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Journal of Korean Society Quality Assurance Health Care 1996;2(2): 72.
Published online April 30, 1996.
중소기업 근로자 보건관리대행기관 QA 평가지표의 개발과정
조수헌1, 김선민1, 김창엽2, 홍윤철3, 하은희4
1서울대학교 의과대학 예방의학교실
2서울대학교 의과대학 의료관리학교실
3인하대학교 의과대학 예방의학교실
4이화여자대학교 의과대학 예방의학교실
The Development of the Evaluation Tool of Group Occupational Health Program for Workers of Small and Medium Sized Industries
Soo-Hun Cho1, Sun-Min Kim1, Chang-Yup Kim2, Yun-Chul Hong3, Eun-Hee Ha4
1Department of Preventive Medicine, College of Medicine Seoul National University
2Department of Health Policy and Management, College of Medicine Seoul National University
3Department of Preventive Medicine, College of Medicine Inha University
4Department of Preventive Medicine, College of Medicine Ewha Women's University
Abstract
Background
Group occupational health program by non-for-profit agency, started five years ago, for management of health problems in small and medium sized industries, is one of the measures to cope with limited human and financial resources in occupational health. The program has been rapidly expanding to include 54 participating 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. Objectives
The aim of this study are to develop and apply criteria to assess quality of newly developed Korean group occupational health program.
Methods
By defining occupational health services, in particular for small and medium sized industries, as one of the primary health care, we included followings as core elements of sound occupational health program; accessibility, continuity, intersectoral collaboration, comprehensiveness, community participation, technical quality, adequacy, focus on preventive services, acceptability, and workers' satisfaction. Again we divided each elements into five major components of national health system infrastructures developed by World Health Organization; development of health resources organized arrangement or resources, delivery of health care, economic support, and management. In turn, we categorized each component into input, process and outcome aspects. After discussions in expert panel, several criteria were selected for evaluation of program. The criteria were modified according to each group of interviewees.
Results
We developed five sets of questionnaire that evaluate the quality of 'Group occupational health program'.
Conclusion
The refining of the measurement tool and the continuing evaluation process for the 'Group occupational health institute' should be done further.


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