• Health Policy and Management
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• v.20 no.1
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• pp.103-124
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• 2010

Objectives: The out-of-pocket payment (OOP) of the Industrial Accident Compensation Insurance (IACI) in Korea was investigated empirically in terms of its incidence, magnitude and factors influencing them. Methods: The subjects were sampled with stratified, randomized methods among medical institutions of which the number of monthly IACI claims exceeded its median as of May 2008. Out of 204 institutions selected, 118 institutions (57.8%) responded to this survey. A total of 24,826 episodes(2,457 inpatient and 22,369 outpatient episodes) were included in this analysis. The incidence and magnitude of OOP of IACI were calculated by characteristics of institution as well as patient. Factors that affected the incidence and magnitude of OOP were investigated through multi-level analysis. Results: The overall incidence of OOP of IACI was 9.9% (25.6% for inpatient and 8.2% for outpatient) and the percentage of OOP among total expenditures was 8.3% on average (7.6% for inpatient and 26.8% for outpatient); 25.2% at traditional oriental medicine hospitals, 9.5% at general hospitals and 2.5% at the industrial-accident-designated medical institutions. The incidence of OOP of IACI was influenced by hospital size, ownership, longer duration of designation (over 5 years) and length of stay. On the other hand, its magnitude was influenced by medium-sized hospital, public hospital, location of large city and length of stay. Extra charges for upper grade room which accommodates less than 4 patients and treatment by specialists were the leading contributors to the magnitude of OOP of IACI. Conclusion: The incidence and magnitude OOP of IACI varied in institution type and were influenced by both institutional and patient's factors. In order to achieve the goal of Industrial Accident Compensation Insurance, appropriate level of compensation, that is, no incidence of OOP, for accident and disease of workers, it is necessary to take measures to reduce incidence and magnitude of OOP.

• Journal of the Korea Safety Management & Science
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• v.14 no.1
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• pp.53-63
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• 2012

The purpose of this study is to grasp foreign worker's industrial safety and health state, which find out the improvement to secure the basic safety net for foreign workers. We have investigated 2,050 workers through direct interviews during the period from April 12, 2010 to May 31, 2010. And the result of analysis, foreign worker's daily average working time is 10.6 hours(40.8% workers in total work 10~12 hours), the extent of exposure to harmful and dangerous working environment is 'the position which cause pain in neck, waist, hands, shoulders, legs'(69.3%), 'repetitive hands and arms movement'(66.1%). It showed 'experience of accident damage or disease related work'(27.3%), 'never apply for industrial accident compensation' is revealed high at 73%. As a result of completing a safety health education for a year, it showed 'never educated'(40.2%), 'the institute that foreign workers have used for help and advice is the foreign worker's support center'(61.9%) Thus, hiring foreign workers in the company are small in site, the environment is too harmful and dangerous. In addition, no safety and health managers, legally blind spot located in the health and safety, because it is an urgent meet for these measures to improve.

• The Korean Journal of Health Service Management
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• v.10 no.1
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• pp.143-154
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• 2016

Objectives : The aim of this study was to validated the effectiveness of the information gap in work and daliy life satisfaction. Additionally, this study attempted to verify the mediating effect of self-esteem. Methods : The study examined 327 students who participated in a study on the PSWCI 1st Wave by KCOMWEL. Data were analyzed through descriptive statistics using the reliability test in SPSS 22.0 Ver. Moreover, hypothesis testing was analyzed with covariance based on structure equation modeling (CB-SEM) using Amos 21.0 Ver. Results : The low information gap has a positive effect on satisfaction with work and daily life. Additionally, self-esteem also has a positive effect on each satisfaction measure. However, self-esteem does not have a mediating effect between information gap and each satisfaction measure. Conclusions : The results of the study found the factor of effect on effect factor on beneficiary's satisfaction of industrial accident compensation insurance. Therefore, new ways need to be found that reduce the information gap and increase self-esteem.

• Health Policy and Management
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• v.21 no.4
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• pp.599-616
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• 2011

This research was performed to investigate the determination factors of medical service to cover the fee for selecting a doctor which is one of the most important causes of debilitating national health insurance in Korea. Data was from Korea Health Panel and analyzed by Dutton(1986)'s medical service model which was an extended Anderson Model and was widely used in the researches on determination factors of medical service. The results were as follows; In the determinants of selecting a doctor in specialized medical institutions and general hospitals, patients with serious diseases selected doctors more often than other patients. By industrial accident compensation insurance law and enforcement ordinances, insurance covers the fee of selecting a doctor in the hospitals appointed by Labor Welfare Corporation for the patients in critical conditions under industrial accident compensation insurance, while health insurance patients pay the fee themselves for selecting a doctor in all cases. It is suggested that patients with serious diseases proved by medical opinion be provided with health care insurance in selecting a doctor and that the health insurance benefit coverage be enhanced by staged lowering of patient's cost-sharing.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.28 no.4
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• pp.346-351
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• 2018

Objective: This study aims to provide information needed to determine the wages paid for replacement labor for work lost following accidents in agricultural operations. Methods: Visits and interviews were conducted with 171 farmers who experienced a loss of at least one day of work due to an agricultural workplace accident. Results: It was found that only 35.1% of the study participants hired replacement labor, and more replacement labor was hired in greenhouse and fruit workplaces than in open field work. The mean number of days of hiring replacement labor was 14.6 days, and no significant differences were found between the national average wage and the surveyed value, while female workers were paid less than their male counterparts. Conclusions: The results from this study would be of help in determining a reasonable level of compensation for lost work.

• The Korean Journal of Health Service Management
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• v.9 no.4
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• pp.183-196
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• 2015

Objectives : The purpose of this study was to analyze the factors affecting the level of subjective health recovery among injured workers. The aim in this study was to find an efficient worker's compensation service for subjective health recovery among injured workers. Methods : From the 1st panel study of worker's compensation insurance, data for 2,000 injured workers was analyzed with SPSS 22.0 and AMOS 22.0. Results : There was a statistically significant difference in the level of self-perceived health recovery depending on socio-demographic characteristics, disability characteristics and medical care services. Factors such as gender, education level, socio-economic level, disability level, claim duration, and treatment duration appropriacy affected the level of self-perceived health recovery. Conclusions : Worker's compensation services should take into consideration the factors that affect the health recovery of injured workers.

• Journal of the Korean Society of Safety
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• v.28 no.5
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• pp.78-82
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• 2013

The purpose of this study is to review the labor force partitpation rate and work environment characteristics of female workers to provide basic information for establishment and implementation of effective policies related to accident prevention and workers health protection for female workers. It was analyzed employment status, work environment and injuries and illnesses based on economic activity census results, compensation of industrial injury and the second working condition survey. According to economic activity census results, female labor force participation rate has been steadily increased, whereas male labor force participation rate has been decreased since 1970. Industrial accident rate has been declined in male workers but that in female workers has been steadily increased even though male workers were higher accident rate than female workers. It was evaluated that female workers are vulnerable to industrial injuries and illnesses in the aspect of their working environment and employment status. Also, Substantial differences between female and male workers in occupational exposure patterns, occupational disease and occupational environments were observed. Therefore it was recommended that special care programs for female workers such as a specialized monitoring and management program should be introduced in the near future.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.9
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• pp.5865-5874
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• 2015

Large accidents such as the recent to the ringing years Pat disaster they become apparent in the human resources, the cause of the accident is also the site corresponding manual member and management blind spots, are aggregated such as safety frigidity. Big problem is safe frigidity of workplace than accident. It is also a reason to introduce a punitive damages system in offices and business owners that caused the direct safety accident from this point. Punitive damages agent and compensation for mental damage, by so as to compensate for far more money than the actual damages, which carry a punishment nature to prevent a situation where the tort is repeated. Currently, it admits "compensatory damages system" corresponding to the damage that gave basically damage by law, but are subject to criticism that not properly relief victims. However, there is a need for the introduction of punitive damages system for safety accident prevention. This is, this system, while to prevent the recurrence of the reverse safety accident, strive to investment and management for safety, healthy companies can operate in the direction of giving more opportunities, national companies that are ignoring and threatening the safety, but to leave because the match also to social justice.

• International Journal of Safety
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• v.3 no.1
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• pp.47-52
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• 2004

Current OSH system was analyzed in this paper to explain why high fatal incidents and disasters are continuously repeated for recent years in Korea. It was found that we have Dichotomous Perceptional Misconception of prevention before accident and compensation after accident and there is a significant lack of proper feed­back reward system for OSH performance. It was assumed that no reduction of accident rate and fatality rate have not been achieved recently despite of a great effort and increased resource allocations. Some statistics for proving weak punishment were analyzed. In the current system, the will of administrative agency would have been very limited particularly in the legal aspects. The Industrial Safety and Health Act is not suitable to after-injury punishment for employer and/or corporate since it is based on a framework for enforcement of prevention. Based on these analyses, it was concluded that there was a need to consider a special law for Corporate Accountability for Fatal Accidents. Because it is necessary to consider seriously for introduction of a new legal system for after injury punishment to repair the current system where it was found lack of proper feedback system. Also, there was no proper sanction measures for corporate with the current OSH legal system, and the most urgent problem in OSH area is the high fatality rate. it is necessary to consider seriously for introduction of a new legal system for after injury punishment. Also, there is no proper sanction measures for corporate with the current OSH legal system, and the most urgent problem in OSH area is the high fatality rate.

• 대한예방의학회:학술대회논문집
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• 1999.10a
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• pp.51-52
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• 1999