隨著行動科技的普及，醫療行動資訊服務逐漸受到民眾的重視，甚至逐漸取代傳統的資訊來源。隨著民眾醫療經驗的增長，所需的資訊內容也有差異，醫療行動應用程式除了要有成熟的行動科技之外，也要以使用者的需求為中心考量。
本研究旨在探討使用者對醫療行動應用程式的資訊需求。以「內容分析法」觀察10個醫療行動應用程式所提供的資訊服務內容，另外透過「網路問卷調查法」調查386位民眾，藉以瞭解使用者對醫療行動應用程式資訊服務需求及落差情形。
本研究結果發現，醫療行動應用程式的資訊功能和資訊內容都有中程度的提供比例，而使用者則存有中高以上的需求程度，因此，醫療行動應用程式有需要針對使用者的意見進行功能和內容強化的必要。

With the diffusion of mobile technology, mobile information service is attracting
people attention and in certain cases it has even been substituted for other
traditional information sources. Besides, when people become more experienced, their information needs will also be different. Not only the sophisticated technology needed to be applied, but also the mobile medical applications should take user-centered contents into account.
In order to understand the current provision of mobile medical information services, content analysis is used to observe 10 sampled mobile medical applications. To understand users' needs with mobile medical applications, an Internet questionnaire survey is applied to question 386 Taiwanese people who currently live in Taiwan.
The study found that the provided information services of medical mobile applications both in information content and information functions are shortage. Second, users are at medium or high levels of requirements for these two dimensions. Apparently, there is still disparity between users' needs and the information provision of medical mobile applications. We suggest that it is necessary for medical mobile applications to enhance the provision of both: all included items of "information functions" and "information contents".

一、中文部分
工研院產經中心（2017）。行動醫療於臨床應用的發展現況與機會。2021年5月14日取自: https://ieknet.iek.org.tw/iekrpt/rpt_more.aspx?actiontype=rpt&indu_idno=6&domain=74&rpt_idno=825194095
林雍茺（2020）。民眾對於行動應用程式行為意圖之研究-以台灣南部某區域教學醫院為例（碩士論文）。取自https://hdl.handle.net/11296/3n3wa8
林淑瓊、張銀益、林宣均（2016）。從醫病關係管理觀點探討醫療服務與病人的互動關係。慈濟科技大學學報，3，67-99。
財團法人台灣網路資訊中心（2019）。2019年台灣寬頻網路使用調查。2021年5月14日取自：https://www.twnic.tw/doc/twrp/2012e.pdf。
郭家嘉（2020）。高端醫療服務之供給與顧客滿意度之相關探討（碩士論文）。取自https://hdl.handle.net/11296/7neqkd
陳國明、彭文正、葉銀嬌、安然（2010）。傳播研究方法。台北：威仕曼。
國家發展委員會（2020）。109年手機族數位應用現況。2021年5月14日取自: https://www.ndc.gov.tw/cp.aspx?n=55C8164714DFD9E9&s=C57A53FF739B6D
黃國瑞（2016）。影響醫療服務類型App使用意圖因素之研究（碩士論文）。取自https://hdl.handle.net/11296/9bh6p5
劉大成（2016）。主觀幸福感對心理自費醫療服務付費意願影響之探討—以EMBA學生為 例（碩士論文）。取自https://hdl.handle.net/11296/br4664
二、外文部分
Armstrong, S. (2017). Which app should I use?: Patients and doctors are making increasing use of health apps, but there is little guidance about how well they work. British Journal of Sports Medicine, 51(16), 1237-1239.
Adam, M., McMahon, S. A., Prober, C., & Bärnighausen, T. (2019). Human-centered design of video-based health education: an iterative, collaborative, community-based approach. Journal of medical Internet research, 21(1), e12128.
Batalden, M., Batalden, P., Margolis, P., Seid, M., Armstrong, G., Opipari-Arrigan, L., & Hartung, H. (2016). Coproduction of healthcare service. BMJ quality & safety, 25(7),509-517
Bickmore, T. W., Trinh, H., Olafsson, S., O'Leary, T. K., Asadi, R., Rickles, N. M., & Cruz, R. (2018). Patient and consumer safety risks when using conversational assistants for medical information: an observational study of Siri, Alexa, and Google Assistant. Journal of medical Internet research, 20(9), e11510.
Bol, N., Helberger, N., & Weert, J. C. (2018). Differences in mobile health app use: A source of new digital inequalities?. The Information Society, 34(3), 183-193.
Bates, D. W., Landman, A., & Levine, D. M. (2018). Health apps and health policy: what needed?. Jama, 320(19), 1975-1976.
Birkhoff, S. D., & Moriarty, H. (2020). Challenges in mobile health app research: Strategies for interprofessional researchers. Journal of Interprofessional Education & Practice 100325.
Baxter, C., Carroll, J. A., Keogh, B., & Vandelanotte, C. (2020). Assessment of Mobile Health Apps Using Built-In Smartphone Sensors for Diagnosis and Treatment: Systematic Survey of Apps Listed in International Curated Health App Libraries. JMIR mHealth and Health, 8(2), e16741.
Chen, Y., Ding, S., Xu, Z., Zheng, H., & Yang, S. (2019). Blockchain-based medical records secure storage and medical service framework. Journal of medical systems, 43(1), 5.
Cuartero, M., Parrilla, M., & Crespo, G. A. (2019). Wearable potentiometric sensors for medical applications. Sensors, 19(2), 363.
Collado-Borrell, R., Escudero-Vilaplana, V., Villanueva-Bueno, C., Herranz-Alonso, A., &Sanjurjo-Saez, M. (2020). Features and functionalities of smartphone apps related to COVID-19: systematic search in app stores and content analysis. Journal of medical Internet research, 22(8), e20334.
Dinh, T. T. H., Bonner, A., Clark, R., Ramsbotham, J., & Hines, S. (2016). The effectiveness of the teach-back method on adherence and self-management in health education for people with chronic disease: a systematic review. JBI Evidence Synthesis, 14(1), 210-247.
Deverka, P. A., Majumder, M. A., Villanueva, A. G., Anderson, M., Bakker, A. C., Bardill, J., & Gibbs, R. A. (2017). Creating a data resource: what will it take to build a medical information commons?. Genome Medicine, 9(1), 1-5.
Dounavi, K., & Tsoumani, O. (2019). Mobile health applications in weight management: a systematic literature review. American journal of preventive medicine, 56(6), 894-903.
Denecke, K., Gabarron, E., Grainger, R., Konstantinidis, S. T., Lau, A., Rivera-Romero, O., & Merolli, M. (2019). Artificial Intelligence for Participatory Health: Applications, Impact,and Future Implications: Contribution of the IMIA Participatory Health and Social Media Working Group. Yearbook of medical informatics, 28(1), 165.
Debon, R., Coleone, J. D., Bellei, E. A., & De Marchi, A. C. B. (2019). Mobile health applications for chronic diseases: A systematic review of features for lifestyle improvement. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 13(4), 2507-2512.
Dhanvijay, M. M., & Patil, S. C. (2019). Internet of Things: A survey of enabling technologies in healthcare and its applications. Computer Networks, 153, 113-131.
Dang, L. M., Piran, M., Han, D., Min, K., & Moon, H. (2019). A survey on internet of things and cloud computing for healthcare. Electronics, 8(7), 768.
Duan, H., Wang, Z., Ji, Y., Ma, L., Liu, F., Chi, M., & An, J. (2020). Using goal-directed design to create a mobile health app to improve patient compliance with hypertension self-management: development and deployment. JMIR mHealth and uHealth, 8(2),e14466.
Ernsting, C., Dombrowski, S. U., Oedekoven, M., LO, J., Kanzler, M., Kuhlmey, A., & Gellert, P. (2017). Using smartphones and health apps to change and manage health behaviors:a population-based survey. Journal of medical Internet research, 19(4), e101.
Fatima, T., Malik, S. A., & Shabbir, A. (2018). Hospital healthcare service quality, patient satisfaction and loyalty. International Journal of Quality & Reliability Management. 25(1), 89.
Fatima, I., Humayun, A., Iqbal, U., & Shafiq, M. (2019). Dimensions of service quality in healthcare: a systematic review of literature. International Journal for Quality in Health Care, 31(1), 11-29.
Gordon, W. J., Landman, A., Zhang, H., & Bates, D. W. (2020). Beyond validation: getting health apps into clinical practice. NPJ Digital Medicine, 3(1), 1-6.
Gu, Y., Fujitomo, Y., Soeda, H., Nakahama, C., Hasegawa, N., Maesaki, S., & Ohmagari, N. (2020). A nationwide questionnaire survey of clinic doctors on antimicrobi stewardship in Japan. Journal of Infection and Chemotherapy, 26(2), 149-156.
Gladman, T., Tylee, G., Gallagher, S., Mair, J., Rennie, S. C., & Grainger, R. (2020). A Tool for Rating the Value of Health Education Mobile Apps to Enhance Student Learning (MARuL): Development and Usability Study. JMIR mHealth and uHealth, 8(7), e18015.
Hörberg, A., Jirwe, M., Kalén, S., Vicente, V., & Lindström, V. (2017). We need support! A Delphi study about desirable support during the first year in the emergency medical service. Scandinavian journal of trauma, resuscitation and emergency medicine, 25(1), 89.
Haux, R. (2018). Health Information Systems–from Present to Future?: The German Medical Informatics Initiative. Methods of information in medicine, 57(Suppl 1), e43.
Hamdan, N. S., Musa, H., Selamat, A. S., & Rashid, N. (2019). Investigating Factors of Service Quality Influencing Patient Satisfaction towards Patient Loyalty. International Journal of Advanced Science and Technology, 28(16), 452-459.
Hau, L. N. (2019). The role of customer operant resources in health care value creation. Service Business, 13, 457-478.
Hartmann, M., Hashmi, U. S., & Imran, A. (2019). Edge computing in smart health care systems: Review, challenges, and research directions. Transactions on Emerging Telecommunications Technologies, e3710.
Huber, M. (2020). Video-based content analysis. Analyzing Group Interactions: A Guidebook for Qualitative, Quantitative and Mixed Methods. 3(1), 1-7.
Haluza, D., & Hofer, F. (2020). Exploring perceptions on medical app use in clinical communication among Austrian physicians: Results of a validation study. Health Informatics Journal, 26(3), 1659-1671.
Haluza, D., & Böhm, I. (2020). The Quantified Woman: Exploring Perceptions on Health App Use among Austrian Females of Reproductive Age. Reproductive Medicine, 1(2), 132-141.
Javed, S. A., & Ilyas, F. (2018). Service quality and satisfaction in healthcare sector of Pakistan—the patients’ expectations. International Journal of Health Care Quality Assurance.
Javed, S. A., & Liu, S. (2018). Evaluation of outpatient satisfaction and service quality of Pakistani healthcare projects. Grey Systems, 8(4), 462-480.
Kwateng, K. O., Lumor, R., & Acheampong, F. O. (2017). Service quality in public and private hospitals: A comparative study on patient satisfaction. International Journal of Healthcare Management. 3(5), 1-6.
Kim, C. E., Shin, J. S., Lee, J., Lee, Y. J., Kim, M. R., Choi, A., & Ha, I. H. (2017). Quality of medical service, patient satisfaction and loyalty with a focus on interpersonal-based medical service encounters and treatment effectiveness: a cross-sectional multicenter study of complementary and alternative medicine (CAM) hospitals. BMC complementary and alternative medicine, 17(1), 174.
Ke, L., Chen, J., Jia, J., Ke, P., Chen, X., Mao, Z., & Liu, B. (2020). Outpatients’ Satisfaction in the Context of 10 Years of Health-Care Reform: A Cross-Sectional Study of Tertiary Hospitals in Shiyan, China. Patient preference and adherence, 14, 191.
Lee, D. (2017). HEALTHQUAL: a multi-item scale for assessing healthcare service quality. Service Business, 11(3), 491-516.
Liu, Y., Wang, X., Gilbert, S., & Lai, G. (2018). Pricing, quality and competition at on-demand healthcare service platforms. Available at SSRN 3253855.
Liu, H. Y., Lee, W. C., Sun, Y. C., Fen, J. J., Chen, T. J., Chou, L. F., & Hwang, S. J. (2018). Hospital-owned apps in Taiwan: nationwide survey. JMIR mHealth and uHealth, 6(1), e22.
Lin, C. H., Tung, H. H., Chung, K. P., Siao, S. F., & Shun, S. C. (2019). Development and Psychometric Testing of the Nurse Practitioner Healthcare Service Quality Scale. Hu Li Za Zhi, 66(5), 54-64.
Lewis, R. A., Lunney, M., Chong, C., & Tonelli, M. (2019). Identifying Mobile Applications Aimed at Self-Management in People With Chronic Kidney Disease. Canadian journal of kidney health and disease, 6, 2054358119834283.
Lagan, S., Aquino, P., Emerson, M. R., Fortuna, K., Walker, R., & Torous, J. (2020). Actionable health app evaluation: translating expert frameworks into objective metrics. NPJ digital medicine, 3(1), 1-8.
Meesala, A., & Paul, J. (2018). Service quality, consumer satisfaction and loyalty in hospitals: Thinking for the future. Journal of Retailing and Consumer Services, 40, 261-269.
Mackey, T. K., Kuo, T. T., Gummadi, B., Clauson, K. A., Church, G., Grishin, D., & Palombini, M. (2019). ‘Fit-for-purpose?’–challenges and opportunities for applications of blockchain technology in the future of healthcare. BMC medicine, 17(1), 1-17.
McGhin, T., Choo, K. K. R., Liu, C. Z., & He, D. (2019). Blockchain in healthcare applications: Research challenges and opportunities. Journal of Network and Computer Applications, 135, 62-75.
Moghaddam, G. K., & Lowe, C. R. (2019). Health and Wellness Measurement Approaches for Mobile Healthcare. Springer.
Moshi, M. R., Tooher, R., & Merlin, T. (2020). Development of a health technology assessment module for evaluating mobile medical applications. International Journal of Technology Assessment in Health Care, 1-10.
Nicolai, M., Pascarella, L., Palomba, F., & Bacchelli, A. (2019, August). Healthcare Android apps: a tale of the customers’ perspective. In Proceedings of the 3rd ACM SIGSOFT International Workshop on App Market Analytics (pp. 33-39).
Nussbaum, R., Kelly, C., Quinby, E., Mac, A., Parmanto, B., & Dicianno, B. E. (2019). Systematic review of mobile health applications in rehabilitation. Archives of physical medicine and rehabilitation, 100(1), 115-127.
Nayak, P., Nayak, S., Vikneshan, M., Acharya, S., & Sathiyabalan, D. (2019). Smartphone apps: A state-of-the-art approach for oral health education. Journal of Oral Research, 8(5), 386-393.
O'Reilly-Shah, V., Easton, G., & Gillespie, S. (2017). Assessing the global reach and value of a provider-facing healthcare app using large-scale analytics. BMJ global health, 2(3), e000299.
Overdijkink, S. B., Velu, A. V., Rosman, A. N., Van Beukering, M. D., Kok, M., & Steegers- Theunissen, R. P. (2018). The usability and effectiveness of mobile health technology–based lifestyle and medical intervention apps supporting health care during pregnancy: systematic review. JMIR mHealth and uHealth, 6(4), e109.
Ostherr, K. (2020). The Rise of the Metaclinical Health App Ecosystem. The Routledge Companion to Media and Risk.
Pekkaya, M., Pulat İmamoğlu, Ö., & Koca, H. (2019). Evaluation of healthcare service quality via Servqual scale: An application on a hospital. International Journal of Healthcare Management, 12(4), 340-347.
Parvez, R., Shahriare, M. D., Choyon, A., Hasanuzzaman, M., & Rahman, A. (2019). Smart Doctor: An Intelligent App for Medical Advice and Digital Health Record (Doctoral dissertation).
Qudah, B., & Luetsch, K. (2019). The influence of mobile health applications on patient- healthcare provider relationships: a systematic, narrative review. Patient education and counseling, 102(6), 1080-1089.
Rowe-Setz, G., Behringer, W., Roland, D., Lyttle, M. D., & Jahn, H. K. (2020). Fifteen minute consultation: When can I use a medical app?. Archives of Disease in Childhood- Education and Practice.
Shabbir, A., Malik, S. A., Malik, S. A., & van der Wiele, T. (2016). Measuring patients’ healthcare service quality perceptions, satisfaction, and loyalty in public and private sector hospitals in Pakistan. International Journal of Quality & Reliability Management.
Shafiq, M., Naeem, M. A., Munawar, Z., & Fatima, I. (2017). Service quality assessment of hospitals in Asian context: An empirical evidence from Pakistan. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 54, 0046958017714664.
Singh, A., & Prasher, A. (2019). Measuring healthcare service quality from patients’ perspective: using Fuzzy AHP application. Total Quality Management & Business Excellence, 30(3-4), 284-300.
Smahel, D., Elavsky, S., & Machackova, H. (2019). Functions of mHealth applications: A user’s perspective. Health informatics journal, 25(3), 1065-1075.
Szinay, D., Jones, A., Chadborn, T., Brown, J., & Naughton, F. (2020). Influences on the Uptake of and Engagement With Health and Well-Being Smartphone Apps: Systematic Review. Journal of Medical Internet Research, 22(5), e17572.
Saxena, M., & Saxena, A. (2020). Evolution of mHealth Eco-System: A Step Towards Personalized Medicine. In International Conference on Innovative Computing and Communications (pp. 351-370). Springer, Singapore.
Sullivan, G. M., & Artino Jr, A. R. (2013). Analyzing and interpreting data from Likert-type scales. Journal of graduate medical education, 5(4), 541.
Strobel, G., & Perl, J. (2020). Health in the Era of the Internet of Things–A Smart Health Information System Architecture. Health, 6, 22-2020.
Turan, A., & Bozaykut-Bük, T. (2016). Analyzing perceived healthcare service quality on patient related outcomes. International Journal of Quality and Service Sciences. 3(1), 1-6.
Tang, W., Zhang, K., Zhang, D., Ren, J., Zhang, Y., & Shen, X. S. (2019). Fog-enabled smart health: Toward cooperative and secure healthcare service provision. IEEE Communications Magazine, 57(5), 42-48.
Vearrier, L., Rosenberger, K., & Weber, V. (2018). Use of personal devices in healthcare: Guidelines from a roundtable discussion. Journal of Mobile Technology in Medicine, 7(2), 27-34.
Venkatraman, S., Overmars, A., Fahd, K., Parvin, S., & Kaspi, S. (2020, January). Security Challenges for Big Data and IoT. In Proceedings of the 2020 2nd International Conference on Big Data Engineering and Technology (pp. 1-6).
Wiechmann, W., Kwan, D., Bokarius, A., & Toohey, S. L. (2016). There’s an app for that? Highlighting the difficulty in finding clinically relevant smartphone applications. Western Journal of Emergency Medicine, 17(2), 191.
Wittink, H., & Oosterhaven, J. (2018). Patient education and health literacy. Musculoskeletal Science and Practice, 38, 120-127.
Winter, A., Stäubert, S., Ammon, D., Aiche, S., Beyan, O., Bischoff, V., & de Greiff, A. (2018). Smart Medical Information Technology for Healthcare (SMITH): Data Integration based on Interoperability Standards. Methods of information in medicine, 57(Suppl 1), e92.
Wiegard, R. B., & Breitner, M. H. (2019). Smart services in healthcare: A risk-benefit-analysis of pay-as-you-live services from customer perspective in Germany. Electronic Markets, 29(1), 107-123
Xie, J., Hu, Y., Wang, G., & Lu, C. (2017). Effect of a mobile medical app on outpatient experience: a cross-sectional study. The Lancet, 390, S65.
Zebrack, B., Kayser, K., Bybee, D., Padgett, L., Sundstrom, L., Jobin, C., & Oktay, J. (2017). A practice-based evaluation of distress screening protocol adherence and medical service utilization. Journal of the National Comprehensive Cancer Network, 15(7), 903-912.