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Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Group)

Tuberculosis and Respiratory Diseases 2018년 81권 3호 p.241 ~ 246
 ( Kim Jae-Kyoung ) - National Medical Center Department of Internal Medicine

 ( Jeong In-A ) - National Medical Center Department of Internal Medicine
 ( Lee Ji-Yeon ) - National Medical Center Department of Internal Medicine
 ( Kim Jung-Hyun ) - National Medical Center Department of Internal Medicine
 ( Han Ah-Yeon ) - National Medical Center Department of Internal Medicine
 ( Kim So-Yeon ) - National Medical Center Department of Internal Medicine
 ( Joh Joon-Sung ) - National Medical Center Department of Internal Medicine

Abstract

Background: The “Tuberculosis Relief Belt Supporting Project (Tuberculosis Patient Management Project for Poverty Groups)” is a national program for socioeconomically vulnerable tuberculosis (TB) patients. We sought to evaluate the clinical and socioeconomic characteristics of poverty-stricken TB patients, and determined the need for relief.

Methods: We examined in-patients with TB, who were supported by this project at the National Medical Center from 2014 to 2015. We retrospectively investigated the patients' socioeconomic status, clinical characteristics, and project expenditures.

Results: Fifty-eight patients were enrolled. Among 55 patients with known income status, 24 (43.6%) had no income. Most patients (80%) lived alone. A total of 48 patients (82.8%) had more than one underlying disease. More than half of the enrolled patients (30 patients, 51.7%) had smear-positive TB. Cavitary disease was found in 38 patients (65.5%). Among the 38 patients with known resistance status, 19 (50%) had drug-resistant TB. In terms of disease severity, 96.6% of the cases had moderate-to-severe disease. A total of 14 patients (26.4%) died during treatment. Nursing expenses were supported for 12 patients (20.7%), with patient transportation costs reimbursed for 35 patients (60%). In terms of treatment expenses for 31 people (53.4%), 93.5% of them were supported by uninsured benefits.

Conclusion: Underlying disease, infectivity, drug resistance, severity, and death occurred frequently in socioeconomically vulnerable patients with TB. Many uninsured treatment costs were not supported by the current government TB programs, and the “Tuberculosis Relief Belt Supporting Project” compensated for these limitations.

키워드

Poverty; Tuberculosis
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