在過去，使用者參與被視為開發資訊管理系統的影響因素之一，透過使用者的合作參與將有助於達成系統導入的目標，在以服務為主要經濟活動的現今社會中，服務導向邏輯是一種全新的概念，基於這個概念資訊系統專案也可被視為服務的一種，價值的決定是在它們所帶來的服務上。而使用者執行價值共創更是其中主要的關鍵活動。 使用被視為在價值的共同製造者，隨著服務導向邏輯的興起，使用者應在資訊系統專案中扮演更積極的角色。 本研究主要目的在於瞭解使用者如何在不同型態的資訊專案中執行價值共創的行為，以三個不同的醫院資訊系統專案為研究對象，去分析在使用者發起之內部專案、資訊單位發起之內部專案與委外開發專案裡使用者是如何進行價值共創的活動。我們希望透過價值共創的基礎理念，提出使用者參與不同型態專案開發或導入時應扮演的角色。本研究透過個案研究的手法來探討使用者在是如何參與資訊系統開發專案，進一步的分析討論其前因和後果，藉此說明
價值共創的重要性，期望所得到的結論能夠對於業界在導入資訊系統專案有所幫助，也可做為後續研究服務導向邏輯與價值共創研究者的參考依據。

User participation has long been considered as one important factor which affects the development of information management systems performance. It is believed that the cooperation between users and developers contributes to higher satisfaction and acceptance. Service has become the main economic activities in the modern society and traditional good-dominant logic has been replaced by service - dominant logic. Based on this concept, information system development can also be considered a service in which the final value determined by the extent to which the project can meet the predefined goal and fit users’ needs. To maximize the value created, users should be viewed as co-producer and play a more active role in the system development process.
The main research purpose of this study is to understand how users can act as value co-production in different types of information system development project. We studied three different hospital information system projects: user-initiated internal project, IT department initiated the project, and outsourcing development project. We then explored how users can co-create value under different contexts. By using case study approach and based on service-dominant logic concept, we identified the importance of user co-production and clarify the role that users may play. The results of this study can contribute to system development project and serve as a reference for subsequent research.

論文提要 I
論文審定書 II
致謝詞 III
中文摘要 IV
ABSTRACT V
圖 目 錄 VIII
表 目 錄 IX
第1章緒 論 - 1 -
1.1研究背景 - 1 -
1.2研究動機 - 2 -
1.3研究流程 - 4 -
1.4研究貢獻 - 5 -
第2章文獻探討 - 6 -
2.1醫院資訊系統介紹 - 6 -
2.2使用者參與 (USER PARTICIPATION) - 9 -
2.3服務導向邏輯 (SERVICE-DOMINANT LOGIC) - 12 -
2.4使用者價值共創 (USER VALUE CO-PRODUCTION) - 14 -
第3章研究方法 - 19 -
3.1個案研究定義 - 19 -
3.2個案研究的優缺點 - 20 -
3.3進行個案研究應注意事項 - 21 -
3.4個案報告 - 22 -
3.5研究設計 - 40 -
第4章個案分析 - 42 -
4.1個案一分析-化療給藥流程改善計畫(使用者發起之內部專案) - 42 -
4.2個案二分析-新醫院管理資訊系統開發專案(資訊室發起之內部專案) - 51 -
4.3個案三分析：PACS系統導入專案(資訊室發起之委外開發專案) - 57 -
4.4跨個案分析表與結論 - 65 -
4.5研究發現 - 67 -
4.6命題建構 - 76 -
第5章結論與建議 - 82 -
5.1研究結論 - 82 -
5.2研究貢獻 - 83 -
5.3研究限制與未來研究方向 - 85 -
參 考 文 獻 - 87 -
附錄一 個案一- H小姐訪談記錄 - 93 -
附錄二 個案一- L小姐訪談記錄 - 100 -
附錄三 個案一- S小姐訪談記錄 - 107 -
附錄四 個案二- L小姐訪談記錄 - 116 -
附錄五 個案二- C小姐訪談記錄 - 125 -
附錄六 個案二- H先生訪談記錄 - 134 -
附錄七 個案三- W小姐訪談記錄 - 142 -
附錄八 個案三- H先生訪談記錄 - 148 -
附錄九 個案三- B先生訪談記錄 - 154 -

一、 中文部份
1.王文科，質的教育研究法，台北，師大書苑 1994。
2.行政院衛生署，醫院資訊系統規範2.0，行政院衛生署 2005。
3.行政院衛生署，國民醫療保健最終支出統計，行政院衛生署 2011a
4.行政院衛生署，民國99年醫療機構現況及醫院醫療服務量統計分析，行政院衛生署 2011b
5.沈時青，醫學中心引進資訊系統之決策分析-以成大醫院為例，國立成功大學工業管理所碩士論文 1993
6.林慶霖，資訊科技基礎建設之服務與醫院技術效率之相關性探討，國立中正大學資訊管理學研究所碩士論文 2001。
7.高明，教育研究法，台北，鼎茂出版社 2007。
8.黃俊英，企業研究方法，台北，東華書局 1994。
9.黃興進，醫療資訊管理系統研究議題之探討，醫訊管理學報，第九卷，第S期，2002。
10.謝安田，企業研究方法，台北，水牛出版社 1979。
11.葉重新，教育研究法，台北，心理出版社 2001。
12.顏志展，醫院資訊系統專案管理，台北，華騰文化 1999。
13.Yin, R. K. “Case study research: Design and methods,”尚榮安譯，個案
研究，台北，弘智文化出版社 1994/2001
二、 英文部份
1.Adam, S. “Of the Division of Labour,” The Wealth of Nations 1776, pp. 30-35
2.Andrews, K. R. "Executive Training by the Case Method," Harvard business review 1951, pp 58-70.
3.Arthur, W. "Increasing returns and the new world of business," Harvard business review (74) 1996, pp 100-111.
4.Barki, H., and Hartwick, J. "Rethinking the concept of user involvement," MIS Quarterly (13:1) 1989, pp 53-63.
5.Barki, H., and Hartwick, J. "Measuring user participation, user involvement, and user attitude," MIS Quarterly (18:1) 1994, pp 59-82.
6.Bettencourt, L., Ostrom, A., Brown, S., and Roundtree, R. "Client co-production in knowledge-intensive business services," Operations management: a strategic approach 2005, pp 273.
7.Cavaye, A. "User participation in system development revisited," Information & Management (28:5) 1995, pp 311-323.
8.Greenall, J. “Failure modes and effects analysis: A tool for identifying risk in community pharmacies,” Canadian Pharmacists Journal (140:3),pp 191-193.
9.He, J., and King, W. "The role of user participation in information systems evelopment: implications from a meta-analysis," Journal of Management Information Systems (25:1) 2008, pp 301-331.
10.Heide, J., and Miner, A. "The shadow of the future: Effects of anticipated interaction and frequency of contact on buyer-seller cooperation," Academy of management journal (35:2) 1992, pp 265-291.
11.Hsu, J., Lo, C., Lin, T., and Cheng, K. "Understanding the Role of Knowledge Co-Production between Users and Developers in ISD Project: An Intellectual Capital Perspective," PACIS 2010 Proceedings 2010a, pp 49.
12.Hsu, J. S., Liang, T., Wu, S. P. J., Klein, G., and Jiang, J. J. "Promoting the integration of users and developers to achieve a collective mind through the screening of information system projects," International Journal of Project Management) 2010b.
13.Hwang, M., and Thorn, R. "The effect of user engagement on system success: a meta-analytical integration of research findings," Information & Management (35:4) 1999, pp 229-236.
14.Ross, K. “Role of Computerized Physician Order Entry Systems in Facilitating Medication Errors,” the Journal of the American Medical Association (29:3) 2005, pp 1197-1203
15.Ives, B. and Olson, M. "User involvement and MIS success: A review of research," Management Science (30:5) 1984, pp 586-603.
16.Lin, C.P. "To Share or Not to Share: Modeling Tacit Knowledge Sharing, Its Mediators and Antecedents," Journal of Business Ethics (70:4) 2007, pp 411-428
17.Lin, W., and Shao, B. "The relationship between user participation and system success: a simultaneous contingency approach," Information & Management (37:6) 2000, pp 283-295.
18.Markus, M. L., Majchrzak, A., and Gasser, L. "A design theory for systems that support emergent knowledge processes," MIS Quarterly) 2002, pp 179-212.
19.Maruping, L. M., Venkatesh, V., and Agarwal, R. "A control theory perspective on agile methodology use and changing user requirements," Information Systems Research (20:3) 2009, pp 377-399.
20.McKeen, J., and Guimaraes, T. "Successful strategies for user participation in systems development," Journal of Management Information Systems (14:2) 1997, pp 133-150.
21.Moorman, R., and Blakely, G. "Individualism-collectivism as an individual difference predictor of organizational citizenship behavior," Journal of Organizational Behavior (16:2) 1995, pp 127-142.
22.Muthusamy, S. K. and White, M. A. “Learning and knowledge transfer in strategic alliances: a social exchange view”, Organization Studies (26:3) 2005, pp 415-41.
23.Patnayakuni, R., Rai, A. and Tiwana, A. “Systems development process improvement: A ledge integration perspective,” IEEE Transactions on Engineering Management (54:2) 2007,pp 286-300.
24.Procaccino, J. D. and Verner, J. M. “Software developers' views of end-users and project success,” Communications of the ACM (52:5) 2009,pp 113-116.
25.Ramirez, R. "Value co-production: intellectual origins and implications for practice and research," Strategic Management Journal (20:1) 1999, pp 49-65.
26.Schramm, W. “Notes oncase studies of instructional media projets. Working paper,the Academy for EDUCATIONAL Development,” Washington.DC 1971.
27.Silpakit, P and Fisk, R. P. "Participatizing the service encounter: A theoretical framework ," in Services marketing in a changing environment, T. M. Bloch and G. D. Upah and V. A. Zeithaml, Eds. Chicago, Ill: AMA 1985,pp 117-121.
28.Shim, J., Sheu, T. S., Chen, H. G., Jiang, J. J., and Klein, G. "Coproduction in successful software development projects," Information and Software Technology (52:10) 2010, pp 1062-1068.
29.Smith, J., and Barclay, D. "The effects of organizational differences and trust on the effectiveness of selling partner relationships," the journal of marketing (61:1) 1997, pp 3-21.
30.Stake, R. E. “The art of case study research,” CA: Sage 1995.
31.Swanson, E. "Management information systems: appreciation and involvement," Management Science (21:2) 1974, pp 178-188.
32.Van Dyne, L., Graham, J. W., and Dienesch, R. M. "Organizational citizenship behavior: Construct redefinition, measurement, and validation," The Academy of Management Journal (37:4) 1994, pp 765-802.
33.Vargo, S., and Lusch, R. "Evolving to a new dominant logic for marketing," Journal of marketing (68:1) 2004, pp 1-17.
34.Vargo, S., and Lusch, R. "Service-dominant logic: continuing the evolution," Journal of the Academy of Marketing Science (36:1) 2008, pp 1-10.
35.Vargo, S. L., Lusch, R. F.” Service-dominant logic: What it is, what it is not, what it might be. In: Lusch, R.F., Vargo, S.L. (Eds.),” The Service-Dominant Logic of Marketing: Dialog, Debate, and Directions. M. E. Sharpe, Armonk, NY 2006, pp 43-57.
36.Wikstrom, S. "The customer as co-producer," European Journal of Marketing (30:4) 1996, pp 6-19.
37.Williamson, Oliver E.” The economic institutions of capitalism : firms,markets, relational contracting,” New York : Free Press 1985.Warner et al., “Effects of Hospital Cost Containment on the Development and Use of Medical Technology,” Milbank Memorial Fund Quarterly, vol56, 1978, pp187-211.
三、網站參考
1.行政院衛生署
http://www.doh.gov.tw/CHT2006/DM/DM2.aspx?now_fod_list_no=11020&class_no=117&level_no=1