• 한국전문물리치료학회지
• /
• 제23권4호
• /
• pp.71-80
• /
• 2016

Background: Functional capacity evaluations (FCEs) are designed to systematically assess the capacity to perform work-related tasks and to determine worker's ability to return to the previous job following work-related injuries. These evaluations may be rated either by clinician or worker. There has been a lack of consensus between the two scoring methods. Objects: This study aimed: 1) to confirm if the data are fit to the Rasch rating scale model and 2) to investigate the item-level concordance rate between the ratings of clinician and injured worker of the FCE. Methods: A cross-sectional study was conducted with a sample (n=124) of a rehabilitation program with the Occupational Rehabilitation Data Base for workers with low back pain. The functional capacity evaluation at admission and discharge was administered to clinicians and workers. The data were analyzed using both classical test theory-based Pearson's r and intra-class coefficient followed by item-level analysis with Rasch rating scale model. Results: All items of the FCE, except sitting items rated by clinician at admission and handling items rated by both clinician and worker throughout admission and discharge, were acceptable fit statistics with minor out of ranges for a misfit criterion. This may indicate that the items of the FCE overall fit to the Rasch rating scale model. Few problematic items responding differently to clinician and worker both at admission and discharge were detected with the differential item functioning analysis despite the excellent concordance rate using the two conventional statistics-sitting and handling items at admission and handling item at discharge. Conclusion: The item-level speculations using Rasch analysis of the FCE demonstrate that the ratings of clinician and self ratings of worker were psychometrically acceptable though there was an apparent discrepancy between the raters both at admission and discharge.

• 사회복지연구
• /
• 제45권2호
• /
• pp.123-146
• /
• 2014

본 연구는 요양종결 이후 다시 업무에 복귀한 산재근로자들의 복귀 이후 첫 복귀직장에서의 고용지속기간 및 고용중단에 영향을 미치는 요인을 분석하였다. 이를 위해 산재다빈도 상병인 상 하지골절 및 허리질환으로 치료를 받고 직장에 복귀한 515명의 산재근로자 자료를 분석에 활용하였다. 산재근로자의 고용지속기간을 분석한 결과, 복귀 이후 1개월 이내 직장을 그만둔 경우는 5.65%, 3개월 이내 14.14%, 6개월 이내 23.70%, 12개월 이내 32.81%로 나타나, 재해 이후 직업복귀한 근로자 10명 중 3명은 1년 이내 첫 복귀한 직장을 그만두는 것으로 나타났다. 그리고 산재근로자의 연령이 높을수록, 미혼에 비하여 기혼이, 재해 당시 근속기간이 길수록, 타직복귀에 비하여 원직복귀가, 재해 전후 소득변화가 없는 경우에 비하여 증가한 경우가 재해 이후 첫 복귀직장에서의 고용중단 가능성이 낮았고, 대졸 이상에 비하여 중졸 이하가, 허리질환에 비하여 상 하지골절이 고용중단 가능성이 높은 것으로 나타났다. 이러한 결과를 토대로 하여 산재근로자의 고용지속성을 높이기 위한 정책적 함의를 제시하였다.

• 한국직업건강간호학회지
• /
• 제17권2호
• /
• pp.210-215
• /
• 2008

Purpose: This study aimed to find the factors affecting medical sequelae management service satisfaction among injured workers. Method: This study population were 200 randomised samples of 619 medical sequelae management beneficiaries from April to June 2007 among occupational accident treatment ending workers in 2006. Data were collected through the telephone survey from November 28 to December 7 in 2007. Data were analyzed by ${\chi}^2$ test and multiple logistic regression using SAS 9.1 version. Results: According to the finding of this study, positive perceptions for the purpose and the effect of medical sequelae management were the factors influencing the satisfaction of medical sequelae management service. Conclusions: We recommend key issues to take into account for enhancing medical sequelae management service satisfaction in workers' compensation as follows; explaining the purpose and effect of medical sequelae management to client, evaluating medical sequelae management effect, and the policy participation of medical profession.

• 한국산학기술학회논문지
• /
• 제15권12호
• /
• pp.7093-7100
• /
• 2014

본 연구의 목적은 산업재해 근로자의 노동시장이행과 관련한 요인들을 분석하는 것이다. 이를 위하여 근로복지공단이 주관하는 제 1차 산재보험패널조사 데이터를 활용하였다. 주요 연구 결과로 첫째, 요양기간 종료 후 비경제활동인구와 실직 중인 대상자가 각각 7.2%, 22.3%에 이르렀다. 둘째, 새로운 일자리로 복귀한 이들 중 기존에 담당하고 있던 직종과 다른 직종에 근무하는 비중이 31.5%였다. 산업재해로 인하여 직장과 직종이 동시에 바뀌는 산재근로자의 노동시장이행 성격을 보여준다. 셋째, 산재 근로자의 노동시장 이행 중 일자리 복귀여부와 관련한 요인을 살펴보면 남성, 낮은 연령대, 교육연수가 높을수록, 요양기간이 짧을수록, 업무수행능력에 대한 주관적 평가가 좋을수록 유의미한 관련성을 보여주었다. 산재 전직장의 규모와 종사상 지위도 관련성을 보여주었다. 직업훈련 경험자 중 일자리로 복귀하지 못한 사람들의 비중이 상대적으로 높았고 장해등급 정도는 관련성을 보여주지 않았다. 마지막으로 분석결과를 토대로 산재근로자의 노동시장이행 각 단계를 고려하여 이행노동시장 관점에서 만들어진 정책의 필요성을 제시하였다.

• 한국사회복지학
• /
• 제64권4호
• /
• pp.359-381
• /
• 2012

본 연구는 산재근로자의 첫 직업복귀기간의 추이를 살펴보고, 이에 영향을 미치는 요인을 분석하고자 하였다. 이를 위하여 2009년 요양종결한 산재근로자를 대상으로 설문조사를 실시하여 최종적으로 791명의 자료를 이용하였으며, 카플란-마이어 분석과 콕스 회귀분석을 활용하여 분석하였다. 카플란-마이어 분석결과, 재해이후 첫 직업복귀 추이를 보면 1개월 이내 복귀하는 경우가 2.65%, 6개월 이내 28.82%, 12개월 이내 50.95%, 24개월 이내 71.69%로 나타났으며, 요양종결 이후 첫 직업복귀 추이를 보면 요양중 혹은 종결 직후 복귀하는 경우가 29.46%, 1개월 이내 36.41%, 6개월 이내 56.64%, 12개월 이내 67.54%로 나타났다. 그리고 재해이후 첫 직업복귀기간은 여성보다는 남성이, 연령이 낮을수록, 임금이 높을수록, 요양중 실직하지 않은 경우, 원직복귀한 경우, 허리질환에 비하여 골절이, 수술하지 않은 경우, 요양기간이 짧을수록, 장해가 경할수록, 직업훈련을 받은 경우가 첫 복귀가 빨랐다. 요양종결이후 첫 직업복귀기간은 여성보다는 남성이, 연령이 낮을수록, 원직복귀한 경우, 장해가 경할수록, 직업훈련을 받은 경우가 첫 복귀가 빨랐다. 이러한 연구결과를 바탕으로 하여 연구의 함의 및 정책적 개입 방안들을 제시하였다.

• 한국산학기술학회논문지
• /
• 제20권10호
• /
• pp.259-269
• /
• 2019

본 연구의 목적은 산재장해인의 재취업을 높이기 위해 시험고용 제도의 도입 필요성과 활성화 방안에 대해 알아보는 것이다. 이를 위해 근로복지공단에 등재된 산재발생 업체 1,058곳의 사업주를 대상으로 인터넷과 종이방식을 통해 설문조사를 실시하였다. 설문내용은 시험고용 제도 이용 경험여부, 만족도, 지원내용과 선호도에 대해 알아보았다. 2018년 9월부터 6주간 설문이 진행되었으며 수거된 설문 중 총 201부가 최종분석에 포함되었다. 빈도분석과 t-test를 이용하여 분석하였으며, 설문결과 시험고용 제도에 참여한 사업주들은 제도에 만족하는 것으로 나타났다. 보다 원활한 시험고용 제도 시행을 위해 제도신청 및 지원절차 간소화(t=2.73, p<.01), 지원금액 향상(t=3.41, p<.01), 정규직 전환 후 더 많은 지원제공(t=3.59, p<.001) 등이 필요한 것으로 나타났다. 이러한 요구는 제도에 참여하지 않은 사업주에 비해 참여한 경험이 있는 사업주에게서 그리고 비제조업보다 제조업에서 더 높게 나타났다. 원활한 제도 시행을 위해 사업주가 원하는 지원금액은 월평균 75만원, 지원기간은 평균 8개월로 나타났다. 응답자의 80%가 이러한 지원들을 바탕으로 시험고용 제도가 개발된다면 산재근로자를 고용하겠다고 응답하였다. 연구결과를 기반으로 시험고용 제도 도입과 적용가능성을 위한 정책적 제언과 연구의 한계점을 제시하였다.

• 대한인간공학회지
• /
• 제36권3호
• /
• pp.231-244
• /
• 2017

Objective: This study aims to understand the occupational injury characteristics of the workers in the motor vehicle parts (automobile parts) manufacturing industry and to present basic guidelines on accident prevention through accident analysis. Background: There occur many occupational injuries in the motor vehicle parts manufacturing industry. But there were few researches for the occupational injuries of the workers in the motor vehicle parts manufacturing industry. Method: This study analyzed the data of occupational injuries of 1,609 workers in the motor vehicle parts manufacturing industry in 2015. The accident characteristics were analyzed by dividing them into worker related factors and accident related factors. Results: Among the occupational injuries of the workers in the motor vehicle parts manufacturing industry, 80.6% of the victims were males, 64.0% were older than 40. 57.8% of the victims were employed by the companies with less than 50 workers. In addition, there was a difference in accident characteristics according to age, work experience, employment type, events or exposures, accident time of the day, agents, natures of injuries and illnesses, injured organs and injured body part. Conclusion: It is important to prevent equipment/machinery accidents. For this purpose, more efforts should be made to establish safety measures faithful to the basics of safety devices and safety work procedures. It is also suggested that prevention of disasters should be intensively carried out for workplaces with less than 50 employees and middle-aged and elderly people. Application: The result can be used to present guidelines for preventative measures for the workers in the motor vehicle parts manufacturing industry including safety education/training.

• 한국콘텐츠학회논문지
• /
• 제15권8호
• /
• pp.313-325
• /
• 2015

본 연구는 산재경험 고령자의 경제적 노후준비에 영향을 미치는 요인을 앤더슨모형을 적용하여 분석하고, 과거 산재당시 종사상지위에 따라 정규직 근로자와 비정규직 근로자로 구분해 경제적 노후준비의 영향요인을 분석하고자 하였다. 이를 위해 산재보험패널조사(PSWCI)의 1차년도 자료를 이용하여 로지스틱 회귀분석을 실시하였다. 연구결과, 선행요인에서는 학력이 높고 정규직인 근로자가 비정규직인 여성 근로자에 비해 경제적 노후준비 가능성이 높게 나타났다. 자원요인에서는 정규직, 비정규직 근로자 모두 근로소득이 많을수록 노후준비 가능성이 높게 나타났으나, 국민연금 가입여부는 경제적 노후준비에 도움을 주지못하였다. 비정규직 근로자에게는 건강보험 가입이 경제적 노후준비에 영향을 미치고 있었다. 욕구요인에서는 정규직과 비정규직 근로자 모두 산업재해로 인한 통증이 일상 및 삶을 방해하는 정도가 높을수록 경제적 노후준비에 취약함을 확인하였다. 이러한 연구결과를 토대로 하여 정책적 함의를 제시하였다.

• 한국환경보건학회지
• /
• 제17권2호
• /
• pp.78-94
• /
• 1991

The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure pain. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu Kyung Pook University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as follows: 1. Among the 179 cases, 51.6 % were male and 48.4 % were female. The two largest age groups were 30~39, 31.8 % and 20~29, 27.4 %. Among the 179 cases, 51.6% were married, the largest family number was 2 to 3, 41.1% and 4 to 5, 25.6%. Educationally, graduation from high school was the largest group, 46.4% among the patients, followed by middle school and primary school. The largest group income level was from 40~69만원, 45.2%. The largest group of patients who worked over 50 hrs. a week was 52.0%. The largest group of patients who worked less than 1 year was 44.7%, of the patients in work places of less than 100 people, 60.3% were injured and in work places of 100~299 people, 20.1% were injured. In manufacturing, the lagest group injured was 55.3%, the next group was transport, stroage, communication. The largest group of production workers injured was 40.2%. 2. The cause of injury in the largest group was facility problems, 33.5%. The next group was unsafe habits, 30.2% a lack of safety knowledge, 17.9% and insufficient supervision, 12.3%. The 30~39 year age group was head the highest number of injuries, 40.4% work places with more than 10 yeras of work, 44.4% work palces with more than 1000 people, 56.3% and mining accidents, 80.0%. Among these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries 28.5% as the largest group, followed by falls & falling objects 17.3%, fire & electric 15.1%, struke by an object 14.5%, followed by overaction and vehicular accidents. The accident pattern showed 46.4 % among workers over the 50 year age group, workers in the 5~10 year group, 50.0 % places employing more than 1000 workers, 35.3 % : construction 73.7%, and construction workers 57.1%, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures 54.8%, trauma 14.5%, amputation 11.7%, open wound, and burns. The largest number of fractures occurred in people in the 30~39 year age group, 63.2 % over 10 years of work, 55.6% in work places of 300~400 people, 63.6% construction 63.2% and general workers 57.2 %. 5. The largest group of injuries was upper extremity 45.3%, lower extremity 24.0%, trunk 18.5 % and head or neck 12.2%. Of these groups, upper extremity injuries were the highest in those less 20 years old 75.0%, less than 1 years of work 59.5%, in work places of 500~999 people 60.0%, manufacturing 56.6 % and production workers 55.6%. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 August, 22 people July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work(r=.2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation(r =.4372) p<0.001.

• The Journal of Korean Physical Therapy
• /
• 제3권1호
• /
• pp.151-174
• /
• 1991

The purpose of this study is to research the actual conditions of industrial accident patients and to produce worker satisfaction and a rational and effective counter measure plan. Direct interviews with 179 cases (in and out patients) were carried out during a three month period from April to July 1990, at six hospitals : two general hospitals Sun Lin and Sung Mo in Po Hang, and four general hospitals in Taegu : Kyung pooh University Hospital, Dong San Medical Center, Young Nam Medical Center and Catholic Hospital. The results of this study are summarized as fellows : 1. Among the 179 cases, $51.6\%$ were male and $48.4\%$ were female. The two largest age groups were 30-39, $31.8\%$ and 20-29, $27.4\%$. Among the 179 cases, $51.6\%$ were married, the largest family number was 2 to 3, $41.1\%$ and 4 to 5, $25.6\%$. Educationally, graduation from high school was the largest group, $46.4\%$ among ,the patients, followed by middle school and primary school. The largest group income level was from 40-69 만원, $45.2\%$. The largest group of patients who worked over 50 hrs. a week was $52.0\%$. The largest group of patients who worked less than 1 year was $44.7\%$, of the patients in work places of less than 100 people, $60.3\%$ were injured and in work places of 100-299 people, $20.1\%$ were injured. In manufacturing, the largest group injured was $55.3\%$, the next group was transport, storage, communication. The largest group of production workers injured was $40.2\%$. 2. The cause of injury in the largest group was facility problems, $33.5\%$. The next group was unsafe habits, $30.2\%$ ; a lack of safety knowledge, $17.9\%$ ; and insufficient supervision, $12.3\%$. The 30-39 year age group head the highest number of injuries, $40.4\%$ ; work places with more than 10 years of work, $44.4\%$ ; work places with more than 1000 people, $56.3\%$ and mining accidents, $80.0\%$. Among. these groups the highest cause of injury was due to facility problems. 3. The accident pattern showed machinery injuries $28.5\%$ as the largest group, followed by falls & falling objects $17.3\%$, fire & electric $15.1\%$, strucke by an object $14.5\%$, followed by overaction and vehicular accidents. The accident pattern showed $46.4\%$ among workers over the 50 year age group, workers in the 5-10 year group, $50.0\%$ ; places employing more than 1000 workers, $35.3\%$ ; construction $73.7\%$, and construction workers $57.1\%$, among these fall & falling objects caused the greatest number of injuries. 4. The largest group of injuries was fractures $54.8\%$, trauma $14.5\%$, amputation $11.7\%$, open wound, and burns. The largest number of fractures occurred in people in the 30-39 year age group, $63.2\%$ : over 10 years of work, $55.0\%$ ; in work places of 300-490 people, $63.6\%$ ; construction $63.2\%$ and general workers $57.2\%$. 5. The largest group of injuries was upper extremity $45.3\%$, lower extremity $24.0\%$, trunk $18.5\%$ and head or neck $12.2\%$. Of these groups, upper extremity injuries were the highest in those less than 20 years old $75.0\%$, less than 1 year or work $59.5\%$, in work places of 500-999 people $60.0\%$, manufacturing $56.6\%$ and production workers $55.6\%$. 6. Periods of injury showed 34 people injured in September, to be the largest followed by October, 32 ; August, 22 people : July, 19 people and the lowest December, 2 people. During the week, Friday had the largest group injured, 35 people ; followed by Saturday, 26 people and the lowest was Wednesday, 17 people, During the day 1400 hours had the largest group injured, 38 people ; followed by 800 hours, 31 people. 7. On a basis of 5 as the highest mark, the average, according to worker satisfaction showed facility safety 3.55, work environment 3.47, income 3.44, job 3.21 and treatment 2.98. 8. The correlation between general characteristics and injury showed that age was directly correlated to the duration of work (r=2591) p<0.01, age was directly correlated to industry (r=2311) p<0.01, and the duration was directly correlated to occupation (r=4372) p<0.001.