職業病健檢資料管理分析系統之設計與驗證

The Design and Verification of an Occupational Health Informatics System

林子鈞(Zi-Jun Lin)

指導教授 ： 蔡育秀

中原大學/工學院/醫學工程研究所/碩士(2001年)

https://doi.org/10.6840/cycu200100503

摘要

職業傷病是起因於勞工長期暴露在有危害的環境下所產生。為維護勞工健康使其免於職業傷病的危害，工廠需要定期舉行勞工健康檢查；對職病中心而言若能掌握健檢資料並透過資料統計分析，取得異常值的上升趨勢及群體性的異常狀況，將能有效協助職病醫護人員判斷、治療與預防職業傷病的發生。因此如何整合職病中心臨床檢驗資料、X光片、醫學影像資訊及各項理學檢查等體檢資料，以加強職業健康管理，並可即時提供醫生、事業單位、勞工相關資訊及協助為當前重要的課題。
本研究計劃建構一套web介面的職業病健檢資訊系統，目的在：(1)建立職業衛生資料庫；(2) 提供友善的使用介面、穩定的系統服務與保障資料安全；(3)建立分析功能，產生趨勢圖表。系統架構是以三層式網路結構、JSP的技術和資料庫為基礎，提供儲存各工廠歷年度的資料和應付多人多工的操作。客戶端的使用者依照三種使用權限(一般使用者、工廠單位、醫院或管理者)，透過瀏覽器的操作獲取所需的資訊，以達到資源共享、資訊交流、資料充分使用。
研究結果完成系統的建置，系統介面功能可提供一般勞工、工廠與醫院單位進行個人資料查詢、歷年資料分析、不同部門之間的比較分析、不同工廠之間的比較分析及趨勢圖表和資料列印。經由上述功能將能協助一般個人使用者隨時掌握自身的健康情形，工廠與醫院依各體檢項目的數值分析，協助預防職業傷病的發生。系統介面使用評估採用15份有效問卷，問卷調查結果在系統滿意度 (66%)及操作容易(80%)度上，顯示一般使用者均能容易接受web介面的操作。對系統功能建議盼能加強更多分析功能，以發揮職業醫療監控(Medical Surveillance)和預防職業病的發生。

關鍵字

預防醫學 ； 醫療資訊 ； JSP ； 職業醫學 ； 醫療監控

並列摘要

Occupation-related illnesses are caused by long-term exposure to dangerous environments. In order to protect workers' health and prevent occupational illnesses, regular health examinations should be implemented. Any abnormalities found can increase the likelihood of early detection and prevention of occupation-related illnesses. The occupation-related illnesses center coordinates information such as clinical studies data, X-rays, medical image, and test results to provide additional assistance and related information to doctors, professional units and employees.

Our research utilizes a three-layered network structure, JSP, and database technology to construct a web-based occupational-related illnesses information system. This system allows users at various levels such as general user, factory unit, hospital or supervisors to access their occupation-related illnesses data. Our main objectives are: (1) to establish a occupation hygiene information base; (2) to provide user-friendly instructions, customer service and secured information; (3) to create analytical functions, and provide trend analysis.
Upon completion of our research, it will make available for employee to access information, such as annual data analysis, inter-departmental studies, factory-to-factory analysis and trends at the factory and hospital. In turn the employee can have a better understand of his/her own health condition. For the factory and hospital, this is designed to reflect total employees' participation; the result reflects the average, and individuals and groups comparison of the annual data. Our research took 15 surveys, and the results are 66 % satisfied, and 80% agree that the system is easy to use. This shows that a general user can easily learn the web-based system. The users’ suggestions are more powerful analytical functions, which can enhance the medical surveillance and prevent occupation-related illnesses.

並列關鍵字

preventive medicine ； medical information ； occupation

參考文獻

[6] Chen S. Y., Chen H. T., Fu C. L., Chen J. D., “The influences of hearing among noise exposed workers”, Center for Environmental and Occupational Health, Taiwan Provincial Tao-Yuan General Hospital(1999)

[7] Chen W. P., Chang P., Lin K. I., Chieng Chang C. M., Yang T. Y., Chen J. L., Tsay B. Y., “Study of Workers’ Leads Exposure and Blood-lead Concentration in Lead-oxides Factories”, Department of Labor affairs, Taiwan Provincial Government(1999)

[10] Shen-Song Hsieh, Shwu-Shyan Li, Chung-Hsin Chiang, Dah-Dian Tang, Hsiouh-Hsianh Chen, Victor-Chen, Shu-Tang Chang, “The Integration Design of National Health Insurance Case-Payment and Hospital Information System”, The Journal of China Association for Medical Informatics No 10, December( 1999), pp. 59-70

[11] Lai Yen-Shen, Liu Li, Hsu Chien-Yeh, Chen Jiun-Shyan, “Medical Diagnosis Assisted Nursing Process Support System”, Medical Informatics Symposium in Taiwan (1999), pp. 18-23

[13] XiaoKang Pan, John D. Hesketh G. Huck, “A web interface to database associated with a plant simulator”, Computer and Electronics in Agriculture21(1998) pp. 207-217