• 보건의료산업학회지
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• 제7권4호
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• pp.243-257
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• 2013

This study was conducted in order to survey in healthcare worker's recognition of diagnosis related group(below; DRG) effect from July 1, 2012, to examine their recognition, expectation of the DRG system, and to provide the basic data necessary for the enforcement of the settlement. The subjects of this study were workers at clinics and hospitals sampled from hospital with DRG applying 7 diseases in Busan and Kyung-nam. A questionnaire of survey was conducted with the subjects working at clinics and hospitals from July, 25, 2012 to September 7, 2012, and the subjects were limited to doctors, officers, nurses, medical technicians and nurse assistants, and a total of 618 subjects were enrolled in this study. In the result of this study, generally, the healthcare workers recognized the DRG system. But their knowledge about that was not clear. Expanding enforcement DRG system at the present time, to provide accurate information to the healthcare consumer, workers need to know about DRG system clearly. To this end, for national health policy and medical institutions, workers should be educated constantly about providing medical service as well as the duty of enough explanation about the healthcare consumer's right to know.

• 한국산업보건학회지
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• 제25권3호
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• pp.418-427
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• 2015

Objectives: This study evaluated the association between work related characteristics and hypertension among white collar workers in Korea. Materials and methods: This study was based on the Third Korean Working Conditions Survey(KWCS) conducted in 2011 among workers 15 years of age or older. The total number of individuals included in the analysis was 10,365 white collar workers. Results: The prevalence rate of hypertension was 3.7% among men and 1.0% among women. In multiple logistic analysis the adjusted odds ratio showed statistically effective association to hypertension. For work related characteristics, 1.73 (95% confidence interval, 1.22-2.46) resulted for large-company workers compared with the small-company group, 2.14 (95% CI, 1.22-3.75) for the long working hours group (61 or above) compared with short working hours group(52 or below), 1.78(95% CI, 1.08-2.95) for night shift workers compared with day workers, and 1.54 (95% CI, 1.18-2.01) for high job stress workers compared with low job stress workers. Conclusions: This study showed that it is important for workers to manage their work environment in order to prevent hypertension by modifying their types of work.

• 한국사회복지학
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• 제68권4호
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• pp.97-118
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• 2016

본 연구는 산업재해 이후 직업에 복귀한 산재근로자의 일자리만족도 영향요인을 원직장복귀자와 타 직장재취업자 간의 비교를 중심으로 검증하는 것을 목적으로 한다. 이를 위해 근로복지공단의 산재보험패널 1차자료(2014)를 활용하여 임금을 목적으로 사업주에게 고용된 산재근로자 1,333명(원직장복귀 693명, 타직장재취업 640명)을 대상으로 각각 다중회귀분석을 실시하였다. 주요 분석결과는 다음과 같다. 첫째, 타직장재취업자는 원직장복귀자에 비해 일자리만족도 및 근로지속가능성, 종사상지위, 월평균소득 등의 제반 특성들이 상대적으로 취약한 것으로 나타났다. 둘째, 원직장복귀자의 일자리만족도에는 성별, 학력수준, 기술적합도, 월평균 소득, 복리후생 혜택, 가족수입 여가생활 주거환경 사회적 친분관계 만족도, 요양 중 사업주와의 관계여부가 영향을 미치는 것으로 나타났다. 셋째, 타직장 복귀자의 경우, 성별, 종사상 지위, 기술적합도, 지속근무여부, 월평균급여, 복리후생혜택, 가족수입/여가생활/사회적 친분관계만족도, 요양 중 담당업무 주체, 요양 중 사업주와의 관계여부가 일자리 만족도에 영향을 미치는 것으로 나타났다. 이러한 연구결과를 바탕으로 산재근로자의 일자리만족도 제고를 위한 정책 및 실천적 방안을 제언하였다.

• Journal of Preventive Medicine and Public Health
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• 제37권2호
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• pp.182-189
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• 2004

Objectives : The objective of this study is to compare the circadian patterns of heart rate variability assessed by 24-hour ambulatory electrocardiographic (ECG) recordings during day shift and night shift among the workers in the 5 days-concecutive-12-hour shift in an automobile factory in Korea. Methods : The study population consisted 300 workers, who were randomly selected among the 8700 total workers in one car factory. To analyse circadian variation, the 24-hour ECG recordings (Marquette) were measured during day shift (08:00-20:00 h) and night shift (20:00-08:00 h). Analysis was performed for all time and frequency domain measures of HRV. 233 workers completed taking 24-hour ECG recordings. Results : This study shows that the 24 hourcircadian variation mainly follows work/sleep cycle rather than day/night cycle among shift workers. This study also shows that among the night shift, the circadian variation between work and sleep cycle decreased compared to the work/sleep cycle among day shift workers. All time and frequency domain parameters (except LF/HF ratio) show significantly different between work and sleep in the day shift and night shift. Conclusion : These changes in heart rate variability circadian rhythms reflect significant reductions in cardiac parasympathetic activity with the most marked reduction in normal vagal activity among the shift workers. Especially, it suggests the circadian rhytm has blunted among the night workers. The quantification of the circadian variation in HRV can be a surrogates of workers' potential health risk, as well as suggests possible mechanisms through which the shift works compromise workers' health.

• Journal of Preventive Medicine and Public Health
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• 제22권2호
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• pp.181-188
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• 1989

In this study an attempt was made to determine the factors affecting anemia in female industrial workers. The population was identified through the records of screening examinations given by Kosin Medical Center to the industrial workers in Sasang Industrial Complex during the period from March 1987 to October 1988. One hundred twenty eight cases were selected from the records screening examination of 155 anemic patients. A case-control study was carried out using matched 128 anemic cases and 128 non-anemic workers who were selected by simple random sampling. Age was matched, and their occupational history, general characteristics, physical characteristics and health status were analyzed. The results were; 1. In the anemic group, educational level was lower, and the frequencies of irregular menstruation and poor appetite were higher than in the control group but these differences were statistically not significant. 2. The percentage of workers working with organic solvents, working hours and years of service (total years exposed to organic solvents) were significantly higher in the anemic group than those in the control group. 3. A career exposed to organic solvents was more influential factor affecting anemia in the female industrial workers rather than menstruation amount of other factors, and it was statistically significant.

• 한국산업보건학회지
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• 제33권3호
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• pp.355-364
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• 2023

Objectives: The objective of the present study was to identify mycobacterial infection in retired dusty workers who were ineligible for medical care benefits for work-related pneumoconiosis. Methods: Sputum samples were collected from 170 retired dusty workers living in Gangwon-do. The mycobacterial culture was grown in 2% Ogawa medium and Mycobacteria Growth Indicator Tube(MGIT). Mycobacterial species were identified using MolecuTech REBA Myco-ID^Ⓡ. Results: Thirty-one(18.2%) out of 170 sputum samples were identified as positive for culture. Among the positive culture samples, eleven(6.5%) were identified as mycobacterial species. The proportion of mycobacteria was M. avium 2.3%(4/170), M. fortuitum complex 1.2%(2/170), M. intracellulare 1.2%(2/170), M. abscessus 0.6%(1/170), M. tuberculosis(MTB) complex 0.6%(1/170), and MYC(NTM except 19 species) 0.6%(1/170). Conclusions: In comparison with previous studies, the incidence rate of tuberculosis(TB) in retired dusty workers who were ineligible for medical care benefits for work-related pneumoconiosis was higher than in close contact with TB patients, workers exposed to silica, and patients with silicosis. And the proportion of non-tuberculosis mycobacteria(NTM) was higher than that of MTB.

• 융합정보논문지
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• 제11권2호
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• pp.163-172
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• 2021

이 연구의 목적은 노인의료복지시설 종사자들의 근무환경과 관리자 신뢰, 그리고 서비스 질과의 구조적 관계를 분석하기 위하여 연구 모델을 설정하고 이를 규명하는데 있다. 그 결과 첫째, 노인의료복지시설 종사자들의 근무환경과 서비스 질 간에 유의한 인과관계가 있는 것으로 나타났다. 둘째, 노인의료복지시설 종사자들의 근무환경과 관리자 신뢰는 유의한 인과관계가 있는 것으로 나타났다. 따라서 노인의료복지시설의 목표 달성과 서비스 질 향상을 위해서는 구성원들의 근무환경 조성과 신뢰관계 형성이 선행적으로 이루어져야 할 것이다. 아울러 노인의료복지시설 종사자들의 역량 함양과 질 높은 서비스를 제공하기 위해서 관리자들은 구성원들의 개인 특성을 이해하고, 역할에 따른 임무를 부여하기 위하여 정확한 업무 분장과 인사관리가 필요 할 것이다.

• 한국직업건강간호학회지
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• 제14권1호
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• pp.56-70
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• 2005

Objectives: The purpose of this study is to develop a linking model between industrial injury insurance organs and local organizations providing social welfare health services, for the activation of medical rehabilitation services for industrial injury patients. Method: Research design for this study was a multi-step research through literature review, field research, and group interviews with persons in charge, to compare local society-oriented medical rehabilitation programs. The term of researches Sep.1 ~ Nov. 30, 2004. Results: 1. Home nurses from Workers Accident Medical Corporation have been taken to be adequate to case managers, who link industrial accident insurance institutions to local society services for the activation of medical rehabilitation services for industrial injury patients. They have been chosen for case managers because they have richer understanding and experiences of objects of industrial accidents than any other specialists, and because they have proved to be able to provide direct home services as a specialist. We have established the center for case management affairs within the workers accident general hospital, organized the committee for case management with doctors in charge, doctors in rehabilitation, rehabilitation consultants, social welfare workers, physical therapists, and nurses, determined objects of case managements from those of long-term recuperation, and constructed a course of case management containing from case management plans to evaluation. 2. We have made files of community resources, and organized the council of industrial accident administration to have it in charge of the adjustment and linking of services in case management affairs. 3. Because there are inequality of community resources between areas, differences in experiences in and bases for linking, and disparity of core organizations with active linking in the system of linking between public and civil sectors, we have taken a system of linking between parallel organs to be the core. In our linking model, workers accident general hospital, hospitals designated for industrial injury, and rehabilitation hospitals are linked in parallel, inadequate long-term recuperation managers are trusted to an workers accident medical corporations through examination by the examination committee in Korea Labor Welfare Corporation, and are dealt with by the committee for case management. Of the hospitals designated for industrial accidents, those running a home caring center provide home caring services for the handicapped at home from industrial injury. 4. Workers Accident Medical Corporation take part in medical rehabilitation, and Korea Labor Welfare Corporation in vocational/social rehabilitation. Furthermore, in the model, the latter should construct a system for job opportunities through Internet portals and provide cyber vocational consultation and introduction. Conclusion: Improvement of systems is needed to apply the linking model to practical affairs. Because this model is centered for practical affairs, it should be put under the analysis of effects, and evaluation of its adequacy to practical application, and its effects and efficiency through experimental running in the 8 workers accident general hospital in Korea.

• 한국산업보건학회지
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• 제27권3호
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• pp.238-244
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• 2017

Objectives: The major objective of this study was to investigate the prevalence of and risk factors for latent tuberculosis infection (LTBI) among employees at a workers' compensation hospital. Methods: Among the 394 employees at Incheon Hospital, 362 were enrolled in the study. An interferon-gamma release assay(IGRA) for diagnosis of LTBI was performed using QuantiFERON$^{(R)}$ TB Gold In-Tube(QFT-IT). Risk factors for LTBI were analyzed using logistic regression analysis. Results: The overall prevalence of LTBI was 32.0%(116/362). The non-medical departments have a significantly high prevalence compared to medical departments(39.7% vs 23.2%). In multivariate logistic regression analysis, experience working in the pneumoconiosis hospital(OR, 3.6; 95% CI, 1.3-10.3) was associated with development of LTBI. Conclusions: Korean guidelines for the management of tuberculosis recommend annual regular health examinations for TB and LTBI for health care workers(HCWs). Considering the high prevalence of and risk factors for LTBI among non-HCWs, it suggests a need for annual regular health examinations for TB and LTBI for all employees at workers' compensation hospitals, including pneumoconiosis hospitals.

• Safety and Health at Work
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• 제8권3호
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• pp.246-249
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• 2017

Health-care workers are at risk of exposure to occupational infections with subsequent risk of contracting diseases, disability, and even death. A systematic collection of occupational disease data is useful for monitoring current trends in work situations and disease exposures; however, these data are usually limited due to under-reporting. The objective of this study was to review literature related to knowledge, risk perceptions, and practices regarding occupational exposures to infectious diseases in Malaysian health-care settings, in particular regarding blood-borne infections, universal precautions, use of personal protective equipment, and clinical waste management. The data are useful for determining improvements in knowledge and risk perceptions among health-care workers with developments of health policies and essential interventions for prevention and control of occupational diseases.