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韓國의 結核管理實態에 關한 考察

A Review Study on Tuberculosis Control in Korea

공중보건잡지 1976년 13권 2호 p.209 ~ 224
배길한,
소속 상세정보
배길한 (  ) - 서울대학교 보건대학원

Abstract


There have been many reports on tuberculosis in Korea such as the 1st, the 2nd and the 3rd nation-wide tuberculosis prevalence survey in 1965, 1970 and 1975. However, there is no comprehensive analysis of these prevailed tuberculosis studies.
The author attempted to review the available materials on Korean tuberculosis prevalence and control between January of 1960 and October of 1976, and the original reports having collected now total up to 100.
The conclusions drawn from the analysis of the materials obtained through the review of 100 original papers are as follows:
1. The tuberculosis control system seems to be relatively well organized in Korea, but the prevalence, mortality and drug resistance is still very higher and the spread of drug resistant bacteria is more serious than that of the other countries in the Western Pacific Region.
2. As the results of applications of Muench´s Catalytic Models, the force of intections have prominantly decreased since last decade: in urban, r=0.09 (1965), 0.075 (1970), 0.061 (1975) and in rural, r=0.101 (1965), 0.052 (1970), 0.052 (1975).
3. Signs and symptoms are the most effective motivation for patients to be diagnosed(46∼86%) and mass x-ray examination (7.5%∼47%) are found to be the next in order.
4. Unreasonable treatment including irrefular, insufficient dosage and irregular drug administrations is the most probable causes in the intractable far advanced TB or recurrence. Economic poverty, patients´ indifference or hospital were found to be the major reasons for unreasonable and irregular drug administration.
5. The most of the patients registered in the Public Health Centers are burdened to support their family members and not only impossible to continue primary drug administrations for themselves, to make matters worse, but also many have been caught in drug resistance. In age prevalence rates, it is higher than that found in the results of nation-wide tuberculosis prevalence surveys among economically active population.
6. In the aspect of the cost-benefit in public health, it became clear that expense incurred in conducting it had been a good investment. And it is necessary to reconsider carefully the medical insurance which have better association with national tuberculosis control system in Korea.

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