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Problems and suggested improvement plans for occupational health service in Korea

  • Dongmug Kang (Department of Preventive, and Occupational & Environmental Medicine, School of Medicine, Pusan National University)
  • Received : 2023.04.03
  • Accepted : 2023.05.01
  • Published : 2023.12.31

Abstract

The purpose of this paper was to review the problems relating to Korea's occupational health services and suggest ways to improve them. Korea can be classified as a welfare state type of conservative corporatism partially interwoven with liberalism. While experiencing compressed economic growth, the economic sectors of developed (excess areas) and developing (deficient areas) countries are interwoven. Therefore, it is necessary to perfect conservative corporatism along with a complementary reinforcement of liberal contents and to apply a multilayered approach focusing on complementing the deficient areas. It is essential to form a national representative indicator related to occupational health, and a strategy for selection and concentration is needed. The proposed central indicator is the occupational health coverage rate (OHCR), which is the number of workers who have applied for mandatory occupational health services under the Occupational Safety and Health Act in the numerator with the total working population in the denominator. This paper proposes ways to raise the OHCR, which is currently at the level of 25%-40%, to 70%-80%, which is the level of Japan, Germany, and France. To achieve this target, it is necessary to focus on small businesses and vulnerable workers. This is an area of market failure and requires the active input of community-oriented public resources. For access to larger workplaces, the marketability of services should be strengthened and personal intervention using digital health resources should be actively attempted. Taking a national perspective, work environment improvement committees with tripartite (labor, management, and government) participation for improvement of the working environment need to be established at the center and in the regions. Through this, prevention funds linked to industrial accident compensation and prevention could be used efficiently. A national chemical substance management system must be established to monitor the health of workers and the general public.

Keywords

Acknowledgement

This research was supported by a 2-year Research Grant of Pusan National University.

References

  1. Ku JW, Kim HR, Kang DM, Lee JI, Ryu HC, Yoon GW, et al. A Study on Countermeasures According to Changes in the Industrial Health Environment (Policy Forum). Ulsan, Korea: Korea Occupational Safety and Health Agency; 2022, 1-132.
  2. Esping-Andersen G. Three political economies of the welfare state. Int J Sociol 1990;20(3):92-123.  https://doi.org/10.1080/15579336.1990.11770001
  3. Harrison WJ. The historical development of industrial hygiene. Am J Public Health (N Y) 1913;3(6):540-6.
  4. Cho YH. Study on Development of National Occupational Safety and Health Indicators. Ulsan, Korea: Korea Occupational Safety and Health Agency; 2021, 1-161.
  5. Yoon JD, Park YS, Ko BI, Jung YH, Jeon KJ. A Study on the Present Condition of the National Safety Budget and the Analysis of the Outcome of the Main Projects of Occupational Accident Prevention in Other Countries. Ulsan, Korea: Korea Occupational Safety and Health Agency; 2015, 1-216.
  6. Lee SI. A Survey of Actual Condition of Occupational Health Services in Manufacturing Industry. Ulsan, Korea: Korea Occupational Safety and Health Agency; 2008, 1-285.