台灣醫師對達文西機械手臂輔助手術系統的態度研究

盧致誠^1.2 徐謹思² 洪新原²  

奇美醫療財團法人柳營奇美醫院 外科部 泌尿外科 國立中正大學 資訊管理學系

Physicians’ attitudes toward the da Vinci Surgery System in taiwan

Chih-Cheng Lu^1,2, Jin-Szu Hsu², Shin-Yuan Hung²,    

¹Division of Urology, Department of Surgery, Chi Mei Medical Center, Liouying, Tainan

²Department of Information Management, National Chung Cheng University, Chiayi

Purpose:

The increasing prevalence of smart healthcare technologies highlights the importance of physician adoption. However, research has primarily focused on patient experiences or system performance, neglecting the factors that drive physician usage.

Materials and Methods:

Based on the Technology Threat Avoidance Theory (TTAT), we developed a research framework and survey instrument to investigate factors influencing physicians' acceptance of the da Vinci Surgical System. The framework incorporates eight variables—perceived susceptibility, perceived severity, accountability, perceived efficacy, trust, perceived cost, self-efficacy, and top management support—and examines their effects on perceived threat, perceived avoid-ability, avoidance motivation, and acceptance. Data were collected from physicians experienced, clinically or educationally, with the system in Taiwan.

Results:

The analysis yielded 160 valid responses, revealing that: (1) perceived susceptibility and accountability significantly increase perceived threat, but perceived severity does not; (2) perceived efficacy, trust, and self-efficacy significantly enhance perceived avoid-ability, while perceived cost and top management support have no significant influence; (3) both perceived threat and perceived avoid-ability significantly strengthen avoidance motivation, which positively affects physicians’ acceptance of smart healthcare.

Conclusion:

This preliminary study bridges the gap in understanding physicians' adoption of smart healthcare, offering insights for promoting smart healthcare, informing organizational management, and guiding future framework of smart healthcare research.