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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 11:50:18 (UTC+8) 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。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. 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.Therefore, 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。鈕文英,2013,研究方法與論文寫作(二版),臺北:雙葉,頁393-394。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。Alamanos, Y., Voulgari, P.V. and Drosos, A.A. (2005). Rheumatoid arthritis in southern Europe: Epidemiological,clinical, radiological and genetic considerations. 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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 dc.contributor.advisor 劉梅君 zh_TW dc.contributor.advisor Liu, Mei Chun en_US dc.contributor.author (Authors) 危泰焌 zh_TW dc.contributor.author (Authors) Wei, Tai Chun en_US dc.creator (作者) 危泰焌 zh_TW dc.creator (作者) Wei, Tai Chun en_US dc.date (日期) 2016 en_US dc.date.accessioned 9-Aug-2016 11:50:18 (UTC+8) - dc.date.available 9-Aug-2016 11:50:18 (UTC+8) - dc.date.issued (上傳時間) 9-Aug-2016 11:50:18 (UTC+8) - dc.identifier (Other Identifiers) G0099262001 en_US dc.identifier.uri (URI) http://nccur.lib.nccu.edu.tw/handle/140.119/99822 - dc.description (描述) 碩士 zh_TW dc.description (描述) 國立政治大學 zh_TW dc.description (描述) 勞工研究所 zh_TW dc.description (描述) 99262001 zh_TW dc.description.abstract (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。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。 zh_TW dc.description.abstract (摘要) 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. 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.Therefore, 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. en_US dc.description.tableofcontents 第壹章 緒論 1第一節 研究動機 1第二節 研究目的與問題 5第三節 研究方法 5一、文獻探討法 5二、深度訪談法 6第三節 研究架構與章節 6第貳章 MSD的時代意涵 8第一節 何謂MSD? 9第二節 MSD和工作 9一、勞動力危機現況 9二、勞動力老化 11三、非因工作所致的MSD 12第三節 MSD的影響 17一、MSD發病率及對工作能力的影響 17二、工作場所的影響 22三、對經濟和社會廣泛的影響 24四、被勞動市場排除的風險 25第叁章 MSD與干預措施 28第一節 干預措施的概念 28第二節 MSD和專業醫療保健人員 ─ 教育、診斷和治療 30第三節 勞動市場與社會福利政策的平衡 33第四節 雇主所扮演的角色 35第五節 干預措施案例分享 38一、英國皇家郵政 38二、芬蘭案例:高風險員工的職業健康的服務及干預措施 38三、丹麥案例:因人至宜的康復工作 39四、荷蘭案例:以工作風格干預電腦工作者 39第六節 干預措施的指南─以澳洲為例 40一、為什麼澳洲要這麼做? 40二、如何成功執行健康和福利計畫 42第肆章 我國物流業MSD概況分析 48第一節 為何選擇物流業? 48第二節 受訪者介紹 48一、受訪者基本資料 48二、受訪者背景簡述 50第三節 研究限制 53第四節 物流業的勞動條件及MSD的成因 54一、職前訓練缺乏MSD的概念 54二、工作時間較長 55三、工作量負擔重 56四、頻繁搬運重物 57五、輔具使用率較低 58第五節 MSD的影響 59一、患有MSD症狀 59二、較少因病缺勤 60三、工作效率降低 61四、員工流動率高和公司的品牌形象差 61五、產生隱藏成本 62六、提早退出勞動市場 63第六節 處理MSD的態度 64一、受訪者無接受干預的意願 64二、公司缺乏制度化 64三、風險個人化 65第七節 MSD的政策意義 66一、提升MSD的觀念 66二、改善勞動條件 67三、減少抱病出勤 68第伍章 結論與建議 70第一節 結論 70第二節 建議 74一、對政府的建議 74二、對雇主的建議 75三、對勞工的建議 76參考文獻 77 zh_TW dc.format.extent 1925229 bytes - dc.format.mimetype application/pdf - dc.source.uri (資料來源) http://thesis.lib.nccu.edu.tw/record/#G0099262001 en_US dc.subject (關鍵詞) 肌肉骨骼疾病 zh_TW dc.subject (關鍵詞) 職業安全衛生法 zh_TW dc.subject (關鍵詞) 物流業 zh_TW dc.subject (關鍵詞) 合宜工作 zh_TW dc.subject (關鍵詞) Musculoskeletal Disorders en_US dc.subject (關鍵詞) Occupational Safety and Health en_US dc.subject (關鍵詞) Logistics industry en_US dc.subject (關鍵詞) Fit-for-work en_US dc.title (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 zh_TW dc.title (題名) Work-related Musculoskeletal Disorders and its Policy Implications ─ Take the logistics industry in greater Taipei as an example en_US dc.type (資料類型) thesis en_US dc.relation.reference (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。鈕文英,2013,研究方法與論文寫作(二版),臺北:雙葉,頁393-394。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。Alamanos, Y., Voulgari, P.V. and Drosos, A.A. 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