• 제목/요약/키워드: Occupational Disability Grades

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산재보험 빅데이터를 활용한 장해등급 예측 모델 개발 (Development of a Predictive Model forOccupational Disability Grades Using Workers'Compensation Insurance Data)

  • 최근호;김민정;이정화
    • 한국정보시스템학회지:정보시스템연구
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    • 제33권3호
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    • pp.187-205
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    • 2024
  • Purpose A prediction model for occupational injuries can support more proactive, efficient, and effective policy-making. This study aims to develop a model that predicts the severity of occupational injuries, classified into 15 disability grades in South Korea, using machine learning techniques applied to COMWEL data. The primary goal is to improve prediction accuracy, offering an advanced tool for early intervention and evidence-based policy implementation. Design/methodology/approach The data analyzed in this study consists of 290,157 administrative records of occupational injury cases collected between 2018 and 2020 by the Korea Workers' Compensation & Welfare Service, based on the 'Workers' Compensation Insurance Application Form' submitted for occupational injury treatment. Four machine learning models - Decision Tree, DNN, XGBoost, and LightGBM - were developed and their performances compared to identify the optimal model. Additionally, the Permutation Feature Importance (PFI) method was used to assess the relative contribution of each variable to the model's performance, helping to identify key variables. Findings The DNN algorithm achieved the lowest Mean Absolute Error (MAE) of 0.7276. Key variables for predicting disability grades included the severity index, primary disease code, primary disease site, age at the time of the injury, and industry type. These findings highlight the importance of early policy intervention and emphasize the role of both medical and socioeconomic factors in model predictions. The academic and policy implications of these results were also discussed.

폐기능 예측식에 따른 폐환기능 장해도 변화 (Changes of Pulmonary Disability Grades according to the Spirometry Reference Equations)

  • 이정오;최병순
    • Tuberculosis and Respiratory Diseases
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    • 제69권2호
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    • pp.108-114
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    • 2010
  • Background: The aim was to estimate the differences between pulmonary disability grades according to the spirometry reference equations (the Korean equation and the Morris equation). Methods: Spirometry was performed on 16,916 male and 1,353 female special examination for pneumoconiosis, in the period of 2007~2009. Changes in predictive values for forced expiratory volume in one second ($FEV_1$), forced vital capacity (FVC) and $FEV_1$/FVC and in disability grade were evaluated using both equations. Results: Mean FVCs for men and women were 4,218.7 mL and 2,801.5 mL in predictive values after the application of the Korean equation, and 3,763.9 mL and 2,395.6 mL after the Morris equation, respectively. Compared with the Morris equation, the Korean equation showed 10.8% and 14.5% of excesses for men and women (p<0.001). Mean $FEV_1s$ for men and women were 3,102.5 mL and 2,107.1 mL in the Korean equation, and 2,667.8 mL and 1,699.6 mL in the Morris equation, respectively. Compared with the Morris equation, the Korean equation showed 14.0% and 19.3% of excesses for men and women (p<0.001). Men and women who showed the changes of disability grades using the Korean equation in place of the Morris equation were 23.9% (4,052/16,916) and 22.9% (311/1,353) on FVC, and 23.1% (3,913/16,916) and 10.7% (145/1,353) on $FEV_1$. Conclusion: Applying different reference equations for spirometry has resulted in changes for disability grades in special examination for pneumoconiosis.

학령기 지체장애 아동의 스트레스와 공격성 비교연구 (Relationship of Stress and Aggression on Schoolchildren with Physical disability)

  • 김희정;김동현
    • 대한지역사회작업치료학회지
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    • 제6권2호
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    • pp.31-38
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    • 2016
  • 목적 : 본 연구의 목적은 학령기 지체장애 아동의 스트레스와 공격성에 연관성을 알아보고 공격성에 영향을 주는 요인을 찾아 작업치료 중재에 참고할 수 있는 정보를 제공하고자 하였다. 연구방법 : 본 연구는 경상북도, 경상남도, 대구광역시, 부산광역시 소재의 병원에서 지체장애 등급판정을 받은 105명의 학령기 아동들의 설문을 통하여 자료를 수집하였다. 일반적인 특성은 기술통계로 분석하였고, 특성에 따른 스트레스와 공격성 값은 t검증과 일원배치분산분석으로 분석하였고, 스트레스와 공격성은 피어슨 상관분석 하였고 단계별 회귀분석을 실시하였다. 결과 : 첫째, 스트레스는 2.65점이었고 공격성은 전체 2.53점이었으며 신체적 공격성이 3.01점으로 가장 높았다. 둘째, 학년에 따른 비교는 신체적 공격성이 유의미한 차이가 있었고(p=.021), 성별에 따른 비교는 스트레스(p=.048), 전체 공격성(p=.040), 신체적 공격성(p=.047)이 유의미한 차이가 있었고, 학교생활만족은 스트레스(p=.035)와 전체 공격성(p=.042)이 유의미한 차이가 있었다. 셋째, 스트레스와 공격성의 상관관계에서는 전체 공격성(r=.475), 신체적 공격성(r=.568), 언어적 공격성(r=.311), 분노(r=.397), 적대감(r=.491) 모두 유의미한 양적 상관성을 보였다. 넷째, 학령기 지체장애 아동의 공격성에 영향을 주는 요인은 스트레스, 성별의 남자, 학교생활 만족도이었다(F=61.187, p<.01). 결론 : 본 연구는 학령기의 지체장애 아동이 겪고 있는 스트레스와 일반적 특성 중 일부가 그들의 공격성에 영향을 미치는 사실을 알게 되었다.

우리나라의 신체장애평가법에 관한 비교연구 - 신체장해등급법, McBride법, 미국의학협회 (AMA)기준법을 중심으로 - (A Comparative Study on Evaluation Methods of Permanent Impairment in Korea)

  • 이창옥;최정근;손미아;문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제27권3호
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    • pp.627-651
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    • 1994
  • In this study, literature review was done to examine and compare the current status and problems of different evaluation approaches toward permanent impairment in Korea. Alternatives and improvements in the current approaches in Korea were suggested. Series of cases were also examined to compare different approaches applied to the real cases, using 105 cases from a hospital data and another 207 cases from a insurance company data. The main findings of the literature review are as follows; 1. The current evaluation methods of permanent impairment in Korea are grouped into two categories, grading and rating. Gradings of impairments are expressly specified in 17 various statutes. 2. In Grading methods, the rigid system of 74 different grades has been adopted uniformally for the convenience of administration, which may not be, appropriate or valid from medical and scientifical aspect. 3. The adventage of McBride method is assessment of occupational disability rate. However the classified compensable occupations are only 280 and limited to manufacturing industries in 1960s'of U.S.A., which is not appropriate to current Korean circumstances. Especially, the job list does not include managerial officers or mental workers. 4. AMA Guides is the scientific and reasonable method for the assessment of physical impairment rate. However compensation and reparation of impairment case is difficult because this method cannot assess the disability rate according to occupation, age, etc. The results of cases comparative study are as follows: 5. The physical Impairment could be compared in 167 out of total 312 cases, and for the cases of complex impairment, McBride method underestimate physical impairment rate compared with AM A method. 6. When disability late was assessed, occupation was considered the compensation of only 85 cases, and age was used in only 21 cases. This was because occupation and age compensation in McBride method are unreasonable. 7. The most Ideal alternative is to assess physical impairment according to AMA method and then to develop a compensation method appropriate for the circumstances of Korea society.

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