• Title/Summary/Keyword: Workers' compensation insurance

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A Study on the Problems and Development of the Benefits in Work Injury Insurance (산재보험 급여체계의 합리화 방안에 관한 연구)

  • Kim, Jin-Soo
    • Korean Journal of Social Welfare
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    • v.37
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    • pp.119-141
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    • 1999
  • Korea paid attention to the work injury insurance in the early economic development stage as other developed countries did. Thus "The industrial Accident Compensation Insurance Law" was legislated in 1963 and it is now expanded to apply to the workplace with five or more employees. Beside the low coverage of the number of employees, the scope of benefits are the problem of work injury insurance. The work injury insurance's main benefits are for the loss of income and the medical cost caused by occupational accidents. On the other hand, the investment on the prevention accident and the medical, social and employment rehabilitation is very low, even though the occupational accident pension is higher than that in other OECD countries. Practically lay-off benefits and survivor' benefit for some special workers are paid more than they need, therefore they want to remain under the benefit condition and the medical care days are longer. This paper indicates the problems of work injury insurance and suggest how to improve the functions of it.

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Factors Influencing the Health Care Utilization of Disabled Workers Who Returned to Their Original Workplace after Occupational Accident (원직복귀 산업재해 근로자의 의료이용에 영향을 미치는 요인)

  • Hyun-Joo Lee
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.167-180
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    • 2023
  • The aim of this study is to explore the factors that influence the health care utilization of disabled workers who returned to their original workplace after an occupational accident. The study sample consisted of 457 workers who suffered from occupational accidents and were rated as disabled based on the data from the PSWCI in 2021. Data analysis was performed using a hierarchical multiple regression analysis with SPSS WIN 26.0. The study findings revealed that the number of outpatient visits was affected by factors such as daily wage payment, economic status, physical activity limitations, subjective health status, and chronic diseases. Moreover, health care expenditures were determined by factors such as having a caregiver for daily living, burn injuries, and physical activity limitations. Therefore, to increase the accessibility of health care utilization for disabled workers, the role of nurses in the workplace should be expanded, employers should include a health care utilization plan when developing a return-to-work plan, and research on the introduction of a paid sick leave system that allows workers to rest when they are sick is needed. It is also necessary to alleviate the economic burden by increasing the coverage of benefits for burn and rehabilitation treatments.

Implementation of ISO45001 Considering Strengthened Demands for OHSMS in South Korea: Based on Comparing Surveys Conducted in 2004 and 2018

  • Lee, Junghyun;Jung, Jinyeub;Yoon, Seok J.;Byeon, Sang-Hoon
    • Safety and Health at Work
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    • v.11 no.4
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    • pp.418-424
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    • 2020
  • Background: According to the previous studies, the work-related accident rate decreased in Korea after the introduction of occupational health and safety management system (OHSMS), but there were several disasters in Korea such as subway worker's death at Guui station in 2016 and the Taean thermal power plant accident in 2018, which escalated the social demand for safety. In 2018, OHSMS became an international standard, as ISO45001 was announced. Methods: A survey was conducted to research the implementation status of OHSMS and changes in people's perception, and the results were compared with those of a past survey. Results: Enhanced social demand and various stakeholders' (not only buyer) needs, and social responsibility are perceived as the motivation for the introduction of OHSMS rather than legal compliance or customer demand. In the questionnaire about problems with the implementation of OHSMS, the factors with higher response rate in 2018 than 2004 were "excessive cost" and "complicated documentation management." In the questionnaire about how to promote OHSMS in organizations, most people answered "reduction of workers' compensation insurance rate" in 2004, but most people answered "exemption from health and safety supervision" in 2018. Conclusion: For the effective implementation of ISO45001, emphasis is placed on social demand, training to recognize health and safety as a part of management, and the reduction of certification and consulting costs to promote the introduction of OHSMS. Incentives such as insurance premium cuts and exemptions from health and safety supervision are needed.

The Effects of A Day Care Rehabilitation Program on Physical and Emotional Function of Patients with Job-related Injury (주간재활 프로그램이 산업재해 환자의 신체적, 정서적 기능에 미치는 효과)

  • Kim, Mi-Ran;So, Hee-Young
    • The Korean Journal of Rehabilitation Nursing
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    • v.14 no.1
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    • pp.54-61
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of a day care rehabilitation program managed by nurses on physical and emotional function of patients with job-related injuries. Method: A one group pre-test and post-test quasi-experimental design was used. Thirty patients participated in a day care rehabilitation program and 9% of those were unable to complete the 16 weeks program due to absence. The physiotherapist, occupational therapist, and clinical psychologist offered the day care rehabilitation program, 5 times a week for 16 weeks. Outcome measures included physical and emotional function. Results: The program participants had significantly greater motor function (t=-2.85, p=.008) and activity of daily living (t=-5.34, p<.001), and lower depression (t=5.20, p<.001), state anxiety (t=4.71, p<.001), and trait anxiety (t=4.40, p<.001). Conclusion: The nurse managed day care rehabilitation program significantly improved physical and emotional function in patients with job-related injuries. The program should be further tested in a larger sample to validate the findings.

Cardiopulmonary Symptoms, Quality of Sleep, and Depression in the Hospitalized Patient with Pneumoconiosis (요양병원 진폐 환자의 심폐증상, 수면의 질 및 우울에 관한 연구)

  • Jang, Ju-Yeon;Lee, Young-Hee;Choi, Mi-Kyoung
    • Korean Journal of Adult Nursing
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    • v.23 no.2
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    • pp.135-145
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    • 2011
  • Purpose: This study was to examine the cardiopulmonary symptoms, quality of sleep, and depression, and to identify the influencing factors in the hospitalized coal worker's pneumoconiosis patient. Methods: 137 hospitalized patients who received pneumoconiosis treatment were conveniently selected. A descriptive correlational study was conducted. Data were collected using structured questionnaires and were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficients and multiple regression analysis. Results: The mean score of cardiopulmonary symptoms was relatively high ($3.97{\pm}0.56$, out of 5). The 5 and over score of quality of sleep, sleep disturbance was 94.2%, and the reported depression was 95.6%. The levels of depression depended on the oxygen therapy and family/acquaintance visiting. The depression was significantly correlated with the cardiopulmonary symptoms and quality of sleep. The influential factors affecting depression were cardiopulmonary symptoms and quality of sleep, which explained about 34.1% of the variance. Conclusion: The results of this study indicate that nursing interventions are needed to reduce depression, and to improve cardiopulmonary symptoms and quality of sleep in the hospitalized pneumoconiosis patient. These results can provide for nursing intervention to facilitate reduction of depression.

Factors Associated with the Health Promotion Activities of the Korean Elderly (노인의 건강증진행위 실천과 관련요인)

  • Lee, Jung-Chan;Park, Jae-San;Kim, Gwi-Hyun
    • Korean Journal of Health Education and Promotion
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    • v.27 no.2
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    • pp.121-139
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    • 2010
  • Objectives: The purpose of this study was to identify the health promotion activities of the elderly Korean aged 65 or older and to examine the related factors associated with the health promotion activities. Methods: Data were obtained from 2008 Social Statistics Survey of Korea National Statistical Office of 6,207 people aged 65 or older. We measured the socio-demographic characteristics, physical health status, social health status, and health promotion activities. Statistical analyses were employed through the $X^2$-test and Odds ratio using Logit Model. Results: In our study, health promotion activity practice rates were varied among the socio-demographic characteristics, physical and social health status. Our findings also support that better socio-demographic and physical health status explain the higher practice rates of health promotion activities. In addition, the higher social health status was associated with better practice rates of health promotion activities. Conclusion: We found that the health promotion activities of the elderly could be encouraged by better socio-demographic status and physical and social health status. To better accomplish the health promotion for the elderly in our community, policy-makers should need careful political deliberation for executing health promotion services considering the distinctions of programme and target groups.

Estimated Exposure Population to Hazardous Workplace Noise among Korean Workers (델파이 조사를 통한 직업적 소음 노출 규모의 추정)

  • Kim, Seung Won;Yang, Sun-Hee;Baek, Yong-Joon;Chung, Taejin;Ryu, Hyang-Woo;Kim, Eun-A
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.28 no.4
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    • pp.416-424
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    • 2018
  • Objective: The objective of this study was to estimate the numbers of employees occupationally exposed to noise according to their industry and size. Methods: A Delphi panel consisting of 15 occupational health experts estimated the exposure prevalence of noise in workplace. Data on Industrial Accident Compensation Insurance provided from Occupational Safety and Health Research Institute were combined to produce the exposure population. Results: In Korea, 16.0% of employees, 2,539,890 out of 15,838,926, was estimated to exposed to noise occupationally. The rate was 32.7% and 10.3% in manufacturing sector and non-manufacturing sector, respectively. The highest rate, 52.5%, was found in manufacturing industries of wood and of products of wood and cork(except furniture) and of other transport equipment. Sorted by their size of business, the rate was higher as the number of employee was larger in manufacturing sector. Conclusions: Compared to the same rate estimated in the US, 17.2%, the result of this study seems to be in a resonable range.

An Analysis of Cases over which Administrative Litigation was made regarding Cerebral and Cardiovascular Diseases due to Occupational Cases (업무상 뇌심혈관질환 관련 행정소송을 수행한 판례 분석)

  • Rim, Hwa-Young;Choi, Soon-Young
    • Journal of the Korea Safety Management & Science
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    • v.12 no.2
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    • pp.35-40
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    • 2010
  • This study collected 217 cases of court ruling statements for the cases over which administrative litigations were made regarding the acknowledgment of cerebral and cardiovascular diseases arising out of duty against Korea Labor Welfare Corporation and analyzed the factors of occurrence of cerebral hemorrhage and infarction and the Court cases of cancelation and dismissal of the litigation. As a result, due to seasonal factors, cerebral hemorrhage occurred more in the winter while cerebral infarction, in spring. The incidences for each age group were the higest in people in their 40s for cerebral hemorrhage while in those in their 50s for cerebral infarction, it turned that the incidence inside the places of business was the highest. The average days from application for care and family benefits until the confirmation of the case was 31 months on average for 34 canceled cases while 23 months for 183 dismissed ones, and the average number of months working until the occurrence of accident was 80.8 months for the 34 canceled cases while 77.6 for the 183 dismissed ones. This study has a significance in that it analyzed leading cases of confirmed administrative litigations in some cases applied for diseases due to occupational cases after the occurrence of cerebral and cardiovascular diseases but not approved, through which it is expected to be used as the basic data to reduce time and economic loss generated by the litigations to judge the acknowledgment of diseases due to occupational cases.

A Study on the Interaction of Rehabilitation Service and Life Satisfaction of Industrially Injured Workers (산재장애인 재활서비스와 일상생활만족도의 상호작용에 관한 연구)

  • Jang, Y.M.;Yeum, D.M.
    • Journal of rehabilitation welfare engineering & assistive technology
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    • v.9 no.4
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    • pp.275-283
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    • 2015
  • This study was to find out the relationship between the rehabilitation service and the life satisfaction of industrially injured workers and how medical rehabilitation service, psycho-social rehabilitation service, and occupational rehabilitation service influence in this relation. For this, it analyzed 977 people who were using rehabilitation service with industrial disaster disability among 2,000 research subjects using the first year materials of industrial disaster insurance panel of Workers' Compensation & Welfare Service. For the relationship of variables on the suggested 3 models, the mediating effect of the occupational rehabilitation service in the relation of medical rehabilitation of the industrially injured workers and life satisfaction by applying SPSS Macro and Sobel method and did the regression analysis to find out the control effect of psycho-social rehabilitation service by the mean centering of the material. The result of the analysis showed; when the satisfaction on the medical rehabilitation service was increased the satisfaction on the voacational rehabilitation was increased, when the satisfaction on the occupational rehabilitation service was increased, the satisfaction on the life satisfaction was increased, and when the satisfaction on the psycho-social rehabilitation service was increased the medical rehabilitation service had a indirect effect on the daily life satisfaction.

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The Phenomenological Study on the Male Immigrant Workers' Lives after Undergoing the Industrial Accidents (남성 이주노동자의 산업재해 후 삶에 대한 현상학적 연구)

  • Ro, Ji hyun
    • Korean Journal of Social Welfare
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    • v.68 no.1
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    • pp.23-52
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    • 2016
  • This study aims to reveal the meaning and essence of male immigrant workers' life who underwent industrial accidents through specific experiences. This study is based on the Van Manen(1990)'s lived experience phenomenological method, which actively describes the experiences about the industrial accidents in the perspective of male immigrant worker. The in-depth interviews were carried out with the thirteen male immigrant workers participants who underwent the industrial accidents. Through the interview, 121 meaning units and 38 disclosed themes were constructed. The following is the summarized results as 9 essential themes: < the oppression of the Industrial accident compensation insurance's hospitals to the aliens >, < being treated like the surplus man who lost the labor force >, < the class rank below despite undergoing the industrial accidents >, < survival having resistance sentiments >, < living at the anonymous lands as the Homo sacer >, < the stratified strategies between the immigrant workers >, < the origins as the bodiless shadow >, < struggling to escape the present conditions >, < present circumstances tied by the past experiences without hope >, researcher sought the essential meaning structure about the four Life-world Existentials (Body, The other, Space and Time) of constructing human's live-world. Based on the study results, some suggestions were made to restore the male immigrant workers' damaged quality of their lives who experienced industrial accidents and to contribute the social integration in view of the social welfare.

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