背景：健康的醫療人員，方能確保提供病人優良的健康照護品質。然而，醫院是充滿著各種危害暴露的職場，而醫師的職場安全與健康卻一直被忽略，該問題實需要被關注。目的：本研究主要是瞭解醫院醫師的職場危害暴露現況及相關因素，以作為改善醫師職場工作環境的參考依據。方法：以大臺北地區四所區域級教學醫院院內之全體臨床醫師為研究對象，總計401名醫師。研究工具採自填式問卷，問卷施測時間為2009年4-6月，回收之有效問卷共計189份，回收率47.1%，資料分析採用描述性統計及卡方檢定。結果：研究發現醫院醫師之職場危害暴露中以推拉重物(59.8%)、長時間同一姿勢(78.4%)及重複性動作(92.3%)等人因性危害暴露最嚴重，而且無論哪個科別比率均高。其次是被病患血液噴濺的生物性危害暴露(43.1%)及肢體語言暴力(41.0%)。外科系醫師在病患血液暴露、針扎、消毒藥物及漂白水暴露比率顯著高於其他科別醫師，外科系與急診醫師在輻射暴露風險顯著高於內科系醫師，暴力行為危害則是急診科醫師的比率最高。
結論：根據研究發現建議應強化醫師危害暴露防護技能、包括人因性危害暴露、肢體
語言暴力及避免病患血液噴濺之因應技巧。同時，醫院應提升醫療職場安全環境，以降低
各類危害暴露。

Background: Healthy medical professionals are important to assure the quality of patient
care. Hospitals are full of various hazards. The occupational safety and health of physicians has not been well discussed and this issue should be addressed.
Purposes: The main purpose of this study is to illustrate the occupational exposure profiles of the physicians in hospitals. This shall be a valuable reference to improve the physicians’ working environments.
Methods: All 401 physicians of four regional teaching hospitals located in Taipei City and New Taipei City were included. The survey was conducted from April to June 2009. A self-admitted questionnaire was distributed to the 401 physicians and 189 participants. The response rate was 47.1%. The descriptive statistics and chi-square test were utilized for the data analysis.
Results: The results indicated the ergonomic exposure such as pushing/pulling heavy objects (59.8%), keeping same posture for long time (78.4%) and repetitive movement (92.3%) were the major hazards for all physicians. The other major hazards were the biological hazard due to blood exposure (43.1%) and workplace violence (41.0%). Compared to other departments, physicians of the surgery department had more exposures in blood exposure, needlestick injury, and contacting disinfectants. Physicians in surgery departments and emergency center had higher exposure rate of ionizing radiation than those of internal medicine department did. Workplace violence happened more in the emergency center. Conclusions: Providing sufficient protective skills to the physicians in dealing with the ergonomic hazards, workplace violence and patient blood exposure are highly recommended. The hospital managements shall enhance the safety of the hospital working environments.