• Title/Summary/Keyword: Workers' compensation insurance

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The Gender Sensitive Analysis of Occupational Injuries and Illnesses of Employees (임금근로자의 산업재해에 대한 성인지적 분석)

  • Rhee, K.Y.;Kim, Young Sun;Kim, K.S.;Park, J.S.;Seo, D.U.;Kim, H.M.
    • Journal of the Korean Society of Safety
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    • v.29 no.6
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    • pp.158-165
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    • 2014
  • The statistics of occupational injuries and illnesses is one of the most important indicators of worker's safety and health in the field of occupational safety and health. The conventional statistics was produced without consideration of gender difference. This study was planned to investigate the difference of occupational injuries and illnesses by gender because that recently female workers was increased through the change of industrial structure such as from manufacturing dominated to service dominated structure. Statistics of occupational injuries and illnesses collected by workmen's compensation insurance system that have no information about gender composition of population. Economically active population survey was used to calculated the rate of occupational injuries and illnesses by gender. The distribution of estimated rate of occupational injuries and illnesses by industry, occupation and the type of accident were different between male and female employees, but those by the size of enterprise, age of the injured, the duration of the first recuperation, and job tenure were similar between male and female employees. This study has shown that gender sensitive approach may be applied to policy of occupational safety and health because that gender neutral perspective may not discover the fact of gender specific problems.

A Study on the Problem and Countermeasure of Concealment of Industrial Accident in Construction Site (건설업 산재 은폐의 문제점과 대책에 관한 연구)

  • Choi, Man-Jin;Kang, Kyung-Sik
    • Journal of the Korea Safety Management & Science
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    • v.10 no.3
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    • pp.29-33
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    • 2008
  • According to statistics released by the Ministry of Labor for the past 6 years, work-related accidents in the construction industry have been on the continued increase, resulting in social and economic losses that are difficult to determine at an exact amount. However, the number will likely get much bigger if unreported cases are included, considering the fact that the aforementioned statistics are based soley on the applications filed with Korea Workers' Compensation and Welfare Service. The practice of businesses choosing not to report and dealing with industrial accidents in an unauthorized manner is defined as "concealment of industrial accident". The reason the employers tend to engage in the concealment practice even at their huge cost is a "pre-qualification" scheme for the applicants in the government procurement process. Under the pre-qualification scheme, the applicants with a high rate of industrial accidents receive a low grade and become less attractive candidates in the procurement process, thus losing an opportunity to win a contract. Such failure relates directly to the fate of business organizations, to survive or not. That is why they are making all-out efforts to obtain a high grade in the pre-qualification evaluation. With regard to the accident-concealment problem, the following can be mentioned as preventive measures: (1) To exclude a rate of industrial accidents from the pre-qualification scheme; (2) To strengthen the institution of imposing penalties on the occurrence of industrial accidents; (3) To introduce private insurance system to the current industrial accident compensation insurance; and (4) To give non-recognition treatment to industrial accidents that were not reported upon occurrence. In conclusion, the concealment problem can be resolved if the aforementioned measures are to be taken continuously along with corrective measures against institutional deficiencies.

Incidence and magnitude of out-of-pocket payment and factors influencing them in Industrial Accident Compensation Insurance (산재환자의 진료비 본인부담 발생 및 크기와 이에 영향을 미치는 요인)

  • Park, Bo-Hyun;Lee, Tae-Jin;Lim, Wha-Young
    • 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.

Current State of Occupational Health in Small-Scale-Enterprises of Korea (50인 미만 소규모사업장의 보건관리 실태)

  • Yun, Soon-Nyung;Kim, Young-Im;Jung, Hye-Sun;Kim, Soon-Lae;Yoo, Kyung-Hae;Song, Young-Sook;Kim, Hwa-Joong
    • Research in Community and Public Health Nursing
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    • v.11 no.1
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    • pp.90-104
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    • 2000
  • This study was carried out to investigate the current state of occupational health management and characteristics of employees working in small-scale-enterprises (SSE) employing less than 50 workers. Samples were chosen among the two thousands employees working in 838 factories where located in Youngdungpo-Ku, Seoul, Korea. The study results were as followed: 1. Most factories investigated in the study were manufactures (68.6%) which were established in 5 to 10 years ago (29.2%), employing less than 5 workers (72.9%) and registered in accident compensation insurance (23.0%). 2. Health screening was undertaken in 24.9% workplaces for periodic health examination and in 1.5% for special health examination. Environmental monitoring was done in 3.3% factories. Very few factories displayed Material Substance Data Sheet (MSDS) in 3.1% among the total factories. 3. Workplaces usually had their own toilets in 75.9% and washing basin in 58.6% as types of sociowelfare facilities. 4. Employees responded in the study were mostly in the range of age from 30 to 39 in 34.7%. male in 84.8%. the married in 70.3%. manual workers in 42.0%. mostly working regularly 51 hours per a week in 48.2% and earned 710.000 Won to 1.000.000 Won per month in 35.0%. Medical utilization for employees were covered by factories sponsored medical insurance in 12.7% and by provincial sponsored medical insurance in 83.4%. 5. Two point six percents of employees were suffered by diseases. The health complaints indicated were mainly digestive problems in 46.7% and hypertension in 24.4%. 6. Employees wore personal protective equipments for work such as gloves in 48.1%. safety shoes in 30.5%. ear plug in 5.5% and mask in 6.9%. Based on the results of study, we recommend that various types of occupational health management should be developed according to workplace working condition of each factory. In addition to the development of occupational health strategies. we think that it is more important to monitor and to allocate how effectively they operate each other on the basis of longitudinal continuity. Besides, we would like to insist that these all management effort should be focused on prevention of disease and occupational health education of employees.

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A Study on the Factors Influencing on Life Satisfaction of Industrially Injured Workers (산업재해 근로자의 생활만족도에 미치는 영향 요인에 관한 연구)

  • Ahn, Seong Ah;Yeum, Dong Moon
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.10 no.2
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    • pp.119-126
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    • 2016
  • This study aimed to analyze the effects of psychological-social factors, economic factors and Health-related factors of industrially injured workers on life satisfaction. For this study, the data of the 2014 1st Korea Panel Study of work's compensation Insurance. From all the subjects study, 2000 industrially injured workers who were fit for the study purpose were chosen and analysis were implemented. Self efficacy, self esteem, old age preparations of psychological-social factors influenced on life satisfaction. Economic activity, socioeconomic status of economic factors influenced on life satisfaction. Subjective health status, with the help of others of Health-related factors influenced on life satisfaction. The model explained 34% of the valuables.

A Study on the Change of Needs for Using Rehabilitation Services of Injured Workers (산재근로자의 재활서비스 이용욕구 변동 연구)

  • Bae, Hwa-Sook
    • Journal of Digital Convergence
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    • v.16 no.7
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    • pp.19-26
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    • 2018
  • This study is purposed to analyze how the utilization of rehabilitation services and the desire for service utilization changes with time, to explain the factors affecting service needs and to suggest direction of policy improvement for injured workers. Using the Workers' Compensation Insurance Panel Data ver.1~3, this study analyzed 5,004 observations. Panel regression analysis was performed using STATA to examine changes over time. Two key findings were made: first, the factors influencing the degree of need for rehabilitation services were age, educational period, ability on job performance, community service experience, re-employment and unemployment; second, the significant factors influencing the degree of need for rehabilitation services according to time were age, education period, unemployment, ability on job performance, and experience in using community services. That results were different from the previous cross-section analysis. These findings indicate that it is necessary to check and adjust the initial intervention contents after the end of the period of care on a timely base.

Consideration of Limitations related to the International Comparison of Statistics on Fatal Occupational Injuries per 100,000 Workers (산재 사망십만인률 국제비교와 관련된 한계점 고찰)

  • Kim, Jin Hyun;Seo, Dong-Hyun;Kang, Sung yun;Baek, Bitna;Bae, Gye wan
    • Journal of the Korean Society of Safety
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    • v.36 no.4
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    • pp.99-107
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    • 2021
  • This study analyzes the differences in definitions and concepts of terms used in the statistical indicators of fatal occupational injuries per 100,000 workers among countries included in the ILOSTAT data explorer. In addition, improvement measures focusing on the limitations in international comparison are proposed. Five countries-the Republic of Korea, Germany, Japan, United Kingdom, United States-- were comparatively analyzed. These countries were selected according to the significance of differences in their definitions of workplace injuries, workers, and compensation insurance, and their reporting systems. Considering these differences before directly comparing statistical indicators of fatal occupational injuries per 100,000 workers among countries is necessary because the range of comparison groups and the definition of fatal occupational injury are different for each country. While one can also compare trends by country, it is necessary to investigate beforehand whether the criteria and methods for processing statistics have changed. Misinterpretation can be minimized by properly understanding the process and limitations of fatal occupational statistical indicators that may differ from country to country.

The Relationship between Hospital Selection by Employer and Disabilities in Occupational Accidents in Korea

  • Ahn, Joonho;Jang, Min;Yoo, Hyoungseob;Kim, Hyoung-Ryoul
    • Safety and Health at Work
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    • v.13 no.3
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    • pp.279-285
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    • 2022
  • Background; In the event of an industrial accident, the appropriate choice of hospital is important for worker health and prognosis. This study investigates whether the choice of hospital by the employer in the case of industrial accidents affects the prognosis of injured employees. Methods; Data from the 2018 Panel Study of Workers' Compensation Insurance in Korea were used in an unmatched case-controlled study. The exposure variable is "hospital selection by an employer," and the outcome variable is 'worker's disability." Odds ratios (ORs) were estimated by modified Poisson regression and adjusted for age, gender, underlying disease, injury severity, and workplace size and stratified by industrial classification. The group at increased risk was analyzed and stratified by age, gender, and area. Results; In the construction industry, hospital selection by the employer was significantly associated with increased risk of disability (adjusted OR 1.26; 95% confidence interval [CI]; 1.20-1.32) and severe disability (adjusted OR 1.38; 95% CI; 1.08-1.76) among the injured. Female and younger workers not living in the Seoul capital area were more at risk of disability and severe disability than those living in the Seoul capital area. Conclusions; Hospital selection by employers affects the prognosis of workers injured in an industrial accident. For protecting workers' health and safety, workplace emergency medical systems should be improved, and the selection of appropriate hospitals to supply treatment should be reviewed.

A Policy Intervention Study to Identify High-Risk Groups to Prevent Industrial Accidents in Republic of Korea

  • Yi, Kwan Hyung;Lee, Seung Soo
    • Safety and Health at Work
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    • v.7 no.3
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    • pp.213-217
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    • 2016
  • Background: The objective of this study is to identify high-risk groups for industrial accidents by setting up 2003 as the base year and conducting an in-depth analysis of the trends of major industrial accident indexes the index of industrial accident rate, the index of occupational injury rate, the index of occupational illness and disease rate per 10,000 people, and the index of occupational injury fatality rate per 10,000 people for the past 10 years. Methods: This study selected industrial accident victims, who died or received more than 4 days of medical care benefits, due to occupational accidents and diseases occurring at workplaces, subject to the Industrial Accident Compensation Insurance Act, as the study population. Results: According to the trends of four major indexes by workplace characteristics, the whole industry has shown a decreasing tendency in all four major indexes since the base year (2003); as of 2012, the index of industrial accident rate was 67, while the index of occupational injury fatality rate per 10,000 people was 59. Conclusion: The manufacturing industry, age over 50 years and workplaces with more than 50 employees showed a high severity level of occupational accidents. Male workers showed a higher severity level of occupational accidents than female workers. The employment period of < 3 years and newly hired workers with a relatively shorter working period are likely to have more occupational accidents than others. Overall, an industrial accident prevention policy must be established by concentrating all available resources and capacities of these high-risk groups.

Effects of the Need for Rehabilitation Services on the Daily Life Satisfaction of Returned-to-Work and Reemployed Injured Workers : Mediating Effects Self-Efficacy (원직장복귀 및 재취업 산재근로자의 재활서비스 욕구가 일상생활만족도에 미치는 영향 : 자기효능감의 매개효과)

  • Kim, Soung-Wan
    • Journal of Convergence for Information Technology
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    • v.10 no.7
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    • pp.194-206
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    • 2020
  • This study aims at creating a daily life satisfaction improvement plan by using motivation for seeking need for rehabilitation services and self-efficacy in individuals who returned-to-work and reemployed injured workers. The subjects of this study were 2,642 returnees and 3,742 reemployed individuals who participated in the first to fifth year survey of the first cohort of the Panel Survey of Workers' Compensation Insurance. The analysis checked the mediating effect through the multiple regression analysis and bootstrapping. The result indicated the need for rehabilitation services had negative impact on self-efficacy and daily life satisfaction whereas self-efficacy had a positive effect on daily life satisfaction and played a mediating role between the need for rehabilitation services and daily life satisfaction. Based on these results, a need for the advancement of social psychological rehabilitation program and establishing an integrative rehabilitation process were identified.