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KMID : 0383819690160030045
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Tuberculosis and Respiratory Diseases
1969 Volume.16 No. 3 p.45 ~ p.51
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Report of Survey on Treatment Result of Patients at Health Centres
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김기호(金起鎬)/Kiho him
변해원(邊海元)/송달호(宋達鎬)/이창주(李昌周)/길병화(吉炳華)/박종욱(朴宗煜)/정낙진(丁洛珍)/방기문(房基文)/Hae Won Byon/Dal Ho Song/Chang Choo Lee/Byong Wha Kil/Jong Wook Pak/Nak Chin Jung/Ki Moon Bang
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Abstract
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A survey on distribution and treatment results of the patients (about 30,000) registered
at health centers during first half of 1967 was conducted by sampling method.
Method
The 191 health centers in the whole country were stratified into three categories, i. e.
Seoul City, other cities and guns. One sixteenth of patients in all the nine health centers
in Seoul City, one fourth of patients in 11 out of 43 other city health centers and all of
patients in 9 out of 139'Gun health centers were randomly selected, thus the number of
patients (1,832) were just one sixteenth of all patients admitted during the Period
concerned in each stratum. By the time survey was made all of the patients had already
been treated for 12 to 18 months except those died or discharged for various reasons.
Four of the authors visited different health centers and reviewed patients records and
x-ray films and collected data according to predesigned forms.
Result
Distribution of the patients
Among If 832 patients 68.4% of the patients were at the age of 20-50 years, and the
number of male patients were trice of female. About 55% of the patients were at
advanced stages and 20% with cavities. 56% were sputum positive. As the opinion of
the investigators about 20% of the patients were either normal or inactive and other
findings on initial x-ray films.
Result of treatment
The implication of the total treatment results is evaluated in terms of reduction in the
number of positive cases and cavitary cases. The proportion of those with positive
sputum among the total of 1,153 cases decreased from 56.5% to 32.9% or a decrease of
23.6%, and the proportion of those with cavities among the total of 528 decreased
from 27.3% to 20.8% or a decrease of 6.5%.
Conclusion
A total result of 23.6% reduction in suptum positive cases and 6.5% reduction in
cavitary cases is not significant on epidemiological impact, though there were many
difficulties involved in the treatment programme. Thus authors recommend the
government that technical supervision should be emphasized by every possible means.
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