Status and Determinants of Treatment Outcomes Among New Tuberculosis Patients in South Korea: A Retrospective Cohort Study

Author:

Son Hyunjin1ORCID,Mok Jeongha23,Lee Miyoung3,Park Wonseo3,Kim Seungjin4,Lee Joosun4,Choi Bo Youl5,Kim Changhoon36

Affiliation:

1. Department of Preventive Medicine, College of Medicine, Dong-A University, Busan, South Korea

2. Department of Internal Medicine, College of Medicine, Pusan National University, South Korea

3. Busan Center for Infectious Disease Control and Prevention, Pusan National University Hospital, Busan, South Korea

4. Korea Disease Control and Prevention Agency, Cheongju, South Korea

5. Department of Preventive Medicine/Institute of Community Health, College of Medicine, Hanyang University, Seoul, South Korea

6. Department of Preventive Medicine, College of Medicine, Pusan National University, Busan, South Korea

Abstract

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.

Funder

Korea Centers for Disease Control and Prevention

Publisher

SAGE Publications

Subject

Public Health, Environmental and Occupational Health

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