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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: 2016-08-09 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.
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    國立政治大學
    勞工研究所
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