簡易檢索 / 詳目顯示

研究生: 朱晏廷
Chu, Yen-Ting
論文名稱: 醫師個人FACEBOOK粉絲專頁之醫病互動內容分析研究
A Content analysis of Doctor-Patient Interactions on Doctors’ Facebook Fan Page
指導教授: 邱銘心
Chiu, Ming-Hsin
學位類別: 碩士
Master
系所名稱: 圖書資訊學研究所
Graduate Institute of Library and Information Studies
論文出版年: 2019
畢業學年度: 108
語文別: 中文
論文頁數: 115
中文關鍵詞: 線上醫病互動社群媒體粉絲專頁病患隱私權內容分析
英文關鍵詞: Online Medical Interaction, Social Media, Fan Page, Patient Privacy, Content Analysis
DOI URL: http://doi.org/10.6345/NTNU201901178
論文種類: 學術論文
相關次數: 點閱:287下載:62
分享至:
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報
  • 醫療與人們的生活息息相關,醫病互動是構築醫病間良好關係的重要一環,在社群媒體融入人們生活的今日,透過社群媒體所進行的線上醫病互動是促進醫病關係的重要途徑。本研究以醫師所經營之粉絲專頁作為研究對象,透過貼文內容的分析,探討現今醫師透過社群媒體欲達成之目的以及線上醫病互動的現況,藉由社群行銷之表現觀察醫師如何藉由粉絲專頁建立個人品牌形象,並分析病患隱私權對於醫師使用社群媒體的影響。
    本研究蒐集20個醫師個人Facebook上總計1000則貼文進行分析,藉由觀察粉絲專頁上所公開之資訊,探討醫師經營粉絲專頁之目的、個人品牌形象的行銷以及社群媒體上的病患隱私權問題。透過研究發現醫師在粉絲專頁的經營主要有傳遞正確醫學知識、衛教宣導以及醫病關係的促進、以及個人品牌形象的行銷三個目的。並且依據分析之結果得出結論:(一)醫師粉絲專頁經營之角色定位介於醫師與公眾人物之間;(二)粉絲專頁可做為彌補現實醫病互動不足之管道;(三)醫師對於個人形象的行銷與一般公眾人物有所差異(四)容易因貼文內容侵犯病患隱私之疑慮造成醫病糾紛,並依據結論給予粉絲專頁經營上的建議:(一)跳脫出傳統醫師角色,注重社群上的內容行銷(二)透過粉絲專頁功能提高醫病間的互動(三)應避免發佈有病患隱私疑慮的貼文內容。

    Medical is closely related to people's lives. Medical interaction is an important part of creating a good doctor-patient relationship. Today, when social media is integrated into people's lives, online doctor-patient interactions on social media is an important way to promote doctor-patient relationship. This study find out the fan page operated by the doctors. Through the analysis of the content of the post, exploring the object through social media and the status of doctor-patient interaction online. Through social media Marketing to observe how to establish personal brand image by fan page. Analyzing the impact on doctors use social media from patient privacy.
    This study collects total 1000 posts from 20 doctors’ fan page to analyze. Through observing public information on fan page, exploring the purpose of doctors operate fan page, the marketing of personal brand image, and the patient privacy in social media. It is found that doctors operate fan page has three purposes, transfer correct medical knowledge, health education propaganda and promotion of doctor-patient relationship, marketing personal brand image from research. According to the result, deriving conclusion: (1) The role of doctors’ fan page is between the doctor and the public; (2) Fan page can be used as a conduit to cover the shortage of the actual doctor-patient interaction;(3) Doctor's social marketing of personal brand image is different from the general public figure. (4) It is easy to cause medical disputes due to invasion of patient privacy by post. Finally, making some suggestions form the conclusions: (1) Thinking out of box, focusing on content marketing of social media. (2) Enhance the interaction between doctors and patients by fan page’s function. (3) Avoid the post content violate patient privacy.

    第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的與問題 5 第三節 研究範圍與限制 7 第四節 研究貢獻 9 第五節 名詞解釋 9 第二章 文獻探討 11 第一節 醫師與病患間的互動關係 11 第二節 社群媒體上的醫病互動 15 第三節 醫師個人品牌形象的經營與行銷 21 第四節 社群媒體與病患隱私權 28 第五節 醫療領域之社群媒體研究回顧 30 第三章 研究方法與設計 32 第一節 研究方法與研究對象 32 第二節 研究實施流程 46 第三節 資料蒐集與整理 47 第四節 資料處理與分析 49 第五節 前導研究 55 第六節 研究編碼信度 61 第七節 研究倫理 62 第四章 研究結果與討論 64 第一節 粉絲專頁經營現況 64 第二節 醫師粉絲專頁貼文主題 69 第三節 醫師粉絲專頁的社群行銷 80 第四節 貼文內容之資訊品質評估 89 第五節 病患隱私相關問題 95 第六節 綜合討論 98 第五章 結論與建議 103 第一節 結論 103 第二節 建議 105

    王石番(1991)。傳播內容分析法 : 理論與實證。臺北:幼獅文化。
    王熙哲、丁耀民(2008)。人際關係網路對虛擬社群使用意願的影響。資訊管理學報,15(48),53-72。
    吳紹群(2002)。內容分析法與圖書館學研究。圖書與資訊學刊,40,47-61。
    李昭慧(2013)。醫病溝通經驗之探究-以病患為例(未出版之碩士論文)。國立臺北教育大學心理與諮商學系碩士班,臺北市。
    李廣均(2001)。初探網路醫療的發展和限制-以醫療資訊網站為例。醫護科技學刊,3(2),200-214。
    林沂瑩(2012)。大專校院圖書館社群網站經營分析─以Facebook為例(未出版之碩士論文)。國立臺灣師範大學圖書資訊學研究所,臺北市。
    林慧如(2009)。從醫病關係到病醫關係的價值省思。高醫通識教育學報,4,117-124。
    柯巧俐、鄭詩宗(2007)。臺灣的醫病溝通現況與患者的語言人權。臺灣醫界,50(9),37-39。
    洪淑媛(2012)。社群媒體對臺灣健康傳播影響之研究(未出版之碩士論文)。世新大學傳播管理學研究所,臺北市。
    紀櫻珍、紀琍琍、吳振龍、黃松元(2006)。醫學倫理與醫病關係。北市醫學雜誌,3,1-11。
    翁蕊(2014)。探索社群媒體行銷之品牌及社群效益(未出版之碩士論文)。國立臺北大學企業管理學系,臺北市。
    莊曼君(2011)。兒童身心障礙團體之FACEBOOK內容分析研究(未出版之碩士論文)。國立臺灣師範大學圖書資訊學研究所在職進修碩士班,臺北市。
    陳志銘(2007)。 淺談病患隱私與醫師之保密義務。高雄縣醫師會誌,24,88-94。
    陳俊樺、李瑞敏、劉逸嫻、王寶麟、廖于琇、陳鍾威、吳政諺、林傳偉(2012)。醫師利用社會網絡進行經驗學習-以某醫師部落格為例。ICIM 2012 第23屆國際資訊管理學術研討會,國立高雄大學資訊管理學系主辦,高雄市。
    楊榮森(2011)。FACEBOOK對醫療的影響,健康世界,305,6-7。
    葉永文(2012)。醫病關係:一種信任問題的考察。臺灣醫學人文學刊,13(1&2),77-103。
    資策會(2017)。八成以上臺灣人愛用Facebook、Line坐穩社群網站龍頭 1人平均擁4個社群帳號 年輕人更愛YouTube和IG。檢自:https://www.iii.org.tw/Press/NewsDtl.aspx?nsp_sqno=1934&fm_sqno=14
    電子商務時報(2009)。Facebook關閉Beacon廣告系統 解決隱私爭議。檢自:http://www.ectimes.org.tw/Shownews.aspx?id=090922233436
    廖士程、李明濱、謝博生、李源德(2005)。醫病關係與醫療滿意度之全國普查。醫學教育,9,149-161。
    劉靜怡(2012)。社群網路時代的隱私困境:以Facebook為討論對象。臺大法學論叢,41(1),1-70。
    潘恆嘉、蔡甫昌、陳慶餘(2014)。醫病溝通。當代醫學,371,753-60。
    蔡世滋(1991)。醫病關係。臨床醫學,28(2),83-93。
    蔡錚雲等(譯)(2008)。倫理師的聲影。(原作者:Richard M. Zaner)。臺北:政大出版社。
    鄭敏芝、蔡合和、洪秀婉、王文生、呂英傑、林哲如(2015)。使用用途與隱私政策對社群網站持續參與意圖影響之探討:以臉書(Facebook)為例。企業管理學報,106,59-79。
    戴正德(2011)。醫學倫理諮詢及其在臺灣之應用。臺灣醫學,15(5),518-524。
    羅勻佐、許志成、郭耿南、林綽娟、何浩君、陳紫郎(2009)。醫師部落格潛在的醫病關係、法律與相關議題。臺灣家庭醫學雜誌,19(2),81-92。
    Abdelhamid, M, Gaia, J, Sanders, G.L.(2017). Putting the Focus Back on the Patient: How Privacy Concerns Affect Personal Health Information Sharing Intentions. Journal of Medical Internet Research, 19(9), e169. doi:10.2196/jmir.6877
    Berelson, B. (1952). Content Analysis in Communication Research, NY : Free Press.
    Brown, T. J., Barry, T. E., Dacin, P. A., & Gunst, R. F. (2005). Spreading the word: Investigating antecedents of consumers’ positive word- of-mouth intentions and behaviors in a retailing context. Journal of the Academy of Marketing Science, 33, 123-138.
    Cho, H., & Filippova, A.(2016). Networked privacy management in Facebook: a mixed-methods and multinational study. Proceedings of the 19th ACM Conference on Computer-Supported Cooperative Work, 503–514.
    Chretien, K.C., & Kind, T. (2014). Climbing Social Media in Medicine's Hierarchy of Needs. Academic Medicine, 89(10), 1318-1320.
    Clyde, J.W., Rodríguez, M.M.D., & Geiser, C. (2014). Medical professionalism: An experimental look at physicians' Facebook profiles. Medical Education Online, 19, 23149. doi:10.3402/meo.v19.23149
    Corbin, C.L., Kelley, S.W., & Schwartz, R.W. (2001). Concepts in service marketing for healthcare professionals. The American Journal of Surgery, 181(1), 1–7.
    Curry, E., Li, X., Nguyen, J., & Matzkin, E. (2014). Prevalence of internet and social media usage in orthopedic surgery. Orthopedic Reviews, 6(3), 5483.
    De Vries, L., Gensler, S., & Leeflang, P. S. (2012). Popularity of brand posts on brand fan pages: an investigation of the effects of social media marketing. Journal of Interactive Marketing, 26(2), 83-91.
    Eppler, M., & Muenzenmayer, P. (2002). Measuring Information Quality in the Web Context: A Survey of State-of-the-art Instruments and an Application Methodology. Proceedings of 7th International Conference on Information Quality, 187-196.
    Fox, S. (2011). The Social Life of Health Information, Pew Internet & American Life Project. Washington, DC: Pew Research Center.
    Ghazaleh, S.A., Hassona,Y., & Hattar, S. (2018). Dental trauma in social media—Analysis of Facebook content and public engagement. Dental Traumatology, 34(6), 394-400.
    Goldfarb, A., & Tucker, C. (2011). Online display advertising: Targeting and obtrusiveness. Marketing Science, 30(3), 389-404.
    Grajales, F.J. III., Sheps, S., Ho, K., Lauscher, H.N., & Eysenbach, G. (2014). Social Media: A Review and Tutorial of Applications in Medicine and Health Care. Journal of Medical Internet Research,16(2), e13. doi:10.2196/jmir.2912.
    Hariharan, S., Dey, P.K., Moseley, H.S.L., Kumar, A.Y. & Gora, F. (2004). A new tool for measurement of process-based performance of multispecialty tertiary care hospital. International Journal of Healthcare Quality Assurance, 17(6), 302-312.
    Ho, A., Maiga, A., & Aïmeur, E.,2009. Privacy Protection Issues in Social Networking Sites. 2009 IEEE/ACS International Conference on Computer Systems and Applications, 271-278. doi:10.1109/AICCSA.2009.5069336
    Horton, R. (2005). Medicine: the prosperity of virtue. Lancet., 366, 1985–1987
    Hsieh, H. F., & Shannon, S. E. (2005). Three approaches to qualitative content analysis. Qualitative Health Research, 15(9), 1277-1288. doi:10.1177/1049732305276687
    Institute of Medicine(IOM) (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, D.C: National Academy Press.
    Kaplan, A.M. & Haenlein, M. (2010). Users of the world, unite! The challenges and opportunities of Social Media. Business Horizons, 53(1), 59-68.
    Kemp, E., Jillapalli, R., & Becerra, E. (2014). Healthcare branding: developing emotionally based consumer brand relationships. Journal of Services Marketing, 28(2), 126-137.
    Khodadad, H.S.H., & Behboudi, L. (2017). Brand trust and image: effects on customer satisfaction. International Journal of Health Care Quality Assurance, 30(7), 580-590. doi:10.1108/IJHCQA-04-2016-0054.
    Kim, A. J., & Ko, E. (2012). Do social media marketing activities enhance customer equity? An empirical study of luxury fashion brand. Journal of Business Research, 65(10), 1480-1486.
    Kisekka, V., & Giboney, J. S. (2018). The Effectiveness of Health Care Information Technologies: Evaluation of Trust, Security Beliefs, and Privacy as Determinants of Health Care Outcomes. Journal of medical Internet research, 20(4), e107.
    Kitapci, O., Akdogan, C. and Taylan, D.I. (2014). The impact of service quality dimensions on patient satisfaction, repurchase intentions and word-of-mouth communication in the public healthcare industry. Procedia – Social and Behavioral Sciences, 148, 161-169.
    Kordzadeh, N. (2016). Social media in health care. Contemporary Consumer Health Informatics, 101-123.
    Lee, K.L., & Ho, M.J. (2011). Online social networking versus medical professionalism. Medical Education Journal,45(5),523. doi:10.1111/j.1365-2923.2011.03978.x.
    Lefebvre, C., Mesner, J., Stopyra, J., O'Neill, J., Husain, I., Geer, C., Gerancher, K., Atkinson, H., Harper, E., Huang, W., & Cline, D.M. (2016). Social media in professional medicine: new resident perceptions and practices. Journal of Medical Internet Research, 18(6),e119. doi:10.2196/jmir.5612.
    Madupu, V., & Cooley, D. O. (2010). Antecedents and consequences of online brand community participation: A conceptual framework. Journal of Internet Commerce, 9(2), 127-147.
    McLawhorn, A.S., De Martino, I., Fehring, K.A., & Sculco, P.K. (2016). Social media and your practice: navigating the surgeon-patient relationship. Current Reviews in Musculoskeletal Medicine, 9(4), 487-495.
    Mikulski, L. (2013, April 3). Healthcare Relationship Marketing: Tapping into Emotion. Physician Referral Marketing. Retrieved from:https://www.physicianreferralmarketing.com/healthcare-relationship-marketing/
    Mohammadian, M., & Mohammadreza, M. (2012). Identify the success factors of social media (Marketing Perspective). International Business and Management, 4(2), 58-66.
    Moubarak, G., Guiot, A., Benhamou, Y., Benhamou, A., & Hariri, S. (2011). Facebook activity of residents and fellows and its impact on the doctor-patient relationship. Journal of Medical Ethics, 37(2),101–104. doi:10.1136/jme.2010.036293.
    Muntinga, D.G., Moorman, M., & Smit, E.G. (2011). Introducing COBRAs: exploring motivations for brand-related social media use. International Journal of Advertising, 30(1), 13-46.
    Nissenbaum, H.(1998). Protecting Privacy in an Information Age: The Problem of Privacy in Public. Law and Philosophy, 17(5), 559-596.
    Perrin, A. (2015, October 8). “Social Networking Usage: 2005–2015.” Pew Research Center. Retrieved from http://www.pewinternet.org/2015/10/08/social-networking-usage-2005-2015/
    Petersen, C., & Lehmann, C.U.(2018). Social Media in Health Care: Time for Transparent Privacy Policies and Consent for Data Use and Disclosure. Applied Clinical Informatics Journal, 9(4), 856-859.
    Ramani, K.V. & Dileep, R. (2006). Health system in India: opportunities and challenges for improvements, Journal of Health Organization & Management, 20(3), 560-572.
    Rheingold, H. (1993). The Virtual Community: Homesteading on the Electronic Frontier. Cambridge, Massachusetts: MIT Press.
    Ruiz, R. (2009). Must-read health blogs. Forbes. Retrieved from http://www.forbes.com/2009/10/07/best-health-blogs-lifestyle-health-blogs-health-information.html
    Singh, J. & Sirdeshmukh, D. (2000). Agency and trust mechanisms in customer satisfaction and loyalty judgments. Journal of the Academy of Marketing Science, 28(1), 150-167.
    Solove, D. J. (2004). The digital person. New York: New York University Press.
    Suryavanshi, T., Geier, C.D. Jr., Leland, J.M.3rd., Silverman, L., & Duggal, N. (2016). Social media and orthopaedics: opportunities and challenges. Instructional course lectures, 65,645–653.
    Turban, E., King, D., Lee, J., Warkentin, M., Chung, H.M. & Chung, M. (2002). Electronic commerce 2002: A Managerial Perspective, Prentice Hall.
    Van De Belt T.H., Engelen L.J., Berben S.A., & Schoonhoven L. (2010). Definition of Health 2.0 and Medicine 2.0: a systematic review. Journal of Medical Internet Research,12(2), e18. doi:10.2196/jmir.1350.
    Wagner, H.C., Fleming, D., Mangold, W.G. & LaForge, R.L. (1994). Relationship marketing in health care. Journal of Health Care Marketing, 14(4), 42‐7.
    Walton, J.M., White, J., & Ross, S. (2015). What's on YOUR Facebook profile? Evaluation of an educational intervention to promote appropriate use of privacy settings by medical students on social networking sites. Medical Education Online, 20(1), 28708. doi:10.3402/meo.v20.28708.
    Weiner, J. (2014). A personal reflection on social media in medicine: I stand, no wiser than before. International Review of Psychiatry, 27(2), 155-160. doi:10.3109/09540261.2015.1015503
    Whiddett, R., Hunter, I., Engelbrecht, J., & Handy J.(2006). Patients’ attitudes towards sharing their health information. International Journal of Medical Informatics, 75(7), 530-541.

    下載圖示
    QR CODE