• 제목/요약/키워드: Health rights

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Systematizing Information Use to Address Determinants of Health Worker Health in South Africa: A Cross-sectional Mixed Method Study

  • Muzimkhulu Zungu;Annalee Yassi ;Jonathan Ramodike;Kuku Voyi;Karen Lockhart;David Jones;Spo Kgalamono;Nkululeko Thunzi;Jerry Spiegel
    • Safety and Health at Work
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    • 제14권4호
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    • pp.368-374
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    • 2023
  • Background: Recognizing that access to safe and healthy working conditions is a human right, the World Health Organization (WHO) calls for specific occupational safety and health (OSH) programs for health workers (HWs). The WHO health systems' building blocks, and the International Labour Organization (ILO), highlight the importance of information as part of effective systems. This study examined how OSH stakeholders access, use, and value an occupational health information system (OHIS). Methods: A cross-sectional survey of OSH stakeholders was conducted as part of a larger quasi experimental study in four teaching hospitals. The study hospitals and participants were purposefully selected and data collected using a modified questionnaire with both closed and open-ended questions. Quantitative analysis was conducted and themes identified for qualitative analysis. Ethics approval was provided by the University of Pretoria and University of British Columbia. Results: There were 71 participants comprised of hospital managers, health and safety representatives, trade unions representatives and OSH professionals. At least 42% reported poor accessibility and poor timeliness of OHIS for decision-making. Only 50% had access to computers and 27% reported poor computer skills. When existing, OHIS was poorly organized and needed upgrades, with 85% reporting the need for significant reforms. Only 45% reported use of OHIS for decision-making in their OSH role. Conclusion: Given the gap in access and utilization of information needed to protect worker's rights to a safe and healthy workplace, more attention is warranted to OHIS development and use as well as education and training in South Africa and beyond.

중소병원 간호사의 인권감수성과 간호근무환경이 직장 내 괴롭힘 피해에 미치는 영향 (The Influence of Human Rights Sensitivity and the Nursing Work Environment on Workplace Bullying Victimization among Nurses in Small- and Medium-Sized Hospitals)

  • 조은경;김문정
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.27-38
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    • 2019
  • Objectives: The purpose of this study was to examine the influence of human rights sensitivity and nursing work environment on workplace bullying victimization among nurses in small- and medium-sized hospitals. Methods: The participants were 255 nurses from 5 general hospitals in Busan. A dataset was collected using a structured self-reporting questionnaire during the month of July 2018. The data were analyzed with SPSS WIN 23.0 software (IBM Corp., Armonk, NY, USA) using independent t-test, one-way analysis of variance, Pearson's correlation coefficient, and multiple regression analysis. Results: Nursing work environment showed negative correlation with workplace bullying victimization. Being a witness to bullying, organizational support, head nurse's leadership, and relationships with peers were found to influence workplace bullying victimization, and these 4 variables explained 37% of workplace bullying victimization. Conclusions: Formal procedures for cases of bullying and improvements in the leadership of head nurses and peer relationships are crucial to reducing workplace bullying victimization among nurses in small- and medium-sized hospitals. Hospital executives' efforts to provide sufficient physical and human resources for nursing services and to improve the welfare of nurses are also needed.

중소 병.의원 근무환경 실태조사 (Research on the Actual Condition of Working Conditions in the Small and Medium Clinics)

  • 권대철;장명미;장윤희;정경모;곽중신
    • 대한방사선기술학회지:방사선기술과학
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    • 제28권1호
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    • pp.55-65
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    • 2005
  • 서울, 경기 지역의 중소 병 의원 회원들의 근무환경 실태를 파악하여, 국민보건증진과 무면허자의 방사선 검사업무 금지, 사기진작과 불만족해소, 직무만족도를 높여 복지와 권익을 향상, 정책 참여를 유도, 근무환경 개선에 목적이 있다. 2003년 7월부터 8월까지 271명을 대상으로 일반적 기본사항, 병실 수, 고용실태, 고용 및 업무범위, 이직빈도, 고용계약서 작성여부, 임금실태, 근무환경, 방사선사 호칭, 방사선안전관리, 품질관리, 방사선 차폐시설, 영상획득시스템, 필름시스템 종류, 장비보유현황, 방사선 피폭 방어기구, 협회와 관련된 항목을 설문 조사하였다. 근무환경, 불만족 문제점을 파악하여, 합리적이고 나은 근무환경을 제공하는 기초 자료로 활용하는데 이용하고, 근무환경 및 근무제도, 직제의 개선을 가져올 수 있도록 협회와 회원은 노력하여야한다. 주기적으로 설문조사를 실시하고 불만족을 해소하는 정책을 추진하도록 한다.

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보건의료정보의 법적 보호와 열람.교부 (A Study on Legal Protection, Inspection and Delivery of the Copies of Health & Medical Data)

  • 정용엽
    • 의료법학
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    • 제13권1호
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    • pp.359-395
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    • 2012
  • In a broad term, health and medical data means all patient information that has been generated or circulated in government health and medical policies, such as medical research and public health, and all sorts of health and medical fields as well as patients' personal data, referred as medical data (filled out as medical record forms) by medical institutions. The kinds of health and medical data in medical records are prescribed by Articles on required medical data and the terms of recordkeeping in the Enforcement Decree of the Medical Service Act. As EMR, OCS, LIS, telemedicine and u-health emerges, sharing and protecting digital health and medical data is at issue in these days. At medical institutions, health and medical data, such as medical records, is classified as "sensitive information" and thus is protected strictly. However, due to the circulative property of information, health and medical data can be public as well as being private. The legal grounds of health and medical data as such are based on the right to informational self-determination, which is one of the fundamental rights derived from the Constitution. In there, patients' rights to refuse the collection of information, to control recordkeeping (to demand access, correction or deletion) and to control using and sharing of information are rooted. In any processing of health and medical data, such as generating, recording, storing, using or disposing, privacy can be violated in many ways, including the leakage, forgery, falsification or abuse of information. That is why laws, such as the Medical Service Act and the Personal Data Protection Law, and the Guideline for Protection of Personal Data at Medical Institutions (by the Ministry of Health and Welfare) provide for technical, physical, administrative and legal safeguards on those who handle personal data (health and medical information-processing personnel and medical institutions). The Personal Data Protection Law provides for the collection, use and sharing of personal data, and the regulation thereon, the disposal of information, the means of receiving consent, and the regulation of processing of personal data. On the contrary, health and medical data can be inspected or delivered of the copies, based on the principle of restriction on fundamental rights prescribed by the Constitution. For instance, Article 21(Access to Record) of the Medical Service Act, and the Personal Data Protection Law prescribe self-disclosure, the release of information by family members or by laws, the exchange of medical data due to patient transfer, the secondary use of medical data, such as medical research, and the release of information and the release of information required by the Personal Data Protection Law.

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정신장애인의 인권에 관한 소고 (The Human Rights of Persons with Mental Disorders)

  • 이철호
    • 한국콘텐츠학회:학술대회논문집
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    • 한국콘텐츠학회 2007년도 추계 종합학술대회 논문집
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    • pp.319-323
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    • 2007
  • 최근 정신장애인의 인권을 보호하기 위해 정신보건법의 개정 작업이 진행 중이다. 정신질환은 다른 신체적 질환에 비해 치료가 어려울 뿐만 아니라 치료기간도 길고 또한 재발가능성과 위험성이 높은 질환이기 때문에 환자 자신이나 가족들만의 힘으로 효과적인 치료와 관리가 어렵다. 그렇기 때문에 국가가 적극적으로 나서서 이의 예방과 치료를 위해 노력해야 하는 것이다. 본 논문에서는 정신장애인의 인권실태와 정신장애인의 인권보호방안을 검토하기로 한다.

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일부(一部) 사업장(事業場)의 산업보건(産業保健) 사업(事業)에 있어서의 근로자(勤勞者) 참여(參與)에 관한 조사(調査) 연구(硏究) (Study on the Workers' Participation in Industries)

  • 최재욱;문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제24권3호
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    • pp.339-355
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    • 1991
  • The concept of workers' participation in occupational health was introduced to Korea recently in relation to primary health care in occupational health. But there is confusion and debate about workers' participation concept. The purpose of this study was to review the concepts of workers' participation and to conduct evaluation the workers' participation status in occupational health and safety, 394 workers and 54 employers (5.6%) in north area of Kyunggi-Do, were selected and interviewed with a questionnaire by a trained interviewer from August to September 1990. In general, the concept of workers' participation is based on industrial domocratisation and Declaration of Human Rights which had been powerful ideologies in labor movement. Contrary to workers' participation, community participation is rooted in the Health Rights. So, it is necessary to consider concept of workers' participation to improve participation. The results of survey were as follows. 1. Most of companies (71.75) carried out occupational health education to workers in study area. 2. The Occupational Safety and Health Committee (OSHC) were set up in 24.1% among the study companies, and 72.7% of workers among respondents thought that OSHC was helpful to workers health. 3. The workers signed his name to personal health report in 43.1% and the rate of participation in occupational environment examination was 54.9%. 4. The workers prefer the OSHC (39.3%), owner (35.1%) and union (25.8%) as a occupation health organisation, but owners prefer OSHC (54.5%), manager (43.2%) and union (2.3%). 5. Among the factors of the general characteristics, the existence of labor union was a major determinant of workers' attitude and level of workers' participation. As we have seen, most levels of workers' participation are low in occupational health. The variable of existence of labor union among the factors was a ma determinant of workers attitude and level of workers' participation. Therefore, in order to promote workers health, it is necessary to ponder long deeply on occupational health care system under the viewpoint of workers' participation.

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의사(醫師)의 설명(說明)과 환자(患者)의 동의(同意) (EXPLANATION BY PHYSICIANS AND CONSENT OF PATIENTS)

  • 최행식
    • 의료법학
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    • 제5권2호
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    • pp.294-319
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    • 2004
  • Because the treatment of a physician generally pertains to the intrusion into body of a patient, his/her consent is a must in order for such conduct to be justifiable. To ensure effective consent of a patient, the physician should fully inform him/her of kind and details of the disease and way of treatment and risks associated with it. The patient can, then, make a decision whether he/she should accept any treatment or operation, if necessary, on the basis of such information. The obligation of physicians to explain has since long been recognized as important in view of guaranteeing the rights of patients for self-decision and protecting them from arbitrary assessment of physicians for treatment. Progress has been made in this respect even to the extent that physicians treat patients on equal terms and think first of all much of establishing trustworthy relationships with patients. Lots of studies in Korea and foreign countries have tried to explore the issues concerning the obligation of physicians to explain in the meantime but seem to have failed to make concrete and versatile approaches from the standpoint of protecting the rights of patients. Wouldn't it be really possible for patients to perceive their own rights and cope actively with the medical treatments? If physicians have full understanding to the rights of patients, they will be put in a better situation to protect themselves and patients, in turn, can identify their own responsibility correctly, which will eventually contribute to fulfilling the goal of treatment. With this background, the present paper examines briefly the obligations of physicians for explanation based mainly on the preceding theories and judicial precedents in the first place and then deals with the status quo and contents of the German medical laws, with a focus on the treaty of European Law 1997 and its working document on the applications of genetics for health purposes that stipulate the detailed criteria on the medical treatment and rights of patients and Germany's $\ulcorner$Charter of Rights for Patients$\lrcorner$ promulgated in 2003.

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대학생의 인권침해경험과 자아존중감: 희망과 그릿의 매개효과 (Human Rights Damage and Self-esteem of University Students: The Mediating Effect of Hope and Grit)

  • 이창식;박지영;빳다여 뿌스뻐 라즈;우마칸다 거우텀;엔담바 데니스;수닛아디닛카리
    • 디지털융복합연구
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    • 제17권6호
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    • pp.51-57
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    • 2019
  • 이 연구는 대학생을 대상으로 인권침해경험과 자아존중감 간의 관계에서 희망과 그릿의 매개효과를 분석하는데 목적을 두었다. 자료는 설문조사를 통하여 수집하였고, 자료수집을 위해 한국의 2개 대학을 선정하였다. 자료는 SPSS PC+ 및 SPSS PROCESS macro를 활용하여 분석하였고, 자료분석을 위하여 빈도분석, 신뢰도분석, 상관분석 및 매개효과분석이 적용되었다. 매개효과를 검증하기 위하여 Bootstrap방법이 활용되었다. 연구의 결과는 다음과 같다. 첫째, 인권침해경험은 희망, 그릿, 자아존중감과 부적 상관관계가 있었다. 그러나 희망, 그릿, 자아존중감은 서로 정적 상관관계가 있었다. 둘째, 희망과 그릿은 인권침해경험과 자아존중감과의 관계에서 매개역할을 하였다. 인권침해경험을 한 대학생들의 자아존중감을 높이기 위해 희망과 그릿을 활용하여 높일 수 있는 방안을 논의하였다.

노인인권침해지각이 노인차별주의에 미치는 영향 -노인관련경험의 매개효과를 중심으로- (Effects of Human Rights Violation of the Elderly on Ageism - Focusing on the Mediating effect of Experiences elated to the elderly-)

  • 장경애;허성은
    • 융합정보논문지
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    • 제11권4호
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    • pp.168-175
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    • 2021
  • 본 연구는 노인관련경험의 매개효과를 중심으로 노인인권침해지각이 노인차별주의에 미치는 영향을 파악하고자 하였다. 부산 일부 지역의 치위생(학)과 학생 143명을 대상으로 2020년 9월 4일부터 약 2개월간 설문조사를 시행한 후, SPSS 26.0 프로그램을 사용하여 노인관련경험의 매개효과를 알아보기 위해 위계적 회귀분석을 시행하였다. 치위생(학)과 학생의 노인인권침해지각은 노인차별주의(r=-.310)와 노인관련경험(r=.185)에, 노인차별주의는 노인관련경험(r=-.323)에 유의미하게 나타나 노인관련경험이 노인인권침해지각과 노인차별주의에 부분 매개하는 것으로 나타났다. 이에 본 연구는 치위생(학)과 교육에 노인관련경험의 필요성을 재고하여 초 고령화 사회의 치위생 교육과정 개발의 기초자료를 제공하고자 한다.

고용 불안정성이 우울에 미치는 영향: 불안정 고용의 다차원적 개념을 중심으로 (The Impact of Employment Precariousness on Depression: Focusing on the Multidimensional Concept of Precarious Employment)

  • 차선화;문다슬
    • 한국콘텐츠학회논문지
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    • 제22권4호
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    • pp.677-688
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    • 2022
  • 불안정 고용은 우울 등의 정신건강에 부정적인 영향을 미치는 것으로 잘 알려져 있다. 본 연구는 불안정 고용의 임시성, 낮은 권한, 취약성, 권리 행사의 어려움, 노동시간의 불확실성, 낮은 임금이라는 여섯 가지 다차원적 특징을 고용 불안정성으로 정의하고, 우울에 미치는 영향을 살펴보았다. 제5차 근로환경조사 자료를 활용하여 임금노동자의 여섯 가지 차원의 고용 불안정성을 측정하고(0~100점), 각 불안정성이 우울에 미치는 영향을 로지스틱 회귀분석을 통해 분석하였다. 남성의 우울 위험은 취약성, 권리 행사의 어려움, 노동시간 불확실성 점수가 1점 증가할 때 각각 3.1%, 1%, 0.5% 증가했다. 여성에서는 임시성, 취약성, 권리 행사의 어려움이 1점 증가할 때 우울 위험이 각각 0.5%, 2.3%, 0.8% 증가했다. 고용 불안정성의 다차원적 개념을 활용해 노동자 우울을 살펴본 연구 결과, 노동자들의 건강은 안정적인 고용 계약은 물론 이들의 실질적인 노동 권리가 보장될 때 실현가능함을 시사한다.