目標：外部知識的使用為影響醫院創新之關鍵因素，本研究試圖探討醫院進行創新發展
時，對於各外部知識來源之使用程度，並深入分析影響外部知識來源使用度的因素。方法：
研究採用問卷調查方式，以全國地區醫院級以上之高階主管為研究對象，共回收問卷211份；
以皮爾森相關、複迴歸及邏輯斯迴歸來進行研究分析。結果：研究結果以醫院評鑑標準、全
民健保相關法規，及衛生政策相關標準與法規三個專業知識項目使用度最高，而使用度最低
的則為市場知識中的外部醫藥研發實驗室或公司、顧問與顧問公司，及機構知識中的營利性
公司機構；根據迴歸分析結果顯示，醫院規模、正式化程度、學校附設醫院會影響外部知識使
用。結論：醫院在進行創新發展時對外部知識來源使用度由高而低順序分別為：專業化知識來
源、其他知識來源、機構知識來源、市場知識來源。在影響因素方面，醫院規模越大、正式化
程度越高、學校附設醫院在進行創新時，對外部知識使用程度較高。(台灣衛誌 2012；31(5)：
460-472)

Objectives: The use of external knowledge is a principal factor in hospital innovation. This
research explored the use of external sources of knowledge for hospital innovation. Methods: We
employed a self-administered mail survey to collect data and selected top managers in hospitals
accredited as district hospitals and above as key informants. We then utilized multiple regression
and logistic regression methods to analyze our data. Results: Among the external sources of
knowledge, hospital accreditation standards, National Health Insurance regulations, and health
policy regulations were the most frequently cited. Pharmaceutical laboratory or company data,
consultants or consultancy frms, and proft-making institutions were the least used sources for
hospital innovation. In addition, hospital size, hospital formalization, and hospitals affliated
with medical schools were factors which signifcantly affected the use of external sources of
knowledge. Conclusions: The ranking of the kind of external knowledge important for hospital
innovation was: specialized knowledge, other knowledge, institutional knowledge and market
knowledge. In terms of influencing factors, this study found that hospitals with larger size
and a higher degree of formalization or hospitals affliated with medical schools were more
likely to use external sources of knowledge for hospital innovation. (Taiwan J Public Health.
2012;31(5):460-472)