醫事檢驗人員罹患骨骼肌肉疾病之風險及其醫療利用

The Risk of Musculoskeletal Disorder in Medical Technologist’s Medical Utilization

王亭婷(TING-TING WANG)

指導教授 ： 洪錦墩

中臺科技大學/管理學院/醫療暨健康產業管理系碩士班/碩士(2017年)

摘要

背景：骨骼肌肉疾病是醫療人員常見的職業傷害疾病之一，但少有研究針對醫事檢驗人員包含醫事檢驗師及醫事檢驗生的研究。由於醫事檢驗人員工作時常要久站或是長時間維持不符人體工學的姿勢對病患進行檢驗工作，因此醫事檢驗人員，是否較一般民眾有較高罹患肌肉骨骼疾病的風險值得探究。以全民健保資料庫分析瞭解醫事檢驗人員於罹患骨骼肌肉疾病之風險及其醫療利用，並與一般民眾比較其差異。
方法：研究以全民健康保險學術研究資料庫為材料進行次級資料分析，採用醫事人員之健保醫療利用資料，篩選2011年職業類別為醫事檢驗人員同時並依年齡性別並採取1：1之配對擷取一般民眾為對照組。擷取包含腕隧道徵候群、僵直性脊椎炎及其他發炎性脊椎病變、腰胝椎關節退化未伴有脊髓病變、腰椎椎間盤移位未伴有脊髓病變、腰痛、坐骨神經痛、背痛、肩部旋轉環膜徵候群及有關疾患、內側上髁炎、外側上髁炎、扳機指、橈骨莖狀突腱鞘炎等常見骨骼肌肉疾病之醫療利用資料。
結果：醫事檢驗人員共有7,982人，曾罹患骨骼肌肉疾病有就醫者為863人約10.8%，平均每人每年骨骼肌肉疾病門診總次數為0.32次（標準差1.721），平均門診費用為270.65元（標準差1978.872），骨骼肌肉疾病中以腰痛41.5%及背痛20.5%所佔的比率為最高。另以負二項式迴歸分析，發現控制性別、年齡、投保金額及投保業務組別後，發現醫事檢驗人員罹患骨骼肌肉疾病之醫療利用顯著高於一般民眾。
結論: 醫事檢驗人員於骨骼肌肉疾病就醫次數確實較高，應注意其工作上姿勢之人體工學與職業傷害之預防。

關鍵字

醫事檢驗人員 ； 骨骼肌肉疾病 ； 醫療利用

並列摘要

Background：Musculoskeletal disorders are one of occupational injury disease for medical staff, but fewer studies discuss the main occupations about medical technologist. They often work for a long time or maintain the position of the poor ergonomic. Therefore, the issue medical technologists have a higher risk of musculoskeletal disease than the public is worth investigated. Data from the Taiwan National Health Insurance Research Database were used to analyze the risk of musculoskeletal disorder and medical utilization between medical technologists and the public.
Method：The study data from the Taiwan National Health Insurance Research Database t is about Medical Technologist’s Medical Utilization. Comparison of medical technologists and the public about age and gender were selected data base ratio 1:1 in 2011. The data information included Carpal tunnel syndrome, ankylosing spondylitis, degenerative myelopathy, spondylolisthesis, backache, lumbago-sciatica, osteitis of shoulder region syndrome, epicondylitis, digitus recellens and radial styloid tenosynovitis.
Results：Total medical technologists were 7,982 suffering from musculoskeletal disorders have medical treatment for the 863 people that proportion of occupied 10 % nearly. The average number of musculoskeletal disorders per person per year was 0.29± 1.36 times. Besides, the average cost of outpatient clinics was 204.06 ± 1050.9 dollars. Musculoskeletal disease in low back pain 41.5% and back pain 20.5% of the highest rate. We controlled influencing factors about gender, age, insured amount and insured business group utilizing negative binomial regression analysis. Finally, we were finding that medical technologists suffering from musculoskeletal disorders for medical use significantly higher than the general public.
Conclusion：Medical technologists in the musculoskeletal disorders for medical treatment is indeed high. Therefore, they should pay attention to its work on the posture of ergonomics and occupational injury prevention.

並列關鍵字

medical technologist ； musculoskeletal disorder ； medical utilization

參考文獻

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