• 한국직업건강간호학회지
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• 제17권2호
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• pp.210-215
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• 2008

Purpose: This study aimed to find the factors affecting medical sequelae management service satisfaction among injured workers. Method: This study population were 200 randomised samples of 619 medical sequelae management beneficiaries from April to June 2007 among occupational accident treatment ending workers in 2006. Data were collected through the telephone survey from November 28 to December 7 in 2007. Data were analyzed by ${\chi}^2$ test and multiple logistic regression using SAS 9.1 version. Results: According to the finding of this study, positive perceptions for the purpose and the effect of medical sequelae management were the factors influencing the satisfaction of medical sequelae management service. Conclusions: We recommend key issues to take into account for enhancing medical sequelae management service satisfaction in workers' compensation as follows; explaining the purpose and effect of medical sequelae management to client, evaluating medical sequelae management effect, and the policy participation of medical profession.

• 한국보건간호학회지
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• 제12권2호
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• pp.12-26
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• 1998

The occupational health problems are the major issue in the modern industrial society. Especially the small scale industries have many hazardous factors and not any occupational health programs in itself. Fortunately. the government-funded subsidiary program was developed and carried out in the past six years in our country. The purposes of this study were to find out the actual condition of the occupational health personnel's accomplishments for the government-funded subsidiary program for small scale industries and to provide basic data for setting up more developed subsidiary occupational health program. Data were collected through 6 kinds of service records review. These service records were written by 3 occupational health personnels were attached to the one subject center of KIHA. were undertaken during March to December, 1997. at 95 small scale industries which were applied the government-funded subsidiary occupational health program. Results were as follows 1. Concerning 95 small scale industries showed characteristics of a typical small scale industry. 2. A doctor visited in industries total 190 times per year, average 19 industries per month, twice per year and industry. A hygienist visited in industries total 378 times per year, average 38 industries per month, four times per year and industry. A nurse visited in industries total 477 times per year. average 47 industries per month, 5 times per year and industry. 3. 3 occupational health personnels accomplished total 3,869 items. A doctor accomplished total 539 items per year, each time 3 items In an industry. A hygienist accomplished total 1.581 items per year, each time 4 items in an industry. A nurse accomplished total 1.749 items per year, each time 4 items in an industry. 4. The major contents of doctor's accomplishment were 'health consultation for suspicious worker with general & occupational disease', 'a check of the workplace & special health education', 'guidance of special medical examination in the second half of year', etc. The major contents of hygienist's accomplishment were 'pretest & guidance of planning for evaluation of working environment'. 'evaluation for ventilating facilities & suporting self inspection', 'guidance of MSDS recording & chemicals management', etc. The major contents of nurse's accamplishment were 'health counseling of general & special medical examination results'. 'health education of preventing occupational disease & health disorder'. 'guidance of subsidiary program planning', 'selecting & guidance of health monitor', etc. It was concluded that the occupaional health personnels implemented the subsidiary program according to the order of health management guide. The current health management guide of subsidiary occupational health program in which the fixed contents, visiting number & periods is not desirable. That guide is left the characteristics of small scale industries out of consideration. It is suggested that occupational health management guide should be developed according to the general & environmental characteristics of each small scale industry, and on the other hand, the more specific guide for each occupational health personnel should be developed.

• 대한안전경영과학회지
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• 제15권4호
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• pp.145-152
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• 2013

The purpose of this study was to investigate the effect of risk awareness on injury experience in quick delivery service workers. Risk awareness has complicate characteristics such as its level of worker and worker's decision about the level of other's risk perception. Data were collected by interview survey with structured questionnaire about injury experience, risk perception, work characteristics, and socio-demographic characteristics of quick delivery service workers by cross sectional survey design in 2012. The sample size was 120 respondent of quick delivery service workers. Statistical method for this study was hierarchical logistic regression method with 3 different models using socio-demographic characteristics and work characteristics and risk perception, etc. The difference between the level of risk perception of quick delivery service and other's was statistically significant effect on the experience of injury. Especially the higher the level of risk perception of quick delivery service workers is than other's, the lower the injury experience of quick delivery service worker is. The limitation of this study can be found in survey design. The future study for investigation of mechanism of the combined effect of risk perception of quick delivery service workers and others on injury experience.

• 한국안전학회지
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• 제25권4호
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• pp.76-83
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• 2010

As one of crucial industries, the service industry occupies a large part of economy in Korea poor in natural resources. However, prevention of industrial disasters has been promoted mainly in manufacturing and construction industries where the frequencies of such disasters and victims are high. Research on the evaluation of workplace safety climate has been conducted centering on traditional industries like manufacturing and construction, and few studies have been made for service businesses. The objective of this study was to evaluate workplace safety climate perceived in the field by workers engaged in service businesses and to contribute to the establishment of industrial safety and health policies in consideration of the characteristics of each business category. Using research variables safety knowledge, safety attitude, safety motivation, safety participation, safety compliance, and safeness of work environment, we evaluated comprehensive workplace safety climate based on the causal relations among the variables. In the results of analyzing data from a questionnaire survey of service business employees, statistically significant effect relations among the variables were identified, and the fitness of the model with approved reliability and validity was verified.

• 한국직업건강간호학회지
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• 제9권1호
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• pp.5-17
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• 2000

The occupational health nursing guideline for primary care was developed by the Korean Academic Society of occupational health nursing and the organization for occupational health nurses (currently known as the Korean Association of Occupational Health Nurses) in 1993. Since then, there have been many changes in the health care environment and job performance of occupational health nurses. Appropriate revisions are necessary of the guidelinea based on this background. The purpose of this study was to describe the use of the occupational health nursing guideline for primary care and to analyze the characteristics of primary care activities by occupational health nurses. The questionnaire was mailed to 150 occupational health nurses(OHNs) with the response rate of 64%. The results can be summarized as follows; 1. 65.6% of OHNs have been using the guideline for primary care and 75.9% of them agreed that the guideline was be helpful for their job. 2. Common symptom care, emergency care and chronic illness care were more frequently implemented than occupational disease care by OHNs. In manufacturing industries, emergency care was more frequently implemented than chronic illness care in contrast to the service industries. 3. Most frequent common symptoms treated by OHNs were indigestion, diarrhea, abdominal pain, headache, and coughing. In the case of chronic illness, OHNs more frequently treated diseases of the gastro-intestinal system, skin and sensory organs, and the respiratory system. Emergency care for bruises, burn, and abrasions was more frequently provided. VDT syndrome was the most common occupational disease cared by OHNs in manufacturing and service industries. 4. OHNs prescribed the medicine for external application more frequently than internal medicine. Remedy for colds, analgesics, vitamins, and digestives were more frequently used. From these results, we suggest that the guideline should be revised to emphasize the activities consisting problem finding such as health assessment, physical examinations, monitoring and screening, and to renew the drug list in the range of over- the counter medication (OTC). In the future, the guideline will include the strategies for the role as the case manager.

• 한국직업건강간호학회지
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• 제4권호
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• pp.5-29
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• 1995

Occupational health services in Korea have been operated as dual types : one is operated by occupational health care manager and the other is health care agency without their own personnel. The performance of occupational health service should be different due to the variety of characteristics of health care manager and workplace, qualification of health care manager. This study is to analyze performance of occupational health care services with a particular consideration of job performance shape and efficiency, based on comparing those two types of health care management to show on the basic data for the settlement of more qualitative health care management system at workplace. For this study, total 391 places in Seoul and Inchon city area ; 154 places (39.4%) managed by designated health care manager and 237 places (60.6%) by the agency with their commission are selected as research samples. Tools for data collection are questionnares that have been investigated during the period of 20 September 1993-20 December 1993. Those data are compared with percentiles, mean, standard deviation and B/C ratio using SPSS PC program. Conclusions observed from the tests and each comparison could be summerized as follows : 1. Occupational health care have been accomplished at workplaces with designated people than with agencies people, and coverage rate of the occupational health care services has differences, due to management types. The reason of these results is due to visit only one or two times monthly by the agencies, while their own health care manager obsess, at the workplaces all the times. 2. Most of the expense for environmental control of all health care services expenditures shows that there is almost no fundamental improvement because more expenses are needed for procuring personal protective equipment and measuring work environment instead of environmental improvement. 3. It is investigated how much the cost of occupational health care services needs per worker, and calculated how much the cost needs per service hour per worker. The results from this show that the cost of occupational health services at workplaces with their own managers used less than the cost of health care agencies, eventually the former gives better services with less cost than the latter. 4. Benefit/Cost ratio is also produced by total benefit/total cost. The result from the above way reads 4.57 as a whole, while their own manager having workplaces reads 4.82 and the agencies do l.56. Even if their own manager performing workplaces spent more cost, this system produces more benefit than the agencies management. 5. The B/C ratio for medical organization such as local clinic, health care center and pharmacy shows more than or equal to at the workplaces controlled by the agencies. It is inferred that benefit would be much less than the cost used, with so being inefficient. 6. It is assumed that the efficiency ratio of health education is equal to reduction rate of workers medical organization visit. Estimated reduction rate 5%, 10%, 15%, show that the efficiency ratio of health education have an effect on producing benefits. It is estimated that more benefit can be produced if more qualitative education will be provided for enhancing health care efficiency. 7. Results of this study cannot be generalized because there are large scale of deviation in case of workplaces with less than 300 full time workers, but B/C ratio reads 2.69 as a whole and 3.25 at workplaces with their own health care manager are higher than 1.63 at the workplaces manged by the agencies. Finally, all the benefit concerning health care services could not be quantified, measured and shown on the value of money. This is a reason that a considerable part of benefits are so underestimated. This is also thought that measurement tools should be developed for measuring benefits of health care services with a comprehensive quantification. in the future. It is also expected that efficiency of occupational health care services should be investigated using cost-effectiveness analysis.

• 한국산업보건학회지
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• 제31권4호
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• pp.540-548
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• 2021

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.

• 한국직업건강간호학회지
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• 제7권2호
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• pp.186-199
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• 1998

Necessity for the guidebook of occupational health nursing practice has been perceived by our OH research members since the health management of small scale enterprises(SSE) was controlled by law. Mean-while, developing the OH manual, our team found that the work situation of occupational health nursing(OHN) services should be prior to the construction of the OHN manual. This procedure was regarded as helpful for producing the OH manual which is fitting to the Korean nursing circumstances. Thus, this study was planned and carried out. The study aimed to find out current situation of work performance on occupational health nursing practice perceived by nurses working for health management of SSE. Questionnaire was distributed to the OH nurses working in the 55 group occupational health service(GOHS) agencies throughout the Korea from January to March in 1997. Ninety-seven nurses of the 31 GOHS agencies responded. Descriptive statistics was used in the SAS programme. Four nurses participated to select nursing area investigated in the study. Those area were 'document', 'job orientation', 'OH reference', 'nursing theory', 'group health education', 'health examination', 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion' and 'communication'. Results can be summarized as follow : Types of document were mentioned diversely depending on the GOHS agencies. Job orientation was seen to be performed by nurses in 56% among the 75.3% nurses responded. Sixty five percents of nurses agreed to apply nursing theories into the OH with lack of knowledge on them. Health screening and health education were responded as commonly provided nursing activities with various nursing obstacles as well as indicated in the area of 'work dilemma', 'approach attitude', 'workplace visit', 'health promotion'.

• 한국산업보건학회지
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• 제8권1호
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• pp.155-161
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• 1998

This study reviewed on the occupational health status of female workers in China, where the half of female population are workers in occupational settings and realizes the importance of occupational health among them, to establish the occupational health management system in Korea as Korean female workers have been increasing for the last few decades. Results of the study were as follows. 1. The proportion of female workers in total workers have increased from 7.5% in 1949 up to 37.6% in 1990. As for the distribution of female workers by industry, manufacturing part has the highest proportion of female workers in total and out of total female workers, the rank was health social welfare (53.2%), community personal service(45.4%) and agriculture forestry fishing(44.1%). 2. The system of occupational health management for female workers was related to superior organization well by administrative district & work place and professionals were distributed to one per ten thousand persons or more, depending on each region's conditions. 3. The regulations of occupational health management for female workers are defined in a variety of fields. Considering the physiological characteristics of female workers, government has tried to minimize the loss due to menstruation, pregnancy, delivery and lactation and has let them have vacations, guaranteeing the health facilities at the same time. Also government has defined the scope of prohibited work to protect legal right of them.

• Safety and Health at Work
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• 제12권1호
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• pp.133-135
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• 2021

The COVID-19 pandemic has resulted in movement restrictions being instituted globally and the cessation of work at many workplaces. However, during this period, essential services such as healthcare, law enforcement, and critical production and supply chain operations have been required to continue to function. In Singapore, measures were put in place to protect the workers from infection at the workplace, as well as to preserve the operational capability of the essential service in a COVID-19 pandemic environment. This paper critically analyses the measures that were implemented and discusses the extension to broader general industry.