변화된 특검제도하에서의 전산관리방안

송재석 대한산업의학회 2008 대한직업환경의학회 학술대회 논문집 Vol.41 No.-

인천지역 일부 근로자들의 피부질환으로 인한 의료이용에 관한 연구

송재석,원종욱,노재훈,안연순,Song, Jae-Seok,Won, Jong-Uk,Roh, Jae-Hoon,Ahn, Yeon-Soon 대한예방의학회 1999 예방의학회지 Vol.32 No.2

Objectives: This study was carried out to identify relation of health care utilization due to skin disease(ICD-10, L00-L99) and characteristics(sex, age, exposure status, type of industry, size of enterprise) of workers. Methods: We made new database composed of 30,536 workers' health examination results in one specific health examination institute in Inchon and data of medical insurance utilization due to skin disease in 4 medical insurance associations for enterprise from January, 1995 to December, 1997 And we analyzed determinants of health care utilization due to skin disease of workers. Results: Among 30,536 study subjects, 8,837(28.9%) workers and 4,181 (13.7%) workers utilized medical insurance due to total skin disease(ICD-10, L00-L99) and contact dermatitis(ICD-10, L23-L25), respectively. Female workers(p<.001), workers exposed to organic solvents(p<.05), workers if manufacturing industries(p<.05, p<.01, respectively) and in large scale enterprises(p<.001) utilized more medical insurance due to total skin disease and contact dermatitis than male workers, workers not exposed to organic solvents, workers in non-manufacturing industries and small scale enterprises. With multiple logistic regression analysis, significant explanatory variables affecting workers' medical utilization due to total skin disease and dermatitis and eczema(ICD-10, L20-L30) in total workers were sex, age, specific chemicals and size of enterprises. And age, type of industries, organic solvents, specific chemicals and size of enterprises were significant explanatory variables related to medical insurance utilization due to dermatitis and eczema and contact dermatitis in male workers. Conclusion: From the above results, we found that workers exposed to organic solvents utilized more medical insurance due to skin disease than workers not exposed to. And, comparing to workers in large scale enterprises, workers in small scale enterprises may have unmet medical care utilization due to skin disease. Therefore we have to establish counterplan to manage occupational skin disease of high risk group(organic solvent exposure group) and to satisfy unmet medical care utilization of workers in small scale enterprises.

의료보험 전산자료 주상병명으로 파악한 주물공장 근로자들의 폐암

송재석,강성규,정호근,안연순,Song, Jae-Seok,Kang, Seong-Kyu,Chung, Ho-Keun,Ahn, Yeon-Soon 대한예방의학회 2000 예방의학회지 Vol.33 No.3

Objectives : To investigate the difference in the occurrence of lung cancer between foundry workers and non-foundry workers by comparing the number of workers diagnosed with lung cancer through health insurance data. Methods : The study population was comprised of 28,884 workers who had undergone at least one general or special medical examination between January 1995 and December 1997 at the occupational health center. All of the subjects had health insurance during this period. We combined the medical examination data with the health insurance data to compare the number of foundry workers diagnosed with lung cancer and the number of non-foundry workers diagnosed with lung cancer. Results : Seven workers were diagnosed with lung cancer among the 1,591 foundry workers, compared to twelve workers among the 27,293 non-foundry workers (odds ratio: 10.04, 95% confidence interval: 3.95-25.55). The seven foundry workers diagnosed with lung cancer were all exposed to dust, and six out these seven workers were engaged in finishing or shake-out processes. Conclusions : Although the information for this study was obtained from health insurance data, which has limitations such as accuracy and completeness, the number of foundry workers diagnosed with lung cancer was significantly higher than that of non-foundry workers. Therefore, a well-designed cohort study should be followed to confirm the higher lung cancer rates in foundry workers.

자율 산업보건사업 실시를 위한 전제조건과 개선되어야 할 사항의 중요도에 관한 연구

송재석,원종욱,손명세,차봉석,노재훈,Song, Jae-Seok,Won, Jong-Uk,Son, Myong-Sei,Cha, Bong-Suk,Roh, Jae-Hoon 대한예방의학회 1997 예방의학회지 Vol.30 No.4

To perform voluntary occupational health program in worksites, regulational supports are necessary. The regulational supports include assessment of current occupational health program and appropriate incentives. The purpose of this study is to find out the requirements of voluntary occupational health program and conditions to be improved. Study population was industrial health managers of both industries with less than 300 workers and over 300 workers, and the member of labor union who is responsible for safety and health in worksite. Two different questionnaire were used to find out the requirements and conditions to be improved respectively, The results were; 1. The category which prevalence rate of occupational injuries and occupational disease should be lower than national average was most important in health managers employed in industries over 300 workers and followed by reporting system, education, worksite policy, work environment assessment, protective equipment, consequently. But those employed in industries less than 300 workers showed high importance in prevalence rate of occupational injuries and disease, reporting system, worksite policy, work environment assessment, protective equipment, education, consequently 2. The members of labor union thought that worksite policy was most important and the next is education, reporting system, work environment assessment, protective equipment, prevalence rate of occupational injuries and disease. 3. There were difference in importance of education and worksite policy according to the size of industries. Reporting system, prevalence rate of occupational injuries and disease, and worksite policy had different importance between members of labor union and health managers. 4. In the results of quiestionnaire for conditions to be improved, the most important condition was top manager's willingness except personal protective equipments, and followed by financial support, legal support. The limitations of this study were the problems of representativeness of study population. but voluntary health program should be performed in worksites which have relatively good occupational health system. So, this selection bias could not disrupt our results.

강원도 고랭지 지역의 농약 사용 및 미국의 농약 사용 안전 기준

송재석 關東大學校 醫科大學 醫科學硏究所 2003 關東醫大學術誌 Vol.7 No.2

This study was conducted to analysis the usage of pesticide in alpine area and review of safety standard of pesticide in U.S. We conduct survey using structured questionnaire. The total respondents were 73. Mean daily working hours are 12.8. They used pesticide and herbicide. But only less than 10% of workers received safety and health education. And 97% of workers were not willing to attend education. The workers suffered from general weakness, dizziness, fatigue, skin problem, eye irritation and myalgia. The workers mostly keep pesticide application safety standard, but 'don't apply at fatigue', 'don't apply at midday', 'don't apply after alcohol drinking' were not. In U.S., safety standard of pesticide application were strict. because pesticide application can affect not only workers but consumers. In conclusion, the preparation of safety standard and policy in Korea are urgent.

지방자치단체 주민참여예산제의 모형분석과 성공적 도입ㆍ운영 방안

송재석 한국정책개발학회 2008 정책개발연구 Vol.8 No.2

본 논문은 현재 우리나라 지방자치단체가 실시하고 있는 지방예산제도의 특정과 문제점을 파악하여 주민참여예산제도의 실행 가능성을 탐색한다. 구체적으로는 현재 몇몇 지방자치단체가 참여적 지방재정운영의 일환으로 구축하고 있는 주민참여 예산제도를 사례별로 분석하여 그들의 재정운영 현황과 특징을 살펴보고, 분석된 모형들 각각의 장단점을 근거로 하여 제천시에 합당한 주민참여 예산제도와 주민참여 예산제도의 운영방안을 모색하는 데에 본 논문의 목적이 있다. 이를 위하여 본 연구는 주민참여예산제도를 4개의 모형으로 구분하고, 이러한 모형들 중에서 제천시가 가지고 있는 제반 조건들을 검토했을 때 제천시에 가장 합당한 모형을 확인한다. 또한 제천시에 합당한 모형을 선택하는 것 못지않게 중요한 것은 제천시의 주민참여예산 기구의 정비와 활성화 방안이 마련되어야 한다는 점과 제천시의 인구수와 시 조직규모를 감안할 때 효율적인 주민참여예산 위원회가 운영되어야 한다는 점이 강조되고 있다.

균형발전을 위한 지역 클러스터의 모형 형성

송재석 한국정책개발학회 2004 정책개발연구 Vol.4 No.1

본 논문에서는 수도권의 집중화 현상으로 대표되는 국토의 불균형적 발전을 개선하고 지역의 경제를 활성화해 국토를 균형적으로 발전시키기 위한 모형을 형성하고 이를 제천지역에 적용함으로써 현실적으로 실행 가능한 지역발전의 정책대안은 무엇인지를 탐색하였다. 지역의 균형적 발전의 개념적 설명으로써의 지역 클러스터 모형은 비전제시자, 시스템통합자, 전문공급자로 구분되며 각자의 협력 필요성을 제시하였다. 이 모형에서 중요한 영향을 미치는 관학의 정책협력에 관한 구성요소를 도출하고 또한 지역에서 특화시킬 수 있는 전문 품목의 개발 및 선정을 위해 경험적 분석을 이용하였다. 관학의 정책협력에 관한 구성요소는 관학의 일체성 및 정책 아이디어의 공유와 지원, 자립형지방화로 발전하기 위한 협동, 국가균형발전과 지방의 자율성, 기술혁신 및 기술전파에서의 협력, 그리고 정보화기지로의 발전 등이 제시되었다. 마지막으로 제천지역에서 특화시킬 수 있는 전문 품목의 개발 및 선정을 위해 한방신약개발사업, 관광사업, 대단위 약초재배사업, 일반물류사업, 약초유통사업, 컴퓨터부품사업, 소프트웨어사업, 디자인사업 등을 제시하여 그 가능성을 탐색하였다.

내분비 교란물질의 안전성 평가를 위한 데이터베이스 구축

송재석,장덕진,홍연표,양윤정,전진호 한국EHS평가학회 2005 한국EHS평가학회지 Vol.3 No.1

본 연구는 내분비 교란물질의 안전성 평가를 위한 데이터베이스 구축을 위하여 실시되었다.이 데이터베이스의 사용자는 일반인,연구자,정부의 정책 담당자로 정부의 점책 담당자와 일반인은 내분비 교란 물질의 독성정보의 검색과 동시에 이를 통한 올 바른 정책의 수립에 도움을 주고자 하였다.동시에 내분비 교란물질을 연구하는 연구자에게는 최신 동향을 검색할 수 있도록 수행하였다.연구는 미국 국립도서관에서 제공하는 PubMed에서 DEHP 와 (site, strain, reproductive (rat, mouse), does-response, histopathology, route of administration, rat, mouse)를 주제어로 검색하여 그 중에서 종설 논문과 초록과 원문을 확인할 수 없는 논문을 제외한 195개 논문을 대상으로 하였다.데이터베이스는 현재 우리나라에서 가장 많이 사용하고 있는 대용량 DBMS인 SUN사의 Oracle 8i를 이용하였고 CGI (common gate interface)는 JSP servlet을 이용하였다.데이터베이스는 web 상에서 사용자가 원하는 검색조건을 입력하여 검색할 수 있도록 하였다.검색조건으로는 사용동물과 그 종,투입경로,조직학적 소견,양-반응관계의 설정 등으로 하였으며 이외에도 연구의 연 도를 이용하여 검색할 수 있도록 하였다.또한 최신 정보를 데이터베이스에 추가할 수 있도록 하는 스크립트와 이를 관리자가 web 상에서 작업할 수 있는 인터페이스를 관리자용으로 같이 제공하였다.내분비교란물질 정보 데이터베이스는 이후 일반인과 정책담당자가 사용할 수 있도록 정리된 독성정보를 제공하기 위한 자료를 같이 제공 할 것이다.그러나 이 데이터베이스가 최신의 자료를 제공하기 위해서는 데이터베이스의 관리가 중요하며 이는 추후 지속적인 작업이 진행되어야 할 것이다. This study was performed to develop the database of endocrine disruptor research information. This database was help the governer, researcher and general person to get proper information of current research of endocrine disruptors. The database used article which gathered by PubMed using DEHP, site, strain, reproductive, dose-repense, histopathology, route of administration, rat and mouse as keywords. The DBMS was oracle 8i, and common gate interface was jsp. Only the database manager can modify and add database. However, all client search the data using SQL editor.

제조업 종사 근로자의 호흡기질환으로 인한 의료이용에 영향을 미치는 요인

송재석,강성규,정호근,안연순,Song, Jae-Seok,Kang, Seong-Kyu,Chung, Ho-Keun,Ahn, Yeon-Soon 대한예방의학회 2002 예방의학회지 Vol.35 No.1

Objectives : To identify the relationship between the use of medical services by workers with three types of respiratory diseases(total respiratory diseases, acute upper respiratory infections and chronic lower respiratory diseases) and exposure to hazardous agents after controlling for other factors affecting medical services use, such as characteristics of the enterprises(scale, industry type) and employee demographics (sex, age). Methods : The study population comprised 28,882 workers who had undergone general or special medical examinations at the industrial health center at least once between Jan 1995 and Dec 1997 and had possessed medical insurance during the period. We combined medical examination data with medical insurance data in order to analyze the relationship between exposure to hazardous agents and respiratory diseases, Results : Among the 28,882 study subjects, 17,454 employees(60.4%) used medical services more than once during 3-year study period, owing to more than one kind of respiratory diseases. In logistic regression analysis, sex, age and the size of the enterprises proved to be significant variables on the use of medical services for all three types of respiratory disease; The use of medical services increased with employee age. Women used more medical services than men and the employees in the large-scale enterprises used more services than employees in small-scale enterprises. However, exposure to dust or organic solvents did not affect medical service use due to total respiratory diseases or acute upper respiratory infections. Only in the case of chronic lower respiratory diseases did workers exposed to dusts(OR=1.12, 95% CI=1.01-1.24) or organic solvents(OR=1.19, 95% CI=1.05-1.35) use more medical services than those not exposed. Conclusions : Workers exposed to dusts or organic solvents are particularly apt to suffer from chronic lower respiratory diseases and use medical services more often than those not exposed. That is, chronic exposure to hazardous agents such as dusts and organic solvents is believed to be harmful and to cause respiratory symptoms and diseases.

국제 물관리 계획 모형에 준거한 수자원 관리의 적용: 한강유역을 중심으로

송재석 국회입법조사처 2015 입법과 정책 Vol.7 No.1

본 연구는 한강유역에서 통합적 권한을 가지고 물거버넌스를 실천할 수 있는 기관인 한강유역위원회를 가상적으로 설치하고, 그 한강유역위원회의 활동과 현존하는 한강유역 관리 시스템을 비교하여 그 적실성을 판단한다. 이를 위하여 본 연구는 현재 한강유역에서 단일목적으로 운용되고 있는 수자원관리체계를 비판적으로 검토하고, 새롭게 채택되는 수자원관리의 패러다임으로서 물거버넌스의 기본 가정과 기본구조를 설정하는 동시에 이를 토대로 한강유역관리에 필요한 운영전략을 탐색하는 부분이 본 연구가 집중하고 있는 핵심이다. 더불어 한강유역위원회의 운영을 비교론적 관점에서 살펴보기 위하여 가상적 한강유역위원회 설치에 따른 강점과 기회는 물론 위협이나 약점도 함께 도출하였다. 결국, 한강유역위원회는 유역의 수자원관리에 매우 긍정적으로 효율성을 확보할 수 있을뿐더러 지방자치의 발전과 주민의 만족을 신장하는 데에도 크게 기여할 것으로 분석되었다. The purpose of this paper is to establish the Han River Basin Commission(HRBC), which put into practice water governance of the Han River basin, and to evaluate the relevance of water governance by comparing the Han River Basin Commission with routine institutions that participate in the operation of the Han River basin. To do these, this study critically reviews the current water management systems used with the single purpose of water use in Han River basin, and quests the strategies of the water resources management based on the basic assumptions and structures to organize the HRBC. As a result, this study concludes that the Han River Basin Commission can play a very positive role in the water resources management of the Han River basin, as well as contribute to the local residents’ satisfaction and to the development of local autonomy in Korea.