Investigation of Behavior Inducement for Internet-Based Enrollment Application and Reporting of NHI in Taiwan

Objective: Under the National Health Insurance (NHI) system, the underwriting-related application and reporting work has always required tremendous support from external party Internet-based application and reporting systems will save efforts in handling the complicated procedures. In this research, therefore, we try to establish an integrated theoretical model on the “Behavior Inducement for Internet-Based Application and Reporting”, to identify the key factors influencing such behaviors, as well as methods to expedite the utilization of the Internet-based application and reporting system. We hope this will become a useful reference for the relevant government agency for their administration and policy-making. Methodology: To conduct the research, we consolidated the relevant documents and used open questionnaire for survey purpose. The questionnaire was structured by integrating the TAM and TPB theoretical models, containing variables such as attitude, subjective norm, perceived behavior control and behavior intention model. LISREL 8.71 and SPSS 12.0 software were used for statistical analysis. Research Results: Variables such as perceived usefulness, compatibility, trust, subjective norm, interpersonal influence, external influence, perceived behavior control and self efficacy, etc., are all having positive influence on the attitude and behaviors on using Internet-based application and reporting system. Conclusion: It was found through research that, to expedite the utilization of the Internet-based application and reporting system, we need to first start with three key influencing factors, respectively, self-efficacy (SE), behavior inducement (BI) and interpersonal influence (II). Efforts should be made to assist potential users to acquire the electronic certificates and accreditation through a user-oriented approach. Other promotional measures, including seminars, business handbooks and media communications should also be arranged to improve the utilization of the Internet-based application and reporting system. Key Words: National Health Insurance (NHI), Internet-Based Application and Reporting System, Theory of Planned Behavior (TPB), Technology Acceptance Model (TAM)