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KMID : 1143420200130443143
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Public Health Weekly Report
2020 Volume.13 No. 44 p.3143 ~ p.3160
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Analysis of the 2nd Quality assessment on tuberculosis care in Korea
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Shin Jee-Yeon
Kim Jin-Sun
In Hye-Kyung
Shim Eun-Hye
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Abstract
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In order to reduce the gap in quality of tuberculosis (TB) care among hospitals and raise the quality of tuberculosis care to a certain level, the Quality assessment on tuberculosis care conducted 1st quality assessment in 2018 and the 2nd quality assessment in 2019.
In this article, we looked at differences between types of medical institutions, types of tuberculosis management (Private-Public Mix [PPM]/Non-PPM), major regional outcomes, and preliminary assessments, focusing on "primary TB assessment." The analysis data were utilized 1st quality assessment in 2018 and the 2nd quality assessment in 2019 with six evaluation indexes (performance rate of acid-fast bacilli smear, performance rate of acid-fast bacilli culture, performance rate of M. tuberculosis-polymerase chain reaction, compliance rate of standard treatment regimens, rate of visiting institution of TB patient, daily rate of TB prescription).
Looking at each type of medical institution, among the six evaluation indexes , the highest rate of compliance rate of standard treatment regimens and the lowest of visiting institution of TB patient were found. Among the three indicators of accuracy of diagnosis, performance rate of M. tuberculosis-polymerase chain reaction was the lowest and the clinics·hospitals performed lower than the general hospitals, and tertiary hospitals. Within each institution, the gap is widening by index, and the gap has widened from tertiary hospitals to clinics. The PPM agency showed higher results in five indicators (performance rate of acid-fast bacilli smear, performance rate of acid-fast bacilli culture, performance rate of M. tuberculosis-polymerase chain reaction, rate of visiting institution of TB patient, daily rate of TB prescription) compared to the Non-PPM agency. According to regional analysis, two indicators were low in Chunbuk, Jeonnam, where there are no PPM or very low share rates by PPM. The results of health insurance recipients were higher in all six indicators than those eligible for medical aid. Compared to the first evaluation, the results of the second evaluation were improved in five indicator and the deviation of each institution was reduced.
The results of Quality assessment of TB will be used as basic data useful for the promotion of the quality of TB treatment and establishment of national TB management policy.
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KEYWORD
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Tuberculosis, Quality assessment, Private-Public Mixed, Non-Private-Public Mixed
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