산재근로자의 첫 직업복귀기간에 관한 연구

국문 초록 (Abstract)

본 연구는 산재근로자의 첫 직업복귀기간의 추이를 살펴보고, 이에 영향을 미치는 요인을 분석하고자 하였다. 이를 위하여 2009년 요양종결한 산재근로자를 대상으로 설문조사를 실시하여 최종적으로 791명의 자료를 이용하였으며, 카플란-마이어 분석과 콕스 회귀분석을 활용하여 분석하였다. 카플란-마이어 분석결과, 재해이후 첫 직업복귀 추이를 보면 1개월 이내 복귀하는 경우가 2.65%, 6개월 이내 28.82%, 12개월 이내 50.95%, 24개월 이내 71.69%로 나타났으며, 요양종결 이후 첫 직업복귀 추이를 보면 요양중 혹은 종결 직후 복귀하는 경우가 29.46%, 1개월 이내 36.41%, 6개월 이내 56.64%, 12개월 이내 67.54%로 나타났다. 그리고 재해이후 첫 직업복귀기간은 여성보다는 남성이, 연령이 낮을수록, 임금이 높을수록, 요양중 실직하지 않은 경우, 원직복귀한 경우, 허리질환에 비하여 골절이, 수술하지 않은 경우, 요양기간이 짧을수록, 장해가 경할수록, 직업훈련을 받은 경우가 첫 복귀가 빨랐다. 요양종결이후 첫 직업복귀기간은 여성보다는 남성이, 연령이 낮을수록, 원직복귀한 경우, 장해가 경할수록, 직업훈련을 받은 경우가 첫 복귀가 빨랐다. 이러한 연구결과를 바탕으로 하여 연구의 함의 및 정책적 개입 방안들을 제시하였다.

다국어 초록 (Multilingual Abstract)

This Study aims to investigate the patterns and causes of the time to return-to-work(RTW) of the injured workers. This study collected data with structured questionnaires and finally included 791 injured workers. The Kaplan-Meier method is used for describing the patterns of the time to RTW after the injury and after claim closure. And the Cox regression is used to identify significant factors on the time to RTW after the injury and after claim closure.
The results show that amom the all respondents, the 2.65% returned to work within 1 month, 28.82% within 6 months, 50.95% within 1 year, 71.69% within 2 years after the injury, and the 29.46% of the all repondent returned to work before claim closure or directly after the claim closure, the 36.41% returned to work within 1 month, 56.64% within 6 months, 67.54% within 1 year after the claim closure. And the Cox regression results of the time to RTW after the injury show that the time to RTW affected by gender, age, income, the retirement during the treatment, the RTW to the company at injured time, injury type, surgery, the claim duration, disability ratings, vocational training. Also, the Cox regression results of the time to RTW after the claim show that the time to RTW affected by gender, age, income, the return to the company at injured time, disability ratings, vocational training. As a result, some implication and policies are suggested for reducing the time to RTW of the injured workers.

목차 (Table of Contents)

• 요약
• 1. 서론
• 2. 선행연구 검토
• 3. 연구방법
• 4. 연구결과
• 5. 논의 및 제언
• 참고문헌

참고문헌 (Reference)

• 1 고용노동부, "제3차 산재보험 재활사업 중기발전계획 (2012～2014년)" 2012
• 2 노삼식, "작업관련성 근골격계질환 산재요양환자의 직장복귀에 관한 연구" 연세대학교 보건대학원 2005
• 3 이승렬, "요양결정 이후 산재근로자의 취업기간 분석" 한국노동경제학회 27 (27): 25-52, 2004
• 4 박재빈, "생존분석 이론과 실제" 신광출판사 2006
• 5 이승욱, "산재장해인 직업적응 실태와 개선방안 연구" 근로복지공단산재보험연구센터 2011
• 6 전보영, "산재장애인의 취업 및 생활만족도에 영향을 미치는 요인 -장애발생 후 직업복귀 상황을 중심으로-" 한국사회보장학회 26 (26): 199-222, 2010
• 7 박수경, "산재장애인의 재취업실태와 영향요인 분석" 37 : 171-193, 1999
• 8 윤조덕, "산재보험 재활사업 5개년 계획의 수행효과 분석 및 효율적 추진방안" 한국노동연구원 2004
• 9 임화영, "산재보험 요양급여의 효과성 분석" 근로복지공단노동보험연구원 2010
• 10 이주환, "산재근로자의 직장복귀에 영향을 미치는 요인" 연세대학교 보건대학원 2009
• 11 김정민, "산재근로자의 직업복귀 예측 요인" 2008
• 12 이승렬, "산재근로자의 직업복귀 실태와 결정요인 분석" 한국노동연구원 2003
• 13 류만희, "산재근로자의 직업복귀 결정요인에 관한 연구" 한국사회복지행정학회 11 (11): 161-184, 2009
• 14 박은주, "산재근로자의 산재 경험 후 종사상지위 변화에 관한 연구" 한국사회보장학회 28 (28): 121-152, 2012
• 15 정원미, "산업재해 근로자의 직장복귀 예측요인" 대한직업환경의학회 15 (15): 119-131, 2003
• 16 강희태, "산업재해 근로자의 직장복귀 및 원직복귀 예측 요인" 대한직업환경의학회 18 (18): 221-231, 2006
• 17 김환일, "대한 산재보험 개선방안 연구 -산재취약계층의 직업복귀 촉진방안 연구-" 노동부 2007
• 18 박은주, "남성 산재근로자의 보험급여수급 경험" 이화여자대학교 사회복지전문대학원 2012
• 19 Tate, D. G., "Workers' disability and return to work" 71 : 92-96, 1999
• 20 Butler, R. J., "Work injury compensation and the duration of nonwork spells" 95 : 714-724, 1985
• 21 Ben-Ner, A., "Unions and time away from work after injuries: The duration of non-work spells in the workers' compensation insurance system" 24 (24): 437-453, 2003
• 22 Campolieti, M., "Unions and the duration of workers’ compensation claims" 44 (44): 625-653, 2005
• 23 Crook, J., "The probability of recovery and return to work from work disability as a function of time" 3 (3): 97-109, 1994
• 24 Rossignol, M., "The evolution of compensated occupational spinal injuries: A three-year follow-up study" 17 (17): 1043-1047, 1992
• 25 Baldwin, M. L., "The error of using return-to-work to measure the outcomes of health care" 29 : 632-641, 1996
• 26 Johnson, W. G., "The duration of post-injury absences from work" 72 : 578-586, 1990
• 27 MacKenzie, E. J., "Return to Work Following Injury: The role of economic, social, and job-related factors" 88 (88): 1630-1637, 1998
• 28 Krause, N., "Psychosocial job factors and return-to-work after compensated low back injury: A disability phase-specific analysis" 40 : 374-392, 2001
• 29 Stover, B., "Prognostic factors of long-term disability in a workers’ compensation system" 49 (49): 31-40, 2007
• 30 McIntosh, G., "Prognostic factors for time receiving workers’ compensation benefits in a cohort of patients with low back pain" 25 (25): 147-157, 2000
• 31 Infante-Rivard, C., "Prognostic factors for return to work after a first compensated episode of back pain" 53 : 488-494, 1996
• 32 Blackwell, T. L., "Predictors of vocational rehabilitation return-to-work outcomes in workers’ compensation" 46 (46): 108-114, 2003
• 33 Okurowski, L., "Prediction of prolonged work disability in occupational low-back pain based on nurse case management data" 45 (45): 763-770, 2003
• 34 Lehmann, T. R., "Predicting long term disability in low back injured workers presenting to a spine consultant" 18 (18): 1103-1112, 1993
• 35 Reid, S., "Occupational low back pain: recovery curves and factors associated with disability" 7 : 1-4, 1997
• 36 Butler, R. J., "Managing work dsability: Why first return to work is not a measure of success" 48 (48): 452-469, 1995
• 37 Evanoff, B., "Is disability underreported following work injury?" 12 : 139-150, 2002
• 38 Bültmann, U., "Health status, work limitations, and return-to-work trajectories in injured workers with musculoskeletal disorders" 16 : 1167-1178, 2007
• 39 Cheadle, A., "Factors influencing the duration of work-related disability: A population-based study of washington state workers' compensation" 84 (84): 190-196, 1994
• 40 Oleinick, A., "Factors affecting first return to work following a compensable occupational back injury" 30 : 540-555, 1996
• 41 Hogg-Johnson, S., "Early prognostic factors for duration on temporary total benefits in the first year among workers with compensated occupational soft tissue injuries" 60 (60): 244-253, 2003
• 42 Hogg-Johnson, S., "Early prognostic factors for duration on benefits among workers with compensated occupational soft tissue injuries" Institute for Work & Health 1998
• 43 Turner, J. A., "Early predictors of chronic work disability sssociated with carpal tunnel syndrome: A longitudinal workers’ compensation cohort study" 50 : 489-500, 2007
• 44 Pole, J. D., "Duration of work disability: A comparison of self-report and administrative data" 49 : 394-401, 2006
• 45 Dasinger, L. K., "Duration of work disability after low back injury: A comparison of administrative and self-Reported outcomes" 35 : 619-631, 1999
• 46 Dasinger, L. K., "Doctor proactive communication, return-to-work recommendation, and duration of disability after a workers' compensation low back injury" 43 (43): 515-525, 2001
• 47 Crook, J., "Determinants of disability after a work related musculoskeletal injury" 25 : 1570-1577, 1998
• 48 Krause, N., "Alternative approaches for measuring duration of work disability after low back injury based on administrative workers’ compensation data" 35 : 604-618, 1999
• 49 Matheson, L., "Aggressive early intervention after occupational back injury: Some preliminary observations" 7 (7): 107-117, 1997
• 50 Seland, K., "A study of factors influencing return to work after wrist or ankle fractures" 49 : 197-203, 2006