• Title/Summary/Keyword: Health worker

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A study on the quality of medical social work influenced by organizational culture of hospital (조직문화가 의료사회사업서비스의 질에 미치는 영향에 관한 연구)

  • Kang, Heung-Gu
    • Health Policy and Management
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    • v.12 no.4
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    • pp.34-55
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    • 2002
  • In this study, the impact of organizational culture on the quality of social work services in hospitals were empirically analysed. A mailed questionnaire survey was conducted between February 19 and April 10, 2001. A sample of total 70 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. According to coping strategy and reacting pattern with the environmental changes, four types of organizational culture in each hospital, classified as group culture, developmental culture, hierarchial culture, and rational culture, were adopted for the independent variables. Three dimensional aspects of quality of social work service - structure, process, and outcome were selected as dependent variables in this study. Also the quality of social work service was distributed into provider-perceiving quality and consumer-perceiving quality The major findings were as following in summary; First, most social workers reported that the characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, developmental culture the third, and rational culture finally in order of comparing the level of quality perceived between social worker's recognition. Second, service provider and consumer, The provider-perceiving quality showed less score than that of consumer, especially the lowest was the score of quality of outcome perceived by provider. Third, according to the types of organizational culture, there were significantly different levels of quality in total social work services, structure dimension and process dimension. The quality of outcome dimension did not show significant differences among the type of organizational culture. Finally, the most influential variables to the quality of social work service ice proved departmental form of social work unit, leader of social work unit, and developmental culture of hospital To assure quality services, accordingly, social work unit in hospital is required to be organized as a single unit, that means to be an independent department of which qualified social worker is supposed to control the unit. It is strongly recommended to develop leadership for the leaders of social work unit.

Investigation of Occupational EMF Exposure Assessment System (직업인 전자파 노출 평가제도 연구)

  • Jeon, Sang Bong;Lee, Ae-Kyoung;Kwon, Yong-Ki;Jang, Ju-Dong;An, Juno;Pack, Jeong-Ki;Gimm, Youn-Myoung;Choi, Hyung-Do
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.28 no.11
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    • pp.843-852
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    • 2017
  • Recently, as the WHO IARC has classified radio frequency electromagnetic fields as possibly carcinogenic (group 2B) to humans, there is increasing concern about the health effects of overexposure from electromagnetic fields. Especially, the workers are exposed to higher level of electromagnetic radiation than the general public. As a result, in Europe, the protection guidelines for the worker are developed and the exposure of the worker is strictly controlled. In this paper, the EU directive, standards and guidelines of the EMF exposure for the worker were reviewed, and the exposure assessment of EMF was performed for the arc welding. Based on that, we propose a way to introduce a national policy to protect the workers from EMF exposure in working environment.

Incidence rates of injury, musculoskeletal, skin, pulmonary and chronic diseases among construction workers by classification of occupations in South Korea: a 1,027 subject-based cohort of the Korean Construction Worker's Cohort (KCWC)

  • Seungho Lee;Yoon-Ji Kim;Youngki Kim;Dongmug Kang;Seung Chan Kim;Se-Yeong Kim
    • Annals of Occupational and Environmental Medicine
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    • v.35
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    • pp.26.1-26.15
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    • 2023
  • Background: The objective of this study is to investigate the differences in incidence rates of targeted diseases by classification of occupations among construction workers in Korea. Methods: In a subject-based cohort of the Korean Construction Worker's Cohort, we surveyed a total of 1,027 construction workers. As occupational exposure, the classification of occupations was developed using two axes: construction business and job type. To analyze disease incidence, we linked survey data with National Health Insurance Service data. Eleven target disease categories with high prevalence or estimated work-relatedness among construction workers were evaluated in our study. The average incidence rates were calculated as cases per 1,000 person-years (PY). Results: Injury, poisoning, and certain other consequences of external causes had the highest incidence rate of 344.08 per 1,000 PY, followed by disease of the musculoskeletal system and connective tissue for 208.64 and diseases of the skin and subcutaneous tissue for 197.87 in our cohort. We especially found that chronic obstructive pulmonary disease was more common in construction painters, civil engineering welders, and civil engineering frame mold carpenters, asthma in construction painters, landscape, and construction water proofers, interstitial lung diseases in construction water proofers. Conclusions: This is the first study to systematically classify complex construction occupations in order to analyze occupational diseases in Korean construction workers. There were differences in disease incidences among construction workers based on the classification of occupations. It is necessary to develop customized occupational safety and health policies for high-risk occupations for each disease in the construction industry.

Preparation to Perform Activities of Suicide Prevention according to Professional Type (지역사회 정신 건강 서비스, 자살 전문직 유형에 따른 자살예방행동 준비도)

  • Park, Kyongran;Lee, Gyungjoo;Kwon, Min;Yeom, Mijung;Yang, Soo
    • Journal of Korean Public Health Nursing
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    • v.29 no.1
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    • pp.40-52
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    • 2015
  • Purpose: This study examined the characteristics of preparation to perform activities of suicide prevention according to professional type. Methods: A structural survey was conducted from Dec. 10, 2012 to Jan. 4, 2013 for 355 participants working at suicide prevention institutions in S city. The data were analyzed in terms of frequency, percentage, mean, standard deviation, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 18.0. Results: Self-evaluation knowledge of characteristics was a significant distance depending on education and economic status. Participants were classified according to four groups based on professional type; public health nurse, social worker, fire officer, and administrative staff. Significant differences in experiences in suicide, the several items of self-evaluation knowledge, and the preparation to perform activities of suicide prevention were observed according to professional type (p<.05). Correlation among the experience, self-evaluation knowledge and preparation to perform activities of suicide prevention showed a positive correlation in public health nurse, social worker, and administrative staff (p<.05). In all professional types, the variable that predicted preparation to perform activities of suicide prevention was self-evaluation knowledge (p<.001). Conclusion: Tailor-made suicide prevention programs that affect changes in preparation to perform activities of suicide prevention should be developed by professional types.

Diabetes Management and Hypoglycemia in Safety Sensitive Jobs

  • Lee, See-Muah;Koh, David;Chui, Winnie Kl;Sum, Chee-Fang
    • Safety and Health at Work
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    • v.2 no.1
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    • pp.9-16
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    • 2011
  • The majority of people diagnosed with diabetes mellitus are in the working age group in developing countries. The interrelationship of diabetes and work, that is, diabetes affecting work and work affecting diabetes, becomes an important issue for these people. Therapeutic options for the diabetic worker have been developed, and currently include various insulins, insulin sensitizers and secretagogues, incretin mimetics and enhancers, and alpha glucosidase inhibitors. Hypoglycemia and hypoglycaemic unawareness are important and unwanted treatment side effects. The risk they pose with respect to cognitive impairment can have safety implications. The understanding of the therapeutic options in the management of diabetic workers, blood glucose awareness training, and self-monitoring blood glucose will help to mitigate this risk. Employment decisions must also take into account the extent to which the jobs performed by the worker are safety sensitive. A risk assessment matrix, based on the extent to which a job is considered safety sensitive and based on the severity of the hypoglycaemia, may assist in determining one's fitness to work. Support at the workplace, such as a provision of healthy food options and arrangements for affected workers will be helpful for such workers. Arrangements include permission to carry and consume emergency sugar, flexible meal times, selfmonitoring blood glucose when required, storage/disposal facilities for medicine such as insulin and needles, time off for medical appointments, and structured self-help programs.

Association Between Occupational Physicochemical Exposures and Headache/Eyestrain Symptoms Among Korean Indoor/Outdoor Construction Workers

  • Jung, Sung Won;Lee, June-Hee;Lee, Kyung-Jae;Kim, Hyoung-Ryoul
    • Safety and Health at Work
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    • v.10 no.4
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    • pp.437-444
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    • 2019
  • Background: Headache/eyestrain symptoms are common health problems that people experience in daily life. Various studies have examined risk factors contributing to headache/eyestrains, and physicochemical exposure was found to be a leading risk factor in causing such symptoms. The purpose of this study was to examine the relationship of headache/eyestrain symptoms with physicochemical exposure among Korean construction workers depended on worksite. Methods: This study used data from the 4th Korean Workers Conditions Survey and selected 1,945 Korean construction workers as participants. Multivariable logistic regression analysis was used to determine the relationship. Results: Exposure to vibrations among all construction workers affected the moderate exposure group [odds ratio (OR) 1.53, 95% confidence interval (CI) 1.01-2.32], the high exposure group (OR 1.77 95%CI 1.17-2.67), and the indoor high exposure group (OR 1.61, 95%CI 1.02-2.55) and among outdoor construction workers, the moderate group (OR 6.61, 95%CI 15.4-28.48) and the high group (OR 6.61, 95%CI 1.56-27.98). When exposed to mist, dust, and fumes, the indoor high exposure group was significantly affected (OR 1.63, 95%CI 1.07-2.47). All construction workers exposed to organic solvents were affected, high exposure group (OR 1.69, 95%CI 1.15-2.49) and indoor high exposure group (OR 1.77, 95%CI 1.08-2.89). The high exposure group in all construction worker (OR 1.70, 95%CI 1.20-2.42) and the indoor high exposure group (OR 1.83, 95%CI 1.17-2.89) also were affected by secondhand smoking exposure. Conclusion: Many physicochemical exposure factors affect headache/eyestrain symptoms among construction workers, especially indoor construction workers, suggesting a deficiency in occupational hygiene and health environments at indoor construction worksites.

Exposure Characteristics for Chemical Substances and Work Environmental Management in the Semiconductor Assembly Process (반도체 조립공정의 화학물질 노출특성 및 작업환경관리)

  • Park, Seung-Hyun;Park, Hae Dong;Shin, In Jae
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.24 no.3
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    • pp.272-280
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    • 2014
  • Objectives: The purpose of this study was to evaluate the characteristics of worker exposure to hazardous chemical substances and propose the direction of work environment management for protecting worker's health in the semiconductor assembly process. Methods: Four assembly lines at two semiconductor manufacturing companies were selected for this study. We investigated the types of chemicals that were used and generated during the assembly process, and evaluated the workers' exposure levels to hazardous chemicals such as benzene and formaldehyde and the current work environment management in the semiconductor assembly process. Results: Most of the chemicals used at the assembly process are complex mixtures with high molecular weight such as adhesives and epoxy molding compounds(EMCs). These complex mixtures are stable when they are used at room temperature. However workers can be exposed to volatile organic compounds(VOCs) such as benzene and formaldehyde when they are used at high temperature over $100^{\circ}C$. The concentration levels of benzene and formaldehyde in chip molding process were higher than other processes. The reason was that by-products were generated during the mold process due to thermal decomposition of EMC and machine cleaner at the process temperature($180^{\circ}C$). Conclusions: Most of the employees working at semiconductor assembly process are exposed directly or indirectly to various chemicals. Although the concentration levels are very lower than occupational exposure limits, workers can be exposed to carcinogens such as benzene and formaldehyde. Therefore, workers employed in the semiconductor assembly process should be informed of these exposure characteristics.

The Relationship between Hospital Selection by Employer and Disabilities in Occupational Accidents in Korea

  • Ahn, Joonho;Jang, Min;Yoo, Hyoungseob;Kim, Hyoung-Ryoul
    • Safety and Health at Work
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    • v.13 no.3
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    • pp.279-285
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    • 2022
  • Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.