소규모 사업장 보건관리 모델개발에 관한 연구

다국어 초록 (Multilingual Abstract)

Forming health care management model in small-scale enterprises was the purpose of this study. For the purpose, we tried to investigate the characteristics of small-scale enterprises and analyzed the pattern of their health care management.
The results are as follow:
1. The strength of health managing agency and technical supporting program lies in team approach by specialized manpower. However, if the liaison between each part of the organization is not smooth, the overall management will be very difficult.
2. Small scale enterprises are characterized by their short life after the establishment, use of rental building, lack of welfare facilities, weakness in sanitary management and aggregation of factories of similar type of industry. Because of these characteristics, it is very difficult to solve problem basically, such as improvement of working environment. Therefore, it is important to focus on health education and communitybased approach.
3. Many workers in small-scale factories are in middle and old age. They have health problems mainly related to personal habits. Implementation of an appropriate health promotion program is needed.
4. The number of workplaces, which should be managed by health managing agent, is increasing rapidly. But the number of health managing agent is limited. In the aspect of the requirement of manpower and equipment, training personal agent is more urgent than founding institutional agent.
5. The uniform method of health management hampers the choice of employer and workers.
The types of provision of health management should be diversified.
6. For an efficient management, a frequent visit of personal agent and the following referral to a specialist should be done. The specialists in charge of secondary management are from the field of occupational medicine, occupational hygiene, ergonomics, etc.
7. The health management of small-scale facilities should have six components. They are community-based approach, multi-disciplinary cooperative system, program based on the need of recipient, forming partnership of employer and worker, change of lifestyle, and evidencebased program.

목차 (Table of Contents)

• Ⅰ. 서 론 1
• 1. 연구의 필요성 1
• 2. 연구의 목적 2
• 3. 용어 정의 2
• Ⅱ. 문헌 고찰 2
• 1. 우리 나라의 소규모 사업장 보건관리 수행체계 2
• 2. 외국의 소규모 사업장 보건관리 형태 3
• 3. 소규모 사업장 보건관리를 위한 ILO의 제안 3
• Ⅲ. 연구 방법 3
• 1. 연구내용 3
• 2. 연구 방법 4
• 3. 연구의 분석틀 4
• Ⅳ. 연구 결과 4
• 1. 기존 소규모 사업장 보건관리 방법 4
• 1) 보건관리기술지원사업 4
• 2) 보건관리대행제도 5
• 3) 보건관리자 공동채용제도 5
• 2. 소규모 사업장의 보건관리 특성 5
• 가. 수요자 측면 5
• 1) 사업장 5
• 가) 설립기간 및 소유형태 6
• 나) 복지시설 6
• 다) 유해요인 6
• 라) 사회보험 가입여부 7
• 2) 근로자 7
• 가) 연령 분포 7
• 나) 건강문제 8
• 다) 건강생활양식 8
• 라) 사용하는 보호구 8
• 나. 공급자 측면 8
• 1) 행정관리 8
• 가) 보건관리 대상사업장 수 8
• 나) 보건관리대행기관 수 9
• 2) 보건관리 공급방식 9
• Ⅴ. 논 의 9
• 1. 소규모 사업장 보건관리 시 고려해야 할 점 9
• 2. 소규모 사업장 보건관리 모델 제안 10
• (1) 보건서비스 제공방법 10
• (2) 보건관리 내용 10
• (3) 추진전략 10
• (4) 사업평가 11
• (5) 새로운 모델의 구조 11
• Ⅵ. 결론 및 제언 12