의료기관에 대한 국가결핵관리지침의 개선방안 연구 : 서구 주요국과 비교제도론적 분석을 중심으로

Abstract

In 1993, World Health Organization(WHO) has declared a global health emergency with respect to tuberculosis(TB) problems, but 900 million people are still diagnosed with TB each year. Also, 150 million people have died of TB. South Korea has faced on increasing risk of multidrug-resistant TB and having the disgrace that ranked the top in TB incidence and mortality rate among OECD member countries.

The purpose of this study is to realize TB control policies in health-care facilities in South Korea and to suggest the improvement plan by identifying the status through comparing with other western countries: U.S.A., Canada, and U.K.

Based on the literature review of the situation of TB infection control in health-care facilities in South Korea, a focus group interview had performed. And then, several experts’ advice were collected for the analysis to prioritize among the results of the comparative methodological study for TB control guideline with the other western countries.

The result of the above research is that there are many aspects need to be improved in Korean national tuberculosis policy, compared to the Western’s. Regards TB infection control in health-care facilities, the government''s initiative is expected rather than that of the facilities’. experts generally agreed on the need to strengthen TB infection control in the health-care facilities, but their opinions about the importance and the degree are varied.

In conclusion, it is needed to enhance the national TB control system by supplementing the parts that do not exist in the current Korean guidelines in health-care facilities.