Establishing Occupational Disease and Injury Services in Taiwan

建構台灣職業傷病服務

朱柏青(Po-Ching Chu) ； 傅還然(Hwan-Ran Fuh) ； 杜宗禮(Chung-Li Du) ； 邱曉玲(Shiau-Ling Chiou) ； 林彦君(Yen-Chun Lin) ； 簡惠燕(Hui-Yen Chien) ； 郭育良(Yue-Leon Guo)

《勞工安全衛生研究季刊》 18卷3期 (2010/09) Pp. 330-336

https://doi.org/10.7005/JOSH.201009.0330

摘要

由於職業病的低診斷率與低通報率、缺乏針對職災勞工的復健與復工協助服務，第一家職業傷病診治中心於2003年在勞委會的補助下於台大醫院成立，迄2009年共有九家職業傷病防治中心提供職業傷病相關服務，三家分布在北區、三家分布在中區、二家分布在南區與一家分布在東區。2007年勞委會為了提升職業傷病通報及診治服務品質，委託成立職業傷病防治專業幕僚單位－職業傷病管理服務中心。此外，不同區域的醫療機構也與該轄區的職業傷病防治中心建立合作關係，成為職業傷病防治網絡醫院，讓各地區的勞工能就近接受到職業傷病的相關服務，2009年底職業傷病門診服務已達每週150診次。職業傷病管理服務中心主要的工作內容為齊－職業傷病防治中心作業標準、提升職業傷病通報及診治服務晶質與提供職業傷病防治的專業諮詢與服務。
目前職業病通報數量已顯著增加，尤其是在2006到2008年間，勞保職災補償之案例也在同期間增加。建立職業傷病中心的經驗和網絡醫院是一種建構台灣職業傷病服務的有效方法。為了配合國家推動職業健康服務方案的推動，未來的工作為提供更多具成效與品質的職業健康服務、擴展職業傷病與工作相關之疾病的通報，並持續改善中心服務品質。

關鍵字

職業傷病服務 ； 通報 ； 職業健康服務

並列摘要

Because of severe under-diagnosis and under-notification of occupational diseases and lack of assistance systems of rehabilitation and return to work on workers with occupational injuries, Centers for Occupational Disease and Injury Service (CODTS) has been established since 2003. In 2009, there were nine CODISs to provide the services, including 3 centers in northern, 3 in central, 2 in southern, and 1 in eastern Taiwan. A coordination center, Center for Occupational Disease and Injury Management and Service (CODIMS), was established in 2007 in Taipei, to ensure the standard operating procedures and the quality of services. In addition, the network hospitals, which collaborated with their regional Centers for Occupational Disease and Injury Service, joined the system to provide the services. Therefore, the network for occupational disease and injury services was built with 150 outpatient services per week by the end of 2009. The main tasks of CODTMS are to provide the professional consultation on the management of occupational disease and injury, to establish the standard operation procedures for CODTSs' services, to ensure the quality of CODISs' services, and to maintain the reporting system of occupational diseases and injuries.
The number of reported occupational diseases has been increased significantly, especially in the period of 2006-2008. The compensable cases of occupational diseases were also increased in same period. The experience of the establishment of Centers for Occupational Disease and Injury Services and the network hospitals is an effective approach. Future work are to provide the more basic occupational health services under the implementation of national occupational health service program, to extend the notification of occupational diseases and injuries, to notification of work-related diseases, to improve the quality of services, etc.

並列關鍵字

Occupational disease and injury services ； Notification ； Occupational health service