Annals of Occupational and Environmental Medicine

Research Article

Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study: Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang; Ann Occup Environ Med 2017;29:4. Published online February 27, 2017; DOI: https://doi.org/10.1186/s40557-017-0161-4

Background

We examined the current status of specialized agencies for occupational health management (SAs) and their workforce. Furthermore, we aimed to clarify the current practice status of SA healthcare professionals and factors that influence their performance.

Methods

To examine the current SA workforce, we analyzed data from the 2014 Survey of Current Status of SA and their Workforce from the Ministry of Employment and Labor (MOEL). Furthermore, we mailed out an original questionnaire to SA professionals to determine their current health management status and factors that affect their performance. Data from the respondents (N = 384) were analyzed.

Results

In 2014, the workforce performing health management in SAs comprised 232 physicians, 507 nurses, and 312 occupational hygienists, with no significant regional differences in the distribution of physicians and nurses. According to the findings of the questionnaire, the average daily number of worker consultations by physicians and nurses was 22.8, while the average time taken for health management ranged from 74.3 to 104.3 min, depending on the size of the firm. Most of the respondents (41.5%) answered that they were following-up on more than 80% of individuals with illnesses. Among health management tasks, performance scores of “consultations for general diseases” and “consultations for lifestyle habits” were relatively high, whereas health promotion activities at workplaces were relatively low. There was a significant correlation between the utilization of general and special health examination results and task performance.

Conclusion

Among health management tasks, follow-up management of individuals with illnesses and consultations for disease/lifestyle habits were relatively well performed, whereas health promotion activities at workplaces were not performed well. Among factors that positively influenced SA performance at workplaces, only the utilization of health examination results had significant effects. Therefore, to accomplish health management goals and perform effective health management at workplaces, there is a need to establish a comprehensive system of occupational health service outsourcing integrating health examinations and health management services. Furthermore, the current task system, which focuses on follow-up management, should be expanded to incorporate preventive and health promotion functions—the fundamental functions of occupational health services (OHS).

Citations

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Underestimation of smoking hazards and smoking cessation intervention efficiency among healthcare professionals: A cross-sectional study among Korean occupational health nurses
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Tobacco Induced Diseases.2023; 21(May): 1. CrossRef
Acute myeloid leukemia in a farmer with long term exposure to pesticides in Korea
Ye-eun Jeon, Jea Chul Ha, Seonggyu Kim, Mi Hwa Heo, Young Rok Do, Insung Chung
Medicine: Case Reports and Study Protocols.2022; 3(1): e0189. CrossRef
Occupational health nurses’ personal attitudes toward smoking: A cross-sectional study
Jihye Lee, Saerom Lee, Minkyu Lee, Young Joong Kang
Journal of Occupational Health.2021;[Epub] CrossRef
Daytime and nighttime heat wave characteristics based on multiple indices over the China–Pakistan economic corridor
Safi Ullah, Qinglong You, Waheed Ullah, Daniel Fiifi Tawia Hagan, Amjad Ali, Gohar Ali, Yuqing Zhang, Mushtaq Ahmad Jan, Asher Samuel Bhatti, Wenxin Xie
Climate Dynamics.2019; 53(9-10): 6329. CrossRef
The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises
Bo-Young Jang, Dong-Mug Kang, Young-Ki Kim, Se-Young Kim, Kyung-Sun Ko
Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Erratum to: Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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Original Article

Cognition and Practice on Medical Information Protection of Iudustrial Health Care Manager of Small and Medium Sized Enterprises: Soo Jin Jeong, Min Kim, Chae Kwan Lee, Chang Hee Lee, Byung Chul Son, Dae Hwan Kim, Jeong Ho Kim, Jong Tae Lee, Goo Rak Chang, Ki Hun Hong, Chun Hui Suh; Korean Journal of Occupational and Environmental Medicine 2011;23(1):53-63. Published online March 31, 2011; DOI: https://doi.org/10.35371/kjoem.2011.23.1.53

Abstract PDF

OBJECTIVES
This research aimed to know the actual condition and problems of medical information protection at a workplace with the target of industrial health care managers of small and medium-sized enterprises.
METHODS
A self-administered questionnaire was given to industrial health-care managers of 216 enterprises from March 15 to May 17, 2010. The questionnaire was produced by referring to the Act on Personal Information Protection of Public Institutions, etc. This research evaluated agreement of cognition and practice according to 10 items of medical information protection using kappa and cross-analysis of significant factors between cognition and practice of medical information protection and general characteristics.
RESULTS
Cognition about medical information protection appeared to be 85.4-97.1% and its practice appeared to be 44.1-95.3%, so practice was lower than cognition. In addition, the agreement of cognition and practice appeared significantly low (kappa 0.082-0.387). The practice of medical information protection tended to be lower when the managers were older and held a higher job title. Health examination results were being delivered only to workers except for an employer (94.2%), but there were many industrial health-care managers who felt discomfort about their work in group occupational health-care systems (58.1%).
CONCLUSIONS
The practice of protecting medical information by industrial health-care managers was clearly lower than the cognition. Therefore, introduction of educational programs about personal information protection and provision of an independent place for group occupational health care service is urgent. In addition, in order to use the health examination results conveniently in group occupational health services, an institutional complement is necessary.

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Jiwon Kang, GyeongAe Seomun
Advances in Nursing Science.2021; 44(1): 16. CrossRef
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JMIR mHealth and uHealth.2020; 8(6): e16723. CrossRef
Perception and Performance about Patients' Medical Information Protection in Allied Health College Students
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The Journal of Korean Academic Society of Nursing Education.2016; 22(1): 83. CrossRef
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Journal of the Korean Data and Information Science Society.2015; 26(2): 455. CrossRef
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Original Article

Development of Quality Assessment Domain and its Priority in Korea's Occupational Health Services: A Special Health Examination: Yoomi Chae, Sangchul Roh, Sukchul Jung; Korean Journal of Occupational and Environmental Medicine 2010;22(3):210-220. Published online September 30, 2010; DOI: https://doi.org/10.35371/kjoem.2010.22.3.210

Abstract PDF

OBJECTIVE: The purpose of this study was to develop a quality assessment domain and to determine its priority in Korea's Occupational Health Services.
METHODS
We designed the study in a 3 phase approach. The first phase of the process encompasses making a list of measures for quality assessments by a thorough review of the literature. The second phase emcompassed the development of inclusion and priority criteria. The third phase of survey development was conducted during August 2008 and a questionnaire was administered to occupational health physicians covering 58 subjects.
RESULTS
Finally we investigated 40 quality assessment measures, including 2 for structural domain, 17 for process domain, 21 for result domain in occupational health service. The 40 quality assessment measures divided into 2 parts. The early quality assessment part was 14 measures that including 8 measures for process domains and 5 measures for result domains.
CONCLUSION
We investigate a quality assessment domain and determined the priorities of the occupational health service in Korea.

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Original Article

Effectiveness and Factors Associated with the Control of Hypertension in Apartment Management Workers : Provided with Occupational Health Services: Soon Hwan Kang, Hyunjoo Kim, Youngkyu Kim, Jung Wan Koo; Korean Journal of Occupational and Environmental Medicine 2002;14(4):426-435. Published online December 31, 2002; DOI: https://doi.org/10.35371/kjoem.2002.14.4.426

Abstract PDF

OBJECTIVES
This study was conducted to investigate the effectiveness of the visiting occupational health services(OHS)and the factors associated with the proper control of blood pressure in hypertensive apartment management workers.
METHODS
The study group included 60 workers,who were visited and followed up regularly by a nurse for a period of more than 6 months.We checked the risk factors of hypertension, blood pressure and provided hypertension control methods every 2 months.
RESULTS
Mean systolic blood pressure decreased from 151.9 mmHg at the first visit to 141.1 mmHg at the last visit, and mean diastolic blood pressure also decreased from 93.6 mmHg to 87.1 mmHg (p<0.01).The number of workers who had regular exercise more than once a week increased from 7 (11.7%)at the first visit to 34 (56.7%)at the last visit, and the number of workers taking hypertensive medicines increased from 4 (6.7%) to 26 (43.3%)(p<0.01). The percentage of workers who either changed their life style or began taking hypertensive medication over the course of the action undertaken by the occupational health services showed a significant differences, 36.8%in the shorter intervention group, 43.5%in intermediate intervention group, and 72.2%in longer intervention group (p<0.05). Among those who were on shift work for less than 10 years was 32 (78.0%), while the corresponding number was only 9 (22.0%) for those who were on shift work for more than 10 years (p<0.01).
CONCLUSIONS
This study showed that the visiting OHS was effective in bringing about a reduction in blood pressure, as well as an improvement in life style habits and in the use of medication. It suggests that occupational factors should be taken into account for the proper control of blood pressure in hypertensive apartment management workers.

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Jun Sik Kim, Byung Yong Jeong
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Kyung-Sun Lee, In-Seok Lee, Hyun-Joo Kim, KyungHee Jung-Choi, Jin-Wook Bahk, Myung-Chul Jung
Journal of the Ergonomics Society of Korea.2011; 30(3): 419. CrossRef

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Original Article

The Changes of Knowledge, Attitude and Practice about Health Promotion in Workers Taking Group Occupational Health Service for 5 years: Chung Yill Park, Kang Sook Lee, Jung Wan Koo, Hyeon Woo Yim, Jeong Ah Kim, Byung Yong Ahn; Korean Journal of Occupational and Environmental Medicine 1998;10(2):203-213. Published online May 31, 1998; DOI: https://doi.org/10.35371/kjoem.1998.10.2.203

Abstract PDF

Before and after conducting the health promotion program by group occupational health service during 5 years, we surveyed knowledge, attitude and practice about general health(30 items) and occupational health (30 items) among 25 small and medium scale industry workers (before : 355 workers, after : 279 workers) for evaluation of effectiveness. The scores of knowledge for smoking, drinking, cholesterol, mental stress, management of hypertension, and risks in younger or women workers were significantly increased after conducting group occupational health service. The scorers of attitude for controlling of fatty food consumption and cleaning workplace and bathing for health and that of practice for taking the periodic health examination and choking blood pressure were significantly increased but most of items in attitude and practice didn't be changed after services. According to sex, the scorers of men were significantly increased in knowledge of general health, but there were not significant differences in age, job status and work duration group. In conclusion, through the group occupational health service during 5 years, only the scores of knowledge in general health were increased. It suggested that the effective program which can change workers' attitude and practice for health promotion, should be developed and conducted in small and medium scale industry workers.

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The change of knowledge, attitude and practice on musculoskeletal diseases after exercise program in an electronic parts manufacturing company
Jung-Wan Koo, Ki-Yang Kim
International Congress Series.2006; 1294: 143. CrossRef

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Original Article

Quality Assessment of Group Occupational Health Service for Small and Medium Scale Enterprises in Korea: Sunmean Kim, Soo Hun Cho, Chang Yup Kim, Eun Hee Ha, Yun Chul Hong, Ho Jang Kwon, Mi Na Ha, Sang Hwan Han, Young Su Ju; Korean Journal of Occupational and Environmental Medicine 1998;10(1):71-82. Published online February 28, 1998; DOI: https://doi.org/10.35371/kjoem.1998.10.1.71

Abstract PDF

Group occupational health service programme started in 1990 is one of the measures to cope with limited human and financial resources in occupational health. The programme has expanded rapidly to include 52 institutions, private as well as public, all over the country. In spite of its potential impact on health of employees and practice of occupational health in small and medium sized industries, comprehensive evaluation in terms of quality has not been tried. This study has aims to develop the criteria to assess the quality of newly developed group occupational health service programme, and to investigate the quality of institutions, and finally to develop policies for the quality improvement. 1) Criteria development : By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, followings are included as core elements of qualitative occupational health programme ; accessibility, continuity, comprehensiveness, technical quality, intersectoral collaboration, emphasis on preventive services, community participation, and adequacy. Again each element is divided into five major components of national health system infrastructure developed by the World Health Organization ; development of health resources, organized arrangement of resources, delivery of health care, economic support, and management. In turn, each component is categorized into three aspects of quality assessment, structure, process and outcome. Expert panel selected several criteria for each category to evaluate the programme. Criteria were modified according to each group of interviewees, to produce two sets of questionnaire, one for chief operating officer and another for nurses in the institutions, and the chief operating officer and workers in the workplace. 2) Subject : Of all 52 institutions, 25 voluntarily participated in the survey. At individual institution, chief operating officer and practicing nurses were interviewed in depth. After intensive education for interviewees, every interview was performed with standardized guideline and questionnaire. The quality of the 'Group occupational health service programme' was found to be lower than expected. Especially In continuity, comprehensiveness, technical quality, community participation and adequacy, lower quality in structural aspect was commonly identified throughout all the institutions. Quality in terms of accessibility and continuity highly varied among institutions. To improve quality of the programme, more comprehensive and systematic programme such as accreditation has to be introduced. In addition, human resources, governmental fund and information systems for individual workers are to be developed. As a long range plan, integration of occupational health services into the national health systems and pooling of financial resources and planned allocation should be considered.

Citations

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The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises
Bo-Young Jang, Dong-Mug Kang, Young-Ki Kim, Se-Young Kim, Kyung-Sun Ko
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Relationship between occupational injuries and the provision of safety and health information: data from the 4th Korean working conditions survey
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Annals of Occupational and Environmental Medicine.2018;[Epub] CrossRef
Practice status of specialized agencies for occupational health management of small- to medium-size enterprises and the factors improving their performance: a cross-sectional survey study
Saerom Lee, Jun-Pyo Myong, Eun-A Kim, Huisu Eom, Bowha Choi, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef
Validation of Performance Indicators for Evaluation of Workplace Health Promotion
Seung Hee Ho, Young Moon Chae
American Journal of Health Promotion.2015; 29(6): 402. CrossRef

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Original Article

A Survey for Worker's Satisfaction and Need of Occupational Health Service (OHS) in a Shipbuilding Industry: Eun Hee Ha; Korean Journal of Occupational and Environmental Medicine 1998;10(1):61-70. Published online February 28, 1998; DOI: https://doi.org/10.35371/kjoem.1998.10.1.61

Abstract PDF: In order to make an effective occupational health service program in a shipbuilding industry, I surveyed the workers' recognition of current occupational health service provided in health department of the workplace, their satisfaction with it and their need of future service. During 4 months in 1995(from April 1st to July 31th) , structured questionnaires were administered to 680 participants in health education program in a shipbuilding industry in Inchon. Most of them were men. They were young workers of 20-29 years old and their work tenures were short(5 years or less). They knew that main activity of current OHS was treatment of disease in workplace, but their satisfaction with current OHS was not good. Their satisfaction with management of general diseases was high in the case of acute disease, namely, URI, diarrhea, abdominal pain, however their need of future service in general diseases was high in the case of chronic disease, namely, hepatitis, back pain and so on. Their concern of work related disease, their recognition of and satisfaction with preplacement medical examination was high, and they need more medical care of occupational disease. In working environmental management service, recognition of and satisfaction with the activities related to the personal protectives, safety management were high, and they need highly communication of environmental evaluation and improvement of working environment. The opinions of workers strongly showed the need of improvement in specific health examination and evaluation of work environment. Conclusively the workers were not satisfied with current in plant occupational health service. They wanted better services, especially in the medical care of occupational disease and the management of work environment.

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