隨著銀髮族的數量急遽上升以及慢性病普及,雲端技術的發展也使得自我健康管理 領域出現“雲端服務”。新竹衛生局為配合政府的健康城市計劃且促進市民健康自我管 理意識,建立雲端遠距照護服務「寶貝機」,使新竹市高齡族群可以透過此服務,達到 自我健康管理的目標。
本研究主要目的為探討銀髮族對健康遠距照護服務的接受程度,雲端遠距照護設備 「BabyBot 寶貝機」使用者為探討對象,以科技接受模式為基礎,加入遠距照護服務因 子:主觀規範、銀髮族接受雲端科技可能因子:安全性,及創新擴散理論特性:可觀察 性、相對優勢,建構出修正科技接受模式。本研究採問卷調查法,研究場域為新竹市社 區關懷據點,向銀髮族以口頭敘述問卷的方式蒐集資料,共發放 250 份問卷,回收有效 問卷 222 份,有效回收率為 88.8%,資料蒐集完成後以 SPSS、AMOS 進行描述性統計、 因素分析(EFA)、驗證性分析(CFA)、相關分析以及迴歸分析。
研究結果顯示八項假設除安全性對行為意圖無顯著影響外,其餘假設皆成立。建議 後續遠距照護服務之研究,可以採用本研究之架構進行延伸,並去除安全性此變項。本 研究亦希望透過本研究之問卷調查結果進行系統化之整理與分析,結果與建議可供遠距 照護產業後續實務上之參考,以作為未來政府發展雲端遠距照護服務之重要考量。

With growing aging population and rapidly spreading chronic diseases, coupled with the development of cloud computing technology and emergence of intelligent mobile technology, personal health management has entered the era of ubiquitous cloud services. Therefore, Hsinchu City is establishing cloud health management system with a telecare device (Babybot), which is an innovation of healthcare, used as a
self-monitoring health tool for the senior citizens.
The study uses two characteristics of diffusion of innovations (DOI): relative advantage and observability to extend technology acceptance model (TAM) and proposes a new theoretical framework. In addition, the research model is developed by integrating relevant antecedents from the literature and is empirically tested with elderly-specific antecedent variables, including subjective norm, security. The purpose of this study is making a research model to explore the main factors affecting elderly adoption of the telecare devices (Babybot) and the relationship between each antecedent by seniors of Hsinchu city.
The result shows that 1) relative advantage has positive significant impact on perceived ease of use and perceived of use 2) observability and perceived of use have positive significant impact on perceived of use 3) perceived ease of use, perceived of use and subjective norm have positive significant impact on behavioral intention 4) there’s no significant relationship between security and behavioral intention.

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