本研究主要在調查長庚紀念醫院台北院區醫師對該機構圖書館網站提供之線上參考服務的使用情形及滿意度，並比較外科體系、內科體系以及專科體系等三種不同科別醫師資訊需求之差異。本研究主要採文獻分析法及問卷調查法收及研究資料，全體有效樣本為181分，問卷回收率60.9%，其中外科體系醫師38位，內科體系醫師52位，專科體系醫師91位。 本研究主要的研究問題有四點：1.醫師對目前使用的圖書館線上參考服務的滿意度；2.醫師使用網路資源及圖書館網頁資訊服務的情形；3.醫師對線上參考服務的需求；4.不同科別醫師對圖書館線上參考服務的需求之差異。 經研究結果發現長庚醫院醫師對該院圖書館線上參考服務普遍認為滿意，而且醫師平時使用網際網路資源的頻率高，有將近80%的醫師幾乎每天都使用網際網路；醫師利用網路資源時主要的考慮因素為資料之可得性，在尋求資訊時遭遇的問題主要是全文資料取得不易。長庚醫院醫師資訊需求主要的動機是研究與教學，至於醫師的資訊需求與其科別背景相關性不大，但是其職級的關係以及醫師兼任教職則有顯著差異。 本文研究結果可為醫學圖書館建置醫學電子館藏及提供線上參考服務之參考。

在數位化的進程及環境中，圖書館已由對大眾一視同仁的服務演變成重視個體不同需求的服務，圖書館的服務也不再是齊頭式平等的服務。讀者個人的喜好及需求已漸融入到圖書館建置的各種服務項目中，也就是必須因人而異，以滿足使用者的資訊需求，就如同商業市場的機制一樣，唯有行銷與競爭才能使圖書館更具有持續力。 個人化為導向的資訊管理與資訊服務，正逐漸被人們所重視。為了真正滿足使用者的資訊需求，創造出實用的資訊價值，個人化資訊的服務系統強調「因人而異，各取所需」的資訊服務系統，而圖書館也從傳統大眾化式的服務走向分別式、個別化差異的服務模式。 本研究為了要能瞭解醫事人員，對於圖書館所提供的服務需求內容及需求程度，以文獻分析及網站內容分析以及問卷調查的方法對台北榮民總醫院醫事人員的基本背景資訊、網路使用行為，以及對圖書館的網站使用行為與個人化服務需求做一問卷調查。並利用交叉分析的方法，探討醫事人員身份、年齡、學歷與個人化服務需求相關度問題，歸納研究結果重點如下： 一、醫學圖書館在網站上建置個人化服務需求首先應重視個人化資訊環境的建立。 二、國外圖書館網站內容之分析是提供國內醫學圖書館個人化服務項目的參考指標。 三、醫事族群中因不同的身份、年齡、學歷對個人化資訊服務需求有所影響。 四、醫事人員應加強個人興趣檔的建置觀念，以強化醫學圖書館個人化服務功能的提昇。 五、圖書館在個人化服務系統中應規劃隱私權政策。 六、醫學圖書館對整體個人化資訊環境及資訊服務的需求有其必要性且是非常肯定的。 對研究結果提出建議如下： 國內醫學圖書館應儘快整合共同發展個人化服務的機制；對於個人化服務中群體屬性的差異要能持續的注意及改進；對使用者的調查研究由完全量的統計進展到質與量的交叉運用調查研究；圖書館應協助醫事人員建立正確的興趣檔觀念以強化個人化服務的功能；隱私權政策的制訂應多加宣導並於圖書館資訊政策時明訂；個人化服務應多加推廣與宣傳。 / In the progress and environment of digitalization, the library has transformed its service mode from satisfying general needs into catering for different individuals. The library is no longer a one-for-all service. The users' personal interests and needs have been integrated into all the services the library provided; that is, the service differs from person to person so as to meet the users' needs for information. Just like the commercial world, only with marketing and competition will the library last. The individual-oriented information management and service is gradually getting people's attention. To really satisfy the users' information needs and create practical information value, the individualized information service system emphasizes providing "tailor-made" service for different users. And such is a trend the modern library follows. This research is carried out to understand what the users of the medical library need and to what extent they need it, regarding the service the library offers. This research uses literature review, Internet content analysis, and questionnaire survey of the basic background information, Internet usage behavior, the library Internet usage behavior and the needs for personalized service of the medical staff of Taipei Veteran General Hospital. Meanwhile, it uses cross-analysis to find out the relationships between the medical staff's positions, ages, education, and the needs for personalized service. The results of the research are as follows: 1. The personalized service of the medical library on its website should put major emphasis on the establishment of personalized information environment. 2. The analysis of oversea library websites can provide the benchmark for the personalized service of our country's medical libraries. 3. There exists influence from the medical staff's positions, ages, education on the needs for personalized service. 4. Medical people should strengthen their concept of establishing personal interest profile to enhance the personalized service in the medical library. 5. Privacy policy should be taken into consideration in setting up the personalized service system. 6. The personalized information environment and service is essential to the medical library. The implications of the research: The local medical libraries should cooperate to develop the personalized service as soon as possible; they should pay attention to the differences among different groups of users; when doing the survey of users, quality research coupled with quantity research should be conducted instead of completely using quantitative statistics; the library should assist the medical people to establish correct concept of interest profiles to enhance personalized service; the privacy policy should be established and implemented; and finally, the users should be familiarized with the personalized service.