Department of Preventive Medicine, College of Medicine, Dong-A University, Busan, South Korea.
Department of Internal Medicine, College of Medicine, Pusan National University, South Korea.
Asia Pac J Public Health. 2021 Nov;33(8):907-913. doi: 10.1177/10105395211000529. Epub 2021 Apr 2.
This is a retrospective cohort study using notification data in South Korea. We evaluated the nationwide status, regional differences, and the determinants of treatment outcomes among tuberculosis patients. Treatment success rate improved from 77.0% in 2012 to 86.0% in 2015. The lost to follow-up rate was higher among older people, males, and foreign nationals. Health care facilities designated for the Public-Private Mix (PPM) project showed higher success rate and lower rate of lost to follow-up. Moreover, municipalities with low regional deprivation index had higher PPM project coverage. Since there is a large regional difference in the coverage of the PPM project, an additional community-based support program should be implemented, especially for tuberculosis patients residing in region with low PPM project coverage.
这是一项使用韩国通报数据的回顾性队列研究。我们评估了全国范围内结核病患者的治疗结局现状、地区差异和决定因素。治疗成功率从 2012 年的 77.0%提高到 2015 年的 86.0%。失访率在老年人、男性和外国居民中更高。指定用于公私混合（PPM）项目的医疗机构显示出更高的成功率和更低的失访率。此外，区域贫困指数较低的市具有更高的 PPM 项目覆盖率。由于 PPM 项目的覆盖范围存在较大的地区差异，应实施额外的基于社区的支持计划，特别是针对居住在 PPM 项目覆盖范围较低地区的结核病患者。
