• 보건행정학회지
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• 제1권1호
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• pp.116-135
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• 1991

Few studies have been conducted on the detailed routes of medical care utilization under the National Health Insurance. This study was undertaken to identify the utilization patte군 of health care facilities among industrial workers and their dependents. One of the largest health insurance association was purposively chosen for this objective. The association had 345, 757 members as of 31 December, 1990. The study sample of 297, 948 subjects have been drawn from the membership pool on the basis of their continuous membership status during 1 January through 31 December 1990. This study has tried to identify differential utilization patterns between acute and chronic conditions, and among standard income classes. All the diagnoses were recoded in a manner to achieve the objective of this study. As for acute diseases, most age group had used one medical facility as much as by 60% except the age group of 1-4, This young age group had used over three different health facilities as much as by 10.9-15.8%. The finding suggests that some policy measures by sought for remedying the excessive/inappropriate use of services. In addition, mid-income classes(between 17 and 48) were more likely to use multiple sources of care than lower income classes(between 1 and 16) and upper income classes(above 49). This study has revealed that chronic cases are more likely to pursue multiple sources of care, however those with chronic conditions tend to use single health facility more than those with acute conditions(67.9% versus 52.4%). As many as 12.2% have visited more than three health facilities in chronic conditions, but 5.9% for acute conditions. The most likely source of care was primary clinics for both acute and chronic conditions. Compared with the role of general hospital, small-size hospitals found to play a minimal role in the care and referral of patients. This indicates the need of strengthening the function of small-size hospitals. While a minor cross utilization of western medicine and pharmacy was noted, no significant boundary crossing was identified between western medicine and oriental medicine, or between pharmacy and oriental medicine. It is too early to confirm that whether there is substitutability or cross utilization among these alternative sources of care. A further study is needed to identify these relationship.

• 보건의료산업학회지
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• 제5권2호
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• pp.157-172
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• 2011

The purpose of this study is to provide basic information for improving medical security between the Korean National Health Insurance Corporation and the private health insurance in Pusan Metropolitan area by investigating of the recognition with the benefit groups. Questionnaires of 431 were taken between Feb. 11th and Feb. 25th 2008. The survey was carried out to gather information about SES and contents of insurance and recognition between the benefit group of the Korean National Health Insurance and the private health insurance on the financial conditions and the stability. The result of survey is as follows. First, there is a difference between the National Health Insurance and the private health insurance on the financial conditions and the stability of the Korean National Health Insurance. Second, there is a high score at the private health insurance on the financial conditions and the stability of the private health insurance. Third, privatizing of a National Health Insurance is high score at increase of the premium, medical payments of the National Health Insurance group and is high score at enhance of quality of medical service and decrease of loss of medical payment of the private health insurance group. Therefore, to provides more information and improved medical security with the benefit group. it is necessary for concerns to put more efforts in creating Conflicting vs. Complementing of systemic base.

• 한국산업보건학회지
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• 제29권4호
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• pp.431-441
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• 2019

Objectives: The Korean Working Conditions Survey(KWCS), which has been conducted five times over the past 13 years, presents a diverse picture of Korean workers across occupations, genders, and age groups. This study summarized the use of KWCS and explored how to make the most of the KWCS by reviewing published peer-reviewed journal articles employing the KWCS data. Methods: Articles were selected in accordance with PRISMA protocol for a systematic literature review. A total of 155 articles were included in this review. Results: The number of articles utilizing KWCS data has been increasing by year. The articles were published in 40 Korean journals and 16 international journals. The journals were mainly in the field of occupational safety and health and sociology. Keywords of mental health, working conditions survey, workforce, health, exposure to risk factor, and working time were mainly highlighted. The articles were grouped by the goals of the KWCS as stated in the survey. The majority of published articles(129 articles, 83%) aimed to 'analyze relationships between different aspects of working conditions'. Fifteen articles(10%) were intended to 'identify groups at risk and issues of concern.' The number of articles to 'monitor trends' were limited. Conclusions: The findings underline the limited utilization of the KWCS. Attention to the range and scope of utilization of KWCS should be developed to address current challenges in occupational health and safety management and policy issues.

• 한국직업건강간호학회지
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• 제24권3호
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• pp.204-213
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• 2015

Purpose: This study investigated the relationship between working conditions and smoking among Korean employees using nationally representative data. Methods: We analyzed data from the Third Korean Working Conditions Survey to identify associations between various working conditions and smoking. We calculated the smoking prevalence depending on individual characteristics and working conditions. Also, multivariate logistic regression analysis was used to investigate the relationship between working conditions and smoking. Results: Company size, occupation type, employment type, working hours, working-time flexibility, and smoking-area policy were related to smoking among male employees, while company size, occupation type, employment type, and smoking-area policy were associated with smoking prevalence among females. Conclusion: Our results indicate that working conditions influence smoking prevalence, and the implementation of smoke-free policies is needed to target specific working conditions, including a strict no-smoking-area policy.

• 대한간호학회지
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• 제38권4호
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• pp.612-619
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• 2008

Purpose: The purpose of this study was to examine health problems and to estimate economic impact based on health problems of workers. Methods: The subjects of this study consisted of 301 workers who received a group occupational health service. Data was collected from February 1 to March 30, 2006. The questionnaire contained questions based on general characteristics and the Stanford Presenteeism Scale. Data was analyzed with descriptive statistics, t-test using SPSS program. Results: The primary health conditions as reported by workers were ranked in order as stomach or bowel disorders, back or neck disorders, or liver function disorders. The reason of absenteeism per worker was ranked in order as asthma, or a breathing disorder. The reason of presenteeism was ranked in order as asthma, insomnia or a sleep disorder. The cost of the total economic impact on the workplace in this study was 8,851,838 won. The cost of absenteeism per worker was 8,390 won. The cost of presenteeism per worker was 941,732 won. Conclusion: Presenteeism had a strong correlation to health conditions of the workers. Therefore, improving the work conditions of the workers is very important. If employers improve the health condition of workers, they will benefit from improved productivity in their business.

• 한국학교보건학회지
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• 제19권2호
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• pp.1-12
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• 2006

Purpose： The purpose of this study was to investigate the current conditions and to analysis the needs of health education contents in school nurses and elementary school children. Methods : The survey was conducted through the questionnaire with school nurses and students. Subjects were 60 school nurse and 1483 elementary school children. Data was collected based on the from Mar to Apr. 2004. Finally, data was analyzed using mean, SD, and t-test. Results : The students need the health education related safety, oral hygiene, visual promotion, scoliosis prevention, cyber addiction prevention, anti-bullying and school violence prevention. School nurses suggest the contents of health education such as sex education, drug misuse and overuse prevention. There was also a difference in the need of health education among the school nurse and students. Conclusion：I suggest that health education should be conducted taking students' demand in each grade into consideration. School nurses need to positively improve the priorities of health education based on the students' demand.

• 한국환경보건학회지
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• 제43권2호
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• pp.95-102
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• 2017

Objectives: This study was conducted to evaluate the emission of VOCs from clothing that had been dry cleaned. Methods: In order to ensure the same conditions, f100% wool scarves were selected as the fabric type. Four identical tests were conducted on the option of either removing the plastic bags which came from the dry cleaning shop or not. The scarf was located inside a closet or room for one or two days. Small chamber tests were conducted to determine the VOC emission characteristics under the same conditions such as temperature, humidity, loading factor, and air exchange rates. Air from the chamber for VOCs was sampled by Tenax TA tube and analyzed by thermal desorption and GC/MSD. Results: Assuming that test represented dry cleaning and consumer's conditions well enough, we can conclude that immediate emissions after the dry cleaning of the scarfs caused elevated levels of TVOC, five VOCs (benzene, toluene, ethylbenzene, xylene, stylene), and decane group compounds. Conclusions: By removing the plastic bags which came from the dry cleaning shop or not, the storage conditions of dry cleaned scarfs by consumers during the storage time periods (one to three days) would be significant for reducing VOC emissions.

• 여성건강간호학회지
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• 제7권4호
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• pp.486-498
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• 2001

The purpose of this study was to identify transition conditions, health behavior and indicators of healthy transitions among middle-aged women based on Schumacher & Meleis(1994) transition model for developing intervention program for their health promotion. A convenience sample of 221 women aged 40-60 was obtained in Jung-Gu, Seoul and they were asked to complete the questionnaires, which consisted of modified health-promoting lifestyle profile(HPLP), knowledge of menopause, physical well-being, emotional well-being, modified women's role integration protocol (WRIP), Beck's Depression Inventory(BDI), and indicators of healthy transition with subcategories such as subjective well-being, role mastery and well-being of interrelationship. The results were as follows: 1. Women had a mean age of 47.53 years. More than half(53.39%) of the women had jobs and 88.69 % had their spouses, Of 221 women, 51.13 % were premenopausal, 19.91% were perimenopausal, and 28.96% were postmenopausal. 2. Women scored lower on health responsibility and exercise than on self actualization, nutrition and interpersonal support among subcategories of health behavior measured the modified HPLP. Only 11.98% of respondents had breast-self examination and 42.66% had pap smear for screening cancer. 3. In transition conditions, women had poor knowledge about menopause and median level of physical well-being, emotional well-being and stress. 15.45% of the women had clinical depression. 4. As for the outcome index of the transition model, the mean of indicators of healthy transition was 3.69(possible range 1-5). 5. The levels of education and economic and the menstrual status were significantly related to physical well-being, depression and stress in the categories of transition conditions. The total score of health behavior correlated negatively with depression. The total score of indicators of healthy transition correlated with physical well-being, emotional well-being, stress, and depression in the categories of transition conditions. In conclusion, these findings suggested a profile of fragile middle-aged women and contributed to developing the community-based intervention program for health promotion.

• 대한간호학회지
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• 제35권7호
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• pp.1229-1237
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• 2005

Purpose: The purpose of this research was to address the working conditions of home health nurses through a nationwide home health agency survey conducted at hospitals. Method: The mail surveys were sent to 303 home health nurses nation wide and returned with a response rate of $71.8\%$. Result: (a) Seventy-five percent of home health agencies were established within the past5 years and half of home health nurses are over 40 years old. (b) Working conditions were considered as follows: Seventy-one percent of respondents were full-time employees, sixty-sixpercent of home health nurses had unscheduled visits on a regular day of duty and forty-eight percent were on vacation. Fifty-one percent of home health nurses have experienced traffic accidents and paid. penalties ($65.9\%$). Self-reported monthly income level per year was an average of 28,364,000 won. (c) Rates were significantly higher for shoulder pain ($61.5\%$), lower back pain ($54.1\%$), knee pain ($39.4\%$), and gastrointestinal problems ($33.0\%$). Conclusion: These baseline results show the importance of improving home health nursing working conditions, a comprehensive prevention system and safeguards from physical discomfort.

• 한국환경보건학회지
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• 제36권5호
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• pp.383-390
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• 2010

Exposure to fugitive dust can contribute to several respiratory health problems, and proper sampling of fugitive dust is necessary to assess exposure. However, field sampling of soil dust encounters problems from spatial and temporal differences in soil properties, field operations, and meteorological conditions. To minimize these problems, we designed a dust generator that simulates dust generation from soil. The dust generator consisted of a rotating chamber where soil samples were loaded and tumbled, and a settling chamber, where airborne soil dust samples were collected. As standard operating conditions, we decided on 2 g soil mass, 10 min sampling time, and 20 rpm rotating speed, with a flow rate of 30 l/min, based on three common soil textures of loam, sandy loam and silt loam. To evaluate optimal operating conditions, we used mixtures of Joomoonjin silica sand and clay. Although the average $PM_{10}$ concentration of Joomoonjin silica sand was low, dust concentrations were increased by an increased content of clay. The dust concentrations were consistent across repeated experiments, and showed similar concentration profiles during the sampling time with mixtures of clay and sand (coefficient of variation was $13.6{\pm}w;7.1%$). The results demonstrated that these standard operating conditions were suitable for the dust generator, which can be used to investigate variations in soil properties that affect dust production and potential potency of fugitive dust exposure.