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社會政策與社會工作學刊 TSSCI

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篇名 衛生福利與勞政漏接:男性口腔癌存活者重返工作之分析
卷期 17:1
並列篇名 The Negligence of Health and Welfare and Labor Institutions: Analysis of Return to Work of Male Oral Cancer Survivors
作者 林東龍
頁次 041-088
關鍵字 男性口腔癌存活者重返工作福利變成工作紮根理論male oral cancer survivorreturn to workfrom welfare to workgrounded theoryTSSCI
出刊日期 201306

中文摘要

癌症存活者重返工作的需求,無法在衛生福利和勞政體制中獲得回應。由於口腔癌存活者未重返工作的比率較其他類型癌症存活者高,且口腔癌以男性居多、傳統男性又被賦予養家活口的責任,因此,本研究以深度訪談法收集12位男性口腔癌存活者重返工作經驗,並檢視福利體系疏漏之處。主要研究發現有三:一、男性口腔癌存活者重返工作的利基與障礙,與工作職務、罹癌期別、工作環境支持程度,以及社會階層等社會條件有關;二、癌症醫療照顧政策的隱藏缺失,使身體無法負荷而遭遇重返工作困難被視為個人問題;三、勞工政策提供的經濟安全、病假規定,以及就業服務等,仍有所疏漏。本研究建議有三:第一,癌症醫療政策應跳脫疾病視框,重視職業復健重要性;第二,建立衛生福利和勞政的跨部門合作,讓福利變成工作;第三,落實法律保障,避免工作歧視。

英文摘要

The needs of return to work of cancer survivors were not satisfied by the institutions of health and welfare and labor. Because the rate of return to work of oral cancer survivors is higher than the other types of cancer survivors and the male who take the responsibility of breadwinner are the major subjects of suffering from oral cancer. As a result, this study collected data from 12 male oral cancer survivors for their returns to work with in-depth interview method and examine the negligence of welfare institutions. There were three major findings. First, the advantages and barriers of return to work of male oral cancer survivors were correlated with the social conditions such as the job positions, the stage of suffering cancer, the level of support from work environment, and social class. Second, the problems that the interviewees can't afford the workload and facing the difficulties on return to work was deemed as the individual problem, were caused by the invisible deficiency of health care policy of medical services for cancer. Third, some defects still exist in the labor policy about the economic security, sick leave and employment service. This study made three suggestions: first the health care policy for cancer should not be restricted from the disease-focused framework of view, while stress more on the occupational rehabilitation. Second, establish interdisciplinary cooperation between the departments of health and welfare and labor to shift welfare to work. Third, ascertain the protection from the related laws and to avoid job discrimination.

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