• Title/Summary/Keyword: occupational health policy

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Analyzing decline in quality of life by examining employment status changes of occupationally injured workers post medical care

  • Won-Tae Lee;Sung-Shil Lim;Min-Seok Kim;Seong-Uk Baek;Jin-Ha Yoon;Jong-Uk Won
    • Annals of Occupational and Environmental Medicine
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    • v.34
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    • pp.17.1-17.10
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    • 2022
  • Background: This study aimed to investigate the decline in quality of life (QOL) by examining changes in the employment status of workers who had completed medical treatment after an industrial accident. Methods: This study utilized the Panel Study of Worker's Compensation Insurance cohort (published in October 2020) containing a sample survey of 3,294 occupationally injured workers who completed medical care in 2017. We divided this population into four groups according to changes in working status. A multivariate logistic regression model was utilized for evaluating QOL decline by adjusting for the basic characteristics and working environment at the time of accident. Subgroup analysis evaluated whether QOL decline differed according to disability grade and industry group. Results: The QOL decline in the "maintained employment," "employed to unemployed," "remained unemployed," and "unemployed to employed" groups were 15.3%, 28.1%, 20.2%, and 11.9%, respectively. The "maintained employment" group provided a reference. As a result of adjusting for the socioeconomic status and working environment, the odds ratios (ORs) of QOL decline for the "employed to unemployed" group and the "remained unemployed" group were 2.13 (95% confidence interval [CI], 1.51-3.01) and 1.47 (95% CI, 1.13-1.90), respectively. The "unemployed to employed" group had a non-significant OR of 0.76 (95% CI, 0.54-1.07). Conclusions: This study revealed that continuous unemployment or unstable employment negatively affected industrially injured workers' QOL. Policy researchers and relevant ministries should further develop and improve "return to work" programs that could maintain decent employment avenues within the workers' compensation system.

Relationship between Income and Healthcare Utilization in Cancer Patients (암환자의 소득수준과 의료이용의 관련성)

  • Kim, Jin-Hee;Kim, Kyung-Joo;Park, Jong-Hyock
    • Health Policy and Management
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    • v.21 no.3
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    • pp.397-413
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    • 2011
  • Purpose: The purpose of this study is to examine the relationship between the income level and the healthcare utilization by health insurance type in all cancer patients in year 2005. Methods: The target population was cancer patients with health insurance who used healthcare as a diagnosis code (C00-C97) from January 1 to December 31 of 2005. The Korea Central Cancer Registry Center's Cancer Patient Registry Data, the list of cancer patients of the National Health Insurance Corporation, and the claim data of the Health Insurance Review & Assessment Service were used. The I was the wealthiest, followed by II, III, IV. The V was the poorest in this study. For the analysis, the $x^2$-test, ANOVA (and Kruskal-Wallis test), and regression were used. Results: Outpatient and hospitalization medical expenses, and outpatient visit days of cancer patients with self-employed health insurance were highest in I (p<.001, respectively), and the hospitalization days were the highest in II (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days of cancer patients with occupational health insurance were the highest in I (p<.001, respectively). Outpatient and hospitalization medical expenses, and outpatient visit and hospitalization days in cancer patients were higher in I compared to V, and higher in II and III, IV compared to V (p<.001, respectively). Conclusion: Supporting plan for cancer patients' outpatient healthcare utilization are necessary. Moreover, we should make specialized strategy for low income cancer patients with self-employed health insurance when we develop quality improvement policy for inpatient service.

Comparison of the Personal Care Benefit System under Workers' Compensation in Japan, Germany, and the United States (일본·독일·미국의 산재보험 간병급여체계의 비고)

  • June, Kyung Ja;Kim, Jae Young;Choi, Yun-Young;Choi., Eun
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.58-66
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    • 2007
  • Purpose: A national long-term care system for elderly and the disabled has its unique evolution in each country. Japan, Germany and the United States may be the typical examples of respective social insurance system. This paper reviews the counterpart examples of Japan, Germany and the United States and looks at their accumulated long-term care system experiences and personal care system under workers' compensation. Methods: Literature review and website searching were conducted. Key words as 'workers' compensation insurance', 'personal care benefit' and 'long term care' were used in searching the related literatures. Results: Though the personal care benefit under current Workers'Compensation in Korea is very similar to Japan's, the long-term care system of Korea is not as well established. Germany and the United States have the provision of personal care benefit for injured workers within long term care system. Conclusions: We recommend some key issues to take into account for improving personal care benefit system in workers' compensation in Korea as follows: providing a comprehensive coverage through the linkage of long term care, introducing an assessment & evaluation system for the appropriate benefits, establishing insurer's role for quality management of personal care service, and developing a policy for family caregivers.

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Qualitative Study for Development of Job Stress Questionnaire for Married Working Women (판매직 취업기혼여성의 직무스트레스 측정 도구 개발을 위한 질적 연구)

  • Yi, Yunjeong
    • Korean Journal of Occupational Health Nursing
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    • v.13 no.2
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    • pp.89-103
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    • 2004
  • One of the major health problems of working women is job stress according to many studies. However, existing job stress questionnaires are suitable for men and men's job environments only, and do not reflect emotional labor for sales people. The aim of this research is to find women's job stress factors. The subjects of this investigation are married working women in sales since they experience emotional labor in addition to physical and psychological labor and the work-family conflict is very important job stressor for them. The job stressor of married sales women was analyzed through qualitative research. After I had in-depth interviews with 20 married sales women, I identified 49 new concepts, 3 main categories and 17 sub categories. The results are like the following. 1. 3 main categories are job factor, aggravate factor, and compensate factor. 2. Job factor has 5 sub-categories including 'increasing of selling', 'emotional labor' and 'physical burden'. 3. Aggrabate factor has 6 sub-categories including 'work/family conflict', 'relationship with higher office' and 'relationship with a fellow worker' 4. Compensate factor has 6 sub-categories including 'opportunity of employment', 'discrimination', and 'prestige' Consequently this study newly found some major job stressors for married working women in sales department.

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Evaluation of Accident Prevention Financial Support Projects in the Construction Industry Using DID and PSM (DID와 PSM 분석을 통한 건설업 클린사업장 대상 재정지원사업 평가)

  • Jang, Seong-Eun;Yu, Sung-Yeol;Kim, Hwa-Il
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.1
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    • pp.31-40
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    • 2022
  • Objectives: The purpose of this study is to understand the impact on accident reduction by analyzing the policy effectiveness of an industrial accident prevention clean workplace support project targeting the construction industry. Methods: In this study, DID and PSM models were used to analyze workplaces receiving and not receiving financial support based on the status of industrial accidents in recent years and the status of the workplaces by year. Results: The research results show that meaningful effects continued to occur in terms of reducing accidents and increasing employment. Conclusions: In this study, we show the effectiveness of the clean workplace support project, one of the South Korean government's financial support projects in the field of occupational safety and health focusing on the construction industry. Financial support projects such as clean projects should be further expanded based on the results of this study.

Necessity for a National Carcinogen List in Korea, Based on International Harmonization

  • Leem, Jong Han;Kim, Hwan Cheol;Park, Myungsook;Kim, Jung Ae;Kim, Shin-Bum;Ha, Mina;Lim, Min-Kyeong;Kim, Jeongseon;Park, Eun Young;Paek, Domyung
    • Environmental Analysis Health and Toxicology
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    • v.28
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    • pp.8.1-8.5
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    • 2013
  • Cancer has been the leading cause of death in Korea for the last 30 years. Cancer patients' 5-year survival rate between 2005 and 2009 was 62.0%, representing a highly advanced standard of care, as much as developed countries in the EU and the US. The Korean government formulated its first 10-year plan for cancer control in 1996 and has been carrying out a second 10-year plan for cancer control since 2006. But despite the Korean government's efforts, the cancer burden in Korea continues to increase. Many separate laws have gone into effect concerning the management of carcinogen exposure. However, there are no integrated regulatory laws or management systems against carcinogen exposure in Korea. Dead zones remain where carcinogen exposure cannot be controlled properly in Korea. In this paper, we suggest the need to establish a national carcinogen list based on international harmonization as a prerequisite for a paradigm shift in cancer control policy from treatment to primary prevention.

Medical Accessibility and Its Effects on Medical Care Utilization -Experiences from Yonsei Health Insurance Cooperatives- (의료근접도 및 용이성이 의료이용에 미치는 영향 -연세건강공제회원의 외래의료이용을 중심으로-)

  • Oh, Hee-Chul
    • Journal of Preventive Medicine and Public Health
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    • v.12 no.1
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    • pp.99-106
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    • 1979
  • Accessibility to medical facilities and personnels has been known as one of important determinants of medical care utilization. This study attempted to identify the effects of medical accessibility in terms of geographical distance and occupational opportunity to the medical utilizations. Two-year-experiences of Yonsei University Health Insurance Cooperatives were used as the sources of data. Out patient utilization patterns of 713 members sampled from 4,352 members of Health Insurance Cooperatives were analyzed in order to identify the effects of medical accessibilities. Findings: 1 Average clinic visit rate of Yonsei Health Insurance is 1.66 per person per year. 2. The utilization rates of geographically more accessible group were 33% higher than that of less accessible group. 3. No marked difference in clinic visit rate were observed between medical and non-medical personnel and their family members. 4. Clinic visit rates among occupationally accessible group were slightly higher than those of less accessible. The utilization rate was more sensitively changed by the insurance policy changes in occupationally accessible group.

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How Role Overload Affects Physical and Psychological Health of Low-ranking Government Employees at Different Ages: The Mediating Role of Burnout

  • Huang, Qing;Wang, Yidan;Yuan, Ke;Liu, Huaxing
    • Safety and Health at Work
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    • v.13 no.2
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    • pp.207-212
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    • 2022
  • Background: The public now imposes higher demands on the government than in the past, which has created the role overload faced by low-ranking government employees in China. This research investigates the relationship between role overload and health among low-ranking government employees and explores the mediating effects of burnout. Methods: It draws on a survey of 2064 low-ranking government employees by probability proportionate to size sampling in China's Shandong Province. Structural equation modeling (SEM) methods are used to analyze the data. Results: Both role overload and burnout were found to have negative effects on low-ranking government employees' health; however, the associations varied among the three age groups (less than 36, between 36 and 45, and over 45). Those over 45 reported the highest level of both physical and psychological health, while the youngest age group (less than 36) reported the lowest level of health. Role overload has a direct influence on health among government employees over 45 but not among those below 45. Burnout's mediating effects between role overload and health are significant among all age groups, but most significant among the youngest civil servants below 36. Conclusions: The findings evidenced that both role overload and burnout affect low-ranking government employees' self-reported physical and psychological health. In addition, the effect of age differences in coping with role stressors and burnout should be considered.

A Study on Health Promotion Behavior and It′s Related Factors of Industrial Workers (산업근로자의 건강증진 행태에 관한 관련요인분석)

  • 강영우;남철현
    • Korean Journal of Health Education and Promotion
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    • v.14 no.2
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    • pp.17-42
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    • 1997
  • From September 2, 1995 through October 31, this questionnaire was made by the 1, 200 industrial workers who work for 15 enterprises of 5 types of business. And it was for helping to devise a policy and to develop a program for industrial workers' health promotion by understanding the consciousness behavior level of industrial workers in our country and the related factors which are under the influence of it and health promotion behavior. The summary and conclusions are as follows. 1. In health promotion score level by related factors, the health diagmosis level score was 7. 37(81.9/100) of the perfect score 9, nutrition level score was 7.00(77.8/100), health education behavior level score was 6.00(66.7/100), exercise behavior level score was 6.01(66.8/100), occupational disease knowledge level score was 6.00(66.7/100). 2. Health diagnosis behavior level was significantly high when the age is older, when the occupation term is longer, when the economic status is better. And wjem tje satosfoed degree for vocational aptitude, working environment, and the education contents. 3. Nutrition (dietary habit) status level was high in men, in the age group of 40 over, in the group of having their spouse, in the group of being paid over one million won a month, in the upper economic classes (P〈0.001). It was also high in graduates middle school and in daytime workers (P〈0.05). 4. Health education behavior level was high in the older ahe hroup, in a single life (separation by death, divouce, separation) and in the longer occupation term(P〈0.001). 5. Exercises behavior level was high in men, in the workers who are paid 500~990 thousand won a month, in the better economic classes(P〈0.01). 6. Knowledge level on an occupational disease was high in men, in the older age group, in the group of having a spouse, In the workers who are paid 500~990 thousand won a month, in the group of having a longer occupation term, and in the residents living not in a large city(P〈0.01). 7. When health status was higher, health promotion behavior, behavior level, health diagnosis (P〈0.001), nutrition(P〈0.05), health education behavior (P〈0.05), exercise behavior(P〈0.01) and the knowledge level on an occupation disease was high. 8. The main factors which are under the influence on the degree of practicing healthy life were the level of knowledge and behavior, sex, his/her health status, and the satisfied degree of working environment. These variables could explain it 18.0%. 9. The factors which are under the influence on health promotion behavior and behavior levels were the variables of the satisfied degerr of education contents, sex, health knowledge, economic status, health status, occupation terms, monthly income, working tiredness. These variables could explain it 21.3%. By these results, it is inportant for industrial workers' health promotion to level up the health diagnosis behavior, dietary habit considering nutrition, behavior on health education, behavior for exercise, and knowledge on an occupational disease. Especially we should develop the proper program considered sex, health status, satisfied degree of working environment and education contents, economic status, eccupation terms, knowledge on health, and behavior level. Because health promotion business gies in gear with productivity promotion.

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The government official support status of the agricultural diseases, injuries and accidents among Korea and foreign countries and the implication of the agricultural policy of Korea (해외의 농업안전보건지원 실태 및 국내정책의 함의)

  • Lee, Kyung Sook;Choi, Jeong Wha;Baek, Yoon Jeong;Kim, Kyung Ran;Kim, Hyo Cher
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.17 no.2
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    • pp.89-100
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    • 2007
  • Object: The purpose of this study was to survey the government official support status of the agricultural diseases, injuries and accidents among Korea and foreign countries and to suggest the agricultural policy of Korea. Methods: For this purpose, we analyzed the current national management support status among four foreign countries and Korea about agricultural diseases, injuries and accidents of farmers. For the foreign countries and the national support current status of agricultural diseases, injuries and accidents, related literature such as books, theses, articles, and web documents from the government organization of each countries were collected and analyzed. Key words for web-site and web documents were agricultural diseases, injuries, and accidents, government official system, safety and health, farmer's welfare, and farmer's official support system. UK, United States of America, France, and Japan were selected as the foreign countries' cases. Results and Conclusions: Implications for the agricultural diseases, injuries and accidents derived from the reviews among foreign countries and Korea were as follows: governmental supports should include (1) efforts on unifying administrative systems, (2) special support and management systems focusing on special subjects such as the agriculture that have been neglected, (3) aligned strategies including vision, goals, long-term plans about national safety and health projects, (4) development of supporting systems considering the features of agriculture, (5) systemized national surveys about occupational injuries and accidents for basic statistics and national studies, (6) active prevention efforts of agricultural diseases, injuries and accidents, and (8) specialized funds for safety and health of Korean farmers.