Cohort Profile: Gachon Regional Occupational Cohort Study (GROCS)

Lee, Wanhyung,Lee, Yongho,Lee, Junhyeong,Kim, Uijin,Han, Eunsun,Ham, Seunghon,Choi, Won-Jun,Kang, Seong-Kyu Occupational Safety and Health Research Institute 2022 Safety and health at work Vol.13 No.1

Background/Aims: The Gachon Regional Occupational Cohort Study (GROCS) is a large-scale longitudinal study of occupational safety and health data (covering Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service) conducted by the Gachon University Gil Medical Center (GUGMC) in Incheon, Republic of Korea. We conducted GROCS to identify the health effects of workers' occupational risks, behavior, socioeconomic status, and life style. Methods: The GROCS includes data from Work Environment Monitoring, Workers' Health Surveillance, and Occupational Health Service. The baseline year for all data collection was 2018. Work Environment Monitoring was conducted in 240 companies located in Incheon. General Health Examination and Special Health Examination were performed on 32,725 and 9,504 workers, respectively. Occupational Health Services were provided to 16,883 workers in 171 companies. These data have been collected and operated at an external data management institution and were provided as a retrospective cohort after removing personal identification information. Results: In 2018, the total number of companies was 2,854, among which which 488 special Health Examination, 171 Work Environment Monitoring, and 240 Occupational Health Service. The proportion of companies undergoing Special Health Examination was 17.1%, the proportion of companies undergoing Work Environment Monitoring was 8.4%, and the proportion of Companies undergoing Occupational Health Service was 6.0%. Conclusion: GROCS expects researchers to utilize its useful and reliable resource for occupational health and surveillance with for academic or political purposes to lead to improved workers' health and working environment.

보건관리자의 산업보건관리 직무실태조사

전경자,양미란,박혜숙,홍윤철,이훈재,조희숙,하은희,노영만 大韓産業醫學會 1997 대한직업환경의학회지 Vol.9 No.3

To evaluate job performance of occupational health personnel in workplace, we performed this study by two steps. First of all, we developed assessment tools of job performance and then surveyed job performance of occupational health personnel by a self administrative questionnaire. The questionnaires were mailed from July 24 to August 24 in 1996. Among the 350 workplaces where we mailed questionnaire, 125 occupational health personnel from 95 workplaces answered. The results were as follows. 1. The score of job performance of occupational health personnel was highest in administration, and then followed by health care, preventive health service, basic policy, and finally other services. 2. In basic policy, the majority of occupational health personnel planned annual health services. However they didn't consider workers' opinions enough when they planned their occupational health service(OHS). 3. In preventive health services, the score of worker management after health examinations was somewhat high, but emergency care training and the management of working conditions received lower scores. 4. Health care, emergency care and transportation, referrals of patients to clinics received high score. However, the score for treatment of occupational disease was lower than nonoccupational disease. 5. Nurses and occupational hygienist got higher scores in the administrative word comparing than doctors. 6. The occupational health personnel, except doctors, didn't participate well in the safety and health committee. This study shows that occupational health personnel should increase their activity in weaker areas of their jobs, especially in basic policy setting, recommendation to their employers and managers, management of working conditions and treatment of occupational disease in order to enhance the quality of occupational health service.

우리 나라 보건관리대행서비스 평가 연구

하은희,조수헌,김선민,주영수,한상환,하미나,권호장,홍윤철,김창엽 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.1

Group occupational health service programme started in 1990 is one of the measures to cope with limited human and financial resources in occupational health. The programme has expanded rapidly to include 52 institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. This study has aims to develop the criteria to assess the quality of newly developed group occupational health service programme, and to investigate the quality of institutions, and finally to develop policies for the quality improvement. 1) Criteria development : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, followings are included as core elements of qualitative occupational health programme; accessibility, continuity, comprehensiveness, technical quality, intersectoral collaboration, emphasis on preventive services, community participation, and adequacy. Again each element is divided into five major components of national health system infrastructure developed by the World Health Organization; development of health resources, organized arrangement of resources, delivery of health care, economic support, and management. In turn, each component is categorized into three aspects of quality assessment, structure, process and outcome. Expert panel selected several criteria for each category to evaluate the programme. Criteria were modified according to each group of interviewees, to produce two sets of questionnaire, one for chief operating officer and another for nurses in the institutions, and the chief operating officer and workers in the workplace. 2) Subject : Of all 52 institutions, 25 voluntarily participated in the survey. At individual institution, chief operating officer and practicing nurses were interviewed in depth. After intensive education for interviewees, every interviewees, every interview was performed with standardized guideline and questionnaire. The quality of the 'Group occupational health service programme' was found to be lower than expected. Especially in continuity, comprehensiveness, technical quality, community participation and adequacy, lower quality in structural aspect was commonly identified throughout all the institutions,. Quality in terms of accessibility and continuity highly varied among institutions., To improve quality of the programme, more comprehensive and systematic programme such as accreditation has to be introduced. In addition, human resources, governmental fund and information systems for individual workers are to be developed. As a long range plan, integration of occupational health services into the national health systems and pooling of financial resources and planned allocation should be considered.

Practice status of specialized agencies for occupational health management of small-to medium-size enterprises and the factors improving their performance

Saerom Lee,Jun-Pyo Myong,Eun-A Kim,Huisu Eom,Bowha Choi,Young Joong Kang 대한직업환경의학회 2017 대한직업환경의학회지 Vol.29 No.-

Background: We examined the current status of specialized agencies for occupational health management (SAs) and their workforce. Furthermore, we aimed to clarify the current practice status of SA healthcare professionals and factors that influence their performance. Methods: To examine the current SA workforce, we analyzed data from the 2014 Survey of Current Status of SA and their Workforce from the Ministry of Employment and Labor (MOEL). Furthermore, we mailed out an original questionnaire to SA professionals to determine their current health management status and factors that affect their performance. Data from the respondents (N = 384) were analyzed. Results: In 2014, the workforce performing health management in SAs comprised 232 physicians, 507 nurses, and 312 occupational hygienists, with no significant regional differences in the distribution of physicians and nurses. According to the findings of the questionnaire, the average daily number of worker consultations by physicians and nurses was 22.8, while the average time taken for health management ranged from 74.3 to 104.3 min, depending on the size of the firm. Most of the respondents (41.5%) answered that they were following-up on more than 80% of individuals with illnesses. Among health management tasks, performance scores of “consultations for general diseases” and “consultations for lifestyle habits” were relatively high, whereas health promotion activities at workplaces were relatively low. There was a significant correlation between the utilization of general and special health examination results and task performance. Conclusion: Among health management tasks, follow-up management of individuals with illnesses and consultations for disease/lifestyle habits were relatively well performed, whereas health promotion activities at workplaces were not performed well. Among factors that positively influenced SA performance at workplaces, only the utilization of health examination results had significant effects. Therefore, to accomplish health management goals and perform effective health management at workplaces, there is a need to establish a comprehensive system of occupational health service outsourcing integrating health examinations and health management services. Furthermore, the current task system, which focuses on follow-up management, should be expanded to incorporate preventive and health promotion functions—the fundamental functions of occupational health services (OHS).

건강질단 질병 유소견자들의 순천향구미병원 외래이용에 영향을 미치는 요인

김진석,우극현,함정오,유재영,최태성,하봉구,윤성용 순천향의학연구소 2002 Journal of Soonchunhyang Medical Science Vol.8 No.1

Background ; The purpose of routine health screening of employee is not only to detect worker's disease at early stage but also to provide early appropriate health service. But, majority of patients who diagnosed by routine health screening haven't underwent health service utilization. Soonchunhyang Kumi Hospital had been provide total occupational health service in kumi industrial estate including health screening, worker interview at workplace by occupational nurses and doctors. Object ; We want to know how much proportion of patient who are diagnosed by routine health screening had visited Soonchunhyang Kumi hospital out-patient clinic and factors influencing such health care service utilization. Method ; Initial study subject were 189 workers who had proved to have hypertension, diabetes mellitus, hyperlipidemia in routine health screening which performed during year of 2000. Among those, 160 workers who had finished questionnaire were selected for final study subject. We investigate whether they had visited health services or not, if they had, what kind of health care facility they visited, and other factors which influencing their health service utilization. Result ; Among 160 workers, 59(36.9%) had visited Soonchunhyang Kumi hospital, 47(29.4%) had visited other health care facility, and 54(33.8%) had not went to any health care facility. Factors which influencing Soonchunhyang Kumi hospital utilization is sex, job, staff's support to hospital visit during worktime, history of medical consultation about health screening result.

조선업 생산직 근로자들의 산업보건서비스에 대한 만족도 및 필요도

하은희 大韓産業醫學會 1998 대한직업환경의학회지 Vol.10 No.1

In order to make an effective occupational health service program in a shipbuilding industry, I surveyed the workers' recognition of current occupational health service provided in health department of the workplace, their satisfaction with it and their need of future service. During 4 months in 1995(from April lst to July 31th), structured questionnaires were administered to 680 participants in health education program in shipbuilding industry in Inchon.. Most of them were men. They were young workers of 20-29 years old and their work tenures were short(5 years or less). They knew that main activity of current OHS was treatment of disease in workplace, but their satisfaction with current OHS was not good. Their satisfaction with management of general diseases was high in the case of acute disease, namely, URI, diarrhea, abdominal pain, however their need of future service in general diseases was high in the case of chronic disease, namely, hepatitis, back pain and so on. Their concern of work related disease, their recognition of and satisfaction with preplacement medical examination was high, and they need more medical care of occupational disease. In working environmental management service, recognition of and satisfaction with the activities related to the personal protectives, safety management were high, and they need highly communication of environmental evaluation and improvement of working environment. The opinions of workers strongly showed the need of improvement in specific health examination and evaluation of work environment. Conclusively the workers were not satisfied with current in plant occupational health service. They wanted better services, especially in the medical care of occupational disease and the management of work environment.

해군 간부의 직무스트레스, 수면의 질, 피로 및 건강관련 삶의 질

성민정,이지연,이주희,박정옥 국군간호사관학교 군건강정책연구소 2023 군진간호연구 Vol.41 No.2

Purpose: The purpose of this study was to investigate the level of occupational stress, sleep quality, fatigue, and health-related quality, and to identify factors associated with their health-related quality of life. Methods: This study was a cross-sectional and descriptive correlation study, and the participants were recruited by rank and working area through double-allocation sampling methods. The data were collected from March 31 to May 12, 2022. Among 154 collected data, complete data from 149 participants were used for analysis. The data were analyzed using descriptive statistics, independent t-test and one-way ANOVA, Pearson's correlation coefficients, and multiple regression analysis. Results: Naval service members’ occupational stress, sleep quality, fatigue, and health-related quality of life were significantly different in relation to their work patterns, the current working areas, and level of occupational noises. In regression analysis, factors associated with physical component summary (PCS) health-related quality of life were work patterns (t=-2.40, p=.018), occupational stress (t=-2.80, p=.006) and sleep quality (t= -3.54, p=.001). The significant factors related to mental component summary (PCS) health-related quality of life were occupational stress (t=-2.39, p=.018) and fatigue (t= -3.25, p=.001). Conclusion: This study emphasizes the need for active management of occupational stress, sleep quality, and fatigue as major factors associated with health-related quality of life, while considering naval service members’ work patterns, working area, and exposure to noise. Furthermore, establishing policies for differentiated health management in consideration of the work characteristics of naval service members should be made at the national level. Therefore, this study is meaningful in that it provided basic data for preparing health management plan according to the work characteristics of the naval service members.

국내 정신과 작업치료의 현황 조사연구

이주언,강대혁,박소연 한국정신보건작업치료학회 2011 한국정신보건작업치료학회지 Vol.1 No.1

본 연구는 정신보건영역에서 근무하는 작업치료사의 정신과 재활서비스 현황을 파악하여 향후 작업치료사의 역할에 대해 제언하고자 설문조사를 실시하였다. 대상자는 대한작업치료사협회에 등록된 협회원의 정보와 연쇄소개추출법(snowball sampling)을 통해 얻은 정보를 취합하여 선정하였으며, 주로 성인을 대상으로 치료하는 정신과 작업치료사 13명 중 11명이 설문에 참여하였다. 설문지의 내용은 일반적인 특성과 근무 기관의 환경, 재활 서비스, 평가방법, 정신과 작업치료의 발전방향과 전망으로 구성되었다. 전국적으로 정신과 작업치료사가 근무하는 기관의 수는 본 연구자의 근무지를 포함하여 총 12개였으며, 근무기관의 형태로는 전문정신병원, 종합병원, 정신보건센터, 사회복귀시설, 치료감호소 등으로 다양하였다. 연구자가 근무하는 기관을 제외 한 11개 기관 중 5기관에서 임상실습교육을 시행하고 있었으며, 작업치료사들은 다양한 재활서비스를 제공하고 있었다. 대부분의 응답자들은 정신과 작업치료의 전망에 대해 긍정적으로 평가하였으나 인력부족과 작업치료 평가도구의 제한적 사용, 작업치료에 대한 인식부족은 앞으로 개선해야 할 점으로 지적하였다. 본 연구는 국내 정신과 재활서비스의 전반적인 현황을 파악하고 작업치료사의 전문적인 역할을 모색해 보았으며, 이를 통해 정신과 작업치료의 발전을 촉진하는 데 기초자료로 활용되기를 기대한다. This study investigated the current condition of rehabilitation service in mental health where occupational therapists work and suggested the role of occupational therapists in the future. The participants were recruited from the database of the Korean Association of Occupational Therapists and utilized snowball sampling. Thirteen occupational therapists working with adult clients were identified and eleven therapists participated in the survey. The survey was composed of demographic information, work environment, rehabilitation services, evaluation methods, and personal view on the future of psychiatric occupational therapy. There were 12 institutions(including the researcher’s working site) nationwide where psychiatric occupational therapists were working. The settings varied as mental hospital, general hospital, community mental health center, halfway house, and forensic service. Five out of eleven institutions excluding the researcher’s working site were accepting students for fieldwork education. Psychiatric occupational therapists were providing various rehabilitation services. Although most of the respondents were optimistic about the growth of occupational therapy in mental health they were concerned about lack of manpower, limited use of occupational therapy evaluation tools, and lack of awareness on occupational therapy. This study examined the overall situation of rehabilitation service in mental health and suggested professional role of occupational therapists. It is expected that this study will be utilized in facilitating the growth of psychiatric occupational therapy.

직업안정법상 근로자공급사업과 공급근로자의 산업안전의 문제점 및 보호방안

강선희 노동법이론실무학회 2014 노동법포럼 Vol.- No.12

“Labor supply service” means a service of having another person use a worker under a supply contract. No labor supply services were permitted but they are restrictively allowed only for unions by Employment Security Act because it is possible for the labor supply services to exploit workers, compel them to work and infringe on their rights. The relevant laws like Employment Security Act don’t regulate who assumes the employer’s responsibility for the supplied worker. So, supplied workers from labor supply services has a blind spot about safety and health management because they are not eligible for an object to protect under the Occupational Safety and Health Act. Lawful labor supply services are traditionally done in the field of port where negligent accidents occur with frequency and there are many serious disasters. Labour in the field of port has a higher than normal risk of industrial accidents. In this situation, most of supplied workers are dock workers and dock workers must be protected by Occupational Safety and Health Act. Because no laws regulate the liability for compensation for supplied workers’ negligent accidents, the subject of the liability for safety and health measures must be established clearly. First, this paper covers labor supply service under the Employment Security Act based on issues mentioned above. And the concept of the services such as job placement, dispatch of workers and contract of work that are similar to labor supply service is examined in order to protect the supplied workers. The legal consequence of labor supply service is also examined. Next, this paper studies how the Occupational Safety and Health Act is applied to the services that are similar to labor supply service and whether occupational safety and health needs to be regulated in labor supply service. Finally, ways to protect the supplied workers under occupational safety and health are sought.

경인지역 일부 근로자와 보건담당자의 보건관리에 대한 인식 및 태도

장성실,이세훈,Chang, Seong-Sil,Lee, Se-Hoon 대한예방의학회 1994 Journal of Preventive Medicine and Public Health Vol.27 No.1

본 연구는 대행기관의 보건관리를 받고 있는 경인지역 51개 사업장 근로자들 중 무작위로 추출된 247명과 보건담당자 46명의 보건관리에 대한 인식과 태도를 조사한 것이다. 1992년 12월부터 1993년 2월까지 3개월간 설문조사를 실시하였으며, 조사결과는 다음과 같다. 1. 생산직근로자는 일반적 직업적 특징상 보건담당자보다 연령, 학력 및 직위 등이 유의하게 낮았다. 2. 생산직근로자는 담당자보다 직업병에 걸릴 것이라는 인식이 강하고 작업환경에 대해 더욱 열악하다고 인식하고 있었으며 작업환경 측정이 유해인자 평가에 유용하지 않다고 생각하는 경향을 보였다. 또한 두 군 모두에서 작업환경 측정이 유해인자를 평가하는데에 유용하다고 생각할수록 작업환경이 개선되고 있다고 생각하는 경향이 있었다. 3. 보건관리대행에 대한 인식도 두 군간에 유의한 차를 보여서 근로자의 72.6%가 보건관리대행을 받고 있는지를 알지 못하고 있는 반면, 보건담당자의 82.2%가 잘 알고 있다고 응답하였다. 그러나 보건관리대행의 필요성에 있어서는 두 군간에 유의한 차가 없었으며, 전체의 79.0%가 보건관리대행이 필요하다고 응답하였다. 4. 보건교육에 있어 근로자의 73.1%가 보건교육을 받은 적이 없는 반면, 전체의 93.0%가 보건교육의 필요성을 인식하고 있었다. 보건교육의 필요성은 보건교육에 대한 만족하는 정도와 관련이 있었고, 또한 보건교육의 만족 정도는 보건관리대행의 필요성 인식과 관련이 있었다. 5. 두 군 모두에서 현행의 보건관리가 너무 형식적이라고 인식하고 있었으며, 이러한 형식성의 탈피와 정기 건강진단에 대한 추후 관리를 희망하고 있었다. 이상으로 미루어 보아, 대행기관의 사업장에 대한 보건관리는 근로자들의 적극적인 자세에 비하여 효율적으로 이루어지지 않고 있다고 판단되었다. 그러므로 근로자들이 작업환경의 유해요인에 대해 올바르게 인식하므로써 적절한 태도를 취할 수 있도록 하기 위하여서는 보건담당자뿐 아니라 근로자에 대한 보건교육을 포함한 보건관리를 보다 적극적인 자세로 강화시키고 정착시키는 것이 필요할 것으로 제시되었다. This study was performed to investigate the knowledge and attitude of workers in small scale industries on health management, and to provide the basic data for more effective service by the group occupational health service system. The knowledge and attitude of 247 workers and 46 health personnel in the industries scattered around Incheon were investigated from December 1992 to February 1993. The results were summerized as follows ; 1. There were significant differences between the workers and the health personnel by age, sex, marriage status, job-position and education level. 2. The recognition level of the workers to contract work related disease was significantly higher than that of health personnel, and recognition level of the workers on environmental hazards and on the utility of measuring hazards were lower than that of health personnel. 3. The recognition level on the content of the group occupational health service system was significantly different between workers and health personnel, 72.6% of the responses from the workers answered that they did not know what the group occupational healthe service system was, but 82.2% of the responses from the health personnel answered that they knew well what it was. And 79.0% of all respondents thought it was necessary for worker's health. 4. Seventy three percent of the respondents from the workers indicated that they had never taken health education. However, 93.0% of all respondents answered positively for the need of health education to promote their health. 5. Current health service system was judged to be insufficient for the demand of workers for better health. Most of the respondents prefered a formal but flexible health service system and they wanted the periodic health examination to be followed up. It was revealed that despite of poor knowledge, the demand of workers for health service was higher than the current supply. Therefore, this study suggests that educating both health personnel and workers to obtain correct knowledge on the hazards to work enviroment and health management is needed for effective occupational health service.