채용시 건강진단 운영 현황에 대한 조사

정해관,임현술 大韓産業醫學會 1995 대한직업환경의학회지 Vol.7 No.2

Preemployment health examination, stipulated by the Occupational Safety and Health Regulations, plays an important role in workers health management. Recently, employers are getting more aware of the importance of screening recruits before employment to decrease the development of occupational disorders and work loss due to health problems. Accordingly, additional test items are being included and selection criteria for preemployment health examination is getting more strict. However, studies and data on preemployment health examination are scarce until now. Authors reviewed preemployment health certificates of 3,261 recruits issued by a university hospital in Pohang from January 3 to December 31, 1993, analyzed regulations on preemployment health examination of 16 companies in the Pohang area, and surveyed 80 health and safety personnel with questionnaire to evaluate the present status of preemployment health examination. Of 3,261 recruits 125(3.8%) failed to recruit. Main causes of failure were chronic liver disease, tuberculosis of undetermined activity. The regulations of 16 companies on preemployment health examination were reviewed. Most companies adopted additional test items in addition to basic test items listed on th Regulation; test of physical strength, pulmonary function test, pure tone audiometer(2000 Hz and 4000 Hz in addition to 1000Hz), exercise provocation test, urine erythrocyte and urobilinogen, complete blood count, stool examination, VDRL, and sputum examination for acid fast bacilli. In most companies, obesity, hearing disturbance, color vision disturbance was included in the selection criteria. Hepatitis B carrier was not accepted in 4 companies, accepted conditionally in 2, and accepted in 5 companies. Of 80 health and safety personnel of companies in the Pohang area, 56(70.0%) perceived preemployment health examination as a tool for selection of recruits and 14(17.5%) as a procedure for job fitting. Most of them were against the acceptance of recruits with hepatitis B carrier, lumbar spine deformity, and hearing disturbance. In conclusion, preemployment health examination is performed mainly for the purpose of selection of healthier employee, but test items and selection criteria is not seem to be adequate. Authors suggest that further studies are needed to select the test items for specific job, and application of selection criteria be restricted only to some specified jobs. Consecutive filing of preemployment health examination to the periodic health examination was also suggested.

건강검진센터의 공용공간 색채현황분석 연구

권오길 ( Oh Gil Kwon ),이재규 ( Jae Kyu Lee ) 한국공간디자인학회 2016 한국공간디자인학회논문집 Vol.11 No.1

(Background & Objective) There has been a nationwide heightened interest in healthy life amid active support of government at policy level and improvement in living standards. Against this backdrop, professional health examination centers have become specialized and segmented and are required to have pleasant and stable user-oriented spatial configuration. Color, the visual element in design, is an important element for spatial planning of health examination centers. The use of colors in health examination centers that emphasize functionalities assign value to aesthetic emotional expression, induce positive reaction from users, and bring about an effect through indirect healing. This study intends to examine spatial configuration of health examination centers and propose a human-oriented medical space through a case study involving practical use of colors in a health examination center, which has psychological impact on users. (Method) The study will investigate spatial configuration of health examination centers, efficient arrangement of space, characteristics of space, and common space based on preceding studies; furthermore, it will theoretically consider colors, visual perception, color psychology, and color therapy through a literature review. For color analysis in practical cases, the study utilized the Munsell Color System and color image scales as published by I.R.I Color Research Center to extract color image of health examination centers and analyze the derived color image from physical and psychological aspects. (Results) Bright color and indirect lighting were used to supplement inadequate natural lighting inside health examination centers, which had many corridors to pass through based on the order of examination. Fluorescent color was separated while white color (N9.5) and colors of YR and Y series were used to highlight clean and stable image of medical space. Colors that could be monotonous were refined in terms of light (architectural lighting) and shape to create a harmonious space at the spatial planning phase. There was a general preference for gentle, natural, elegant, and decent color images in health examination centers. (Conclusions) Health examination centers should be designed to have reasonable patient flows appropriate to the sequence of health examination for examinees, considering that complex and many different functions are performed simultaneously in a limited space. Since health examination continues for a long time, the aspect of time should be taken into consideration while avoiding excessive use of colors to prevent examinees from feeling confused. Pleasant spatial atmosphere can be created by using colors of GY, G, and BG series that have clear, cheerful, and modern color images as sub-dominant or accent colors. Moreover, use of colors in conjunction with light, shape, and texture, which are design elements, will maximize the psychological effect of colors and enable effective planning of stable, comfortable, and human-oriented space.

일개 종합병원의 민간 건강검진 수검자의 검진이용 특성, 건강행태 및 건강관리 수준 분석

김유미(Kim, Yoo-Mi),박종호(Park, Jong-Ho),김원중(Kim, Won-Joong) 한국산학기술학회 2013 한국산학기술학회논문지 Vol.14 No.1

본 연구의 목적은 2차 종합병원급 건강검진센터를 이용한 민간 종합검진 환자의 검진 이용특성과 이들의 건 강행태 및 건강관리 수준을 분석하는 것이다. 이를 위해 대전지역 일개 2차 종합병원급 건강검진센터의 2011년 20,696명의 민간 건강검진 수검자를 대상으로 이들의 2001년에서 2011년까지 11년간의 수검자료 150,501건을 분석하 였다. 민간 종합검진 수검자의 검진군 분류를 위한 군집분석은 K-means기법의 z-score표준화 방법을 이용하여 분류하 였으며, 정기/비정기 검진 분류모형 개발을 위해 로지스틱회귀분석, 의사결정나무, 신경망 분석을 이용하였다. 개발된 비정기 검진군 분류 모형에 따라 신규 검진군 중 비정기 검진군이 될 확률이 높은 1,000명을 추출하여 고객관리사업 대상자로 하였다. 분석결과, 수검자는 신규 검진군, 정기 검진군, 비정기 검진군으로 분류하였다. 신규 검진군은 30대 가 많고, 신장질환 의심자의 비율이 높았다. 정기 검진군은 남자, 이상지혈증 의심 비율이 높았다. 비정기 검진군은 흡연율과 운동부족 비율이 높았고, 빈혈 및 당뇨의심 비율이 높았다. 의사결정나무 분석결과 비정기 검진환자의 특성 에 영향을 미치는 변수로는 성별, 연령, 거주지, 운동, 빈혈, 이상지혈증, 당뇨, 비만, 간질환 등이었다. 특히 여자 수 검자로서 빈혈 검사는 정상, 운동을 하지 않는 군이면서 비만이 의심되는 수검자의 비정기적 수검율은 71.4%에 달하였 다. 이러한 연구결과 토대로 맞춤형 고객관리 사업을 진행한다면 건강검진센터 효율적인 운영에 기여할 수 있을 것이다. This study aims to analyze characteristics, health behaviors and health management level related to private health examination recipients in one general hospital. To achieve this, we analyzed 150,501 cases of private health examination data for 11 years from 2001 to 2011 for 20,696 participants in 2011 in a Dae-Jeon general hospital health examination center. The cluster analysis for classify private health examination group is used z-score standardization of K-means clustering method. The logistic regression analysis, decision tree and neural network analysis are used to periodic/ non-periodic private health examination classification model. 1,000 people were selected as a customer management business group that has high probability to be non-periodic private health examination patients in new private health examination. According to results of this study, private health examination group was categorized by new, periodic and non-periodic group. New participants in private health examination were more 30~39 years old person than other age groups and more patients suspected of having renal disease. Periodic participants in private health examination were more male participants and more patients suspected of having hyperlipidemia. Non-periodic participants in private health examination were more smoking and sitting person and more patients suspected of having anemia and diabetes mellitus. As a result of decision tree, variables related to non-periodic participants in private health examination were sex, age, residence, exercise, anemia, hyperlipidemia, diabetes mellitus, obesity and liver disease. In particular, 71.4% of non-periodic participants were female, non-anemic, non-exercise, and suspicious obesity person. To operation of customized customer management business for private health examination will contribute to efficiency in health examination center.

근로자 일반 검진과 개인별 종합검진의 일치도

유선미,임민경,고경실,맹승희 대한보건협회 1998 대한보건연구 Vol.24 No.1

산업안전보건법에 근거하여 시행되는 근로자 일반건강진단은 근로자에게 정기적인 건강진단을 실시하여 근로자의 건강을 유지·증진시키기 위한 2차 예방사업이다. 본 연구에서는 일반건강진단의 효과를 평가하기 위하여 검진의 표적 질환 및 검사항목 선정, 검진실시 과정, 검진결과 및 사후관리 체계에 대하여 표적 질환 및 검사항목 선정에 대한 평가에 주목하여 검토하였다. 1996년 충남 소재 반도체 생산업체 생산직 근로자 581명을 대상으로 근로자 일반건강진단과 개인별 종합검진을 시행하고 건강진단 결과와 의무기록상의 의사의 진단을 조사하여 다음과 같은 결과를 얻었다. 1. 일반건강진단의 표적질환군 중에서 한국인의 10대 사인, 공무원 및 사립학교 교직원 의료보험상병자료에서 유병률이 높은 질환에 속하는 것은 호흡기 결핵, 간장질환, 당뇨, 고혈압 등이었다. 2. 일반건강진단은 개인별 종합겁진에 비해 검사 항목이 더 적고, 검진에 소요되는 시간이 길고, 의사의 개별적인 상담을 받을 기회가 적었다. 집단을 대상으로 시행하는 일반건강진단의 사후관리는 2차 검진 결과를 통보하고 난 뒤에는 개인에게 일임하고 있었다. 3. 일반건강진단 결과 유소견자(C)와 일반 질환자(D2) 중에는 소화기 질환이 가장 많았고, 순환기, 호흡기, 비뇨생식기 질환, 호흡기 결핵 순이었으며, 고혈압과 호흡기 결핵을 제외하면 구체적인 진단을 얻을 수 없었다. 개인별 중합검진의 경우 일반검진을 이용해서 얻지 못하면서 임상적으로 중요한 진단으로 십이지장궤양, 위궤양, 위암, 간경변, 폐암, 협심증, 요로감염, 신장암 등이 있었다. 일반건강진단과 종합검진에서 진단이 일치한 경우는 전체의 53.9%였고, kappa index는 0.249(p=0.000)였다. 일반건강진단 결과 가장 많았던 소화기 질환은 개인별 종합검진에서는 지방간, 정상, 간염 건강보균자, 간기능 이상, 알코올성 간염 등으로 구체적인 진단을 받았다 4. 1차 검진 이상자(절차구분 R)에게 시행한 2차 검진은 고지혈증의 경우 검사 이상을 보이는 경우가 많았으나, 간장 질환, 비뇨생식기 질환의 경우는 최종 진단을 결정하는데 크게 기여하지 않았다. 효과적인 일반건강진단을 통해 근로자의 건강증진을 도모하기 위하여 검진의 목표, 표적질환, 검사항목, 검진실시 과정, 결과 추구 관리에 대한 체계적인 연구가 필요하다. Workers' periodic health examination is secondary level preventive service which aims health promotion at work site. This study concerns the target diseases, clinical tests, the result, and the follow-up strategies to explore the effect of periodic health examination. 581 workers in semiconductor-manufacturing factory were selected for this study in 1996. We analysed the result of examination and diagnosis by doctors in hospital medical records. The result is as follows, 1. Target diseases of workers' periodic health examination which belong to 10th common causes of death in Korea and rank as common diseases in medical insurance prevalence were respiratory tuberculosis, liver diseases, diabetes mellitus, and hypertension. 2. The most common findings which showed abnormal result was disease of digestive system, followed by diseases of circulatory, respiratory, urogenital system and respiratory tuberculosis. But the diagnosis by periodic health examination was not concrete except hypertension and tuberculosis, and didn't cover important diagnoses such as peptic ulcer disease, gastric cancer, liver cirrhosis, angina pectoris, urinary tract infection and kidney cancer. 3. Most results of confirmatory health examination to make an valid diagnosis about hyperlipidemia revealed abnormal results. But confirmatory health examination about liver disease, urogenital disease seemed to contribute to confirmative diagnosis. In conclusion, we described some problems of target diseases, test items, confirmatory tests in worker's periodic health examination. So we'd like lo suggest more extensive reconsideration about adequate target diseases, test items, and confirmatory health examination and cost-benefit analysis to improve the efficacy of workers' periodic health examination.

건강검진센터에서 임상병리사의 업무 전문성 연구: 일반건강검진을 중심으로

성현호,Sung, Hyun Ho 대한임상검사과학회 2020 대한임상검사과학회지(KJCLS) Vol.52 No.3

"Health examinations" means medical examinations conducted by health examination institutions, including a physical examination, consultation, physical measurement, diagnostic laboratory test (also known as clinical laboratory test, clinical pathology test), pathology test, and Imaging test for checking the health condition and the prevention and early detection of diseases. The types of health examinations include general health examinations, comprehensive health examinations, special health examinations, and other health examinations. The proportion of the general health examination work of medical technologists working at health examination centers has been estimated to comprise more than 50% of the total work. The cost aspect of suspicious diseases can be estimated to be more than 25%. The cost of diagnostic laboratory test has been estimated to be approximately 5%, and the proportion of medical diagnosis use is 70%. The results show that it is time to revisit whether medical technologists are receiving appropriate social, economic, and reasonable policy treatment in health examination work. The future of medical technologists will further expand their professionalism in diagnostic laboratory test and quality control in precision medicine and telemedicine in the future. Therefore, medical technologists will need to participate proactively in government policy decisions related to national health examinations and make efforts to improve treatment. "건강검진"이란 건강상태 확인과 질병의 예방 및 조기발견을 목적으로 건강검진기관을 통하여 진찰 및 상담, 신체계측, 진단검사, 병리검사, 영상의학 검사 등 의학적 검진을 시행하는 것을 말한다. 건강검진의 종류에는 일반건강검진, 종합건강검진, 특수건강검진, 기타건강검진이 있다. 건강검진센터에서 근무하고 있는 임상병리사들의 일반건강검진 업무의 비중은 전체 업무에서 50% 이상 기여를 하고 있는 것으로 추정할 수 있다. 질환의심 비용적인 측면은 25% 이상 기여하는 것으로 추정할 수 있다. 진단검사 비용은 약 5%로 추정되며 의학진단 사용 비율은 70%를 차지하고 있다. 본 연구 결과에서 임상병리사들이 건강검진 업무에서 사회적, 경제적, 정책적인 타당한 처우를 받고 있는가를 검토되어져야 할 것이다. 임상병리사의 미래는 향후 업무적으로 정밀의료와 원격의료에서 진단검사 및 질 관리에서 전문성이 더욱 확대될 것으로 예측된다. 따라서 임상병리사들은 국가건강검진 관련 정부정책결정에 적극적으로 참여하고 더불어 처우개선의 노력이 필요할 것이다.

건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

신연수,박종연,정상혁,정혜영,강혜영,Shin, Youn-Soo,Park, Chong Yon,Jung, Sang Hyuk,Jung, Hye Young,Kang, Hye-Young 한국의료질향상학회 2006 한국의료질향상학회지 Vol.12 No.1

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(${\bullet}$,=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10￠¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28￠¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31￠¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

건강보험공단 건강검진과 자비 건강검진 수검자간의 만족도 비교

신연수,박종연,정상혁,정혜영,강혜영 한국의료QA학회 2005 한국의료질향상학회지 Vol.12 No.1

Backgrouds : This study was performed to compare the satisfaction levels for health examination programs provided by between the Korea National Health Insurance Corporation (KNHIC) and private healthcare organizations in Korea. We investigated factors associated with the satisfaction level for the KNHIC health examination. Also, factors explaining for the additional receipt of private healthcare organization's examination were identified. Methods : A self-administered questionnaire survey was conducted in June 2004 with 250 beneficiaries of the KNHIC industrial workers' program and 100 beneficiaries of the KNHIC selfemployed program. A total of 297 completed the questionnaire, including 213 (85.2%) and 84 (84.0%) for each insurance program. Ten questions measuring satisfaction levels for each examination program were rated on a scale ranging from 1 (strongly unsatisfied) to 5 (strongly satisfied). Results : Among the subjects receiving both examinations, the mean satisfaction level for the KNHIC examination (3.07) was significantly lower than that for the private healthcare organization's examination (3.50) (p<0.05). The KNHIC examination showed lower satisfaction for all of the 10 items than the counterpart. In particular, the KNHIC examination had the scores of lower than 3.0 for the items reflecting post-examination management services. According to the multiple regression analysis results, the satisfaction for the KNHIC examination was positively associated with the positive attitude toward health examination(•‚=0.38, p<0.00). The logistic regression results showed that the likelihood of receiving the private healthcare organization's examination in addition to the KNHIC examination increases as the respondents were less healthier(OR=0.29, 95% CI = 0.10¢¶0.84), the satisfaction level for the KNHIC examination decreased(OR=0.46, 0.28¢¶0.75) or the attitude toward health examination was more positive (OR=2.56, 1.31¢¶5.12). Conclusion : The relatively low satisfaction level for both examination programs suggests that there's ample room for improvement of health examination services in Korea. The negative association between additional receipt of private healthcare organization's examination and satisfaction level for the KNHIC examination implies that the improvement of the satisfaction for the KNHIC examination would help to reduce the national expenditure spent on the additional examination.

종합 건강검진센터 운영실태에 관한 고찰

나동진,김태전,김남용 서울보건대학 1999 서울보건대학 부설 병원경영연구소 논문집 Vol.4 No.2

As the national income improves and thereby people's concern about health increases. it becomes essential to operate a general health examination center in the hospital. On the other hand. medical consumers patterns change much, requiring diverse health check services. In order to meet such diversifying demands. it may be necessary to investigate the current condition of health examination centers. To this end, each two of general hospitals and clinics which operated a general health examination center were sampled to be surveyed. As a method of study, the researcher visited the sample hospitals to interview with the personnels concerned and at the same time poll their opinions via a questionnaire. The results of this study can be summarized as follows; 1. As a result of comparing the scales of the health examination centers in terms of facilities, it was found that the general hospitals operate some 1.000 square-meter or wider health examination centers, while special hospitals and clinics 100 square-meter or less ones. 2. At the general hospitals, patients should wait for 6-12 months to be checked for their health conditions. But at the special hospitals or clinics, patients may only wait for 1-5 days for their health checking. At a clinic. patients can be registered and checked for their health conditions in a day. Such a difference of waiting period for health check may be attributable to patients preferences of the general hospital services. 3. More than 95% of the patients who were checked for their health at general hospitals were advised to undergo subsequent treatment, while 26-30% of the patients who were checked at special hospitals or clinics underwent subsequent treatment. These special hospitals or clinics recommend their customers to consult other eligible hospitals in case they were not capable to treat their customeres. However, they complained about the poor transfer system for patients. 4. the general hospital operate diverse special or precision health checking programs, and one of general hospital even opens a sport medical clinic where patients are checked for their health conditions periodically 3 or 4 times a year. 5. Female patients outnumbered male ones at the six sample hospital. and those in their forties numbered most. Most of the patients used a basic comprehensive health check program, and 25-30% of the patients were checked by a special and precision health check program. 6. The general hospital charge some 400 thousand Wons for their 63 kinds of basic comprehensive health check service and 300 thousand Wons for their 60 kinds of service, while the special hospital charge 220 thousand Wons for their 64 kinds of health checking services. In contrast. the clinic charge 280 thousand Wons for 63 kinds of basic health checking services and 100 thousand Wons for 50 kinds of the services. 7. All the six sample hospital own such basic comprehensive health checking equipments as blood examination and image scanning ones. However. those special and precision checking equipments are operated only by general and special hospital. and the sports medical examination equipments are only owned by the general hospital operating the medical sports clinic. To sum up, the small-scale hospital provide for poorer basic health checking system than general hospital in every terms, although the basic health checkpoints are similar. Thus, it deems necessary for those small hospital to introduce various health improvement facilities in addition to health checking ones. Lastly, it is conceived that more money should be invested to expand the health-checking and -improving facilities, while normal people as well as patients should continue to checked for their health conditions by efficient programs.

一部 衛生業所從事者의 健康診斷 結果 및 態度

이영선,박영진,김기순,이철갑 대한보건협회 1996 대한보건연구 Vol.22 No.2

순천시 보건소에 보건증 발급을 위해 방문한 위생업소 종사자 520명에게 미리 준비한 설문지를 배부하여 본인이 스스로 작성하게 한 후 B형 간염항원, 결핵, 성병, 소화기계 전염병, AIDS 등의 검사를 실시하였으며, 이들의 건강진단에 대한 태도 즉, 관심도, 유행도, 인지도, 건강상태인식 및 검사요구도 등에 응답한 설문서를 분석하였던 바 나타난 결과는 다음과 같다. 1. 소사대상자 중 업주의 70.5%와 종업원의 91.3%가 여자였으며 연령별로 보면 업주의 경우 83.5%가30-49세였고, 종업원의 64.8%가 30세 미만이었다. 업주나 종업원 모두 고졸학력이 가장 많았고, 업주는 식당종사자가, 종업원은 접객업소 종사자가 가장 많았다. 2. 검사결과 9.0%가 유소견자이었으며 항목별로는 성병 4.2%, B형 간염항원 양성 3.9%, 결핵 1.0% 순이었다. S. typhi, Shigella, S.paratyphi나 AIDS 양성자는 없었다. 3. 건강진단수첩 발급을 원하는 발급 이유로는 업주는 영업상 할 수 없이 응한다는 자가 가장 많았으나(41.5%), 종업원의 경우는 건강관리에 유익하기 때문이라고 응답한 자가 가장 많았다(53.5%). 부담하는 수수료에 대해 69.4%가 적당하다고 생각하고 있었으며 보건증 발급이 건강관리에 도움이 된다고 응답한 자는 95.6%였다. 4. 인지도 조사에서는 발급기간에 대해 56.0%가 알고 있었으며 업주의 84.1%, 종업원의 41.6%가 알고 있었다. 또 실시하는 검사내용에 대해서는 모두 알고 있다고 응답한 사람은 45.2%였다. 인지도는 학력과 관련이 없었으며 위생교육을 이수한 자가 미이수자보다 높게 나타났다. 5. 현재 본인의 건강상태에 대해 건강하다고 응답한 사람은 38.1%였으며 병은 없지만 건강하지 못하다거나 병이 있는 것을 알고 있다고 응답한 자는 61.9%였다. 6. 현재 실시하는 검사 외에 추가로 검사를 받아보고 싶어한 자가 78.3%이었으며, 건강진단 검사결과 이상인 자가 정상인 자보다 더 받아보고 싶어했고 추가 검사항목으로는 남자의 경우 간기능 검사가 62.0%로 가장 높았으며 여자의 경우 자궁암 검사가 42.5%로 가장 높았고 간기능 검사는 32.7%였다. 7. 종합건강진단을 받아 본 적이 없는 사람이 86.7%였으며, 이중 73.3%가 금년에 종합검진을 받아보고 싶어했다. 결론적으로 지금까지 위생업소 종사자들은 법규정에 의해 건강진단을 실시하고 있으나 보건증 발급을 위한 건강 진단이 산업체 근로자나 공무원 및 교직원 건강진단과 같이 종합적이고 체계적이지 못하고 일부 전염병 검사에 치우쳐 있어, 위생업소 종사자들이 자발적으로 참여하지 않고 형식적으로만 이루어져 이들에 대한 효과적인 건강관리가 이루어지지 않고 있었다. 그럼에도 불구하고 그들은 보건증 발급을 위한 건강진단이 본인의 건강관리에 많은 도움이 된다고 생각하고 있으며, 현재 실시하고 있는 검사 외에 추가로 간기능 검사나 자궁암 검사를 받아보고 싶어할 뿐 아니라 종합적인 검진을 받기를 원하고 있었다. 이들이 요구하는 검사를 점차 확대 실시하면서 위생업소 종사자들이 자발적으로 참여하여 효과적인 건강관리 방안이 이루어질 수 있도록 점차적인 개선이 이루어져야 하겠다. To find the general characteristics of the workers at sanitary facilities, knowledge and attitude toward the health examination and the results of clinical laboratory tests, a questionnaire survey was made for 176 owners of and 344 employees at sanitary facilities including restaurants, beer halls, tea rooms, barber-shops, food handling shops and etc., when they came to the health center for periodic health examination during the period between February 1st to February 29th, 1996. 1. While 29.5% of owners were male and 70.5% of owners were female, 8.7% of employees were male and 91.3% of employees were female. While 83.5% of owners were between 30 and 49 years old, the age of 64.8% employees were under 30. 60.8% of owners and 75.3% of employees received high school or college education. While 46.0% of owners managed restaurants, 49.0% of employees were working at beer halls. 2. Health check up showed that 8.9% of subjects were abnormal; 4.2% showed positive VDRL test, 3.9% showed positive HBsAg and 1.0% showed positive finding at indirect chest X-ray film. Neither positive enteric pathologic bacteria from stool examination nor positive AIDS tests appeared. 3. For the cost of legal health check-up, 69.5% answered that the cost was appropriate and 27.8% answered that the cost was inexpensive. 2.7% of respondents thought it was expensive. 4. While 56.5% of respondents knew the legal time interval for health check-up and 45.5% responded that they knew the item of health check-up, 42.7% can't write any item of health check-up and 25.2% can write only 1-2 items of health check-up among five essential items. 5. While 198 persons(38.1%) answered that they were healthy, the rest thought that they had some abnormal condition. 6. While 78.3% of respondents hoped more health check-up in addition to their legal health examinations, the rest did not hope additional tests. While 77.7% of the respondents with normal finding from legal health check-up hoped additional examinations, 85.1% of the respondents with abnormal finding hoped additional examinations. 44 male(62.0% among persons hoped for additional tests) asked tests for liver function test, 143 female(42.5%) hoped uterine cancer examination. 7. While 86.7% of respondents never experienced comprehensive health check-up, 73.3% of respondents hoped to be examined comprehensively as soon as possible.

The current condition of the workers’ general health examination in South Korea

Young Joong Kang,Jun-Pyo Myong,Huisu Eom,Bowha Choi,Jong Heon Park,Eun-A L Kim 대한직업환경의학회 2017 대한직업환경의학회지 Vol.29 No.-

Background: Business owners in the Republic of Korea must take part in the workers’ general health examination. However, there have been few formal analyses of the uptake of this examination by employees. In the present study, we examined the rates of participation in medical examinations according to age group, health insurance type, and enterprise size, and then compared these results with those of the national general health screening. Furthermore, we determined the distribution of patients with abnormal results for diabetes and hypertension, and outlined the significance and history of domestic health examinations. Methods: We started by comparing participation rates extracted from the among health examination data of the National Health Insurance Service from 2006–2013 by sex, age, insurance type, and enterprise size of workplace health insurance beneficiaries (i.e., those whose insurance is provided by their workplace). In addition, we analyzed the prevalence rates of abnormal results for hypertension and diabetes, and explored the history and significance of health examinations in the Republic of Korea. Results: The overall participation rate in the primary health examination in 2006 was 56%, and this increased to 72% in 2013. However, the rates of the secondary screening did not increase much. Among workplace policyholders (i.e., those whose insurance is provided by their workplace), the participation rates of workers in enterprises with less than 50 employees were lower than were those in enterprises with 50 or more employees. Notably, the rates and odds ratios of patients with abnormal results for diabetes and hypertension were relatively high, particularly among those working in smaller enterprises. Conclusions: Although the workers’ general health examination has been replaced with the national general health screening, it remains necessary to ensure uniform health management services among all workers in the Republic of Korea. This can, in turn, promote occupational health and improve working conditions throughout the Republic of Korea.