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The current condition of the workers' general health examination in South Korea : a retrospective study
The current condition of the workers' general health examination in South Korea : a retrospective study
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한직업환경의학회 대한직업환경의학회지 대한직업환경의학회지 제29권 제2호 KCI Accredited Journals SCOPUS
- 발행연도
- 2017.3
- 수록면
- 1 - 19 (19page)
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The current condition of the workers' general health examination in South Korea : a retrospective study
초록· 키워드
오류제보하기
Background: Business owners in the Republic of Korea must take part in the workers’ general health examination. However, there have been few formal analyses of the uptake of this examination by employees. In the present study, we examined the rates of participation in medical examinations according to age group, health insurance type, and enterprise size, and then compared these results with those of the national general health screening. Furthermore, we determined the distribution of patients with abnormal results for diabetes and hypertension, and outlined the significance and history of domestic health examinations.
Methods: We started by comparing participation rates extracted from the among health examination data of the National Health Insurance Service from 2006–2013 by sex, age, insurance type, and enterprise size of workplace health insurance beneficiaries (i.e., those whose insurance is provided by their workplace). In addition, we analyzed the prevalence rates of abnormal results for hypertension and diabetes, and explored the history and significance of health examinations in the Republic of Korea.
Results: The overall participation rate in the primary health examination in 2006 was 56%, and this increased to 72% in 2013. However, the rates of the secondary screening did not increase much. Among workplace policyholders (i.e., those whose insurance is provided by their workplace), the participation rates of workers in enterprises with less than 50 employees were lower than were those in enterprises with 50 or more employees. Notably, the rates and odds ratios of patients with abnormal results for diabetes and hypertension were relatively high, particularly among those working in smaller enterprises.
Conclusions: Although the workers’ general health examination has been replaced with the national general health screening, it remains necessary to ensure uniform health management services among all workers in the Republic of Korea. This can, in turn, promote occupational health and improve working conditions throughout the Republic of Korea.
Methods: We started by comparing participation rates extracted from the among health examination data of the National Health Insurance Service from 2006–2013 by sex, age, insurance type, and enterprise size of workplace health insurance beneficiaries (i.e., those whose insurance is provided by their workplace). In addition, we analyzed the prevalence rates of abnormal results for hypertension and diabetes, and explored the history and significance of health examinations in the Republic of Korea.
Results: The overall participation rate in the primary health examination in 2006 was 56%, and this increased to 72% in 2013. However, the rates of the secondary screening did not increase much. Among workplace policyholders (i.e., those whose insurance is provided by their workplace), the participation rates of workers in enterprises with less than 50 employees were lower than were those in enterprises with 50 or more employees. Notably, the rates and odds ratios of patients with abnormal results for diabetes and hypertension were relatively high, particularly among those working in smaller enterprises.
Conclusions: Although the workers’ general health examination has been replaced with the national general health screening, it remains necessary to ensure uniform health management services among all workers in the Republic of Korea. This can, in turn, promote occupational health and improve working conditions throughout the Republic of Korea.
목차
Abstract
Background
Methods
Results
Discussion
Conclusions
References
참고문헌 (43)
참고문헌 신청
Korea Centers for Disease Control and Prevention. An establishment of comprehensive plans for national health examination. 2010. in Korean.
Yoon YD, Seo SR, Kim HC. An evaluation of the effect of national general health examination. Seoul: Health Insurance Policy Research Institute in the National Health insurance Service; 2010. in Korean.
Ji Sh, Ahn JH, Lee JY, Yoon MW, Jung KJ, Mok YJ, et al. An analysis of influence of the national health screening on death rates and medical bills. National Evidence-based Health Collaborating Agency; 2014. (in Korean)
Lee SI, Jo MW. Cost-effectiveness analysis of cervix cancer screening program in Korea. Korea J Health Promot Dis Prev. 2003;3:18?26 (in Korean).
Corporation NHI. Cost-effectiveness analysis of type 2 DM screening program of the national health insurance. Seoul: National Health Insurance Corporation; 2006.
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