職災職能復健認可機構服務成效及影響因素之研究- 以中部地區為例

研究背景與動機：職業災害影響不僅是職災勞工，更使職災勞工的家庭經濟、雇主與企業的生產力、乃至國家社會的安定受到威脅。本研究基於職業災害的預防及重建的精神，欲探究在111年5月1日頒布《勞工職業災害保險及保護法》後的認可職災職能復健機構之服務成效以及影響復工之因素以期針對研究結果，可對未來研究以及職災職能復健提供建議與策略。研究方法：本研究收集112-113年6月30日中部兩家認可機構服務之職災勞工資料，進行基本資料、服務紀錄、追蹤紀錄之研究分析，使用描述性統計、獨立t檢定、變異數分析、卡方檢定、二元邏輯斯迴歸等分析服務成效與找出影響復工之因素。結果： 個案來源以地方政府轉介占最高比例、男性多於女性、平均年齡40.61歲、高中/高職為大宗、中度至重度負重之工作型態為多、製造業為本樣本最大行業別，職災服務期程均較認可前縮短。討論：本研究樣本數共87名，結案後追蹤1個月復工率83%、3個月復工率為92%，共80人復工，6成以上以原職場原職務復工，職災服務的各項期程均比認可前為短，表示更快進入職災系統服務；服務時數在傷病診斷顯著差異;搬運能力是對於職災勞工復工有顯著差異，是影響職災勞工復工的重要因素。結論：搬運能力為顯著影響復工因素，其中抬舉能力也值得關注。

Background and Motivation：Occupational accidents significantly impact workers, families, employers, and societal stability. To mitigate these effects, Taiwan enacted the "Labor Occupational Accident Insurance and Protection Act" on May 1, 2022. This study evaluates the effectiveness of certified occupational rehabilitation services and identifies factors influencing return-to-work, aiming to provide insights and strategies for future research and practice.Method：This study analyzed data from two certified institutions in central Taiwan (2023–June 2024) using descriptive statistics, t-tests, ANOVA, chi-square tests, and binary logistic regression to assess service effectiveness and factors affecting return-to-work.Results：Most cases were male, referred by local governments, averaging 40.61 years old, with high school education, engaged in moderate to heavy load-bearing labor, primarily in manufacturing. Service durations were shorter post-certification.Conclusion：Lifting capacity significantly impacts return-to-work, with lifting ability being a key factor. Targeted rehabilitation to improve this ability can enhance workforce reintegration.