Please use this identifier to cite or link to this item: https://ah.lib.nccu.edu.tw/handle/140.119/99822
題名: 臺灣勞工肌肉骨骼傷痛問題與對策之研究─以大台北地區物流業為例
Work-related Musculoskeletal Disorders and its Policy Implications ─ Take the logistics industry in greater Taipei as an example
作者: 危泰焌
Wei, Tai Chun
貢獻者: 劉梅君
Liu, Mei Chun
危泰焌
Wei, Tai Chun
關鍵詞: 肌肉骨骼疾病
職業安全衛生法
物流業
合宜工作
Musculoskeletal Disorders
Occupational Safety and Health
Logistics industry
Fit-for-work
日期: 2016
上傳時間: 9-Aug-2016
摘要: 在台灣人口逐漸老化的情況下,如何延緩勞動者退出就業市場,攸關台灣的社會保險、年金體系及照顧體系之存續,但要勞工能夠延後退休,先決條件是身體健康與否,因此勞工的健康狀況,就不僅僅是個人問題,而是台灣社會面臨的整體危機。主管職業健康的各部門,未能意識到每個政策對於整體勞動生產力,之於經濟發展和社會福利、保險的深遠影響,以致於過度聚焦於對於勞工個人影響的層面,而缺乏思考這些行動背後,對於國家整體的宏觀意義\n而在執行工作時中造成肌肉骨骼系統的任何不適、困難或疼痛,更是困擾的許多歐洲的勞工,因此歐盟無不以積極的政策來干預MSD,希望能延長停留在勞動市場的期間,並說明對於雇主、勞工、政府、財政所帶來的幫助。另外透過訪談發現,台灣的物流業從業人員,所處在的工作環境,恰如文獻所提,反覆、負重、工時過長…等,時常有受傷而繼續從事工作的情形,也導致物流業流動率高、從業人員較年輕及容易成為MSD的高風險群。\n因此必須從增進MSD的概念、提升勞動條件及減少因病缺勤著手。政府方面則必須建構更完整的MSD數據,並制訂讓MSD勞工留在職場的積極性勞動力市場政策以及廣辦宣導會說明MSD對我國的重要性;雇主的重要性更是不可言喻,不僅扮演第一線的觀察者,快速做出因應措施,並著手改善從業人員勞動條件,並將干預措施予以制度化;勞工則必須透過積極參與有關MSD政策或方案的討論,更重要的是養成並維持良好的生活方式的習慣。
Taiwan population is rapidly aging. How to persuade workers to delay withdrawing from employment market becomes an urgent challenge because this concern has significant implications to our social insurance, the annuity system and healthcare system. Therefore, the health of workers is not just a personal issue, but a public concern that everyone in this society needs to face. Government officials in charge of healthcare policy are not yet aware of its profound impact on labor productivity, economic development, social welfare and social insurance. Policy wise, we put too much attention on individual health promotion while lose sight of its macro impact. \n MSD, either caused by work or gene, inflicted many European workers, so that the EU actively deal with this issue with the hope that workers are able to stay longer around the labor market as long as possible. This study finds through the interview that workers of the logistics industry in Taipei endure heavy work-load, long working time, and often time have high rate of presenteeism (the tendency of workers to go to work when they are ill enough to stay at home), causing the logistics industry to have not only high exit rate but also high risk of MSD.\nTherefore, we have to promote the MSD concept, improve labor conditions and reduce presenteeism. For example employers have to include MSD into their pre-employment training courses for those new entrants, to reduce the hours of working time and to decrease presenteeism through providing subsidy to those who suffer from MSD. The government then has to build up a more complete MSD database, and introduces the concept of MSD and its preventive practice through seminars or workshops. Employers have key roles and duty in this issue. Specifically, they have to adopt as well as carry out preventive measures, and take quick actions whenever incidence of MSD occurs in the frontline of workplace. In addition, they have to improve working conditions and institutionalize those intervention measures. Workers then need to actively participate in MSD policy discussion other than maintaining a healthy life style. Workers, employers, health care system and social welfare system have a cause to this joint effort in keeping workers in Taiwan as healthy as possible so that every nationals can Fit For Work.
參考文獻: 行政院經濟建設委員會,2012,中華民國 2012 年至 2060 年人口推計,臺北市:經建會,頁5-16。\n鈕文英,2013,研究方法與論文寫作(二版),臺北:雙葉,頁393-394。\n潘儀聰、陳協慶,2014,重複性作業肌肉骨骼傷病評估工具適用性探討,勞動部勞動及職業安全衛生所,專題研究計畫成果報告,計畫編號:ILOSH103-H319,頁3-4。\nAlamanos, Y., Voulgari, P.V. and Drosos, A.A. (2005). Rheumatoid arthritis in southern Europe: Epidemiological,clinical, radiological and genetic considerations. Current Rheumatology Reviews, 1, 33–36\nAllender, S., Scarborough, P., Peto, V., Rayner, M., Leal, J., Luengo-Fernandez, R. et al. (2008). European cardiovascular disease statistics. 2008 edition. University of Oxford. Retrieved 16 September 2009 from \nhttp://www.heartstats.org/datapage.asp?id=7683\nAkesson, K., Dreinhofer, K. and Woolf, A. D. (2003). Improved education in musculoskeletal disorders is necessary for all doctors. Bulletin of the World Health Organisation, 81, 677–683\nAndrianakos, A., Trontzas, P., Christoyannis, F., Kaskani, E., Nikolia, Z. and Tavaniotou, E. (2006). Prevalence and management of rheumatoid arthritis in the general population of Greece – the ESORDIG study.Rheumatology, 45, 1549–1554\nArrelov B., Alexanderson K., Hagberg J., Lofgren A., Nilsson G. and Ponzer S. (2007). Dealing with sickness certification – a survey of problems and strategies among general practitioners and orthopaedic surgeons.BMC Public Health, 7(1), 273. Published online 2 October 2007. doi: 10.1186/1471-2458-7-273\nArthritis Ireland. (2008). Work and Arthritis Programme – Survey Results. Dublin: Arthritis Ireland. Also available from www.arthritisireland.ie/research/research.php\nBackman, C. L. (2004). Employment and work disability in rheumatoid arthritis. Current Opinion in Rheumatology,16, 148¬152\nBambra, C. and Eikemo, T.A. (2009). Welfare state regimes,unemployment and health: A comparative study of the relationship between unemployment and self-reported health in 23 European countries. Journal of Epidemiology Community Health, 63, 92–98\nBartley, M., Sacker, A., Schoon, I., Kelly, M.P. and Carmona, C. (2005). Work, non-work, job satisfaction and psychological health. London: Health Development Agency\nBekkering, G., Henriks, H., Koes, B., Oostendorp, R., Ostelo, R., Thomassen, J. and Van Tulder, M. (2003). Dutch physiotherapy guidelines for low back pain. Physiotherapy, 89(2), 82–96\nBevan, S., Passmore, E. and Mahdon, M. (2007). Fit for Work? Musculoskeletal disorders and labour market participation. London: The Work Foundation\nBoonen, A., Chorus, A., Miedema, H., van der Heijde, Landewé, D. R., Schouten, H., et al. (2001). Withdrawal from labour force due to work disability in patients with ankylosing spondylitis. Annals of Rheumatic Diseases, 60, 1033–1039\nBreen, A., Langworthy, J. and Bagust, J. (2005). Improved early pain management for musculoskeletal disorders. HSE Research report, 399. London: Health and Safety Executive\nBrouwer, W. B., van Exel, N. J., van de Berg, B., Dinant, H. J., Koopmanschap, M. A., van den Bos, G. A. (2004).Burden of caregiving: evidence of objective burden, subjective burden, and quality of life impacts on informal caregivers of patients with rheumatoid arthritis. Arthritis Rheum, 51(4), 570–7\nBuchbinder, R., Jolley, D. and Wyatt, M. (2001). Population based intervention to change back pain beliefs and disability: Three part evaluation. British Medical Journal, 322, 1516–1520\nBurton, A. K. (2005). How to prevent low back pain. Best Practice and Research in Clinical Rheumatology, 19(4),541–555\nBurton, W., Morrison, A., Maclean., R. and Ruderman, E. (2006). Systematic review of studies of productivity loss due to rheumatoid arthritis. Occupational Medicine, 56, 18–27\nBurton, A., Kendall, N., Pearce, B., Birrell, L., and Bainbridge, L. (2008). Management of upper limb disorders and the biopsychosocial model. HSE Research Report, 596. London: Health and Safety Executive\nCammarota, A. (2005). The Commission’s initiative on MSD: Recent developments in social partner consultation at the European level. Presentation to Conference on MSD – A Challenge for the Telecommunications Industry. Lisbon, 20–21 October\nChang, D. and Irving, A. (2009). Electronic Medical Certificate (eMed3): Proof of concept evaluation. Department of Work and Pensions Working Paper, 70. London: DWP. Available at: http://research.dwp.gov.uk/asd/asd5/WP70.pdf\nChorus, A. M. J., Boonen, A., Miedema, H.S. and van der Linden, S. (2002). Employment perspectives of patients with ankylosing spondylitis. Annals of the Rheumatic Diseases, 61,693¬699\nChorus, A. M. J., Miedema, H. S., Boonen, A. and van der Linden, S. (2003). Quality of life and work in patients with rheumatoid arthritis and ankylosing spondylitis of working age. Annals of the Rheumatic Diseases, 62,1178–1184\nCoats, D. and Max, C. (2005). Healthy Work, productive workplaces: Why the UK needs more good jobs.London: The Work Foundation\nCooper, N. (2000). Economic burden of rheumatoid arthritis: A systematic review. Rheumatology, 39(1), 28–33\nDadoniene, J., Stropuviene, S., Venalis, A. and Boonen, A. (2004). High work disability rate among rheumatoid patients in Lithuania. Arthritis & Rheumatism, 51(3), 433–439\nDagenais, S., Caro, J. and Haldeman, S. (2008). A systematic review of low back pain cost of illness studies in the United States and internationally. The Spine Journal, 8, 8–20\nde Croon, E. M., Sluiter, J. K., Nijssen, T. F., Dijkmans, B. A. C., Lankhorst, G. J. & Frings-Dresen, M. H. W. (2004).Predictive factors of work disability in rheumatoid arthritis: A systematic literature review. Annals of the Rheumatic Diseases. 63, 1362–1367\nDevereux, J., Rydstedt, L., Kelly, V., Weston, P. and Buckle, P. (2004). The role of work stress and psychological factors in the development of musculoskeletal disorders. HSE Research Report, 273. London: Health and Safety Executive\nDixon, S. (2003). ‘Implications of Population Ageing for the Labour Market’, Labour Market Trends, 67–76.\nDupré, D. and Karjalainen, A. (2003). Employment of disabled people in Europe in 2002. Statistics in Focus:Population and Social Conditions. Theme 3 – 26/2003\nEUROGIP. (2007). Musculoskeletal disorders in Europe: Definitions and statistics. Retrieved 15 April 2009 from\nhttp://www.eurogip.fr/docs/TMS_07-Eurogip-25-EN.pdf\nEuropean Commission (Employment and Social Affairs) (2005). Green Paper –Confronting Demographic Change: A new solidarity between the generations.\nEuropean Trade Union Institute. (2007). Musculoskeletal disorders: An ill-understood pandemic. Brussels: ETUI\nEurostat. (2004). Occupational Diseases in Europe in 2001. Statistics in Focus, 15/2004. Retrieved 20 April 2009 from http://epp.eurostat.ec.europa.eu/cache/ITY_OFFPUB/KS-NK-04-015/EN/KS-NK-04-015-EN.PDF\nEWCS – fourth edition. (2005). [Data file]. Dublin, Ireland: European Foundation for the Improvement of Living and Working Conditions.\nFeuerstein, M., Shaw, W. S., Lincoln, A. E., Miller, V. I. and Wood, P. M. (2003). Clinical and workplace factors associated with a return to modified duty in work-related upper extremity disorders. Pain, 102, 51–61\nFeuerstein, M., Shaw, W. S., Nicholas, R. A. and Huang, G. D. (2004). From confounders to suspected risk factors:Psychosocial factors and work-related upper extremity disorders. Journal of Electromyography and Kinesiology, 14, 171–178\nFranche, R.L., Cullen, K., Clarke, J., Irvin, E., Sinclair, S. and Frank, J.; Institute for Work & Health (IWH) Workplace-Based RTW Intervention Literature Review Research Team. (2005). Workplace-based return-to-work interventions: A systematic review of the quantitative literature. J Occup Rehabil, 15(4), 607–631\nFrank, A. O. and Chamberlain, M. A. (2006). Rehabilitation: An integral part of clinical practice. Occupational Medicine, 56, 289–293\nFrank, J., Sinclair, S., Hogg-Johnson, S., Shannon, H., Bombardier, C., Beaton, D., et al. (1998). Preventing disability from work-related low-back pain. New evidence gives new hope – if we can just get all the players onside.Canadian Medical Association Journal, 158(12), 1625–1631\nGignac, M.A.M., Badley, E. M., Lacaille, D., Cott, C. C., Adam, P. and Anis, A. H. (2004). Managing arthritis and employment: Making arthritis-related work changes as a means of adaptation. Arthritis & Rheumatism, 51(6), 909–916\nGignac, M., Cao, X., Lacaille, D., Anis, A. & Badley, E. (2008). Arthritis-related work transitions: A prospective analysis of reported productivity losses, work changes, and leaving the labor force. Arthritis Care & Research,59(12), 1805–1818\nHalpern, M., Cifaldi, M. and Kvien, T. (2008). Impact of adalimumab on work participation in rheumatoid arthritis:Comparison of an open-label extension study and a registry-based control group. Annals of the Rheumatic Diseases, published online 1 Oct 2008\nHansson, E., Hansson, T. and Johnsson, R. (2006). Predictors of work ability and disability in men and women with low-back or neck problems. European Spine Journal, 15, 780–793\nHuscher, D., Merkesdal, S., Thiele, K., Zeidler, H., Schneider, M. and Zink, A. (2006). Cost of illness in rheumatoid arthritis, ankylosing spondylitis, psoriatic arthritis and systemic lupus erythematosus in Germany. Annals of Rheumatic Diseases, 65(9), 1175–1183\nHoutman, I., van Hooff, M. and Hooftman, W. (2007). Arbobalans 2006. TNO and Ministry of Social Affairs and Employment (Sociale Zaken en Werkgelegenheid) Netherlands. Retrieved 17 September 2009 from \n http://docs.szw.nl/pdf/129/2007/129_2007_3_11182.pdf\nHuster, E-U and Bourcade, K. (2008). Peer Review: Initiatives by the social partners for improving the labour market access of disadvantaged groups. Hosted by the Federal Ministry of Social Affairs and Consumer Protection and the Federal Chamber of Labour. European Commission DG, Employment, Social Affairs and Equal Opportunities. Retrieved 16 September 2009 from http://ec.europa.eu/employment_social/spsi/docs/social_inclusion/2008/pr_au_en.pdf\nHytti, H. (2008). Disability policies and employment. Helsinki: Kela Research Department\nJensen, I., Bergström, G., Bodin, L., Ljungquist, T., and Nygren, A. (2006). Effects of rehabilitation after seven years.Evaluation of two rehabilitation programs in Sweden. Lakartidningen, 103(23),1829-1830, 1833-1834,1837–1839\nKatz, W.A. (2002). Musculoskeletal pain and its socioeconomic implications. Clinical Rheumatology, Supplement, 1,2–4\nKobelt, G. (2007). Thoughts on health economics in rheumatoid arthritis. Annals of the Rheumatic Diseases, 66,35–39\nLeardini, G., Salaffi, F., Montanelli, R., Gerzeli, S. and Canesi, B. (2002). A multi-center cost-of-illness study on rheumatoid arthritis in Italy. Clinical and Experimental Rheumatology, 20, 505–515\nLundkvist, J., Kastäng, F. and Kobelt, G. (2008). The burden of rheumatoid arthritis and access to treatment: Health burden and costs. European Journal of Health Economics, 8 (Supple 2), 49–60\nMeijer, E., Sluiter, J. and Frings-Dresen, M. (2005). Evaluation of effective return-to-work treatment programs for sick-listed patients with non-specific musculoskeletal complaints: a systematic review. International Archives of Occupational and Environmental Health, 78(7), 523–532\nMeijer, E., Sluiter, J., Heyma, A., Sadiraj, K. and Frings-Dresen, M. (2006). Cost-effectiveness of multidisciplinary treatment in sick-listed patients with upper extremity musculoskeletal disorders: A randomised, controlled trial with one-year follow-up. International Archives of Occupational and Environmental Health, 79(8),654–664\nMerkesdal, S., Ruof, J., Mittendorf, T., Zeidler, H. and Mau, W. (2002). Indirect medical costs in the first 3 years of rheumatoid arthritis: Comparison of current methodological approaches. Expert Rev Pharmacoeconomic Outcomes Research, 2(4), 313–318\nMooney, A., Statham, J., Simon, A.(2003). The Pivot Generation: Informal care and work after 50, Joseph Rowntree Foundation.\nNachemson, A., Waddell, G. and Norlund, A. (2000). Epidemiology of neck and low back pain. In Nachemson, A. & Jonsson E., (eds.) Neck and Back Pain: The scientific evidence of causes, diagnosis and treatment (pp.165–188). Philadelphia: Lippincott Williams & Wilkins\nNational Audit Office. (2007). Helping people from workless households into work. London: NAO\nNational Audit Office. (2009). Services for people with rheumatoid arthritis. London: NAO\nNational Rheumatoid Arthritis Society. (2007). I Want To Work. London: NRAS\nOECD. (2007). Issues paper and progress report: New ways of addressing partial work capacity. Paris: OECD\nOECD. (2009a). Sickness, disability and work – Keeping on track in the economic downturn. [Background paper.] Stockholm high-level forum, 14–15 May 2009\nParent-Thirion, A., Fernández Macías, E., Hurley, J. and Vermeylen, G. (2007). Fourth European Survey on Working Conditions.Dublin: European Foundation for the Improvement of Living Standards\nParkes. K, Carnell, S. and Farmer, E. (2005). Musculoskeletal disorders, mental health and the work environment.Health and Safety Executive Research Report 316, London: HSE\nPugner, K, M., Scott, D. I., Holmes, J. W. and Hieke, K. (2000). The costs of rheumatoid arthritis: An international long-term view. Seminars in Arthritis and Rheumatism, 29, 305–320\nPunnett, L. and Wegman, D. (2004). Work-related musculoskeletal disorders: The epidemiologic evidence and the debate. Journal of Electromyography and Kinesiology, 14(1), 13–23\nSchultz, I. Z., Stowell, A. W., Feuerstein, M. and Gatchel, R. J. (2007). Models of return to work for musculoskeletal disorders. Journal of Occupational Rehabilitation, 17(2), 327–352\nSieper, J., Braun, J., Rudwaleit, M., Boonen, A. and Zink, A. (2002). Ankylosing spondylitis: an overview. Annals of the Rheumatic Diseases, 61(Supplement III), 8–18\nSokka, T., Kautiainen, H., Pincus, T., Toloza, S., Castelar Pinheiro, G.D., Lazovskis, J. et al. (2009). Disparities in rheumatoid arthritis disease activity according to gross domestic product in 25 countries in the QUEST-RA database. Annals of the Rheumatic Diseases. doi: 10.1136/ard.2009.109983\nSokka, T. and Pincus, T. (2001). Markers for work disability in rheumatoid arthritis. Journal of Rheumatology, 28,1718–1722\nStephen Bevan, Tatiana Quadrello ,Robin McGee, Michelle Mahdon, Anna Vavrovsky, Leela Barham(2009). Fit For Work? Musculoskeletal Disorders in the European Workforce, The Work Foundation,36-56.\nSwartling, M. S., Hagberg, J., Alexanderson, K. and Wahlstrom, R. A. (2007). Sick-listing as a psychosocial work problem: A survey of 3,997 Swedish physicians. Journal of Occupational Rehabilitation, 17(3),398–408\nTuomi, K., Eskelinen, L., Toikkanen, J, et al. (1991). Work load and individual factors affecting work ability among aging municipal employees. Scand J Work Environ Health,17(Suppl 1), 128–134\nVeale, A., Woolf, A. and Carr, A. (2008), Chronic musculoskeletal pain and arthritis: Impact, attitudes and perceptions.Irish Medical Journal, 101(7), 208–210\nWaddell, G. and Burton, A. K. (2006a). Principles of rehabilitation for common health problems. In O’Donnell, M.,Rehabilitation: Keeping people in work. Chief Medical Officer’s Report 2006. Dorking: UnumProvident\nWHO Scientific Group (2003). The burden of musculoskeletal conditions at the start of the new millennium. Geneva: WHO.\nWHO. (2008). Obesity in Europe. World Health Organization Regional Office for Europe. Retrieved 15 September 2009 from http://www.euro.who.int/obesity\nYoung, A., Dixey, J., Cox, N., Davis, P., Devlin, J., Emery, P. et al. (2000). How does functional disability in early rheumatoid arthritis (RA) affect patients and their lives? Results of 5 years of follow-up in 732 patients from the Early RA Study (ERAS). Rheumatology,39, 603–611\nYoung, A., Dixey, J., Kulinskaya, E., Cox, N., Davies, P., Devlin, J. et al. (2002). Which patients stop working because of rheumatoid arthritis? Results of five years` follow up in 732 patients from the Early RA Study (ERAS).Annals of the Rheumatic Diseases, 61, 335–340\nZink, A., Listing, J., Klindworth, C. and Zeidler, H. (2001). The national database of the German Collaborative Arthritis Centres: Structure, aims, and patients. Annals of the Rheumatic Diseases, 60, 199-206
描述: 碩士
國立政治大學
勞工研究所
99262001
資料來源: http://thesis.lib.nccu.edu.tw/record/#G0099262001
資料類型: thesis
Appears in Collections:學位論文

Files in This Item:
File SizeFormat
200101.pdf1.88 MBAdobe PDF2View/Open
Show full item record

Google ScholarTM

Check


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.