The impact of occupational health service network and reporting system in Taiwan

Po Ching Chu, Hwan Ran Fuh, Jiin Chyuan Luo, Chung Li Du, Hung Yi Chuang, How Ran Guo, Chiu Shong Liu, Chien Tien Su, Feng Cheng Tang, Chun Chieh Chen, Hsiao Yu Yang, Yue Leon Guo

Research output: Contribution to journalArticlepeer-review

5 Citations (Scopus)


Background: Underreporting occupational disease cases has been a long-standing problem in Taiwan, which hinders the progress in occupational health and safety. To address this problem, the government has founded the Network of Occupational Diseases and Injuries Service (NODIS) for occupational disease and injury services and established a new Internet-based reporting system. Objectives: The aims of this study are to analyze the possible influence of the NODIS, comprised of Center for Occupational Disease and Injury Services and their local network hospitals, on compensable occupational diseases and describe the distribution of occupational diseases across occupations and industries from 2005 to 2010 in Taiwan. Methods: We conducted a secondary analysis of two datasets, including the NODIS reporting dataset and the National Labor Insurance scheme's dataset of compensated cases. For the NODIS dataset, demographics, disease distribution, and the time trends of occupational diseases were analyzed. The data of the Labor Insurance dataset was used to calculate the annual incidence of compensated cases. Furthermore, the annual incidence of reported occupational diseases from the NODIS was further compared with the annual incidence of compensable occupational diseases from the compensated dataset during the same period. Results: After the establishment of the NODIS, the two annual incidence rates of reported and compensable occupational disease cases have increased by 1.2 and 2.0 folds from 2007 to 2010, respectively. The reason for this increased reporting may be the implementation of the new governmentfunded Internet-based system. The reason for the increased compensable cases may be the increasing availability of hospitals and clinics to provide occupational health services. During the 2008-2010 period, the most frequently reported occupational diseases were carpal tunnel syndrome, lumbar disc disorder, upper limb musculoskeletal disorders, and contact dermatitis. Conclusions: The new network and reporting system was successful in providing more occupational health services, providing more workers with compensation for occupational diseases, and reducing underreporting of occupational diseases. Therefore, the experience in Taiwan could serve as an example for other newly developed countries in a similar situation.

Original languageEnglish
Pages (from-to)352-362
Number of pages11
JournalInternational Journal of Occupational and Environmental Health
Issue number4
Publication statusPublished - Oct 2013


  • Occupational disease
  • Occupational health services
  • Occupational medicine
  • Reporting
  • Surveillance

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


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