• 노동경제논집
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• 제29권1호
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• pp.41-73
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• 2006

본 연구는 한국노동패널조사의 제 1차~6차년도의 자료를 이용하여 근로빈곤(working poor)의 규모 및 특성, 그리고 동태적 이행과정을 분석하고 있다. 분석결과 빈곤가구의 절반 이상이 근로빈곤(working poor)가구이며, 취업자가 있는 가구의 상당수는 빈곤상태에 놓여 있다. 그러나 근로빈곤가구는 빈곤의 진입과 이탈이 매우 활발하고 미취업가구에 비해 빈곤에 빠질 위험성이 낮으며, 빈곤에 빠지더라도 곧장 벗어날 확률이 높다. 가구주의 연령이 높고 저학력일수록 근로빈곤의 위험성이 높은 것으로 추정되고 있다. 또한, 임금근로가구에 비해 자영업가구와 임금 자영업 혼합가구의 근로빈곤 위험성이 높다. 근로빈곤의 해소를 위해 빈곤 취약계층의 능력개발과 좋은 일자리의 창출이 중요하다. 특히 좋은 일자리의 창출은 고용문제의 해결을 위해서뿐만 아니라 소득불평등의 완화를 위해서도 중요하다. 자영업가구에 대한 정책적 관심의 제고와 더불어 근로빈곤계층에 대한 합리적인 사회복지 지원책의 마련도 요구된다.

• 한국의료질향상학회지
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• 제19권2호
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• pp.80-88
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• 2013

Objectives: With the increase in the number of people who are marginalized in receiving medical services, the role of Seoul National University Hospital as a public hospital is being emphasized. However, many patients are either experiencing delays in receiving medical services or simply being left out as a result of the inaccessibility to the department of social work on part of both the patients and the medical staff. Methods: In order to increase consultation from other departments and the accessibility to the department of social work for the socially marginalized group through early consultation from other departments, the following steps were taken. First, an orientation program for novice medical residents led by clinical social worker was introduced/implemented. Second, posters and brochures on various financial aids programs were produced and distributed. Third, a system of early screening was built/constructed, and once a week rounds and early screening meeting were executed/carried out. Result: The department of social work's rate of consultation from other departments increased by 4.4% compared to last year, while it showed 61% increase for those wards that had an early screening meeting. In addition, the average time of consultation from other departments was reduced by 3.1 days, securing sufficient amount of time for clinical social work services, both in terms of quality and quantity. Conclusion: It is believed that the various promotional activities, along with the strengthening of accessibility to clinical social work services and early consultation on part of social disadvantaged/marginalized group, would undoubtedly help provide quality services to patients and increase their level of satisfaction. In this way, the wards can effectively reduce the number of unnecessary hospital stay days while the hospital can prevent the accumulation of outstanding bills/fees as well as contribute to the publicness of hospitals. The promotion of clinical social work programs in various ways are crucial to ensuring the satisfaction of patients and hospital staff.

• Safety and Health at Work
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• 제11권3호
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• pp.262-265
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• 2020

Coronavirus disease 2019 (Covid-19) poses an important occupational health risk to health workers (HWs) that has attracted global scrutiny. To date, several thousand HWs globally have been reported as infected with the severe acute respiratory syndrome coronavirus 2 virus that causes the disease. It is therefore a public health priority for policymakers to understand risk factors for this vulnerable group to avert occupational transmission. A rapid review was carried out on 20 April 2020 on Covid-19 risk factors among HWs in PubMed, Google Scholar, and EBSCOHost Web (Academic Search Complete, CINAHL Complete, MEDLINE with Full Text, CINAHL with Full Text, APA PsycInfo, Health Source-Consumer Edition, Health Source: Nursing/Academic Edition) and WHO Global Database. We also searched for preprints on the medRxiv database. We searched for reports, reviews, and primary observational studies (case control, case cross-over, cross-sectional, and cohort). The review included studies conducted among HWs with Covid-19 that reported risk factors irrespective of their sample size. Eleven studies met the inclusion criteria. Lack of personal protective equipment, exposure to infected patients, work overload, poor infection control, and preexisting medical conditions were identified as risk factors for Covid-19 among HWs. In the context of Covid-19, HWs face an unprecedented occupational risk of morbidity and mortality. There is need for rapid development of sustainable measures that protect HWs from the pandemic.

• 한국직업건강간호학회지
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• 제24권4호
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• pp.381-391
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• 2015

Purpose: The purpose of this study was to describe the intervention model development of health promotion for women workers working in the traditional marketplace, using community capacity building framework. Methods: Need assessment of the target population, work-related environment investigation, social network group building, and setting health management in the marketplace were performed. Then the interventions including cardiovascular health, musculoskeletal health, and psychological health were conducted. The results were evaluated using NCEP-ATP III(National Cholesterol Education Program's Adult Treatment Panel III), OWAS, and CES-D. Results: It was found that the intervention program for the vulnerable group in marketplace was appropriate, promoting the improvement of metabolic syndrome and the reduction of pain complaints. Therefore, the intervention framework for health promotion of women workers in the marketplace was developed. Work-related environment assessment also was included in the framework development. Several community capacity building strategies, including developing community resources and promoting partnership, making small social network group, and promoting program participation. Conclusion: It is suggested that occupational health nurses and professionals consider the appropriateness of intervention framework development after identifying the needs of women workers' work-related environmental problems.

• 한국병원경영학회지
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• 제24권3호
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• pp.1-10
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• 2019

Purpose: The purpose of this study was to investigate determinants of purchasing indemnity private health insurance and its impact on the healthcare utilization among outpatients with chronic disease. Methods: The study analyzed 4,997 chronic ill patients using 2015 Korean Health Panel data. Logistic regression analysis was conducted to analyze the factors affecting the purchase of indemnity private health insurance and multiple regression analysis was conducted to analyze the effect of private health insurance on the number of outpatient visits and outpatient expenditures. Findings: The age, education level, and number of chronic diseases were significant factors affecting the purchasing of indemnity private health insurance among chronic patients. As a result of analyzing the impact of indemnity private health insurance on healthcare utilization, the number of outpatient visits for those who enrolled in the indemnity private health insurance was higher than the number of outpatient visits for those who did not. But there was no statistically significant difference in outpatient medical expenses. Practical Implications: The results of this study shows that indemnity private health insurance may cause inequality in the healthcare utilization of the socially vulnerable. It is necessary to seek ways to strengthen the health security of chronic disease patients and high-risk elderly people who need more healthcare.

• 한국콘텐츠학회논문지
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• 제22권2호
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• pp.107-115
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• 2022

본 연구는 지식산업화 시대 외국인 지식노동자를 어떻게 재난통신을 통해 보호할 수 있는가를 개념적으로 논의하였다. 외국인 지식노동자들은 높은 교육수준과 경제적지위에도 불구하고 유목적인 특성으로 인한 짧은 거주기간으로 인하여 사회적 자본과 관계의 부족, 그리고 자발적 고립이라는 문제를 가지게 되어 커뮤니티를 기반으로 개발, 운영되는 재난통신 네트워크로부터 소외되기 때문이다. 본 연구는 재난통신 네트워크의 다양한 구조들과 각각의 장단점을 소개하고 전통적인 위계적 계층구조와 무작위 네트워크의 중간인 Small World Network의 구축과 Structural Hole의 활용을 외국인 지식노동자의 소외에 대한 정책 대안으로 제시하였다. 이를 위해 이들 집단과 밀접한 사회적 관계를 유지하는 민간 조직 재난관리 담당자를 통해 이들의 재난 필요를 식별하고 적합한 재난정보와 재난정보를 재난대비 행동으로 전환시키는데 필요한 다양한 추가적인 정보를 제공함으로 재난통신의 효과성을 제고하는 방안을 제시하였다. 이 경우 재난관리기관과 민간 기업이 그들이 이미 구축하여 운영하고 있는 재난통신 구조와 절차를 전면적으로 재구성하지 않고도 외국인 지식노동자를 효과적으로 보호할 수 있게 된다.

• 정보처리학회논문지:컴퓨터 및 통신 시스템
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• 제12권11호
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• pp.337-346
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• 2023

고령자는 낮은 디지털 활용 역량, 주기적이고 지속적인 자가관리 유지 어려움이 있어 시간에 따른 변화에 대응해 지속적인 관리를 해줄 수 있는 돌봄 제공자용 건강관리 앱이 필요하다. 이러한 필요성을 바탕으로 본 연구에서는 고령자가 사용하기 편한 UI와 단순한 구조의 앱을 디자인하였다. 본 연구에서 개발된 앱은 돌봄 현장에서 혈압, 혈당, 심박수 등의 건강 데이터와 신체, 질병, 인지, 의사소통, 환경 등의 특이 정보들을 정기적으로 관리하도록 지원한다. 본 연구에서 개발된 앱은 건강관리 기기와의 연동을 통해 데이터를 자동 입력하고, 기록된 데이터의 자동분석과 시각화 표현이 가능하다. 건강 변화의 추세, 변동성 등의 모니터링으로 돌봄 서비스를 제공할 수 있는 지원이 가능하다. 또한 다양한 건강관리, 의료지원 플랫폼과 연계할 수 있는 확장성이 추가되어 개발되었다. 개발된 앱에 대한 효과성과 만족도가 현장 실증 결과 유의미함이 확인되었다.

• 웰빙융합연구
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• 제7권2호
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• pp.49-56
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• 2024

Purpose: Construction sites are currently facing a socialization problem as the incidence of thermal disease-related disasters increases due to summer heat waves, exacerbated by factors like the concentration of middle-aged and older workers and global warming. The reason why construction sites are particularly vulnerable to heat waves is that there are many outdoor work, which is the peculiarity of the construction industry, and most of the construction workers are elderly. This study analyzes disaster statistics of workers at construction sites for five years to investigate the occurrence of thermal diseases and analyze factors through disaster cases to provide basic data for future disasters to be reduced. Research design, data, and methodology: According to the Construction Workers' Mutual Aid Association, as of June, more than 60% of the construction workers working in the field were in their 50s and 60s. More than 24% are in their 60s and older. Thermal diseases caused by heat waves occur when exposed to high heat or strong sunlight for a long time, accompanied by headaches and dizziness. The problem is that many elderly people have underlying diseases, so if they lose consciousness, they cannot easily recover and are likely to die. Results: According to industrial accident statistics, 182 people were injured by heat-related diseases in the summer from 2016 to 2021, of which 29 died. In particular, in the construction industry, which has a lot of outdoor work, 87 people were injured and 20 people died. Conclusions: In order to prevent heat diseases caused by outdoor work, it is emphasized that exposure time is controlled, and sufficient rest and hydration are essential. Rest, water, and shade are in line with the three principles.

• Safety and Health at Work
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• 제15권1호
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• pp.96-101
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• 2024

Background: Silicosis among workers who fabricate engineered stone products in micro or small-sized enterprises (MSEs) was reported from several countries. Workplace exposure data of these workers at high risk of exposure to respirable crystalline silica (RCS) dust are limited. Methods: We surveyed workers performing cutting, shaping and polishing tasks at 6 engineered stone fabricating MSEs in Sydney, Australia prior to regulatory intervention. Personal exposure to airborne RCS dust in 34 workers was measured, work practices were observed using a checklist and worker demography recorded. Results: Personal respirable dust measurements showed exposures above the Australian workplace exposure standard (WES) of 0.1 mg/m³ TWA-8 hours for RCS in 85% of workers who performed dry tasks and amongst 71% using water-fed tools. Dust exposure controls were inadequate with ineffective ventilation and inappropriate respiratory protection. All 34 workers sampled were identified as overseas-born migrants, mostly from three linguistic groups. Conclusions: Workplace exposure data from this survey showed that workers in engineered stone fabricating MSEs were exposed to RCS dust levels which may be associated with a high risk of developing silicosis. The survey findings were useful to inform a comprehensive regulatory intervention program involving diverse hazard communication tools and enforcing improved exposure controls. We conclude that modest occupational hygiene surveys in MSEs, with attention to workers' demographic factors can influence the effectiveness of intervention programs. Occupational health practitioners should address these potential determinants of hazardous exposures in their workplace surveys to prevent illness such as silicosis in vulnerable workers.

• 한국콘텐츠학회논문지
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• 제20권11호
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• pp.624-635
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• 2020

본 연구는 다른 장애유형에 비해 권리보장 취약성이 높은 발달장애인에 대해 다른 권리유형에 비해 상대적으로 권리침해 가능성이 높은 자기결정권에 초점을 맞추어 이의 학문적 논의토대와 실제적 실천전략의 시사점을 얻고자 사회복지사를 대상으로 한 인식 및 실천의 실증분석을 시행하였다. 이를 위해 서울·경기 및 강원지역 사회복지사 302명을 대상으로 발달장애인의 자기결정 구성요소에 대한 중요도 및 실행도 인식을 구조화된 설문조사를 통해 자료를 수집하고, 중요도 및 실행도의 기술적 분석, 차이분석, 매트릭스 분석을 적용하였다. 분석결과, 중요도와 실행도는 긍정적 수준보다 낮은 절대적 수준으로 평가되고, 전체 평균기준 실행도는 상대적으로 보다 늦게 적용되는 것으로 나타났으며, 둘 간의 수준차이는 통계적으로 유의미한 것으로 나타났다. 한편, 중요도와 실행도 간 불균형적 사항인 과소 실천요소로서 목표설정 및 성취, 자기관리 및 조절, 가지인식 및 지각 등이 확인되었다. 이에 인권보장의 상호성을 감안한 사회복지사와 발달장애인의 균형적 긍정성 향상을 위해 사람중심프로그램과 자기결정향상프로그램의 적용이라는 큰 기반 위에 응용행동분석, 긍정적 행동지원, 목표성취척도의 적용 하 개별화서비스계확 등 세부전략에 대해 제언하였다.