• Research in Community and Public Health Nursing
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• v.12 no.3
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• pp.647-660
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• 2001

Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management. The results are as follow: 1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult. 2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and community based approach. 3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed. 4. The number of workplaces, which should be managed by health managing agent. is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent. 5. The uniform method of health management hampers the choice of employer and workers. The types of provision of health management should be diversified. 6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc. 7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidence-based program.

• Journal of Korean Society of Occupational and Environmental Hygiene
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• v.31 no.4
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• pp.494-502
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• 2021

Objectives: The purpose of this study is to identify the general characteristics of manufacturing workplaces and the characteristics of safety and health organizations, and to determine the impact of safety and health-related communication within these organizations mediated by supervisory safety and health management personnel. Methods: This study is based on the Korea Occupational Safety and Health Agency's 2018 Occupational Safety and Health data targeting 1,486 manufacturing sites. Data were analyzed using descriptive statistics, t-test and ANOVA, and mediator variable regression analysis using SPSS 25.0. Results: The average score on communication levels related to safety and health was 11.20 out of 15. The average score of the safety and health management level was 31.04 out of 40. As a result of mediation regression analysis, it was found that safety and health-related communication had an effect on the safety and health management level (𝛽=0.434), and the number of safety and health supervisors was found to mediate the effect of this variable (𝛽=0.069). Conclusions: The level of safety and health-related communication affects the level of health and safety management, and the number of supervisors mediates this influence. Therefore, the role of the supervisor is important in safety and health communication. It is expected that the level of safety and health management can be improved through management and supervisors.

• Safety and Health at Work
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• v.8 no.1
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• pp.89-93
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• 2017

Background: Rates of overweight and obese Australians are high and continue to rise, putting a large proportion of the population at risk of chronic illness. Examining characteristics associated with preference for a work-based weight-loss program will enable employers to better target programs to increase enrolment and benefit employees' health and fitness for work. Methods: A cross-sectional survey was undertaken at two Australian mining sites. The survey collected information on employee demographics, health characteristics, work characteristics, stages of behavior change, and preference for workplace assistance with reaching a healthy weight. Results: A total of 897 employees participated; 73.7% were male, and 68% had a body mass index in the overweight or obese range. Employees at risk of developing obesity-related chronic illnesses (based on high body mass index) were more likely to report preference for weight management assistance than lower risk employees. This indicates that, even in the absence of workplace promotion for weight management, some at risk employees want workplace assistance. Employees who were not aware of a need to change their current nutrition or physical activity behaviors were less likely to seek assistance. This indicates that practitioners need to communicate the negative effects of excess weight and promote the benefits of a healthy lifestyle to increase the likelihood of weight management. Conclusion: Weight management programs should provide information, motivation. and trouble-shooting assistance to meet the needs of at-risk mining employees, including those who are attempting to change and maintain behaviors to achieve a healthy weight and be suitably fit for work.

• Health Policy and Management
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• v.28 no.4
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• pp.352-359
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• 2018

Background: The purpose of this study is to propose an analysis of trends and characteristics of high-cost patients who take over 40% of total national health insurance medical expenses. Methods: It has been analyzed the tendency of high-cost patients by open data based on the medical history information of 1 million people among national health insurance subscriber from 2002 to 2015. To conduct detailed study of characteristics of high-cost patients, multiple regression has been performed by sex, age, residence, main provider, and admission status based on the top 5% group. Results: The amount of medical expenses and the number of high-cost patients have gradually increased in decades. The number of high-cost patients for Korean won (KRW) 5,000,000 category has increased by 7.6 times, KRW 10,000,000 category has increased by 14.1 times in comparing of year 2002 and 2015. Top 5% medical expenses have increased by 4.6 times. In consideration of the characteristics of patients, the incidence of high medical expenses has been higher in female patients than male ones, the older patients than in the younger. Patients residence in Gyeonsang or Jeonla province have had a high incidence of medical expenses than other area. The disease including dementia, cerebral infarction, and cerebrovascular disease for high-cost patients has been also increased. Conclusion: The major increase factor for high medical expenses is the aging of population. The elderly population receiving inpatient care residing in the province that increases high medical costs have to management. There is an urgent need to develop a mechanism for predicting and managing the cost of high-cost medical expenses for patients who have a heavy financial burden.

• Journal of the Korea Safety Management & Science
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• v.5 no.4
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• pp.63-73
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• 2003

Occupational illness analyses are used to identify common factors contributing to occupational illness and to give recommendations for illness prevention. We discuss safety and health management policies based on the present status of MSDS(Musculoskeletal Disorders) characteristics and the actual safety and health problems. These results can be used to develop more effective occupational safety and health management policies for the prevention of MSDS.

• International Journal of Safety
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• v.4 no.1
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• pp.32-37
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• 2005

This study was conducted to identity the characteristics of occupational health and safety management systems around the world, to survey the implementation of OHSMS in Korean companies, to find problems and corrective measures, and to understand the opinions of top management about OHSMS. Questionnaires on the operation of occupational health and safety management systems in Korean manufacturing companies were carried out. Occupational health and safety management systems around the world, including OHSAS 18001, BS8800, KOSHA 18001, VPP, J-OHSMS, were reviewed. In order to implement an occupational health and safety management system successfully, it was found that the management should consider occupational health and safety as important, provide employees with necessary training, and have a strong commitment to occupational health and safety.

• The Korean Journal of Health Service Management
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• v.8 no.4
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• pp.209-220
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• 2014

This study found a relationship between the characteristics of the elderly with disabilities and extra health care monthly costs caused by disability and suggests methods for effectively managing health care spending of the elderly with disabilities. This study used data from the 2011 Survey on the Disabled conducted by the Ministry of Health and Welfare and the Korea Institute for Health and Social Affairs. The results of the analysis indicate that the relations between the socio-demographic characteristics of the elderly with disabilities and extra health care monthly costs caused by disability of the elderly are influenced by factors such as gender, age, members of the household, average monthly income and type of health insurance. Elderly people with disabilities spend too much for their medical care. To solve this problem, the government needs to find a variety of policy approaches to improve administrative procedure, establish a medical delivery system and enhance health care services.

• Health Policy and Management
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• v.7 no.2
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• pp.147-176
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• 1997

This research identifies the most important domains in health care administration from now to the year 2005 and differentiates job skill, konwledge, and ability requirements necessary for successful management. Fellows of the Korean Hospital Association from about thirteen percents of the country responded to mail inquiry. Five of eleven domains, in order of ranked importance, were health care delivery concepts, leadership characteristics, quality management, cost/finance and human resources management. Results indicated that while a business orientation is needed for organizational survival, and equal emphasis on person-oriented skills, knowledge, and abilities is required.

• Research in Community and Public Health Nursing
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• v.4 no.2
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• pp.146-157
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• 1993

The purpose of the study is to provide basic data on the public health management in the industrial work places, and some implications on the public health education related to workers self care capacity of their own health. To achieve this purpose a questionnaire was provided to 332 workers during February 11-28, 1993. This was do in Changwon-shi Geojeoi-kun, Chungmoo-shi, Jinjoo-shi, of Kyeongnam province. Through the analysis of the survey results, a relationship was deduced between worker's general characteristics and basic elements of health management in the work place. The main results of this study can be summarized as follows : 1. In the knowledge area special health screening received the highest score 3.18. While the educational program scored the lowest .85. In the Attitude area the highest score was achieved in the affirmative attitude to the time consumed by health checks (3.28). The lowest by the management of health checks(1.53). In the Practice area, participation in health checking is the most active (3.44) , and public health education is the least active (0.95). 2. The differences of knowledge by workers' general characteristics is statistically significant in the work sector (P<.05), age (P<.05), sex (p<.001), marital status (P<.001), and prior career(P<.01). But in Attitude general characteristics are not significant factors. In the Practice area, did have a statistical significance, work sector (p<.001), age (p<.001), sex (P<.05), marital status (p<.001) and work career (P<.001). 3. The total difference by workers' general characteristics has a statistical significance only in the case of marital status (P>05). The note of married workers is higher than that of single workers. 4. The correlation between any two of Knowledge, Attitude, and Practice do have a statistical significance (p<.001).

• The Korean Journal of Health Service Management
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• v.13 no.4
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• pp.229-241
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• 2019

Objectives: This study analyzed the relationship between dietary behavior and health-related characteristics and experiences of major oral disease symptoms using online raw data on adolescent health behavior. Methods: Using the raw data on 61,858 adolescents collected through the 13th Adolescent Health Behavior Online Survey, a complex samples logistic regression analysis was conducted to assess risks of major oral diseases. Results: The less one consumes sweet drinks and the more one eats vegetables per day, the less likely one is to experience symptoms of tooth decay and periodontal diseases. Undergoing scaling and oral health education help prevent major oral diseases. Brushing after school lunch prevents periodontal diseases and foul breath, and using dental floss and interdental brush also help prevent periodontal diseases. Conclusions: To minimize experiences of oral diseases during adolescent years, it is necessary to periodically scale teeth and provide knowledge regarding the personal management of dental plaque through school oral health education.