OBJECTIVES This study was conducted to develop a worksite-based, post-examination, health care management system for continuous and systematic management of workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT detected by periodic health examination and to assess the effectiveness such a system as an intervention study. METHODS Study subjects were selected from workers with hypertension, diabetes mellitus, hyperlipidemia, and abnormal LFT according to the selection criteria. The intervention group, but not the control group, received medical treatment of disease, follow up examination, and health education which consisted of information about the disease and the importance of life-style modification through periodic interview using the resources of occupational health service center in the worksite. To assess the effectiveness of this system, we compared follow up examination data from the intervention group with periodic examination data from the worksite control group. RESULTS In the intervention group a significant reduction trend was recorded for systolic and diastolic blood pressure, fasting blood sugar, postprandial 2 hour glucose, total cholesterol, triglyceride, LDL-cholesterol, AST, ALT, and gamma-GTP, and a rising trend for HDL-cholesterol. Significant group differences ware recorded for fasting blood sugar, postprandial 2 hour glucose, total cholesterol, AST, and ALT. CONCLUSIONS The worksite-based, post-examination, health care management system was effective for the continuous and systematic management of workers who had abnormal findings detected by periodic health examination.
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Most of the pneumoconiosis, which is common occupational diseases, is found here in Korea can be Gategorized to coal miner's pneumoconiosis. However, recently pneumoconiosis has been found in tHe workers of manufacturing factories, Periodic Health examination is important not only detection of occupationsl disease but also post-examination Health care of occupational disease patient. Accordingly, to study post-examination Health GaTe statHs of workers with pneumoconiosis diagnosed from 1991 to 1993 in the perioaic Health examination, all 43 pneumoconiosis patients in 22 manufacturing factories in Incheon were reviewed. Chest radiologic findings of 43 workers were suspected pneumoconiosis (20 workers, 46.5%) , pneumoconiosis stage 1(20 workers, 45.5%) and pneumoconiosis stage II (3 workers, 7.0%) . Among the 1.espondents, 40 workers (93.0%) answered that they received their health examination results and 24 werkers (55.8%) Had reguest for compensation of occupationsl disease. Only 14 workers(32.6%) Had changed their workplace while 21 workers (48.8%) did not. Reasons for not taking the post-examination health care enough were worker's ignorance of adminstrative process for Compensation (28 workers,65.1%) , mild status of dlsease (6 workers, 14.0%) and financial problem (3 workers, 7.0%) . Post~examination health care of the workers diagnosed as pneumoconiosis had significant correlation with the presence of health care manager in workplace and the employer concerns for occupational disease of workers. The improvement of working environment is related witH the presence of labor union in workplace. These results suggested that the presence of health care manager in the workplace and concerns for workers health by employer were important in performing appropriate post-examination health care for workers with pneumoconiosis in manufacturing factories.