. Babylon,. (2018),
https://www.babylonhealth.com/how-it-works
6. Avalue Technology Inc.. (2018),
https://www.avalue.com.tw/application/Smart-Healthcare/Nursing-Station_19
7. Imatis. (2015),
http://www.imatis.com/imatis/nurse-call.html
8. https://www.enisa.europa.eu/news/enisa-news/diagnosing-cyber-threats-for-smart-hospitals
中文文獻
1. 拓墣產業研究所 (2016)。醫療產業智慧化勢在必行。
2. 何信凱 (2015)。微型無線生理感測器融合整合通訊與醫療物聯網。
3. 林金定、嚴嘉楓、陳美花 (2005)。質性研究方法：訪談模式與實施步驟分析。
4. 林思宇 (2014)。護理e化行動工作車，小兵立功救人命。遠見雜誌。
5. 林育正 (2017)。超高樓層智慧建築人流管理進化之研究-以台北101訪客系統為例。臺灣科技大學管理研究所EMBA碩士在職專班碩士學位論文，1-52。
6. 高潔純、吳定興 (2015)。護理人員對行動護理站的接受度與資訊素養之相關性研究。醫務管理期刊，16(1)，59-77。
7. 翁文翊 (2017)。探討護理站採用智慧電子白板系統之重要因素。臺北醫學大學醫務管理學研究所學位論文。
8. 黃維民、楊淑娟、李蕙伃、陳建志、蘇雅涵與事長 (2017)。探討護理資訊系統滿意度及持續使用意圖之研究-以南部某區域教學醫院為例。資訊科技國際期刊，11(1)，54-66。
9. 科技產業及市場日報—《電子時報》(DIGITIMES) (2014)。智慧醫院在臺灣。
網路中文文獻
1. Jose Fernandez Villasenor (2014)。可穿戴裝置發展加速醫療保健步入物
聯網時代。
http://www.2cm.com.tw/technologyshow_content.asp?sn=1402260012
2. 任珮云 (2017)。中時電子報。
http://www.chinatimes.com/realtimenews/20171025004002-260410
3. 吳世琳(任職長庚大學資訊工程學系)、王惟溫(就讀長庚大學資訊工程研
究所) (2014)。物聯網在健康醫療與照護之應。科學月刊。
http://scimonth.blogspot.tw/2014/05/blog-post_2437.html
4. 研華公司官網 (2018)。
http://www.advantech.tw
5. 醫改電子報第 123 期 (2014)。八成醫學中心「護病比」超標，七十一
億全民健保費丟水裡。
6. 醫揚公司官網(2018)。
http://www.onyx-healthcare.com/