한국산업보건학회지 (Journal of Korean Society of Occupational and Environmental Hygiene)

  • 제31권4호
  • /
  • Pages.540-548
  • /
  • 2021
  • /
  • 2384-132X(pISSN)
  • /
  • 2289-0564(eISSN)
한국산업보건학회 (Korean Industrial Hygiene Association)
권호 표지
DOI QR코드

DOI QR Code

일부 사업장에서 나타난 배치전건강진단 제도 현황과 향후과제

Status and Perspectives of Preplacement Health Examination (PHE) at Certain Workplaces

  • 투고 : 2021.11.30
  • 심사 : 2021.12.29
  • 발행 : 2021.12.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

Introduction: Preplacement health examination (PHE) is performed when a worker starts a certain work task which is designated as having occupational risks by the Ministry of Employment and Labor (MOEL). All data related to health examination except PHE are reported to the MOEL by the law. This study has been performed to understand the status of PHE at certain workplaces. Methods: PHE data gathered in a university hospital were analyzed and they were followed with results of the special health examination (SHE) in 2019 and 2020. Those who were evaluated as unfit to work as it was, were interviewed directly or indirectly through an occupational health manager to follow up the management status of their recognized health problems. Results: The unfit to work (unFTW) rate of PHE was 2.8%, and was not different according to the size of workplace or having occupational health service. The major cause of unfit to work was the uncontrolled life-style diseases such as hypertension and diabetes. The rate of SHE followed by PHE was 31.1%. It was not different by the unFTW rates, however, they were different according to having a full time in-house occupational health manager. Thirty-one among 71 examinees who were evaluated as unFTW underwent SHE after controlling their health condition and were finally evaluated as fit to work. Nineteen among 31 started to take medicine and eight have been placed in the work without designated risks. Conclusion: PHE can be used for new workers, who may have unknown or uncontrolled life-style diseases, to be asked to manage life-style diseases as well as work-related risks such as shift work. In order to have a better tracking system for work-related risks, the information of PHE should be analyzed together with other data from health examination.

키워드

참고문헌

  1. Ha J, Kim SG, Paek D, Park J. The magnitude of mortality from ischemic heart disease attributed to occupational factors in Korea: Attributable fraction estimation using meta-analysis. Saf Health Work. 2011;2(1):70-82. https://doi.org/10.5491/SHAW.2011.2.1.70
  2. Han SH, Chung SC, Lee MH, Song DB. Discriminating function of preemployment medical examination and necessity of changing over to preplacement medical examination in Korea. Korean J Occup Environ Med. 1997;9(1):170-177. https://doi.org/10.35371/kjoem.1997.9.1.170
  3. Kang SK, Jee YK, Ahn YS, Kim HO, Ha MN, Kwon HJ et al. The present status and perspective of nationwide occupational diseases surveillance system. Korean J Occup Environ Med. 2001;13(2): 116-126. https://doi.org/10.35371/kjoem.2001.13.2.116
  4. Kim EA, Park J, Kim KH, Lee N, Kim DS, Kang SK. Outbreak of Sudden Cardiac Deaths in a Tire manufacturing facility: Can it be caused by nanoparticles?. Saf Health Work. 2012;3(1):58-66. https://doi.org/10.5491/SHAW.2012.3.1.58
  5. Kim KH, Country comparisons of special medical examination systems. Master Thesis, Yonsei University, Seoul. 2019
  6. Koh SB, Kim KS, Chang SJ, Cha BS, Park JK, Kang DM et al. Job instability of labor market and preplacement health examination: the case of hearing loss. Korean J Occup Environ Med. 2002; 14(1):57-68. https://doi.org/10.35371/kjoem.2002.14.1.57
  7. KOSHA. Criteria for conducting a worker's health examination. 2020 [Accessed 2021 Nov 30] Available from: URL:https://kosha.or.kr/kosha/data/business/commonIndustriesBook.do?mode=view&medSeq=42219&codeSeq=1100000&medForm=101&srSearchVal=%EC%8B%A4%EB%AC%B4%EC%A7%80%EC%B9%A8
  8. MOEL. Regulation on Occupational Safety and Health Act. 2021a. [Accessed 2021 Nov 30] Available from: URL: https://www.law.go.kr/LSW//lsInfoP.do?lsiSeq=233909&joNo=020500#J205:0
  9. MOEL. Employment and labor statistics. Statistics DB. By Topic. Industrial accident. Report on the performance of a worker's health examination. 2021b. [Accessed 2021 Nov 30] Available from: URL: http://laborstat.moel.go.kr/hmp/tblInfo/TblInfoList.do?menuId=0010001100101102&leftMenuId=0010001100101&bbsId=
  10. MOEL. Occupational Safety And Health Act 2021c, [Accessed 2021 Nov 30] Available from: URL:https://www.law.go.kr/%EB%B2%95%EB%A0%B9/%EC%82%B0%EC%97%85%EC%95%88%EC%A0%84%EB%B3%B4%EA%B1%B4%EB%B2%95
  11. MOEL. Criteria for conducting a worker's health examination. Ministry of Employment and Labor Notice No2021-33. 2021d. [Accessed 2021 Nov 30] Available from: URL: https://www.law.go.kr/LSW/admRulLsInfoP.do?admRulSeq=2100000200133
  12. MOEL. Enforcement Rules of the Industrial Safety and Health Act. Ministry of Employment and Labor Notice. Available from: URL: https://www.law.go.kr/LSW//lsInfoP.do?lsiSeq=233909&joNo=020500#J205:0
  13. Ministry of Health and Welfare. Health examination standards. Ministry of Health and Welfare Notice No2020-313. 2020. Available from: URL: https://www.law.go.kr/%ED%96%89%EC%A0%95%EA%B7%9C%EC%B9%99/%EA%B1%B4%EA%B0%95%EA%B2%80%EC%A7%84%20%EC%8B%A4%EC%8B%9C%EA%B8%B0%EC%A4%80
  14. Park J, Shin SY, Kang Y, Rhie J. Effect of night shift work on the control of hypertension and diabetes in workers taking medication. Ann Occup Environ Med. 2019;31(1):e27 https://doi.org/10.35371/aoem.2019.31.e27
  15. Suh C, Lee JT, Kim DH, Son BC, Lee CH, Kim HD, Ahn JH. The actual implementing status of the preplacement medical examination after the annulment of the preemployment medical examination. Korean J Occup Environ Med. 2008;20(3):174-181. https://doi.org/10.35371/kjoem.2008.20.3.174
  16. Ye HH, Jeong JU, Jeon MJ, Sakong J. The association between shift work and the metabolic syndrome in female workers. Ann Occup Environ Med. 2013;25(1):33 https://doi.org/10.1186/2052-4374-25-33