臺灣醫師勞工健康服務法制研析——以日本法制為借鏡【醫法新論】 試閱
An Analysis on the Regulations of Occupational Health Service of Physicians in Taiwan-A Lesson from Japanese Law
國際勞工組織於第161號職業衛生服務公約提出職業健康服務概念，由醫護人員進入職場，推動職場危害防制與人員健康促進。臺灣「勞動健康保護規則」具體規範醫護臨場服務制度的細節，甫於2021年12月22日修正，改變事業單位人數計算基準，並針對分散型事業單位另訂特別規定。考量過往相關文獻缺乏，本文聚焦於醫師臨場服務制度研析，並與日本產業醫師制度對照。本文提出臺灣臨場服務制度相關問題，包含事業單位人數計算基準模糊、臨場健康服務涵蓋密度不足、派遣人員健康管理權責不明、分散型事業單位規定形成法律漏洞等。最後，本文就未來可能的修正方向提供建議。
The International Labour Organization (ILO) proposed the concept of “Occupational Health Service” (OHS) in the C161 Occupational Health Services Convention, which is provided by medical staff entering the workplace to promote workplace hazard prevention and personnel health promotion. The “Regulations of the Labor Health Protection” in Taiwan specifically regulates the details of the on-site service system for physicians and nurses. It revised on December 22, 2021 to change the basis for calculating the number of people in the enterprise, and set special regulations for decentralized enterprises. Considering that there was no relevant literature in the past, this study focuses on the OHS of physicians in Taiwan, and compares with the OHS system in Japan. This paper proposes issues related to the OHS system in Taiwan. First, the basis for calculating the number of people in the enterprise is not clearly stipulated in the articles. Second, the coverage rate of OHS for physicians in Taiwan is still significantly insufficient. Third, the rights and responsibilities for the health management of dispatched labor in Taiwan are still unclear. Forth, the regulations of decentralized enterprises forms legal loopholes. Finally, this study provides suggestions on future amendments.
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