목적 : 본 연구는 산재보험정책 변화에 따른 직업복귀훈련에 참여한 산재환자의 동향을 분석하여 국내 의료기관 기반 직업재활의 기초자료를 제시하고자 한다. 연구방법 : 근로복지공단 소속병원 전자의무기록을 활용한 후향적 코호트 조사 연구로 2018년 1월부터 2023년 12월까지 직업복귀훈련을 실시한 산재환자 3,852명을 대상으로 하였다. 산재보험정책 변화에 따른 동향을 분석하기 위해 2018~2020년 실시한 1,649명과 2021~2023년 실시한 2,203명을 각 A, B 두 그룹으로 나누어 인구통계학적, 산재관련, 직업복귀훈련 및 직업관련 특성의 변화를 분석하였다. 결과 : 연령에서는 60세 이상 비율이 증가하였고 손상 부위에서는 상지 손상 비율이 높아졌다. 손상 형태와 산재 유형에서는 요통 및 근골격계 질병과 업무상 질병 비율이 모두 증가하였다. 직업복귀훈련 특성에서는 훈련 기간이 줄어든 반면 직업관련 특성에서는 상용직 비율이 높아졌다. 결론 : 산재보험정책 변화로 직업복귀훈련 참여자들의 근골격계 업무상 질병은 증가하였고 일용직 및 임시직 비율은 감소하였다. 본 연구를 통해 산재예방정책과 보다 효과적인 직업복귀를 위한 제도개선 및 맞춤형 직업복귀훈련의 중요성을 제시하였다.

Unpaid family workers operate projects for business with my family is Officially, but are paid to the beneficiary of the joint cost of living in real terms or at a separate wage. In other words, as defined in employment laws that do not receive wages provide workers for the purpose of Labor Standards Act because they don't see that not be regarded as an employee. Therefore, unpaid family worker workers are excluded from the application of the statutory. Unpaid family worker are protected against the risk of an industrial accident or industrial disasters through Guarantee basic right to exist to them through appropriate compensation in the event. Safeguards to the realization of human dignity unless this is a personal level as well as social dimension in them a great loss and industrial insurance. There are subject to the need to expand to include social safety net.

This paper is to investigate the employees' corresponding types and casual analysis. It proposes the legal and practical measures for improvement of Industrial Accident Compensation Insurance's usability. The results from the empirical analysis indicate that (1) 91.4 percent of the respondents feel the necessity of Industrial Accident Compensation Insurance, (2) 67.4 percent of the respondents perceive that Industrial Accident Compensation Insurance is useful, (3) employers’ perceptions of the specific items of Industrial Accident Compensation Insurance appears to be low. (4) 35.9 percent of the respondents deal with industrial accidents through other ways such as health insurance and car insurance. The study ends with discussion of the findings and provides several theoretical and managerial implications and recommendations for future research and applications.

The purpose of this study is to analyze the employer's perception and corresponding types of the Industrial Accident Compensation Insurance System. To analyze the employer's perception and corresponding types of the Industrial Accident Compensation Insurance System, interviews and surveys were conducted. Based on the analysis of interview and survey results, we proposed policy alternatives to raise awareness of the Industrial Accident Compensation Insurance System and increase the utilization of the Industrial Accident Compensation Insurance System.

Since it's first adaptation in Germany in 1884, the industrial accident compensation insurance system has been on the most widely used social security systems, and in was first enforced in Korea in 1964. Today's society has been industrialized and number of business places for workers accident. As the welfare of workers improves in korea, the number of beneficiaries of industrial accident compensation insurance is increasing. Even though such trend is desirable in many respects, there is a growing social problem caused by abnormal insurance claims.

Unpaid Family Worker is blind area of industry safety. Danger of industrial accident is some high but because was excepted in industrial accident compensation insurance application. In most case, because paltry Unpaid Family Worker is no opportunity to take safety education to prevent industrial accidents and there are few safety facility and safety equipment, etc., among business, it may be said that probability to suffer industrial accidents on a trifling mistake or carelessness is higher than general worker of business. Consider such difficult actuality of Unpaid Family Worker and our country must give these benefit of industrial accident compensation insurance application, as opened the door of insurance application in recognition of worker position by "Industrial accident compensation insurance Law" to middle·smaller enterprise's business proprietor or special form labor employees.