• 한국환경과학회지
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• 제17권7호
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• pp.733-741
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• 2008

The object of this study is the safety insurance of the dam to provide for the extraordinary flood. The safety insurance of the reservoir was taken by the preparatory discharge using the temporary division tunnel used during the reservoir construction. In this study, the Sungju reservoir was simulated. The existing discharge facilities of the intake tower of the Sungju reservoir could nat have influence on the flood control. When the Sungju reservoir operated to begin preparatory discharge for 48 hrs by the temporary diversion tunnel that have discharge of an 20-years frequency, the water level was lowered about 20 cm. When the Sungju reservoir operated to begin the continuous discharge after the preparatory discharge, the water level was lowered over 1m but the downstream at risk was caused by the resulted. If it is possible to operate to begin the preparatory discharge of the reservoir for 24 hrs by the temporary diversion tunnel, that will improve the flood control faculty of the reservoir without other hydraulic structure and safety of the Sungju reservoir will be higher.

• 한국산업보건학회지
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• 제32권3호
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• pp.268-278
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• 2022

Objectives: This study aimed to establish a control group based on the big data from National Health Insurance Service. We also presented presented the number of incidences for each cancer, and analyzed the cancer incidence rate among Korean workers. Methods: The cohort definition was separated by 'baseline cohort', 'dynamic cohort', and 'fixed- industry cohort' according to the definition. Cancer incidence was calculated based on the Korean Standard Classification of Disease code. Incidence rate was calculated among the group of all workers and public officials. Based on the study subjects and each cohort definition, the number of observations, incidences, and the incidence rate according to sex and age groups was calculated. The incidence rate was estimated based on the incidence per 100,000 person-year, and 95% confidence intervals calculated according to the Poisson distribution. Results: The result shows that the number of cancer cases in the all-worker group decreases after the age of 55, but the incidence rate tends to increase, which is attributed to the retirement of workers over 55 years old. Despite the specific characteristics of the workers, the trend and figures of cancer incidence revealed in this study are similar to those reported in previous studies of the overall South Korean population. When comparing the incidence rates of all workers and the control group of public officials, the incidence rate of public officials is generally observed to be higher in the age group under the age of 55. On the other hand, for workers aged 60 or older, the incidence rates were 1,065.4 per 100,000 person-year for all workers and 1,023.7 per 100,000 person-year for civil servants. Conclusions: This study analyzed through health insurance data including all workers in Korea, and analyzed the incidence of cancer of workers by sex and age. In addition, further in-depth researches are needed to determine the incidence of cancer by industry.

• 대한의용생체공학회:의공학회지
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• 제44권4호
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• pp.264-274
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• 2023

Purpose: The objective is to extract insights that can contribute to the formulation of harmonized international policies and support measures for innovative medical devices and management systems. This study aims to propose effective strategies for future medical device innovation and healthcare delivery. Results: It investigates technological advancements, regulatory approval systems, insurance policies, and successful commercialization cases in South Korea, the United States, and the European Union. In 2018, the FDA implemented insurance coverage for Software as a Medical Device (SaMD) and recognized insurance coverage for Digital Therapeutics (DTx). Germany is a country that ensures permanent reimbursement for healthcare applications since 2020, making it the first country to provide legal health insurance coverage for fostering a digital ecosystem. Conclusion: The findings of this research highlight the importance of cultivating a supportive regulatory and environmental framework to facilitate the adoption of innovative medical devices. Continuous support for research and development (R&D) efforts by companies, along with the validation of clinical effectiveness, is crucial.

• Safety and Health at Work
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• 제15권2호
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• pp.213-219
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• 2024

Background: The design, implementation, and evaluation are three important stages of occupational safety and health (OSH) interventions. Historically, there has been a tendency to prioritize implementation, often neglecting detailed design and rigorous outcome evaluation. Currently, much has changed, and contemporary approaches recognize the interdependence of these stages, considering them integral to the success of any intervention. This work presents a comprehensive procedure for implementing interventions, not only to ensure short-term effectiveness but also their long-term sustainability through continuous monitoring. The focus is on a national OSH project introducing a near-miss management system (NMS) in Italy. Methods: Initial meetings were convened among project partners, complemented by interviews with diverse stakeholders, to plan implementation steps and test the NMS. Tailored questionnaires were designed for diverse stakeholder groups - initial promoters, company managers and employers, and employees - facilitating targeted implementation, and three case studies were started in Italian regions to assess the structured implementation, involving intervention promoters and collaborating companies. Results: The primary outcome is the development of practical tools, specifically three questionnaires, which are considered valuable for establishing an effective human-centered implementation strategy, meticulously designed to facilitate ongoing monitoring of processes and continual enhancement of instruments intended for NMS integration within companies. Conclusions: This work lays the foundation for successful NMS implementation in Italy and, although the outlined procedure had specific objectives, it also provides valuable insights applicable in enhancing the effectiveness and sustainability of interventions across diverse contexts. It underscores the importance of comprehensive planning, stakeholder engagement, and continuous evaluation in achieving lasting OSH interventions.

• 한국환경보건학회지
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• 제39권4호
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• pp.335-345
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• 2013

Objectives: As the suspicion was raised that 'Agent Orange' was reclaimed 30 years ago at Camp Carol, located in Waegwan, Gyeongsangbuk-do, the government conducted an investigation of the influence of environmental and health effects around Camp Carol through a public-private joint investigation team. As part of the investigation of population health effects, this study was carried out in order to observe changes and regional differences in diseases, particularly cancer, by year. Methods: We authors conducted an analysis of secondary health data, such as cancer registration data, mortality data, and health insurance data. We drew an age standardized incidence ratio (SIR), death rate (SDR), mortality ratio (SMR), and health care utilization rate using these data. Results: For gastric cancer in women, and other cancers in men, a significant increase in incidence was observed compared to the control area. For biliary tract cancer, gallbladder cancer, and thyroid cancer in women, and prostate cancer in men, a significant decrease in incidence was observed compared to the control area. In the national statistical analysis of data, such as health insurance data and mortality data, we did not observe a significant increase at the Waegwan region compared to other regions. Conclusions: We must consider the limitations of this study. Because thirty years have passed from the time of the estimated landfill of 'Agent Orange', recent national statistical data may not reflect the past real situation. Therefore, the monitoring of secondary data for health effects at the municipal level should be carried out continuously.

• 한국병원경영학회지
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• 제21권2호
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• pp.13-23
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• 2016

Purpose: The purpose of this study is to compare the user satisfaction between 4-bedrooms and 5/6-bedrooms in a single general hospital. Methodology: To measure and compare multiple-bed ward user satisfaction between 4-bedrooms and 5/6-bedrooms, questionnaires were collected from 916 inpatients and 129 nurses in a single general hospital. The patient satisfaction questionnaire categories included environmental conditions, protection of privacy, and medical services. The nurse satisfaction questionnaire categories included space, infection control, patient safety, work load and psychologic view point. Findings: Satisfaction of patient who admitted in 4-bedroom to the environmental conditions and protection of privacy was higher than that of 5/6-bedroom group (3.91 vs. 3.25, p<0.001). Satisfaction of nurse who worked in 4-bedroom was higher than that of 5/6-bedroom (3.05 vs. 1.92, p<0.001). By the multiple linear regression analysis, patient satisfaction to the environmental conditions and protection of privacy was related with multi-bedroom type and location of beds; 4-bedrooms were higher than 5/6-bedrooms(p<0.001), window side bed were higher than hallway side bed(p=0.001). There was no satisfaction difference in comparing medical services between the two groups. By the multiple linear mixed regression analysis, nurse satisfaction who were assigned for 4-bedrooms were higher than that of 5/6-bedrooms in all categories(p<0.001). Practical Implications: Even though no difference has shown in medical services satisfaction between the two patient groups, multi-bedroom type may affect patient satisfaction in environmental condition, protection of privacy and may also affect overall nurse satisfaction. This result suggests that to improve multi-bedroom user satisfaction, 4-bedroom is recommended over 5/6-bedroom.

• 한국산업보건학회지
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• 제19권1호
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• pp.51-63
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• 2009

In the field of ergonomics, it is evident that participatory action research methodology could contribute to reduce risk factors of work related musculoskeletal disorders(WMSDs). The objective of this study was to evaluate the effectiveness of a participatory ergonomics in reducing the incidence rate and severity of WMSDs in the tire manufacturing company. In this study, an action committee comprising 13 members was organized in the tire manufacturing company. The action group participated at every research process, education and training, assessment and intervention of risk factors, and early detection and management of WMSDs during the 3 years(2004-2006). The prevention programs contributed to an overall reduction in incidence rate by approximately 37.2%, and lost workdays and workers' compensation costs by approximately 55.1%. But, the incidence rate increased 29.0%, and compensation costs increased 59.0% in the first-year setting programs, and both the incidence rate and compensation costs decreased after the second-year managing programs. And, the reduction rates(63.2%) of insurance cases is higher than that(9.7%) of non-insurance cases. The results showed that participatory ergonomics programs may be effective in reducing the incidence and severity rate of WMSDs.

• 벤처창업연구
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• 제11권2호
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• pp.121-134
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• 2016

현재 보험시장은 비대면(非對面)채널 성장에 따른 대면채널의 기여도 감소와 대면채널 유지측면에서 고비용이 소요되는 현실적인 문제에 직면해있다. 이에 따라 설계사 조직의 생산성 향상 즉 보험설계사의 성과 향상요인이 무엇인지를 실증하는 것이 본 연구의 목적이다. 보험설계사의 성격요인과 개인-환경적합성이 직무만족도, 이직의도에 미치는 영향을 고찰해 본 결과 설계사의 외향성, 성실성, 개방성, 원만성, 정서성, 정직성을 나타내는 성격요인은 조직몰입과 직무만족에 유의한 영향을 미치고 있다. 즉, 보험설계사의 성격이 활기차고 외향적이며, 다른 사람과의 공감성이 높을수록 회사에 강한 소속감을 갖고 몰입하는 정도가 높아진다고 할 수 있다. 이는 설계사의 도입 단계에서부터 선별 도입이 이루어져야할 필요성을 대변하고 있다. 반면 성격요인은 이직의도에는 유의한 영향을 미치지 아니하였다. 이는 설계사의 이직은 개인의 성격에 의하여 발생하는 것 보다는 개인성격 외의 요인에 영향을 받고 있음을 실증한 결과이다. 상사적합성, 직무적합성, 동료적합성, 조직적합성을 나타내는 개인-환경적합성은 조직몰입, 직무만족, 이직의도 모두에 유의한 영향을 미치고 있다. 즉, 상사나 동료와 가치관이나 성격, 일하는 방식 등이 비슷하고, 자신의 일이 적성에 잘 맞으며 조직과의 적합성이 높을수록 회사에 대해 소속감을 갖고 몰입하는 정도가 높아진다고 할 수 있다. 또한 교육을 통하여 보험 설계사의 성격에 따른 조직몰입과 직무만족도를 향상시킬 수 있음을 알게 되었다. 이는 교육이 설계사를 좀 더 긍정적인 측면의 외향성을 갖게 하고 성실하게 본인의 업무를 처리하게 하며 윤리적 영업이 가능하게 함을 시사한다. 본 연구의 성과는 보험설계사를 대상으로 실시한 성격요인과 직무만족도, 이직의도에 대한 최초의 실증연구결과이다.

• 디지털융복합연구
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• 제18권8호
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• pp.185-199
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• 2020

본 연구는 보험회사의 차별적 마케팅전략으로써 CSR활동의 가능성을 규명하기 위하여 보험회사의 CSR활동이 고객기반 브랜드자산과 고객의 프리미엄가격 지불의도에 미치는 영향을 살펴보았다. 보험가입 경험이 있는 국내 소비자를 대상으로 설문하여 최종 510부를 선정 및 분석한 결과, 경제적, 자선적 책임활동은 고객기반 브랜드자산에 영향을 주었고, 경제적, 환경적 책임활동은 프리미엄가격 지불의도에 영향을 주었다. 또한 고객기반 브랜드자산의 매개역할은 경제적, 자선적 책임활동과 프리미엄가격 지불의도 간의 관계에서 확인하였다. 마지막으로, CSR활동과 고객기반 브랜드자산 관계에서 SNS 활용수준의 조절효과는 경제적 책임활동에서 영향이 있었다. 이러한 결과를 바탕으로 본 연구는 보험회사에서의 CSR 프로그램 효율성을 높이는 마케팅전략 수립에 중요한 시사점을 제공해준다.

• Annals of Occupational and Environmental Medicine
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• 제35권
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• pp.35.1-35.11
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• 2023

Background: Cardio-cerebrovascular diseases (CVDs) are the most common cause of death worldwide. Various CVD risk assessment tools have been developed. In South Korea, the Korea Occupational Safety & Health Agency (KOSHA) and the National Health Insurance Service (NHIS) have provided CVD risk assessments with health checkups. Since 2018, the KOSHA guide has stated that NHIS CVD risk assessment tool could be used as an alternative of KOSHA assessment tool for evaluating CVD risk of workers. The objective of this study was to determine the correlation and agreement between the KOSHA and the NHIS CVD risk assessment tools. Methods: Subjects of this study were 17,485 examinees aged 20 to 64 years who had undergone medical examinations from January 2021 to December 2021 at a general hospital. We classified subjects into low-risk, moderate-risk, high-risk, and highest-risk groups according to KOSHA and NHIS's CVD risk assessment tools. We then compared them with cross-analysis, Spearman correlation analysis, and linearly weighted kappa coefficient. Results: The correlation between KOSHA and NHIS tools was statistically significant (p-value < 0.001), with a correlation coefficient of 0.403 and a kappa coefficient of 0.203. When we compared risk group distribution using KOSHA and NHIS tools, CVD risk of 6,498 (37.1%) participants showed a concordance. Compared to the NHIS tool, the KOSHA tool classified 9,908 (56.7%) participants into a lower risk category and 1,079 (6.2%) participants into a higher risk category. Conclusions: In this study, KOSHA and NHIS tools showed a moderate correlation with a fair agreement. The NHIS tool showed a tendency to classify participants to higher CVD risk group than the KOSHA tool. To prevent CVD more effectively, a higher estimation tool among verified CVD risk assessment methods should be selected and managements such as early intervention and treatment of risk factors should be performed targeting the high-risk group.