Morioka Ikuharu, Terashita Hiroaki, Miyashita Kazuhisa, Ikuta Zentaro, Takeshita Tatsuya, Fujiyoshi Akira, Yamamoto Norio, Yukami Hitomi
Wakayama Occupational Health Support Center.
Sangyo Eiseigaku Zasshi. 2023 Jan 25;65(1):28-40. doi: 10.1539/sangyoeisei.2021-051-E. Epub 2022 Mar 19.
The support from businesses to create a balance between work schedules and treatment regimens among employees suffering from illnesses, such as cancer and diabetes, seems to be insufficient. This study aimed to investigate efforts of businesses to support the balance of work schedules and treatment regimens among employees with illness, focusing on company size and to identify potential workplace improvements for such employees.
Overall, 789 businesses in Wakayama Prefecture, Japan were randomly selected from a workplace list of the Wakayama Occupational Health Support Center. Anonymous questionnaires were distributed by mail. The questionnaires consisted of question items on workplace, current employees who had suffered or were suffering from cancer (employees with cancer), employees with illnesses (diseases such as cancer and diabetes), and support for businesses and employees.
Questionnaires with complete responses were collected from 187 businesses (response rate: 23.7%). The ratios of businesses where employees with cancer were engaged or had been engaged were 43.4% for small-sized (less than 50 employees), 70.9% for medium-sized (50-99 employees), and 83.1% for large-sized (100 and more employees) businesses. In all business sizes, the most common support in reinstatement or hiring employees with cancer was "absenteeism for treatment." The most common difficulty that occurred in the workplace due to the presence of employees with cancer was "the insufficient number of workers." The information from the attending physician, etc. necessary for deciding the reinstatement was mostly "the current health condition and physical strength." Additionally, in all business sizes, the most common support for employees with illness to balance work schedule and treatment regimens was "considering measures suitable to the situation such as hospital visits and physical condition." The most common challenge was "securing alternative personnel." The information from the attending physician, etc. necessary for deciding the reinstatement was "the current health condition and physical strength," similar to that for employees with cancer. More than 60% of the businesses of varying sizes reported being unaware of the work-treatment balance support coordinator.
Considering measures suitable to the situation, such as hospital visits and physical condition, securing alternative personnel, and actively disseminating information regarding work-treatment balance support coordinators are recommended as workplace improvements for employees with illnesses.
企业在帮助患有癌症和糖尿病等疾病的员工平衡工作安排与治疗方案方面的支持似乎不足。本研究旨在调查企业在支持患病员工平衡工作安排与治疗方案方面的努力，重点关注公司规模，并确定针对此类员工的潜在工作场所改进措施。
总体而言，从和歌山县职业健康支持中心的工作场所名单中随机选取了日本和歌山县的789家企业。通过邮件发放匿名问卷。问卷包括关于工作场所、曾患或正在患癌症的在职员工（癌症员工）、患病员工（如癌症和糖尿病等疾病）以及企业和员工支持方面的问题项。
从187家企业收集到了完整回复的问卷（回复率：23.7%）。小型企业（员工少于50人）中曾雇佣或正在雇佣癌症员工的企业比例为43.4%，中型企业（50 - 99名员工）为70.9%，大型企业（100名及以上员工）为83.1%。在所有企业规模中，恢复雇佣或雇佣癌症员工时最常见的支持是“因治疗缺勤”。工作场所因有癌症员工而出现的最常见困难是“员工数量不足”。决定恢复雇佣所需的主治医生等的信息大多是“当前健康状况和体力”。此外，在所有企业规模中，对患病员工平衡工作安排与治疗方案最常见的支持是“考虑适合具体情况的措施，如就医和身体状况”。最常见的挑战是“确保替代人员”。决定恢复雇佣所需的主治医生等的信息是“当前健康状况和体力”，与癌症员工的情况类似。超过60%的不同规模企业表示不知道工作 - 治疗平衡支持协调员。
建议采取考虑适合具体情况的措施，如就医和身体状况、确保替代人员，以及积极传播关于工作 - 治疗平衡支持协调员的信息，作为针对患病员工的工作场所改进措施。
