직장 건강증진사업 : Issues and Strategies 논점과 전략 = Worksite Health Promotion

다국어 초록 (Multilingual Abstract)

Since the publication of the Lalonde Report in 1974, the concept of health promotion have been introduced into many health-related fields. In this report, he emphasized the self-imposed risls and environment as the determinants of major 5 diseases, and the change of the helath behavoir and environment would reduce the premature mortality from diseases.
Health promotion programs have been developed within 3 main groups- schools, worksite, commuities - in USA. The employed persons are those at greatet risk for premature morbidity and mortality, those who occupies about 1/4 of whole population and those who makes social productivity. It is optimal to apply health promotion progam to worksite, because it is effective, easily accessible and even beneficial to both the employees and the employers.
The examples of typical worksite health promotion programs are smoking cessation, hypertention control, nutrition, weight control, stress management, exercise and fitness and other assitance programs concernig alcohol, drugs and accident prevention. In other aspecs, these programs are too much individualized, not concordant with pre-existing occupational health system, restricted participation of the employees and lack of carefully performed cost-benefit analysis.
In Korea, the problesm of worksite health promotion is more comples. The major proportion of the workers sork for small or very small worksites, and many of them for service industries. Less than half of the company have the worksite health manager. There are insufficient survey for the health needs of employees and emplyers, and many other problems- discordant with pre-existing system, lack of evoluations etc. It is need to concrete firm base to establish suitable worksite health promotion programs before imitating other contries's programs.