Annals of Occupational and Environmental Medicine

Original Article

A Model Study on Medical Utilization of Workers with Non-Occupational Diseases : An Application of the Theory of Planned Behavior: Chang Hyun Han, Jae Yong Park, Sin Kam, Sung Ah Kim, Ki Soo Park; Korean Journal of Occupational and Environmental Medicine 2006;18(4):284-297. Published online December 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.4.284

OBJECTIVES
This study was carried out to examine the factors influencing the behavioral intention and behavior of workers with non-occupational diseases when utilizing medical facilities, using the theory of planned behavior (TPB).
METHODS
The first TPB questionnaire was administered to 3,116 subjects during workers'periodic health examinations at one health examination institute, between September and December in 2000. An investigation of the medical facilities utilization was also conducted by administering a second survey to the 354 subjects (11.4%) adjudged to be workers with non-occupational diseases from the results of the health examination.
RESULTS
The medical utilization rate within one month was 41.5%. To investigate the overall relationship between variables, the authors conducted a linear structural equation model analysis, based on the theory of planned behavior. The attitude toward behavior and the subjective norm both positively influenced the behavioral intention (T> or = 2.0). The perceived behavioral control and behavioral intention both positively influenced the behavior (T> or = 2.0) CONCLUSIONS: To improve the medical utilization by workers found to have diseases as a result of their health examination, the implementation of an intervention program will be necessary to increase the behavioral intention and perceived behavioral control, and care givers must pay more attention to eventually converting behavioral intention into actual behaviors.

Citations

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System of Parametric Modelling and Assessing the Production Staff Utilisation as a Basis for Aggregate Production Planning
Martin Krajčovič, Beáta Furmannová, Patrik Grznár, Radovan Furmann, Dariusz Plinta, Radovan Svitek, Ivan Antoniuk
Applied Sciences.2021; 11(19): 9347. CrossRef
Factors Associated with Cancer Screening Intention in Eligible Persons for National Cancer Screening Program
Rock-Bum Kim, Ki-Soo Park, Dae-Yong Hong, Cheol-Heon Lee, Jang-Rak Kim
Journal of Preventive Medicine and Public Health.2010; 43(1): 62. CrossRef

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Original Article

Medical Facilities Utilization According to Health Status Measured by SF-36 in Male Workers: Seong Ah Kim, Ki Soo Park, Mi Kyung Jang, Sin Kam; Korean Journal of Occupational and Environmental Medicine 2006;18(4):272-283. Published online December 31, 2006; DOI: https://doi.org/10.35371/kjoem.2006.18.4.272

Abstract PDF

OBJECTIVES
This study was performed to examine the health status measured by SF-36 and medical facilities utilization according to the health status measured by SF-36 in male workers.
METHODS
A self-administered questionnaire survey was administered to 786 male workers.
RESULTS
In bivariate analysis, physical functioning score was significantly different among the workers according to age, educational level, economic level, and job type. The bodily pain score and general health score were significantly different according to the workers'economic level and job type. The vitality score was significantly different according to the workers'age, educational level, economic level, and job type. The social functioning score was significantly different according to the workers'age, marital status, economic level, and job type. The role limitation emotion score was significantly different according to the workers'age, marital status, and job type. The mental health score was significantly different according to the workers'marital status, economic level, and job type (p<0.05). The SF-36 scores increased with higher workers'self-rated health status (p<0.05). The self-rated current health status of the workers was good when their economic status was high, their previous year health status was good and their SF-36 score was high (p<0.05). The rates of morbidity incidence and medical facilities utilization for 1 year were lower when workers'SF-36 score was high (p<0.05).
CONCLUSIONS
In consideration of the above findings, SF-36 is suitable to measure health status and predict the medical utilization.

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Health status and related factors in farmers by SF-12
Kyungeun Park, Sooyong Roh, Jihoon Lee, Soon Chan Kwon, Mihye Jeong, Soo-jin Lee
Annals of Occupational and Environmental Medicine.2015;[Epub] CrossRef
Health Status Evaluation Based on Questionnaire SF-36 Among Residents Exposed and Non-exposed to Extremely Low Frequency-electric and Magnetic Fields (ELF-EMFs)
Hyung Jin Jeon, Yoon Shin Kim, Jeong Ho Yoon, Nam Wook Cho, Seoung Woo Son
Korean Journal of Environmental Health Sciences.2014; 40(5): 376. CrossRef
The Relationship between Lifestyle and Health Status among White Collar Workers in a Community
Ji-Min Lee, Young-Sook Kwon, Kyung-Shin Paek
Journal of Digital Convergence.2014; 12(8): 411. CrossRef
The effect of education on decreasing the prevalence and severity of neck and shoulder pain: a longitudinal study in Korean male adolescents
Min Jung Koh, Sun Young Park, Eun Jung Park, Sang Hoon Park, Hea Rim Jeon, Mun-Gyu Kim, Se-Jin Lee, Sang Ho Kim, Si Young Ok, Soon Im Kim
Korean Journal of Anesthesiology.2014; 67(3): 198. CrossRef
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S.-K. Kim, S.-H. Kim, C.-K. Lee, H.-S. Lee, S.-H. Lee, Y.-B. Park, H.-J. Park, M.-J. Son, S.-S. Lee
Rheumatology.2013; 52(2): 311. CrossRef
Assessing the Prevalence of Recurrent Neck and Shoulder Pain in Korean High School Male Students: A Cross-sectional Observational Study
Min Jung Koh, Sun Young Park, Young Sun Woo, Sung Hyun Kang, Sang Hoon Park, Hye Jung Chun, Eun Jung Park
The Korean Journal of Pain.2012; 25(3): 161. CrossRef

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Original Article

Fatigue as a Predictor of Medical Utilization, Occupational Accident and Sickness Absence: Sei Jin Chang, Sang Baek Koh, Dongmug Kang, Seong Ah Kim, Jin Joo Chung, Chul Gab Lee, Myung Geun Kang, Sook Jung Hyun, Jung Jin Cho, Bong Suk Cha, Jong Ku Park; Korean Journal of Occupational and Environmental Medicine 2005;17(4):318-332. Published online December 31, 2005; DOI: https://doi.org/10.35371/kjoem.2005.17.4.318

Abstract PDF

OBJECTIVES
This study examined the relationship of fatigue to medical utilization, occupational accident and sickness absence. Subjects and METHODS: Data were obtained from the National Study for Development and Standardization of Occupational Stress (NSDSOS Project, 2002~2004). A total of 30,146 employees categorized within the Korean Standard Industrial Classification and the Korean Standard Occupational Classification were recruited. A structured-questionnaire was used to assess the participants' sociodemographics, job-related factors, health-related behaviors, personality trait, self-perceived fatigue (MFS) and the frequency of medical utilization, occupational accident and sickness absence. Data on medical utilization and occupational accident were confirmed from company health records. Chi-square test and logistic regression analysis were used to elucidate the relationship of self-perceived fatigue to medical utilization, occupational accident and sickness absence.
RESULTS
In logistic regression analyses, self-perceived fatigue was associated with medical utilization (outpatient), occupational accident and sickness absence although the strength of the associations was higher in the blue collar workers except for medical utilization. For medical utilization, the white collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the third quartile and the highest quartile, compared to workers scoring in the lowest quartile were 1.50 (95% CI: 1.20-1.87) and 2.16 (95% CI: 1.69-2.75), respectively. The blue collar workers' adjusted odds ratios of outpatient utilization for workers scoring in the second (OR: 1.23, 95% CI: 1.06-1.43), third (OR: 1.42, 95% CI: 1.22- 1.66) and highest quartile (OR: 1.83, 95% CI: 1.55-2.17), respectively, compared to workers scoring in the lowest quartile were statistically significant. However, no associations were found between fatigue and inpatient utilization for either the white or blue collar workers. The blue collar workers' adjusted odds ratios of being injured for workers scoring in the second, third and highest quartile were 1.41 (95% CI: 1.00-2.00), 1.57 (95% CI: 1.10-2.22) and 2.41 (95% CI: 1.69-3.44), respectively, compared to those scoring in the lowest quartile, but, those of the white collar workers were not significant. There was more likely to an increased risk of sickness absence in workers scoring in the second, third and highest quartile compared to those scoring in the lowest quartile in both white and blue collar workers, but the magnitudes of risk were higher in the blue collar workers than the white collars workers.
CONCLUSION
This result suggests that fatigue is a determinant predictor of medical utilization, occupational accident and sickness absence, and that the pattern of risks for the three outcomes differs according to the occupational type. Some limitations of this study and considerations for future study were also discussed.

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Yunyoung Kim, Hye-Sun Hyun, Jong Hyang Yoo
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Kyung-Hee Lee, Kyung-Sook Lee
Korean Journal of Occupational Health Nursing.2011; 20(2): 143. CrossRef
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Jee In Hwang, Eun Jeong Hwang
Journal of Korean Academy of Nursing Administration.2010; 16(3): 306. CrossRef

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Original Article

Health Care Utilization and Its Determinants of Workers with Non-occupational Diseases: Chang Hyun Han, Sin Kam, Jae Yong Park; Korean Journal of Occupational and Environmental Medicine 1995;7(2):282-294. Published online October 31, 1995; DOI: https://doi.org/10.35371/kjoem.1995.7.2.282

Abstract PDF

This study was conducted to analyse medical facilities utilization based on predisposing factors, enabling factors and need factors, and effect of these factors on medieal facilities utilization, by applying Anderson's medical care service behavioral model as the most well known medical demand model to 163 available for interview among 246 workers who, as the result of health examination in 1994, were evaluated as the non occupational diseases. The results of this study were summarized as follows. Among variables of predisposing factors, knowledge for disease showed significant relations with the medical utilization, other variables of predisposing factors, such as sex, age, marital status, educational level, number of family members, type of occupation, attitude toward the disease, were not related with the medical utilization. The medical utilization was not related with variables of enabling factors. Among variables of need factors, medical advice of health personnel was significant variable for medical utilization. With multiple logistic regression analysis, the significant variables haying an effect on the medical facllities utilization were the type of occupation and knowledge for the disease among predisposing factors, ana seriousness for the disease and medical advice of health personnel among need factors. In case of the production job, the medical facilitles utilization was higher for the persons with more knowledge for disease and experience of medical treatment guidance. The number of non-occupational diseases detected, but untreated person was 76 (46.6%) of total subjects, mainly because the non-occupational diseases seemed to be a slight disease (55.3%). On consideration of above findings, health education for workers and adequate medical advice by health personnel would be needed for health management of workers with non occupational diseases.

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Effectiveness of workers’ general health examination in Korea by health examination period and compliance: retrospective cohort study using nationwide data
Huisu Eom, Jun-Pyo Myong, Eun-A Kim, Bohwa Choi, Soon Woo Park, Young Joong Kang
Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef

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Original Article

Medical utilization of the Hand Injured Patients among the Industrial Accident Compensation Insured: Bong Suk Cha, Sei Jin Chang, Myung Keyn Lee; Korean Journal of Occupational and Environmental Medicine 1989;1(2):168-179. Published online November 30, 1989; DOI: https://doi.org/10.35371/kjoem.1989.1.2.168

Abstract PDF: This study attempts to assess the status of hand injured patients and their medical care utilization among the industrial accident compensation insured. The study subjects were the 8,648 hand injured patients (2,951 inpatients and 5,697 outpatients) who were attended in the medical facilities of Seoul area from January, 1986 to August, 1988. The following results were obtained. 1. About 90% of hand injured patients were male, and about 62% of them were less than 30 years of age. 44.4% of inpatients recieved treatment in general hospital and 42.0% of outpatients in clinic. 2. The highest mean medical cost by facility were 929,000 won of general hospital in inpatient, and 108,000 won of clinic and general hospital in outpatient. 3. The highest mean medical cost by injury were 690,000 won of amputation in inpatient and 126,000 won of fracture in outpatient. 4. The longest mean patient days by facility 25.3 days of general hospital in inpatient and 20.7 days of clinic in outpatient. According to the type of injury, 23.1 days of open wound in inpatient and 23.0 days of fracture in outpatient. 5. The, highest mean medical cost per day by facility was 39,000 won of inpatient and 8,000 won of outpatient in general hospital. According to the type of injury, these were 34,000 won of dislocation and burns in inpatient and 7,000 won of dislocation and burns in outpatient.

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