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Park: Increasing the Treatment Success Rate of Tuberculosis in a Private Hospital through Public-Private Mix (PPM) Project
Original Article
Tuberculosis and Respiratory Diseases

Tuberculosis and Respiratory Diseases 2011; 70(2): 143-149.

Published online: 28 February 2011

DOI: https://doi.org/10.4046/trd.2011.70.2.143

Increasing the Treatment Success Rate of Tuberculosis in a Private Hospital through Public-Private Mix (PPM) Project

Jae Seuk Park, M.D.

Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.

Address for correspondence: Jae Seuk Park, M.D. Department of Internal Medicine, Dankook University College of Medicine, 16-5, Anseo-dong, Cheonan 330-715, Korea. Phone: 82-41-550-3055, Fax: 82-41-556-3256, jspark@dankook.ac.kr

Received 30 August 2010       Accepted 2 December 2010

Copyright © 2011. The Korean Academy of Tuberculosis and Respiratory Diseases. All rights reserved.

Abstract

Background

Stopping medical treatment by tuberculosis (TB) patients prior to completing treatment period is a major concern in private hospitals. We evaluated the impact of public-private mix (PPM) project on increasing treatment success rate of TB in a private tertiary hospital in Korea.

Methods

Starting in February 2009, TB patients treated at Dankook University Hospital received health education and case monitoring activities by specially trained public health nurses (PPM project). On a retrospective basis, we reviewed medical records and compared the treatment outcome of TB patients treated under the PPM project (PPM group) to patients treated without the PPM project (control group) between January 2008 and June 2010. In addition, we also evaluated the risk factors treatment non-completion.

Results

The number of patients in the PPM group and control group were 123 (85 pulmonary TB and 38 extrapulmonary TB) and 146 (101 pulmonary TB and 45 extra-pulmonary TB), respectively. The PPM group had demographic and clinical findings comparable to those of control group. The PPM group showed a significantly higher treatment success rate (93.5%) compared to the control group (77.9%). However, development of complications, proximity to the hospital, and presence of co-morbid disease did not influence the treatment success rate.

Conclusion

The PPM project was effective at increasing the TB treatment success rate. An effort to improve and to expand the PPM project is needed in private Korean hospitals.

Keywords: Tuberculosis, Treatment, Public sector, Private sector

Figures and Tables

Table 1
Clinical characteristics between control and PPM groups
trd-70-143-i001

Data are presented as number (%) unless otherwise indicated. Chi-square tests and student t-test were used for statistical analysis.

*p-value<0.05 indicates statistical significance, †Total number of patients are 186 (Control group, 101; PPM group, 85).

PPM: public-private mix; SD: standard deviation; TB: tuberculosis.

Table 2
Treatment outcomes between control and PPM groups
trd-70-143-i002

Data are presented as number (%) of patients. Chi-square tests and †Fisher's exact test were used for statistical analysis.

*p-value<0.05 indicates statistical significance.

PPM: public-private mix; TB: tuberculosis.

Table 3
Risk factors for incomplete treatment
trd-70-143-i003

Data are presented as number (%) of patients unless otherwise indicated. chi-square tests and student t-test were used for statistical analysis.

*p-value<0.05 indicates statistical significance, †Total number of patients are 91 (Tx success group, 75; Incomplete Tx group, 16).

SD: standard deviation; TB: tuberculosis.

Notes

The present research was conducted by the research fund of Dankook University in 2009.

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