職場健康促進已成為公共衛生推廣要項，而隨著科技進步，職場健康促進方法已由傳統形式加入新媒介，包含穿戴式裝置等多元方式。個人健康紀錄（PHR）應用於職場健康促進固然提升管理的效率與使用者便利性，但也因在企業組織營運情境脈絡下，產生其他疑慮與問題。過去關於個人健康紀錄裝置之研究，多探討對其使用之意見調查與看法，或針對普遍大眾進行研究使用意願之影響因素，未見針對組織或其他脈絡情境下探討使用意願影響因素之研究。本研究擬透過個案研究，了解在職場中健康促進之情境下，影響使用個人健康紀錄裝置意願之因素。
本研究採用整體性單個案研究設計，將B保險公司視為代表性之個案，並以質性研究-訪談法與量化研究-問卷調查法進行研究。透過質性研究訪談法，邀請B公司健康促進推廣負責人及PHR裝置使用者-公司職員進行訪談，針對本研究之PHR發表其觀察、體驗與觀點，藉多方角度了解組織推動健康促進方案中對於PHR之意見；另一面採用問卷調查法，廣泛性了解B公司員工對於組織推動健康促進方案中PHR使用意願影響因素，以全面性了解組織健康促進進行狀況。
本研究以問卷調查法進行統計分析，顯示「組織健康促進文化」程度、「裝置近用性」、「年齡」、「人際支持」四項為職場健康促進方案中顯著影響PHR使用意願且呈現正相關。除上述四項，質性研究中也發現使用者對於「裝置近用性」、「資料隱私性」及「紀錄行為隱私性」等三項較為關注。
結論：本研究以個案研究的方式探討職場情境中PHR使用意願之影響因素。有別於個人自由採用PHR的，職場情境中有其特殊性，得作為未來相關研究或組織推行職場中PHR推行之參考。

Workplace Health Promotion (WHP) is a critical issue in public health. In a contemporary society, new methods have been introduced to this field, such as wearable devices. The personal health record (PHR) is an efficient and convenient way to WHP. However, in the context of organizational operation, there are some concerns about this method. Previous studies focused on users’ experiences or factors influencing the willingness to use PHR. These arguments do not analyze how an organizational context can influence an individual’s willingness. This research aims to fill this gap by analyzing the factors that facilitate an individual’s willingness to use personal health recording device through the case study.
In this research, I use a single-case holistic design of Company B. I used a mixed method, including qualitative and quantitative methods, to conduct this study. I interviewed managers and employees, who are also PHR users, to understand their observations and their thoughts on the PHR. Meanwhile, I also surveyed to understand the factors essential in the decision process.
This study found that the organizational health promotion culture, the accessibility of the device, age, and interpersonal support are the four significant factors that facilitate the use of PHR. The interview suggests a similar result. The accessibility, the privacy of the record, and the privacy of the recording process are the key in the decision-making process.
In conclusion, this research analyzed the factors that affect individuals’ willingness to use PHR service. Different from an individual’s personal preference, the organizational context is an essential factor needed to be emphasized in future policy.

1. Acquisti, A., & Grossklags, J. (2005). Privacy and rationality in individual decision making. IEEE security & privacy, 3(1), 26-33.
2. Barnes, K., Kauffman, V., & Connolly, C. (2014). Health wearables: Early days. PwC Health Research Institute Report.
3. Cancelliere, C., Cassidy, J. D., Ammendolia, C., & Côté, P. (2011). Are workplace health promotion programs effective at improving presenteeism in workers? A systematic review and best evidence synthesis of the literature. BMC public health, 11(1), 395.
4. Clarke, R. (1999). Internet privacy concerns confirm the case for intervention. Communications of the ACM, 42(2), 60-67.
5. Cutknecht, D. B., & Cutknecht, D. M. (1990). Building Productive Organizations through Health and Wellness Program.
6. Dever, G. A. (1976). An epidemiological model for health policy analysis. Social indicators research, 2(4), 453-466.
7. Golaszewski, T., Hoebbel, C., Crossley, J., Foley, G., & Dorn, J. (2008). THE RELIABILITY AND VALIDITY OF AN ORGANIZATIONAL HEALTH CULTURE AUDIT. American Journal of Health Studies, 23(3).
8. Hoffman, S. (2009). Employing E-Health: The Impact of Electronic Health Records on the Workplace. Kan. JL & Pub. Pol'y, 19, 409.
9. Kaelber, D. C., Jha, A. K., Johnston, D., Middleton, B., & Bates, D. W. (2008). A research agenda for personal health records (PHRs). Journal of the American Medical Informatics Association, 15(6), 729-736.
10. Lafky, D. B., & Horan, T. A. (2011). Personal health records: Consumer attitudes toward privacy and security of their personal health information. Health Informatics Journal, 17(1), 63-71.
11. Laffrey, S. C. (1986). Development of a health conception scale. Research in Nursing & Health, 9(2), 107-113.
12. Laudon, K.C., Dossier Society, New York: Columbia University Press, 1986.
13. Li, M., Yu, S., Zheng, Y., Ren, K., & Lou, W. (2013). Scalable and secure sharing of personal health records in cloud computing using attribute-based encryption. IEEE transactions on parallel and distributed systems, 24(1), 131-143.
14. McGraw, D., Dempsey, J. X., Harris, L., & Goldman, J. (2009). Privacy as an enabler, not an impediment: building trust into health information exchange. Health Affairs, 28(2), 416-427.
15. Pender, N. J., Walker, S. N., Sechrist, K. R., & Frank-Stromborg, M. (1990). Predicting health-promoting lifestyles in the workplace. Nursing research.
16. Pescud, M., Teal, R., Shilton, T., Slevin, T., Ledger, M., Waterworth, P., & Rosenberg, M. (2015). Employers’ views on the promotion of workplace health and wellbeing: a qualitative study. BMC public health, 15(1), 642.
17. Petrie, H., & Kheir, O. (2007, April). The relationship between accessibility and usability of websites. In Proceedings of the SIGCHI conference on Human factors in computing systems (pp. 397-406). ACM.
18. Sparling, P. B. (2010). Worksite health promotion: principles, resources, and challenges. Preventing chronic disease, 7(1).
19. Pender, N. J. (1984). Health promotion and illness prevention. Annual review of nursing research, 2, 83-105.
20. Tang, P. C., Ash, J. S., Bates, D. W., Overhage, J. M., & Sands, D. Z. (2006). Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption. Journal of the American Medical Informatics Association, 13(2), 121-126.
21. ThomaS, C., Ward, M., Chorba, C., & Kumiega, A. (1990). Measuring and interpreting organizational culture. The Journal of nursing administration, 20(6), 17-24.
22. Van Den Haag, E. (2017). On privacy. In Privacy and Personality (pp. 149-168). Routledge.
23. Wang, H., Lee, M. K., & Wang, C. (1998). Consumer privacy concerns about Internet marketing. Communications of the ACM, 41(3), 63-70.
24. Walker, S. N., Sechrist, K. R., & Pender, N. J. (1987). The health-promoting lifestyle profile: development and psychometric characteristics. Nursing research.
25. Yin, R. K. (2013). Case study research: Design and methods. Sage publications.

中文
1. 王俊程, 李宜昌, & 洪銘建. (2002). 隱私市場-數位商品分享之價值. 資訊管理研究, 4(3), 119-136.
2. 李文玄、陳怡穆（2010）。以目標導向觀點探索動機與健康促進生活型態之關聯性。台灣公共衛生雜誌，29(1)，76-86。
3. 林雅雯. (2013). 企業組織健康文化與組織健康促進效能之關係. 台灣公共衛生雜誌, 32(2), 155-169.
4. 侯穎蕙. (2009). 個人健康記錄系統使用意向之影響因素探討. 臺灣大學醫療機構管理研究所學位論文, 1-140.
5. 洪瑞斌, 李志鴻, 周志明, & 劉兆明. (2007). 從組織文化角度探究健康組織之意涵. 應用心理研究, 36: 151-191.
6. 陳美燕, 周傳姜, 黃秀華, 王明城, & 邱獻章. (1997). 健康促進的生活方式量表中文版之修訂與測試. 長庚護理, 8(1), 14-24.
7. 董貞吟, 張家臻, 賴意櫻, 林佩瑩, & 簡彰蔚. (2016). 周全性職場健康促進模式推動策略之文獻回顧. 工業安全衛生, (328), 29-44.
8. 魏米秀, & 呂昌明. (2005). [健康促進生活型態] 中文簡式量表之發展研究. 衛生教育學報.