• 한국사회정책
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• 제20권3호
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• pp.171-195
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• 2013

산재보험의 현안 이슈 중의 하나는 인적 적용 범위에 관한 것이다. 우리나라에서는 근로기준법상의 근로자 개념과 산재보험법상의 근로자 개념을 일치시켜 적용하면서 사회적 보호 필요성이 제기되는 집단에 한정해서 특례규정을 적용하여 임시적으로 문제를 해결하여 왔다. 본 논문에서는 독일 사회법전과 문헌 연구를 통해 자원봉사자와 특수형태근로종사자 중심으로 독일 산재보험의 적용 방식을 분석하고 시사점을 도출하였다. 독일에서는 우리나라와 달리 의료기관이나 사회복지시설의 자원봉사자, 공공기관과 교회의 자원봉사자, 시민보호를 위한 자원봉사자, 생명구조 활동자, 헌혈자 및 장기 기증자 등을 법률에 의한 당연가입대상자로 적용하고 있다. 국가가 공익 목적의 자원봉사 활동을 적극 지원하여 자원봉사가 활성화되어 있으며, 이러한 지원의 일환으로 자원봉사 활동 관련 재해 위험을 산재보험제도를 통해 보호하고 있다. 산재보험의 적용대상이 종속적 고용관계에 있는 근로자에서 출발하여 확대되는 배경과 과정을 자원봉사자 중심으로 독일 문헌에 기초해 정리하였다. 본 연구를 통해 다음과 같은 시사점을 도출하였다. 첫째, 독일 산재보험제도는 종속적 고용관계에 있지 않은 사회적 취약집단에게 재해 보호 서비스를 제공할 수 있다는 것을 보여준다. 둘째, 사회복지 분야 자원봉사자에게 재해 보호 서비스를 제공할 필요가 있으며 적용방법으로 산재보험제도를 활용하는 것이 바람직하다. 셋째, 사회복지 분야 자원봉사자를 산재보험 당연가입대상자로 설정하여 제도를 운영할 필요가 있다. 넷째, 특수형태근로종사자에 대해서는 우리나라가 독자적인 해결방안을 강구해야 한다.

• 보건의료산업학회지
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• 제9권4호
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• pp.131-144
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• 2015

Objectives : This study investigated the health care utilization patterns and length of stay (LOS) determinants of fracture patients with workers' compensation insurance (WCI) and national health insurance (NHI). Methods : The discharge summary data of 4,394 WCI fracture patients were compared to 28,874 NHI patients. Health care utilization characteristics were compared with a logistic regression analysis, and the LOS determinants were identified with linear regression analysis. Results : The average LOS of the WCI fracture patients was 2.4 times higher than that of the NHI patients. WCI patients used more small or medium sized hospitals, and were more frequently admitted through the emergency room. Females, older patients and patients admitted through emergency room had a significant positive impact on LOS. Conclusions : Healthcare utilization by the WCI fracture patients may include medically unnecessary hospital stays. Therefore, policy makers need to respond appropriately to the inefficient use of health resources by WCI patients.

• 산업경영시스템학회지
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• 제17권29호
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• pp.47-61
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• 1994

Today, we can see the more serious industrial accidents than in the past according to the high growth rate of industrial society. Therefore, from the corporate as well as the human viewpoint it pays to have workers adequately trained and safety - oriented. The cost of accidents is high in terms of medical insurance costs lost time on the job, legal fees for court cases, workers' compensation, disability insurance, and unemployment compensation. The cost of preventing occupational accidents or illnesses is much less then the cost of treatment or workers' compensation. In this study, we investigate the situations of industrial accidents and safety control of 277 coporates in Busan, analyze the causes of accidents and propose the countermeasures to each of causes.

• 대한예방한의학회지
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• 제1권1호
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• pp.137-148
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• 1997

The Serial Securities and the Social Welfare, as the national policy aimed at securing generals' lives, are the policies or systems for the stabilization in lift; especially of law-incomers and workers, for which the povernment has to establish the Social Security System. No wonder the Social Insurance System is a part of the Social Security System and the most important. The Social Insurance System, along with Public Assistance, is underlying the Social Security System. Social Security System includes medical insurance, industrial accident Compensation insurance, national pention insurance and employment insurance. The study is on 'The Oriental Medical Insurance and the Industrial Accident Compensation in the Social Security System' . The rate of industrial accident in Korea marks the highest rank in the world. for laborer, industrial accident do not merely mean the loss of health but the question of the right to live in terms of their loss of opportunity of life. The industrial accident compensation system should be established as the es post facto remedy system to guarantee the injured worker and his/her family's life. The oriental medical insurance system which began to operate in 1987 in Korea is based on unionism and divided into 3 parts; one part for the worker, a second part for the community inhabitants, and a third part for the public service personnel and private school personnel. Today the medical problem must be the most important social assignment to be considered. The medical system of contemporary industrial society has began greatly stood out in relief as a part of social welfare not emphasized on gainings of physicians. Accordingly systematization of the oriental medical insurance was strongly Pursued and it was developed to to the extent of entire nation insurance. Though the history of it is very short, most of the people are getting benefit from the insurance system by the social security system method. This study develops the Oriental Medical Insurance, the Workmen's Accident Compensation Insurance, the Pension System in relation to the industrial accident compensation of Employees, along with the ideas and principles of social insurance.

• 해양환경안전학회지
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• 제28권4호
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• pp.567-576
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• 2022

선원은 해상이라는 노동환경의 공간적 특수성으로 말미암아 예측할 수 없는 다양한 해상위험에 노출되어 있어 이를 고려해 재해선원에 대한 충분한 보상이 필요하다. 그러나 우리나라의 선원법은 육상근로자와 비교했을 경우 재해선원에 대한 보상이 미흡한 상태이다. 이에 본 연구에서는 유럽의 사회보험 선진국인 독일의 해양노동법, 산재보험법을 살펴보고 우리나라와 비교하여 시사점을 도출하고자 하였다. 먼저 선원재해 발생 시의 보상 주체에 대해서 독일은 공적 성격의 기관에서 관리하는 반면 우리나라는 선박소유자가 전적으로 보상하고 있는 것으로 조사되었다. 두 번째로 재해보상의 내용에 대해서 독일은 다양한 지원제도를 통해 연속적인 치료와 요양을 제공할 뿐 아니라 선박 업무 복귀를 위한 다양한 프로그램을 운영하고 있다. 그러나 우리나라는 선박소유자가 재해보상의 책임을 면할 수 있도록 하는 일시보상제도를 두고 있어 재해선원에게 불리한 상황인 것으로 분석되었다. 마지막으로 선원재해의 원인을 판단하는 주체는 독일의 경우 공적 성격의 산재보험조합이 업무 기인성에 대해 판단하고 있으나, 우리나라는 선박소유자나 보험회사에 의해서 결정되고 있는 것으로 나타났다. 따라서 우리나라의 재해선원에 대한 적절한 보상을 위해서 선원재해보상을 주관하는 공공기관을 설립하여 역할을 부여할 필요가 있으며, 재요양, 장해연금, 재활급여 등을 보상받을 수 있도록 선원법 정비 또는 관련 제도의 개선이 필요하다.

• 한국안전학회지
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• 제16권2호
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• pp.103-109
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• 2001

When workers get accidents in doing their works, industrial accident insurance covers the compensation for the accidents. Generally, this kind of costs is applied in terms of Direct Cost. In our society circumstance to terminate the accident, many kinds of cost (Non-Insurance Cost) are also discharged. Non-Insurance Cost resulted from additional compensation for insurance allowance, is the important basic data source to estimate Loss Cost. Several studies have been done for the output of accident cost, but companies have difficult to apply these studies into practice and generalize the amount of accident loss cost. This study means to suggest improving solutions for the output of Accident Loss Cost and to reduce Opportunity Cost caused by Industrial Accident.

• 한국직업건강간호학회지
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• 제16권2호
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• pp.222-231
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• 2007

Purpose: This study aims to suggest political alternatives for nursing care costs for PCAs to provide qualitative medical benefit for patients with occupational disease by investigating present situation and problems of the nursing care cost system of Korea's Industrial Accident Compensation Insurance. Methods: Data was collected from 6 workers' accident medical corporation and 275 nurses affiliated with Korea labor welfare corporation using self reported questionnaire. Result: Research results were as follows; Character of nursing care cost of the Korea's Industrial accident Compensation Insurance changed as if it aims to support for living expenses for the family; As possible problems which could be caused under current system, administrative problems, decrease of service quality were made as objects of criticism. Some patients did not make every effort in rehabilitation to be beneficiaries continuously. Some patients were supplied with whole one PCA or all-night PCA even though they did not need as much caring as such. Conclusion: The research suggested that PCAs payment system improvement is necessary, and the presented nurses' opinion for the improvement method could be applied for policy making.

• 한국건축시공학회지
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• 제10권5호
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• pp.69-74
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• 2010

건설현장에서 발생하는 재해는 산업재해보상보험으로 보상되는 것이 정상적인 방법이나 일부 재해는 발생사실을 은폐하여 건설업체나 현장에서 직접 보상하는 음성적인 방법인 ‘공상처리’를 하는 경우도 있다. 이러한 음성적인 방법은 공공 공사 입찰에 반영되는 PQ점수에서 가점을 받기위한 목적도 있으며, 향후 수주활동에 불이익을 당하지 않으려는 협력업체의 입장도 반영된 것으로 볼 수 있다. 일부는 재해율에 대한 건설업체의 약점을 알고 이를 이용하여 부당한 산재보상을 요구하는 경우도 있다고 한다. 본 연구는 건설현장의 재해가 미치는 영향과 환경을 알아보고, 이에 대한 건설공사 참여자의 인식을 조사하여 문제점 파악 및 대안 도출의 기초자료를 제공하는 것이다.

• 한국산업보건학회지
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• 제22권1호
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• pp.26-31
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• 2012

Objectives: To review the occurrence of cancer cluster in S Electronics semiconductor factories, process of epidemiological researches and lawsuit for industrial accident compensation. Methods: Occupational Safety and Heatlh Research Institute (OSHRI) epidemiological research report, Seoul National University (SNU) field survey report and Seoul Administrative Court ruling were investigated. Result:: OSHRI denied the association between working environment and outbreak of cancers, but SNU survey team reported that carcinogens do exist in workplace and the workers are exposed to them. Seoul Administrative Court ruled that 2 victims got cancer due to hazardous chemicals in working environment and be compensated but 3 victims were not acknowledged. Conclusions: Procedure of current OSHRI epidemiological research should be reassessed by the purpose of Occupational Accident Compensation Insurance Law.

• 대한안전경영과학회지
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• 제12권3호
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• pp.73-79
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• 2010

Currently, in Korea, an accident that takes place during a worker's commuting is generally not considered as work-related accident. However, there are several exceptions such as an accident that occurs in commuting while using transportation provided by an employer, an accident that happens during commuting time that can be regarded as part of a business activity (e.g. tending to work instructed by an employer on the way to or from work), and an accident that is caused by insufficient facility management by an employer. It is even more so as the workers' commuting distance increases with expanding scale of a city, and traffic accident occurs more frequent. Social risk of commuting-time accident is on the rise. Under this circumstance, it is an important social issue to explore how to protect workers from commuting-time accident.