由於不同的醫療任務和職責之間的差異，社交媒體的使用在各種醫療保健設置中有所不同。因此，醫療照護專業人員面臨著大量需要有效管理和應用以完成任務的信息。社交媒體可以促進更高水平的交流，以共享知識和經驗，這過程對於健康照護的專業知識之累積和運用相當重要，因此了解醫療照護專業人員是否持績使用社交媒體是另一個重要的議題。
本研究觀察醫師、藥師、護理師與醫療行政人員等醫護照護專業人員之使用社交媒體之情形來探討各構面之關聯性。
本研究為橫斷性研究，透過文獻探討與理論發展，整合醫護相關研究結果、期望確認理論、信任理論和接受後持續使用模式發展出研究模式，使用線上問卷來進行樣本收集，使用IBM SPSS Statistics 22.0版、Microsoft Excel 2016及專門使用來分析結構方程式(SEM)之統計軟體AMOS作為統計分析工具來探討各項變數間的關聯，依據本研究之假設及變數特性進行合適的統計分析，分析內容包含結構方程式、描述性統計、信效度分析，並研究整體架構模式中各項假設的因果關係適配度及驗證所提出之模型的路徑。
本研究最終樣本共239份，結果顯示，本研究模型之配適度良好，醫護專業人員使用社交媒體後之確認程度顯著影響知覺有用性、滿意度及信任程度，而醫護專業人員使用社交媒體後之知覺有用性則對持續使用意圖的影響未達顯著，但對滿意程度確有顯著影響；另外，雖然醫護專業人員使用社交媒體後之信任程度對滿意程度未達顯著影響，但醫護專業人員之信任程度及滿意程度皆會正面影響他們的持續使用意圖。
本研究之結果與過去大多數研究結果相符，期望本研究所提出之結論與建議可對未來社會探討醫護人員使用社交媒體情況具參考價值及做出貢獻。

Due to the differences between different medical tasks and responsibilities, the use of social media differs in various healthcare settings. Therefore, healthcare professionals are faced with a large amount of information that needs to be effectively managed and applied to complete their tasks. Social media can promote a higher level of communication to share knowledge and experience. This process is very important for the accumulation and use of professional knowledge in health care. Therefore, understanding whether medical care professionals have a track record in using social media is another important issue.
This study observes the use of social media by physicians, pharmacists, nurses, and medical administrators to explore the relevance of various aspects.
This research is a cross-sectional study. Through literature discussion and theoretical development, the research model is developed by integrating medical care-related research results, expectation confirmation theory, trust theory and post-acceptance continuous use model, using online questionnaires for sample collection, using IBM SPSS Statistics Version 22.0, Microsoft Excel 2016, and statistical software AMOS, which is specially used to analyze structural equations (SEM), are used as statistical analysis tools to explore the relationship between various variables. Appropriate statistical analysis is carried out based on the assumptions and variable characteristics of this research. The analysis content includes Structural equations, descriptive statistics, reliability and validity analysis, and study the causal fit of each hypothesis in the overall framework model and the path to verify the proposed model.
There are 239 final samples in this study. The results show that the model fits well. The degree of confirmation after the use of social media by medical professionals significantly affects the perceived usefulness, satisfaction and trust. Perceived usefulness does not have a significant impact on continuous use intention, but it does have a significant impact on satisfaction. In addition, although the trust of medical professionals after using social media does not have a significant impact on satisfaction, the trust of medical professionals Both the degree and the degree of satisfaction will positively affect their continued use intentions.
The results of this research are consistent with most previous research results. It is hoped that the conclusions and recommendations of this research can be of reference value and contribute to future social discussions on the use of social media by medical staff.

論文審定書………………………………………………………………i
誌謝…………………………………………………………...…………ii
中文摘要……………………………………………………….…….….iii
英文摘要……………………………………..…………………………iv
目錄……………………………………………………………………..vi
第 一 章 緒論………………………………………………………..1
第一節 研究背景與動機………………………………………….1
第二節 研究目的…………………………………………………. 2
第 二 章 文獻探討…………………………………………………3
第一節 社交媒體之介紹與在醫療場所工作人員之使用情況…3
第二節 資訊系統接收後持續使用模式………………………….. 5
第三節 信任理論…………………………………………………...9
第四節 文獻小結……………………………………………….. 11
第 三 章 研究方法………………………………………………12
第一節 研究設計與架構……………………………………12
第二節 研究問題與假設……………………………………16
第三節 研究工具…………………………………………………17
第四節 資料處理與分析方法…………………………………20
第 四 章 結果分析………………………………………………22
第一節 樣本結構分析 ………………………………………22
第二節 結構模式分析 …………………………………………..28
第三節 影響在醫療工作中繼續使用社交媒體之意圖因素…35
第 五 章 討論 …………………………………………………37
第一節 研究樣本特徵 …………………………………………..37
第二節 影響在醫療工作中繼續使用社交媒體意圖之因素探討.37
第 六 章 結論與建議 ……………………………………………..40
第一節 研究結論………………………………………………….40
第二節 研究限制 ………………………………………………...41
第三節 研究建議………………………………………………….41
第四節 研究貢獻 ………………………………………………...42
第 七 章 參考文獻 ………………………………………………..43
附錄一 在醫療工作中繼續使用社交媒體的意圖研究問卷……..50
附錄二 阮綜合醫院人體試驗委員會 同意核准函…………53




圖 次
圖2-1 接受後持續使用模式………...………………………………….5
圖3-1 醫療專業人員對社交媒體持續使用行為之研究 ……………13
圖4-2在醫療工作中繼續使用社交媒體之意圖研究路徑係數圖……34

表 次
表3-1 研究構面與操作性定義………………………………………..15
表3-2 問卷量表與參考文獻 …………………………………………18
表4-1 人口統計學變項分析…………………………………………..23
表4-2 知覺有用性敍述性統計分析 …………………………………25
表4-3 確認程度敍述性統計分析 ……………………………………25
表4-4 滿意程度敍述性統計分析 ……………………………………26
表4-5 持續使用意圖敍述性統計分析………………………………..26
表4-6信任敍述性統計分析 …………………………………………..27
表4-7 相關係數 ………………………………………………………29
表4-8 測量模式估計表 …………………………………………….30
表4-9結構模式配適度指標表 ………………………………………33
表4-10理論結構模式路徑係數與假設檢定結果……………………36

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