各產業隨著物聯網、大數據與雲端計算等技術的發展而有新應用，各產業皆朝向智慧化的發展。台灣的醫療產業在國際上頗具盛名，全民健康保險制度的推行，讓台灣人人都能接受醫療服務，但由於就醫的門檻變低了，人們容易出現濫用醫療資源的現象，而有限的醫療資源使得醫療院所設法壓縮成本支出，以確保其營運績效，血汗醫院的現象加上層出不窮的醫療暴力事件，讓醫護人員處於惡劣的工作環境，也進而影響提供給病患的醫療服務品質。「智慧醫院」透過科技的應用，期望能降低醫護人員的工作負擔，並帶給病患更好的醫療照護品質，使得醫療院所的智慧化成了必然的趨勢，智慧醫院建置前的投入、建置後的使用與帶來的成效為何，都影響著智慧醫療往後的發展。 本研究以員林基督教醫院為個案，主要目的為探討智慧醫院之建置所需具備的關鍵資源及其影響，並以資訊系統成功模式的觀點分析影響使用者使用智能系統的因素，找出智慧醫院對病患、醫護人員與院方所帶來的價值。本研究所得之結論為：智慧醫院之建置，除了需投入大量資金於新設備，還要有醫療資訊系統與醫院自身的資訊能力作為關鍵資源，以提供智能系統高系統品質與高資訊品質。系統品質中的易用性、資訊品質的正確性與即時性、上層對基層的期望與醫院所在的環境，都會影響使用者的使用意願與使用狀況。智慧醫院改善醫護人員的工作負擔，亦提升對病患的照護品質，雖然財務上短期無法回收其投入，但無形中為醫院提升醫療服務品質，並帶給病患更便利與貼近的醫療服務。

Background: The companies of Industry 4.0 need to invest in digitalising their organizations as software is growing into a decisive manufacturing determinant. Especially in the SaaS business and the transformation to Industry 4.0, there are many small companies that are driving the transformation while competing for market share. In this context, the SaaS providers need to develop an understanding of the success of their solution. While the Information Systems Success Model by DeLone and McLean has found some application in the context of SaaS solutions, there is no specific model for the SaaS industry. Furthermore, there is the underlying need to understand which antecedents cause or influence the success of an information system. Purpose: The purpose of this study is to develop an Information Systems Success Model for Software-as-a-Service companies and to understand the antecedents and their relationships to the success of SaaS solutions from the SaaS provider’s point of view. Method: This study followed an abductive approach due to the possibility to simultaneously review existing theory and examine the empirical findings in the analysis. Furthermore, an exploratory study was conducted utilizing both quantitative and qualitative methods. The quantitative data was gathered through a standardized online survey of the customers of a SaaS provider and then analysed using Structural Equation Modelling. The qualitative data was collected through semi-structured interviews with SaaS providers, SaaS customers, and researchers of related fields and then analysed using a hermeneutic data analysis approach. The results of both methods were then triangulated to create the adapted model. Conclusion: Three antecedents of information systems success in the SaaS context were identified as part of this study. The antecedents are Management Support, User Involvement, and Trust. These antecedents can be used as levers by the SaaS provider to steer the success of their solution. Furthermore, the antecedents are integrated in a comprehensive Information Systems Success Model to measure and understand the success of SaaS solutions from the SaaS provider’s point of view.

隨著資訊與通訊科技的發達，電子化政府隨之興起，政府開始利用資訊與通訊科技服務民眾。對電子化政府而言，其面臨的顧客不只包含外部顧客─公民與企業，也包含一大群的內部顧客─公務人員，由於公務人員是電子化政府重要的內部顧客，了解他們對於電子化系統、服務的使用感受有其必要性，也顯現G2E計畫成效評估的重要性。有鑑於政府採購為國家龐大支出，因此，本研究以政府電子採購網作為研究的個案。 本研究回顧電子化政府計畫評估、顧客導向的電子化政府、顧客滿意度的影響因素三類文獻，並結合Heeks (2006)電子化政府價值鏈、DeLone & McLean資訊系統成功模型，以及朱斌妤(2010-2013)的G2E計畫指標，從內部使用者角度發展電子採購內部顧客成效評估因果模型，主要由六大構面組成，分別為組織管理、服務品質、系統品質、資訊品質、員工感受效益以及員工滿意度，並透過次級資料進行驗證。 研究結果發現，本研究提出的電子採購內部顧客成效評估因果模型具有一定的解釋力，各構面之間的影響關係皆達統計上的顯著。本研究也比較不同機關性質與標案性質，進行不同構面之間的路徑係數比較，結果顯示不同的機關性質、標案性質對於不同構面之間的路徑係數確實有影響，根據研究結果，本研究也提出了一些政策建議與後續研究的建議。 / Electronic Government (e-Government) is about governments interacting, conducting business and delivering services to their citizens and private companies electronically through the use of Information and Communication Technology (ICT). All key stakeholders including the government employees, private sectors, and citizens benefit from successful implementation of ICTs. The usage evaluation from e-government employees’ point of view (G2E), i.e., the internal customers of e-government, is vital. This research uses Government e-Procurement System as a case study of G2E program evaluation. Topics of literature review for this research include e-Government programs assessment, customer-orientede-Government and influencing factors of customer’s satisfaction, combines with Heeks’ e-Government Value Chain, DeLone and McLean’s Information System Success Model, and Chu’s G2E programs assessment indicators, which propose a casual model for internal customers’ evaluation of e-Procurement system in Taiwan. This model consists of six dimensions－organization management, service squality, system quality, information quality, employee perceived benefits, and employee satisfaction. The outcomes of this research indicate that our model is strongly supported by the empirical data. This research also includes comparations of different organizations and procurement cases, which indicate that different organizations and procurement cases have difference in path coefficients. Finally, this research makes some suggestions for the improvement of e-Procurement policy, and for future researches.

Ce travail de recherche porte sur l’évaluation du système d’information (SI) bancaire de front-office. Àtravers un cadre d’analyse sociotechnique, nous avons cherché à identifier les variables et leurs liens àprendre en compte pour évaluer le succès perçu du SI auprès des utilisateurs. La proposition centrale est quele succès perçu du SI bancaire de front-office dépend à la fois de caractéristiques techniques et sociales.Aussi, les spécificités du monde bancaire, l’évolution de l’environnement aussi bien réglementaire queconcurrentiel, nous ont convaincus de la nécessité d’une évaluation appropriée au domaine bancaire. C’estpourquoi ce travail de recherche est composé d’une part d’une approche qualitative exploratoire afind’identifier les variables spécifiques au domaine bancaire, et d’autre part d’une démarche quantitative denature hypothético-déductive.Au final, on propose un modèle composé de huit variables (les qualités de la formation, du système, duservice, de l’information, l’utilisation, la satisfaction, le soutien des managers intermédiaires, les bénéficesnets) expliquant le chemin menant au succès du SI bancaire. L’influence de la participation des utilisateurs àune phase de projet concernant le SI, ainsi que celle des caractéristiques sociodémographiques desrépondants ont été analysées.Ce modèle constitue à la fois un apport théorique, mais aussi managérial puisque les banques disposentmaintenant d’un instrument leur permettant de mesurer le succès de leur SI.Ce travail souligne l’importance de certaines variables, et met en évidence des liaisons spécifiques audomaine bancaire. / This research focuses on evaluating the banks’ front office information system (IS). By using asociotechnical analysis frame, we wished to identify the variables and the links that have to be taken intoaccount in order to evaluate the perceived IS success among users. The main proposal is that this perceivedsuccess depends on characteristics which are both technical and social ones. At the same time, we wereconvinced by the bank specificities, rules and competition evolution, that an evaluation, peculiar to the fieldof the banks, is necessary. This is why this research uses at the same time a qualitative approach, to identifythe specific variables in the bank world, and a quantitative approach based on hypothesis and deduction.We finally propose a model showing eight variables (the qualities of the training, the system, the service, theinformation, the use, the satisfaction, the middle managers’ support, the net profit) which enlight the wayleading to the success of bank IS. Both users’ participation to a IS step of a project and the surveyed people’ssociodemographic characteristics were analysed. This model both provides a theoretical and managerialaspect, since the banks now have a tool measuring the success of their Information System. This workemphasizes the weight of some variables and highlights some links specific to the banks field.