• Title/Summary/Keyword: The effectiveness of health management

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Economic Evaluation of Eastern, Western and Collaborative Treatments for Patients with Frozen Shoulder Pain (견비통의 한${\cdot}$양방 진료 및 협진의 경제성 평가)

  • Jang, Hye-Jung;Hong, Sang-Min;Park, You-Seon;Nam, Dong-Woo;Lim, Doo-Ik;Lee, Jae-Dong;Lee, Yun-Ho;Lim, Sabina
    • The Journal of Korean Medicine
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    • v.28 no.1 s.69
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    • pp.72-86
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    • 2007
  • Objectives : The purpose of this study was to evaluate and compare the cost-effectiveness of Eastern, Western, and collaborative treatments and suggest a cost-effective approach for patients with frozen shoulder pain. Methods : Using the data of fifty-two patients, treatment effectiveness was measured by CSA, SPABI, and ROM scales and changes from the baseline score were evaluated. Data source for cost estimation was based on the national health insurance (NHI) payment system. Because the price in NHI was differentiated by health care institutions, five collaborative types were considered in assessing costs. Cost-effective ratios were computed for economic evaluation. Results : Compared with Eastern treatment, collaborative and Western treatments showed better effects on CSA scale after 4 weeks' treatment. The collaborative approach was also the most effective treatment on SPADI and ROM scales. The direct cost per patient receiving Eastern treatment was less than other treatments. In general, collaborative treatment dominated Eastern and Western treatments in cost-effectiveness an analysis. However, the cost-effectiveness ratio of Eastern treatment resulted in \9,000 compared to \29,000 of collaborative treatment on SPADI. Four different indicators of ROM scales resulted in different approaches as the cost-effective treatment. Conclusions : Considering cost-effectiveness ratios, collaborative treatment was the best treatment on CSh and SPADI scales after 4 weeks' treatment. As for ROM scales, the recommended alternatives were Eastern treatment for patients with abduction and adduction disabilities, Western treatment for those with flexion disability, and collaborative approach fir those with extension disabiliry.

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A Study to improve the safe-activities and the awareness of the Industrial Safety & Health law in small business worker.(Focused on the Gwangju industrial complex) (영세사업장 종사자의 산업안전보건법 의식제고 및 안전활동 향상을 위한 연구)

  • Lee, kyoung-Hun;Park, Hai-Chun;Sim, Min-Young;Cho, Sang-Hun
    • Proceedings of the Safety Management and Science Conference
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    • 2009.04a
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    • pp.79-91
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    • 2009
  • The government separated and established the industrial safety and health law from the Labor Standard law since 1981 to promote the labor's working environment and to improve the conditions of laborers. The government made a lot of effort to discharge the industrial safety and health law by continuous revision of the law thereafter. it is, however, difficult to establish clear-cut lines of authority and responsibility due to the fact that the substantial application of the industrial safety and health law is adapted by enterprise's autonomous management. There are frequent industrial disasters on the small and medium enterprises which have financial difficulty and it means this causes much more social cost. Finally, for the improvement of laborer's safety, health and working environment in the small and medium enterprises we need to raise the effectiveness of the industrial safety and health law through enhancing a government-office's administration and surveillance with the changing mind of a business proprietor. On this paper, we research on the actual condition of the administration, inspection and regulation of safety and health by means of the industrial safety and health law. Thereafter we analyze how much the Korea Occupational Safety & Health Agency and vicarious businesses of safety & health management help. we used the survey method to gather data from 380 laborers directly and analysed the data by SPSS v17.0.

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The Development of a Risk Management System in the Field of Industrial Safety in the Republic of Kazakhstan

  • Kudryavtsev, Sergey S.;Yemelin, Pavel V.;Yemelina, Natalya K.
    • Safety and Health at Work
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    • v.9 no.1
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    • pp.30-41
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    • 2018
  • Background: The purpose of the work is to develop a system that allows processing of information for analysis and industrial risk management, to monitor the level of industrial safety and to perform necessary measures aimed at the prevention of accidents, casualties, and development of professional diseases for effective management of industrial safety at hazardous industrial sites. Methods: Risk assessment of accidents and incidents is based on expert evaluations. Based on the lists of criteria parameters and their possible values, provided by the experts, a unified information and analytical database is compiled, which is included in the final interrogation questionnaires. Risk assessment of industrial injuries and occupational diseases is based on statistical methods. Results: The result of the research is the creation of Guidelines for risk management on hazardous industrial sites of the Republic of Kazakhstan. The Guidelines determine the directions and methods of complex assessment of the state of industrial safety and labor protection and they could be applied as methodological basis at the development of preventive measures for emergencies, casualties, and incidents at hazardous industrial sites. Conclusion: Implementation of the information-analytical system of risk level assessment allows to analyze the state of risk of a possible accident at industrial sites, make valid management decisions aimed at the prevention of emergencies, and monitor the effectiveness of accident prevention measures.

Evaluation of Accident Prevention Financial Support Projects in the Construction Industry Using DID and PSM (DID와 PSM 분석을 통한 건설업 클린사업장 대상 재정지원사업 평가)

  • Jang, Seong-Eun;Yu, Sung-Yeol;Kim, Hwa-Il
    • Journal of Korean Society of Occupational and Environmental Hygiene
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    • v.32 no.1
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    • pp.31-40
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    • 2022
  • Objectives: The purpose of this study is to understand the impact on accident reduction by analyzing the policy effectiveness of an industrial accident prevention clean workplace support project targeting the construction industry. Methods: In this study, DID and PSM models were used to analyze workplaces receiving and not receiving financial support based on the status of industrial accidents in recent years and the status of the workplaces by year. Results: The research results show that meaningful effects continued to occur in terms of reducing accidents and increasing employment. Conclusions: In this study, we show the effectiveness of the clean workplace support project, one of the South Korean government's financial support projects in the field of occupational safety and health focusing on the construction industry. Financial support projects such as clean projects should be further expanded based on the results of this study.

A Study on the Safety and Health Management System Improvement Plan according to the Implementation of the Serious Accident Punishment Act - Focused on H Construction Company (중대재해처벌법 시행에 따른 안전보건경영시스템 개선방안 연구 - H건설사 중심)

  • Kwang-eun Choi
    • Journal of the Society of Disaster Information
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    • v.19 no.2
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    • pp.372-382
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    • 2023
  • Purpose: Suggests measures to improve the construction company's safety management system according to the enforcement of the Severe Accident Punishment Act. Method: The effectiveness of practice-oriented disaster prevention activities was analyzed through safety and health diagnosis of the level of safety and health management system for the countermeasures against the Severe Accident Punishment Act implemented at the construction site and headquarters. Result: The effect of reducing the accident rate and the advancement of the safety and health management system were analyzed by linking the Severe Accident Punishment Act with the safety and health management system, and a plan to improve the safety and health management system was presented through the analysis of the comprehensive results of safety activities before and after the implementation of the Severe Accident Punishment Act. Conclusion: The effect of practical performance measurement was manifested through the improvement of business owners' awareness, the expansion of investment for disaster prevention, and the quantification of disaster prevention activities according to the enforcement of the Severe Accident Punishment Act.

The Study on Education and Training Raise the Effectiveness for University Hospital Employee. (대학병원종사자의 교육훈련 유효성 제고를 위한 연구)

  • Kim, Young-Bae
    • Korea Journal of Hospital Management
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    • v.12 no.4
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    • pp.96-118
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    • 2007
  • This study were tried to suggest basic materials for making education and training plan, and members of organization were researched about thinking of education and training effectiveness and perceptible level. The subjects of this study were 762 hospital employee selected from ten of university hospitals in Seoul, Incheon, and Kyung Gi which are doing an education and training, and conducted a self-completion questionnaire. As a result of study and plan for raising the effectiveness were indicated following statements. Firstly, according to the general specific, training effectiveness was appeared similar. So, it requires suitable alternatives to make educational programs. Secondly, according to analysis of education and training necessity, achieving a goal for education and training have difference. it needs to be scientific analysis about necessity of education and training. Thirdly, when contents of education and training program are satisfied to educatee and fit for them, thinking of education and training effectiveness is higher. Therefore, establishing the goal of education training is concrete, realistic, and measurable for increasing learning motivation. Next to, thinking of education and training effectiveness is higher, when education and training person in charge taught to educatee very well, and they were satisfied about teaching. Consequently, they who nourishment of education and training person in charge within company have to improve their ability. And then, when educatee fit for teaching technique and satisfied about it, thinking of education and training effectiveness is higher. So, education and training were tried to find many of technique for fitting the desire of educatee. Sixth, the more education and training environment is satisfactory, the more educatee have high thinking of education and training effectiveness. CEO in hospitals have to think about many-sided solution for employee. Seventh, the more education and training have correct achieving organizational goal, the more educatee have high thinking of education and training effectiveness. Accordingly, hospital management should make up for education and training system. Then, thinking of education and training effectiveness is higher, when education and training measure an effect, and reflect to personnel management and assessment of an employee's performance. It should be the feedback for using information which is planning education and training. In conclusion, when result of measurement of education and training reflect to make a education and training plan, thinking of education and training effectiveness is higher, and result of measurement of education and training should reflect to make a education and training plan.

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A Study on the Improvement of the Effectiveness of Safety and Health Education for Supervisors (관리감독자 대상 안전보건교육의 실효성 증진 방안 연구)

  • Lee, Myeong-Gu;Jeong, Myeong-Jin;Kim, Chang-Wook
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.4
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    • pp.361-366
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    • 2022
  • Although safety and health education is reported to be very effective in reducing the industrial accident rate, the demand for improvement in safety and health education is also very high. The purpose of this study is to present measures to enhance effectiveness by investigating the effectiveness and demand for safety and health education for supervisors among the safety and health education systems. As a result of the study, it was found that the satisfaction and effectiveness of safety and health education were low. As the most important competency required for supervisors, it was investigated that job competency was the ability to discover harmful risk factors and formulate disaster prevention measures in the work process and work environment, and base competency was communication ability. In addition to designated safety and health education institutions, there was a high demand for recognition as education completion time even when professional education by job was completed by other professional education institutions. Therefore, in safety and health education for supervisors, it is necessary to focus on major items to improve supervisors' job competency and base competency, and to recognize that they have completed education at a wide range of educational institutions. We believe that it can increase the supervisor's capacity for safety management and improve the effectiveness of safety and health education.

The Associations of Online Health Information Search and eHealth Literacy with Perceived Information Usefulness: Analysis in the Context of Diet and Weight Control (인터넷 건강정보이해능력과 정보탐색 유형별 인지된 정보유용성 분석: 다이어트 및 체중조절 관련 정보탐색을 중심으로)

  • Shim, Minsun;Jo, Heui Sug;Jung, Su Mi
    • Health Policy and Management
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    • v.28 no.2
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    • pp.119-127
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    • 2018
  • Background: This study aimed to examine (1) the patterns of online health information search with respect to seeking and scanning, and (2) how online search, along with eHealth literacy, predicts perceived information usefulness in the context of diet and weight control. Methods: Online survey was conducted with 299 adults from the consumer panel recruited for the purpose of quality assessment of the Korean National Health Information Portal in 2016. We conducted paired sample t-test and multiple logistic regression to address the research questions. Data analysis was performed using IBM SPSS Statistics ver. 24.0 (IBM Corp., Armonk, NY, USA) and SAS ver. 9.3 (SAS Institute Inc., Cary, NC, USA). Results: Of the respondents, 38.8% were 'high seek-high scanners,' 35.8% were 'low seek-low scanners,' 13.0% were 'high seek-low scanners,' and 12.4% were 'low seek-high scanners.' eHealth literacy was a significant, positive predictor of online information scanning (odds ratio [OR], 2.46; 95% confidence interval [CI], 1.41-4.29), but not for online information seeking (OR, 1.75; 95% CI, 1.00-3.05). With respect to perceived usefulness of online information seeking, online seeking (OR, 4.90; 95% CI, 2.19-11.00) and eHealth literacy (OR, 2.30; 95% CI, 1.11-4.75) were significant predictors. Perceived usefulness of online scanning had a significant association with online scanning (OR, 2.38; 95% CI, 1.08-5.22), but not with eHealth literacy. Conclusion: To increase the effectiveness of the health policy for online information search and related outcomes in the context of diet and weight control, it is important to develop education programs promoting eHealth literacy.

Effectuality of Cleaning Workers' Training and Cleaning Enterprises' Chemical Health Hazard Risk Profiling

  • Suleiman, Abdulqadir M.;Svendsen, Kristin V.H.
    • Safety and Health at Work
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    • v.6 no.4
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    • pp.345-352
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    • 2015
  • Background: Goal-oriented communication of risk of hazards is necessary in order to reduce risk of workers' exposure to chemicals. Adequate training of workers and enterprise priority setting are essential elements. Cleaning enterprises have many challenges and the existing paradigms influence the risk levels of these enterprises. Methods: Information on organization and enterprises' prioritization in training programs was gathered from cleaning enterprises. A measure of enterprises' conceptual level of importance of chemical health hazards and a model for working out the risk index (RI) indicating enterprises' conceptual risk level was established and used to categorize the enterprises. Results: In 72.3% of cases, training takes place concurrently with task performances and in 67.4% experienced workers conduct the trainings. There is disparity between employers' opinion on competence level of the workers and reality. Lower conceptual level of importance was observed for cleaning enterprises of different sizes compared with regional safety delegates and occupational hygienists. Risk index values show no difference in risk level between small and large enterprises. Conclusion: Training of cleaning workers lacks the prerequisite for suitability and effectiveness to counter risks of chemical health hazards. There is dereliction of duty by management in the sector resulting in a lack of competence among the cleaning workers. Instituting acceptable easily attainable safety competence level for cleaners will conduce to risk reduction, and enforcement of attainment of the competence level would be a positive step.

Mental Health Counseling in 2022: Insights and Policy Recommendations from NHANES Data

  • Ae-Jun PAPK;Ae-Hee HA
    • Journal of Wellbeing Management and Applied Psychology
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    • v.7 no.3
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    • pp.55-65
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    • 2024
  • Purpose: This study aims to analyze the status and realities of mental health counseling experiences among adults using the 2022 National Health and Nutrition Examination Survey(NHNES) data. The goal is to provide policy recommendations for enhancing mental health services. Research Methods: Utilizing secondary data analysis of the 2022 survey conducted by the Korea Disease Control and Prevention Agency(KDCPA), this study applied statistical techniques including descriptive statistics, chi-square tests, and logistic regression to evaluate counseling experiences based on age, gender, residential area, and income levels. Results: The study included 5,256 participants, with the highest proportion being those aged 60-69 (21.3%) and the lowest aged 19-29 (11.7%). Females constituted 56.5% of the sample, while males made up 43.5%. Older adults (60-69 and 70+) had significantly lower counseling experience rates compared to younger adults (19-29). Females had higher counseling experience rates than males, indicating gender differences in mental health service utilization. Urban residents had higher counseling experience rates than rural residents, suggesting better access to mental health services in urban areas. Lower income levels were associated with higher counseling experience rates, highlighting the need for targeted mental health support for economically disadvantaged groups. Conclusions: The study recommends developing age-specific, gender-sensitive, and regionally tailored mental health programs to improve accessibility and effectiveness. Additionally, policies should focus on enhancing mental health support for low-income individuals to address the socioeconomic disparities in mental health service utilization.