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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 鄭雅文(Yawen Cheng) | |
dc.contributor.author | Fan-Ju Hsiao | en |
dc.contributor.author | 蕭汎如 | zh_TW |
dc.date.accessioned | 2021-06-16T09:20:43Z | - |
dc.date.available | 2017-09-12 | |
dc.date.copyright | 2017-09-12 | |
dc.date.issued | 2017 | |
dc.date.submitted | 2017-06-30 | |
dc.identifier.citation | BAuA. (2014). National Asbestos Profile for Germany. Federal Institute for Occupational Safety and Health. Germany.
Bristol, Michael D, Burnett, Mark Thornton, & Wray, Ramona. (2000). Shakespeare and Ireland: History, Politics, Culture: JSTOR. Carton, Matthieu, Bonnaud, Sophie, Nachtigal, Mélissa, Serrano, Angel, Carole, Claudette, Bonenfant, Sébastien, et al. (2011). Post-retirement surveillance of workers exposed to asbestos or wood dust: first results of the French national SPIRALE Program. Epidemiologia e prevenzione, 35(5-6), 315. Chen, CR, Chang, HY, Suo, J, & Wang, JD. (1992). Occupational exposure and respiratory morbidity among asbestos workers in Taiwan. Journal of the Formosan Medical Association= Taiwan yi zhi, 91(12), 1138-1142. Chen, Jing-Liang Hsu, Yung-Hsiang. (2009). Malignant mesothelioma of the tunica vaginalis testis: a case report and literature review. The Kaohsiung journal of medical sciences, 25(2), 77-81. Chen, YM, Perng, RP, & Huang, MH. (1994). Pleural and pericardial mesothelioma in a general teaching hospital during the last fourteen years. Zhonghua yi xue za zhi= Chinese medical journal; Free China ed, 54(2), 100-104. Craighead, John E. (2008). Asbestos and its diseases: Oxford University Press. Eduardo Algranti, Cézar Akiyoshi Saito, Ana Paula Scalia Carneiro, Bruno Moreira, Elizabete Medina Coeli Mendonça, & Bussacos, Marco Antonio. (2015). The next mesothelioma wave: Mortality trends and forecast to 2030 in Brazil. Cancer epidemiology, 39(5), 687-692. Goldberg, Marcel, Imbernon, Ellen, Rolland, Patrick, Ilg, A Gilg Soit, Savés, Marianne, de Quillacq, Anne, et al. (2006). The French national mesothelioma surveillance program. Occupational and Environmental Medicine, 63(6), 390-395. Grimwood, Ashraf, & Thompson, Rebecca. (1987). The Australian mesothelioma surveillance program 1979-1985. The Medical journal of Australia, 147, 166-172. Guidance for appointed doctors on the Control of Asbestos Regulations (http://www.hse.gov.uk/pubns/ms31.htm). (2012). Retrieved from UK.: Hannan, Michael TFreeman, John. (1984). Structural inertia and organizational change. American sociological review, 149-164. Hochbaum, Godfrey Martin. (1958). Public participation in medical screening programs: A socio-psychological study: US Department of Health, Education, and Welfare, Public Health Service, Bureau of State Services, Division of Special Health Services, Tuberculosis Program. Hsiao, Tien-Mu, Ho, Chi-Kung, Su, Wang-Pin, Hwang, Jhi-Jhu, Tsai, Mee-Sun, Chau, Tang-Tat, et al. (1993). Asbestos related pleural plaques in retired boiler room workers. Gaoxiong yi xue ke xue za zhi= The Kaohsiung journal of medical sciences, 9(2), 74-79. Huuskonen, Matti S, Ahlman, Kaj, Mattsson, Tor, & Tossavainen, Antti. (1980). Asbestos disease in Finland. Journal of Occupational and Environmental Medicine, 22(11), 751-754. Huuskonen, Matti S, & Rantanen, Jorma. (2006). Finnish Institute of Occupational Health (FIOH): Prevention and detection of asbestos‐related diseases, 1987–2005. American journal of industrial medicine, 49(3), 215-220. Huuskonen, MS, Koskinen, K, Tossavainen, A, Karjalainen, A, Rinne, J‐P, & Rantanen, J. (1995). Commentary. Finnish Institute of Occupational Health Asbestos Program 1987–1992. American journal of industrial medicine, 28(1), 123-142. ILO. (2004). Asbestos in the workplace: a difficult legacy (http://www.ilo.org/global/about-the-ilo/how-the-ilo-works/WCMS_081341/lang--en/index.htm). Retrieved from Geneva: ILO, & WHO. (2007). Outline for the Development of National Programmes for Elimination of Asbestos-Related Diseases (http://www.ilo.org/safework/info/publications/WCMS_108555/lang--en/index.htm). Retrieved from Geneva: Jung, Soon‐Hee, Kim, Hyoung‐Ryoul, Koh, Sang‐Baek, Yong, Suk‐Joong, Chung, Myoung Ja, Lee, Chang‐Hun, et al. (2012). A decade of malignant mesothelioma surveillance in Korea. American journal of industrial medicine, 55(10), 869-875. Koskinen, Kari, Rinne, Jouko‐Pekka, Zitting, Anders, Tossavainen, Antti, Kivekäs, Jukka, Reijula, Kari, et al. (1996). Screening for asbestos‐induced diseases in Finland. American journal of industrial medicine, 30(3), 241-251. Lee, LJH Chang, YY Wang, JD. (2012). Disease burden of malignant pleural mesothelioma: Taiwan experiences. Journal of Policy Science (http://r-cube.ritsumei.ac.jp/handle/10367/6515), 6, 43-62. Lee, Lukas Jyuhn-Hsiarn, Chang, Yu-Yin, & Wang, Jung-Der. (2010). Impact of malignant mesothelioma in Taiwan: a 27-year review of population-based cancer registry data. Lung Cancer, 68(1), 16-19. Leigh, James, Davidson, Patricia, Hendrie, Leigh, & Berry, Dale. (2002). Malignant mesothelioma in Australia, 1945–2000. American Journal of Industrial Medicine, 41(3), 188-201. Levy, Barry S, & Wegman, David H. (1988). Occupational health: recognizing and preventing work-related disease: Little Brown. Lim, Stephen S., Vos, Theo, Flaxman, Abraham D., Danaei, Goodarz, Shibuya, Kenji, Adair-Rohani, Heather, et al. (2012). A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet, 380(9859), 2224-2260. doi:http://dx.doi.org/10.1016/S0140-6736(12)61766-8 Lin-Nei Hsu, Ming-Tse Sung, Po-Hui Chiang. (2014). Paratesticular malignant mesothelioma in a patient exposed to asbestos for more than 50 years. The Kaohsiung journal of medical sciences, 30(10), 537-538. Lin, Cheng-Kuan, Chang, Yu-Ying, Wang, Jung-Der, & Lee, Lukas Jyuhn-Hsiarn. (2015). Increased standardised incidence ratio of malignant pleural mesothelioma in Taiwanese asbestos workers: a 29-year retrospective cohort study. BioMed research international, 2015. Lor, You-Chen, & Hsu, Wei-Hua. (2015). Malignant Mesothelioma after Occupational Exposure to Asbestos in a Cathode Ray Tube Factory Worker. 中華職業醫學雜誌, 22(2), 109-113. Mesothelioma in Great Britain - Mesothelioma mortality in Great Britain 1968-2014 (2016). Retrieved from UK: Neuman, W. Lawrence. (2000). Social Research Methods: Qualitative and Quantitative Approaches (2000 ed.). Oksa, Henrik Wolff, Vehmas, Tapio, Pallasaho, Paula, & Frilander, Heikki. (2014). Asbestos, Asbestosis, and Cancer: Helsinki Criteria for Diagnosis and Attribution 2014: Finnish Institute of Occupational Health. Pan, ST, Ho, WL, & Yang, MD. (1993). Malignant peritoneal mesothelioma: a case report. Zhonghua yi xue za zhi= Chinese medical journal; Free China ed, 52(1), 53-57. Parliament, European. (2012). On asbestos related occupational health threats and prospects for abolishing all existing asbestos (http://www.europarl.europa.eu/sides/getDoc.do?pubRef=-//EP//TEXT+REPORT+A7-2013-0025+0+DOC+XML+V0//EN) Retrieved from Savage, Grant T, Nix, Timothy W, Whitehead, Carlton J, & Blair, John D. (1991). Strategies for assessing and managing organizational stakeholders. The executive, 5(2), 61-75. Schmeer, Kammi. (1999). Guidelines for conducting a stakeholder analysis: PHR, Abt Associates. Sen, D. (2015). Working with asbestos and the possible health risks. Occupational Medicine, 65(1), 6-14. Stewart-Taylor, AJ Cherrie, JW. (1998). Does risk perception affect behaviour and exposure? A pilot study amongst asbestos workers. Annals of Occupational Hygiene, 42(8), 565-569. Strecher, Victor J Rosenstock, Irwin M. (1997). The health belief model. Cambridge handbook of psychology, health and medicine, 113-117. Sugio Furuya, K Takahashi, M Movahed, Y Jiang, Y. (2013). National Asbestos Profile of Japan (ILO/WHO). Toyko (http://envepi.med.uoeh-u.ac.jp/NAPJ.pdf). Szeszenia-Dabrowska, Neonila, Swiatkowska, Beata, & Wilczynska, Urszula. (2016). Occupational diseases among farmers in Poland. Medycyna Pracy. Tossavainen, Antti. (2010). Asbestos, asbestosis, and cancer: the Helsinki criteria for diagnosis and attribution. Scandinavian journal of work, environment & health, 23(4), 311-316. Tsou, Meng-Ting Luo, Jiin-Chyuan J. (2009). Porcelain factory worker with asbestos-related mesothelioma. Journal of the Formosan Medical Association, 108(10), 819-825. Virta, Robert L. (2006). Worldwide asbestos supply and consumption trends from 1900 through 2003: US Geological Survey Reston, VA. WHO. (2014). Chrysotile Asbestos (http://www.who.int/ipcs/assessment/public_health/asbestos/en/). Geneva: World Health Organization. William, Dunn. (1994). Public Policy Analysis: An Introduction. NJ: Prentive-Hall. Wolff, Henrik, Vehmas, Tapio, Oksa, Panu, Rantanen, Jorma, & Vainio, Harri. (2015). Asbestos, asbestosis, and cancer, the Helsinki criteria for diagnosis and attribution 2014: recommendations. Scandinavian journal of work, environment & health, 41(1), 5-15. Wu, Wei-Te, Lin, Yu-Jen, Li, Chung-Yi, Tsai, Perng-Jy, Yang, Chun-Yuh, Liou, Saou-Hsing, et al. (2015). Cancer attributable to asbestos exposure in shipbreaking workers: a matched-cohort study. PLoS ONE, 10(7), e0133128. Wu, Wei-Te, Lin, Yu-Jen, Shiue, Huei-Sheng, Li, Chung-Yi, Tsai, Perng-Jy, Yang, Chun-Yuh, et al. (2014). Cancer incidence of Taiwanese shipbreaking workers who have been potentially exposed to asbestos. Environmental research, 132, 370-378. Wu, Wei‐Te, Lu, Yao‐Hua, Lin, Yu‐Jen, Yang, Ya‐Hui, Shiue, Huei‐Sheng, Hsu, Jin‐Huei, et al. (2013). Mortality among shipbreaking workers in Taiwan—a retrospective cohort study from 1985 to 2008. American journal of industrial medicine, 56(6), 701-708. Yang, Hsiao-Yu Wang, Jung-Der Chen, Pau-Chung Lee, Jen-Jyh. (2010). Pleural plaque related to asbestos mining in Taiwan. Journal of the Formosan Medical Association, 109(12), 928-933. Yu-Ren Li, Wann-Cherng Perng, Chih-Feng Chian, Cheng-Wei Liu, Wen-Lin Su (2014). Avoiding Possible Misdiagnosis of Malignant Pleural Epithelioid Mesothelioma: A Case Report and Literature Review. 胸腔醫學, 29(5), 298-303. 王實之, & 吳怡伶. (2012). 常民參與對醫療知識與衛生政策的貢獻-職業病認定與補償之爭議的歷史分析. 台灣社會研究季刊(89), 127-184. 丘昌泰. (2000). 公共政策: 基礎篇, 台北: 巨流圖書公司. 吳立偉, 江昇達, 王鐘慶, 林易申, 羅慶徽, 劉紹興, et al. (2011). 疑似石綿相關之惡性間皮瘤個案報告暨文獻回顧. 中華職業醫學雜誌, 18(1), 1-6. 吳庭輝, 陳啟信, 吳景義, 王榮德, & 李俊賢. (2009). 職業石綿暴露引起之惡性間皮瘤病例報告. 臺灣醫學, 13(5), 461-470. 林玉茹. (2004). 戰爭、邊陲與殖民産業:戰時臺灣拓殖株式會社在東臺灣投資事業的布局. [War, Frontier, and Colonial Business: The Wartime Investments of the Taiwan Development Company in Eastern Taiwan]. 近代史研究所集刊(43), 117-172. 邱文聰. (2007). 從勞工職災補償制度的因果認定談治理理性的典範移轉. 邱昭華, & 張西川. (2000). 支氣管肺泡灌洗術在石綿症診斷的應用─ 病例報告. 胸腔醫學, 15(2), 97-101. 張火炎, 王榮德, 張錦輝, 陳誠仁, 索任, & 吳敏鑑. (1988). 臺灣地區石綿工廠工業衛生普查. 中華民國公共衛生學會雜誌, 8(3), 161-171. 張常勝, & 王榮德. (1987). 台灣有職業癌嗎? 中華民國公共衛生學會雜誌, 7(3), 168-176. 彭佳玲. (2007). 照顧一位初罹惡性肋膜間皮瘤病人之護理經驗. 榮總護理, 24(3), 297-305. 黃勇誠, 林瑜茵, 陳怡庭, 王肇齡, & 莊弘毅. (2015). 石綿相關肺疾病病例報告與文獻探討-肋膜斑與惡性間皮瘤. 台灣家庭醫學雜誌, 25(2), 157-164. 劉紹興. (1992). 台灣職業醫學五十年之回顧:化學性職業疾病─職業性肺病. Retrieved from 劉紹興, 陳永煌, 許居誠, 顧天倫, & 吳聰能. (1996). 石綿塵肺症病例報告. 中華職業醫學雜誌, 3(4), 165-170. 蔡奉真, & 鄭雅文. (2015). 職業健康檢查資料的隱私權保護. 臺灣公共衛生雜誌, 34(3), 223-226. | |
dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/59332 | - |
dc.description.abstract | 研究背景與目的:
工作中暴露於石綿粉塵,已知在30-40年後會增加惡性癌症的罹病風險,然而社會大眾與政府職業安全健康部門對此問題並不重視。本研究目的有三:第一,探討曾有石綿粉塵暴露經驗的工作者目前的健康狀態、過去的職業石綿暴露經驗,以及他們對石綿疾病的風險認知與態度;第二,探討他國監測石綿疾病之制度設計;第三,探討職業醫學科醫師對於職業石綿疾病之診斷或監測機制的看法。 方法: 本研究包括三個研究主題,採深度訪談法與文獻分析法。在訪談部分共計訪談20位受訪者,包括石綿粉塵暴露作業工作者、管理者、職業工會專職人員與醫療專業工作者。 研究結果: 針對第一個研究主題,研究者發現,大部分石綿暴露作業不清楚石綿危害,但參與工會者對於職業健康保護制度的態度較為積極;具管理職的受訪者質疑職業病罹病者的求償動機,且擔心職業病認定可能伴隨的法律責任。針對第二個研究主題,研究結果指出,日本、英國、德國、法國、波蘭、芬蘭等國以職災保險或公共基金籌措財源,對石綿作業的現職工作者與離職者提供定期健康檢查服務,並對確認罹病者提供醫療照顧與經濟補償;而澳洲、法國與南韓另針對惡性間皮瘤建立疾病監測機制,蒐集的疾病與暴露資料成為政府評估石綿疾病發生趨勢與制訂相關政策的依據。針對第三個研究主題,研究者整理醫療專業工作者對石綿作業工作者離職後健檢制度的態度,分以下面向進行討論:受檢族群的界定、石綿暴露的認定、診斷工具與專業人員、財源與應對機制、公義與後果。 結論: 本研究發現,台灣工作者對於石綿危害的認知薄弱,政府對於潛伏期漫長的職業病並無監測措施。政府應積極宣導,提高工作者的風險危害意識、加強管理者的職業病教育,並應針對石綿作業工作者建立離職後職業健檢機制。此外,除了職業性石綿疾病之外,亦應思考思考如何提升其他職業病的認定率。 | zh_TW |
dc.description.abstract | Background and Objective:
Asbestos exposure is known to increase the risks of malignant diseases after 30-40 years. However in Taiwan, this issue has not been concerned nor been addressed by occupational health system (OHS) of Taiwan. There were 3 objectives in this study: first, to understand asbestos-exposed workers’ current health status and their knowledge and risk perception of asbestos hazards; secondly, to learn from the experiences of other countries on disease surveillance programs designed for asbestos-exposed workers; thirdly, to explore medical professionals’ perspectives towards the disease surveillance programs of occupational asbestos-related diseases. Methods: In-depth interviews and literature analyses were conducted. A total of 20 persons were interviewed, including workers with known current or past exposure to asbestos, managers of asbestos industries, representatives of unions, and medical professionals. Results: Results from the first part showed that most workers were unaware of asbestos health risks, but union members were more positively about the roles of occupational health programs; those who held managerial positions expressed concerns on workers’ motives in claiming occupational diseases and on potential legal responsibilities in consequence of such claims. Results from the second part indicated that in Japan, the United Kingdom, Germany, France, Portland and Finland, workers recognized as having current or past occupational exposure to asbestos are eligible to participate in occupational health examination programs, which are financed either through workers’ compensation insurance schemes or through public funds. Surveillance programs of mesothelioma were established in Australia, France and South Korea, and identified asbestos-related disease cases were investigated on asbestos exposure history. Information generated by disease surveillance programs provide empirical evidences for disease prevention and compensation policies. Results from the third part summarized medical professionals’ perspectives towards the establishment of post-exposure occupational health examination program for asbestos workers in the followoing aspects : the defination of elegible population, the recognition of occupational asbestos disease, tools for screening and qualification of personnel, , finance mechanism, fairness and negative consequences. Conclusions: Findings of this research indicated that social awareness of asbestos risks is low and the current occupational health systems fail to detect occupational diseases with long latency. The government should enhance awareness of asbestos risks among workers, strengthen occupational education and training among managers, expand the scope of occupational health examination programs to workers with past occupational exposure to asbestos, and establish post-exposure surveillance mechanisms for mesothelioma. Furthermore, efforts should be made to increase the recognition of other occupational diseases beside asbestos-related diseases. | en |
dc.description.provenance | Made available in DSpace on 2021-06-16T09:20:43Z (GMT). No. of bitstreams: 1 ntu-106-R04848001-1.pdf: 1458564 bytes, checksum: 529e8ecf134479d7a3a92a16ba753f1e (MD5) Previous issue date: 2017 | en |
dc.description.tableofcontents | 致謝 ii
中文摘要 v 英文摘要 vii 圖表目錄 xiii 第一章、緒論 1 第一節、研究背景與動機 1 第二節、研究缺口與研究重要性 6 第三節、研究問題與目的 7 第二章、研究背景與文獻回顧 8 第一節、台灣職業石綿疾病嚴重程度 12 第二節、「為何不關心?」脈絡梳理 16 第三結、診斷職業石綿疾病的科學準則 18 第三章、研究方法 20 第一節、研究族群 20 第二節、研究架構 22 (ㄧ)、訪談法(In-depth Interview) 22 (二)、文獻分析研究法(Document Analysis) 23 (三)、利害關係人研究法(Stakeholder Analysis) 24 第三節、資料處理 26 (一)、資料分析方法 26 (二)、研究倫理 26 第四章、研究結果一:石綿粉塵風險危害認知與態度 27 第一節、石綿作業工作者的對石綿粉塵的風險危害認知與態度 28 第二節、管理者與職業工會對職業石綿疾病的看法與態度 32 第三節、綜合小節 39 第五章、研究結果二:石綿暴露工作者的職業健康檢查制度與石綿疾病的監測機制的國際經驗 41 第一節、石綿作業工作者的職業健檢機制:國際經驗 41 (一)、日本經驗 42 (二)、英國經驗 43 (三)、德國經驗 44 (四)、法國經驗 44 (五)、波蘭經驗 45 (六)、芬蘭經驗 45 第二節、惡性間皮瘤通報系統:國際經驗 48 (一)、澳洲經驗 48 (二)、法國經驗 49 (三)、南韓經驗 49 第六章、研究結果三:專業醫療提供者對職業石綿疾病看法 50 第一節、職業石綿疾病建立離職後追蹤機制 51 (一)、如何界定石綿暴露工作者? 51 (二)、診斷的難題:暴露證據不足 54 (三)、篩檢工具與判讀人員 57 (四)、誰來買單 60 (五)、認定職業病的公義問題 61 (六)、可能引發的道德危害 62 第二節、是否針對惡性間皮瘤,建立疾病通報與調查機制? 65 第三節、是否應建立石綿疾病資料庫,並公開職業病與職業暴露資訊? 66 第四節、小結 68 (一)、職業醫學醫師的兩難 68 (二)、潛在石綿暴露作業者與環境公害問題 69 第七章、討論 70 第一節、石綿作業工作者的風險危害意識 70 (一)、促進石綿作業工作者風險危害意識 70 (二)、加強管理者與職業工會工作者職業病教育 71 (三)、強化工會力量 71 第二節、台灣制度現況 72 第三節、建立石綿職後健檢可能引發的倫理爭議 73 (一)、國家資源該分配的公義問題 73 (二)、依然存在的健康不平等 73 第四結、研究限制 77 (一)、樣本選擇 77 (二)、資料客觀性 77 (三)、無法討論環境性石綿暴露問題 77 (四)、對未來研究者建議 78 第八章、結論 79 第九章、參考文獻 82 附錄一、間皮和軟組織癌死亡統計(2008-2015年) 89 附錄二、利害關係人訪談大綱 90 | |
dc.language.iso | zh-TW | |
dc.title | 石綿暴露的危害認知與職業石綿疾病的監測機制 | zh_TW |
dc.title | Perception of Asbestos Exposure and Surveillance System of Occupational Asbestos-related Diseases | en |
dc.type | Thesis | |
dc.date.schoolyear | 105-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 陳保中(Pau-Chung CHEN),郭浩然(How-Ran Guo),黃百粲(Pai-Tsang Huang) | |
dc.subject.keyword | 石綿暴露作業工作者,職業石綿疾病,暴露危害認知,職業健康檢查,國際比較, | zh_TW |
dc.subject.keyword | Asbestos-exposed workers,Occupational asbestos disease,Awareness of risk and exposure,Occupational Health examination,International comparison, | en |
dc.relation.page | 91 | |
dc.identifier.doi | 10.6342/NTU201701251 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2017-07-03 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 健康政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
文件中的檔案:
檔案 | 大小 | 格式 | |
---|---|---|---|
ntu-106-1.pdf 目前未授權公開取用 | 1.42 MB | Adobe PDF |
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