Title: Analysis of Health Examination in Preventing Occupational Diseasec from Labor Insurance Database 2005

10.7005/JOSH.201003.0130

Man-Li Hsieh；Chiou-Jong Chen；Wei-Li Wang；Jin-Huei Hsu

Occupational disease ； Health examination

勞工安全衛生研究季刊

18卷1期（2010 / 03 / 01）

130 - 151

英文

Health examination is important in occupational health care. In order to protect workers in hazardous working environment, the Bureau of Labor Insurance (BLI) subsidizes 23 health examination items for occupational disease related to hazardous operation in order to builds a complete health examination database in preventing occupational disease caused by hazardous operation. To help study the casual relationship of occupational disease and injury, designated staffs were sent to the Bureau of Labor Insurance to key-in health examination data into relevant database. We use the 2005 BLI health examination data for occupational disease prevention to study the wrok in 23 items of hazardous operation, their characteristics, and the distribution of age, sex, industry, results of inspection. The goal is to build a domestic health examination data base for workers in hazardous operation, and study risk factors. In future found that the health examination in preventing occupational disease under the labor insurance applied to 4,023 enterprises, in which there are 380,927 examinees and the average age is 39.8 years old. About 70 percent of examinees are male. Regarding inspected items, about 40% are related to noise work, followed by dust work and lead work. As for industry sector, 80% of examinees are in manufacturing, followed by the wholesale/retail trade industry. For industry subsector, most people are in Electronic Parts and Components Manufacturing, and Basic Metal Manufacturing. A total 2,315 examinees are categorized as the Level 3 of health Management (the injury is determined to be related to occupational disease by physicians), equivalent to 0.61%A In Level 3, 80% are related to noise work and 90% are male, mostly from 45 to 49 years old. The percentage of Level 3 examinees increased by age, and the major sectors are Manufacturing and Transportation/Storage and Communication. The Institute of Occupational Safety and Health (IOSH) and Bureau of Labor Insurance (BLI) encourage results of health examination in preventing occupational disease using electronic-report system and to computerize the submission health examination data. In the future, we will connect the labor insurance files, in order to study the characteristics of insurance units, quality of health examination hospitals, and the correlation between working conditions and occupational disease.

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