The roles of doctors, nurses, and industrial hygienists in the healthcare management services in Korea: a comparison of the opinions of specialized health management institutions and entrusted enterprises

ABSTRACT

BACKGROUND: This study aimed to identify the difference of perception about the role of appointing health officers by comparing and analyzing the response of entrustment workplace (EW) and specialized health management institution (SI). This is considered an important aspect of an institutional assessment to improve the quality of health management services. METHODS: A survey questionnaire was mailed to 122 SIs and 319 EWs nationwide. The questionnaire survey was about the general characteristics of SIs and EWs and main occupations for each evaluation item. In total, 81 SIs (66.4%) and 30 EWs responded to the questionnaire. A logistic regression analysis was performed to compare the opinions of SI and EW. RESULTS: Based on the analysis, the items showing statistically significant differences were as follows. Doctors’ main tasks survey “Guidance on their wearing personal protective equipment (PPE)” (OR 4.58), “Guidance of improvement of work environment (WE)” (OR 3.33), etc.; Nurses’ main tasks survey “Guidance on their wearing PPE” (OR 3.86), “Guidance for programs on health process in confined space (CS)” (OR 0.36), “Guidance on the hearing conservation program (HCP)” (OR 0.28), etc.; Industrial hygienist (IH)‘s main tasks survey “Guidance of work through inspection (WTI)” (OR 0.15), “Guidance on the improvement of WE” (OR 0.32), “Management confirmation of substances used by process and Material Safety Data Sheet (MSDS)” (OR 0.08), “Guidance on posting or keeping of MSDS and warning signs” (OR 0.03), “Prevention of dust-induced medical problems” (OR 0.28), “Guidance for programs of health process in CS” (OR 0.39), etc. CONCLUSIONS: It is necessary to educate the EWs to recognize the need for physicians to perform tasks, such as wearing a PPE, and instruction to improve WE. As for nurses’ tasks, such as education about the CS and the noise work, educating the nurses of the SI is regarded necessary as the demand of the EWs is considered. With respect to the unique tasks of IH, such as WE management and instructions for wearing PPE, among several other tasks of IH, training should be provided for improved IH recognition.