A Comparison of the Recognition of Overwork-related Cardiovascular Disease in Japan, Korea, and Taiwan

• DOI: 10.2486/indhealth.ms1317
• Publication Date: 2011-12-06T05:22:11Z
• Authors: Jungsun PARK; Yangho KIM; Yawen CHENG; Seichi HORIE
• Keywords: Health Knowledge, Attitudes, Practice; Occupational Medicine; Culture; Taiwan; 3. Good health; Occupational Diseases; 03 medical and health sciences; 0302 clinical medicine; Japan; Socioeconomic Factors; Cardiovascular Diseases; Work Schedule Tolerance; Republic of Korea; 8. Economic growth; Humans; Workers' Compensation

In Japan, Korea, and Taiwan, cerebrovascular and cardiovascular diseases (CVDs) caused by overwork are recognized by government as work-related. These three countries are the only countries in the world that officially recognize CVDs caused by psychosocial factors (e.g., overwork) as work-related cerebrovascular and cardiovascular diseases (WR-CVDs), and compensate employees accordingly. The present study compared the similarities and differences among the recognition of overwork-related CVDs in Japan, Korea, and Taiwan. The criteria by which WR-CVDs are identified are very similar in the three countries. However, in the interval surveyed (1996-2009), Korea had a remarkably larger number of recognized WR-CVD patients than did Japan or Taiwan. Recognition of occupational diseases is influenced by various factors, including socio-cultural values, the nature of occupational health care schemes, the extent of the social security umbrella, national health insurance policy, and scientific evidence. Our results show that social factors may be very different among the three countries studied, although the recognition criteria for WR-CVDs are quite similar.