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勞工安全衛生研究季刊

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篇名 94年勞保預防職業病健康檢查資料庫分析研究
卷期 18:1
並列篇名 Title: Analysis of health examination in preventing occupational diseasec from Labor Insurance Database 2005
作者 謝曼麗陳秋蓉王威力徐儆暉
頁次 111-151
關鍵字 職業病健康檢查Occupational diseaseHealth examination
出刊日期 201003

中文摘要

勞工健康檢查是職業衛生保健工作重要一環,鑑於國內勞保局基於照顧從事特別危害健康
之作業勞工,提供23項從事特別危害健康作業之預防職業病健康檢查經費補助,為能建立完整
勞保預防職業病健康檢查資料庫,以為未來進行相關資料庫串連提供完整職業傷病發生因果關
係之探討,特派遣人員至勞保局,以逐筆鍵入方式蒐集健檢資料。
本研究係利用94年勞保局預防職業病健康檢查資料,進行23種特別危害作業類受檢者與
投保單位基本特性,及其與年齡、性別、行業及檢查結果間分布情形的分析研究,期以建立本
國從事特殊危害作業勞工健康檢查資料庫,並作為未來掌握職業病例及危險因子的探討使用。
本研究結果,94年勞保預防職業病健檢計有4,023家事業單位,受檢人總計380,927人次,平均
年齡39A8歲,受檢男性佔七成;檢查類別以從事噪音作業佔四成最多,其次為粉塵作業及鉛作
業;大行業別主要以製造業佔八成,其次為批發零售業;中行業別以電子零組件製造業、金屬
基本工業最多。受檢人健康檢查結果為健康管理等級第三級(即經醫師判定可能與職業病有關
者)計2,315人佔總人次0A61%,其中以噪音作業佔八成最多,近九成為男性,以45-49歲受檢人最多,且經判定為第三級管理的比率隨年齡增加而有增加趨勢;大行業以製造業與運輸、倉
儲與通信業居多。
本所於95年與勞保局合作推動勞保預防職業病健康檢查電子媒體申報,將健檢資料申報流
程改以電腦化,未來亦將進一步串連勞保檔等加強投保單位特性、健檢醫院品質及職業病因果
關係的探討研究。

英文摘要

Health examination is important in occupational health care. In order to protect workers in hazardous working environment, the Bureau of Labor Insurance (BLI) subsidizes 23 health examination items for occupational disease related to hazardous operation in order to builds a complete
health examination database in preventing occupational disease caused by hazardous operation. To help study the casual relationship of occupational disease and injury, designated staffs were sent to the
Bureau of Labor Insurance to key-in health examination data into relevant database. We use the 2005 BLI health examination data for occupational disease prevention to study the wrok in 23 items of hazardous operation, their characteristics, and the distribution of age, sex, industry,
results of inspection. The goal is to build a domestic health examination data base for workers in hazardous operation, and study risk factorsA In future found that the health examination in preventing occupational disease under the labor insurance applied to 4,023 enterprises, in which there are 380,927 examinees and the average age is 39A8 years oldA About 70 percent of examinees are male. Regarding inspected items, about 40% are related to noise work, followed by dust work and lead work. As
for industry sector, 80% of examinees are in manufacturing, followed by the wholesale/retail trade industry. For industry subsector, most people are in Electronic Parts and Components Manufacturing,and Basic Metal Manufacturing. A total 2,315 examinees are categorized as the Level 3 of health Management (the injury is determined to be related to occupational disease by physicians), equivalent to 0.61%. In Level 3, 80% are related to noise work and 90% are male, mostly from 45 to 49 years old.
The percentage of Level 3 examinees increased by age, and the major sectors are Manufacturing and Transportation/Storage and Communication.
The Institute of Occupational Safety and Health (IOSH) and Bureau of Labor Insurance (BLI) encourage results of health examination in preventing occupational disease using electronic-report system and to computerize the submission health examination data. In the future, we will connect the labor insurance files, in order to study the characteristics of insurance units, quality of health
examination hospitals, and the correlation between working conditions and occupational disease.

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