{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,25]],"date-time":"2026-09-25T02:48:56Z","timestamp":1790304536315,"version":"4.1.0"},"reference-count":22,"publisher":"Korean Society for Preventive Medicine","issue":"3","license":[{"start":{"date-parts":[[2025,2,25]],"date-time":"2025-02-25T00:00:00Z","timestamp":1740441600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100018688","name":"Korea Disease Control and Prevention Agency","doi-asserted-by":"crossref","award":["2019-E3701-00"],"award-info":[{"award-number":["2019-E3701-00"]}],"id":[{"id":"10.13039\/100018688","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS-2023-00240537"],"award-info":[{"award-number":["RS-2023-00240537"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014188","name":"Ministry of Science and ICT","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100014188","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002642","name":"Korea University","doi-asserted-by":"publisher","award":["K2406681"],"award-info":[{"award-number":["K2406681"]}],"id":[{"id":"10.13039\/501100002642","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["jpmph.org"],"crossmark-restriction":true},"short-container-title":["JPMPH"],"published-print":{"date-parts":[[2025,5,31]]},"abstract":"<jats:p>Objectives: People-centered care and social protection are critical for improving tuberculosis (TB) treatment outcomes. This study aimed to evaluate whether a vulnerability assessment tool, developed for an enhanced community-based care and management (ECCM) program in 2 Korean cities, could predict and improve final TB treatment outcomes based on patients\u2019 vulnerability levels.Methods: Treatment outcomes in the ECCM group were compared with those in a control group, stratified by vulnerability level. During stage 1, one city served as the intervention region and the other as the control, with a crossover in stage 2. The vulnerability assessment included all notified patients with TB, and those identified as highly vulnerable in the intervention group received social support following a consultation with a case manager.Results: The vulnerability assessment tool demonstrated moderate predictive ability for unfavorable outcomes, with an area under the curve of 0.70 (95% confidence interval, 0.63 to 0.77). The patients with high vulnerability who received ECCM treatment demonstrated a 19.8-percentage point (%p) higher treatment success rate than the high vulnerability subcategory of the control group. ECCM also appeared to reduce loss to follow-up and TB-related mortality by 8.4%p and 7.3%p, respectively, although these findings should be interpreted with caution.Conclusions: The results suggest that providing social support tailored to patient vulnerability at the time of diagnosis could improve TB treatment outcomes.<\/jats:p>","DOI":"10.3961\/jpmph.24.597","type":"journal-article","created":{"date-parts":[[2025,4,10]],"date-time":"2025-04-10T07:20:27Z","timestamp":1744269627000},"page":"317-325","update-policy":"https:\/\/doi.org\/10.3961\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Vulnerability Assessment and Enhanced Community-based Care and Management of Patients With Tuberculosis in Korea: A Crossover Design"],"prefix":"10.3961","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3694-9897","authenticated-orcid":true,"given":"Jeongmi","family":"Seo","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6260-0277","authenticated-orcid":true,"given":"Dawoon","family":"Jeong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"In-Hyuk","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1127-4798","authenticated-orcid":true,"given":"Jiyeon","family":"Han","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7113-4626","authenticated-orcid":true,"given":"Yunhyung","family":"Kwon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6804-7516","authenticated-orcid":true,"given":"Eunhye","family":"Shim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8853-7061","authenticated-orcid":true,"given":"Hongjo","family":"Choi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2350","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2009.03.041"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)00324-4"},{"key":"ref3","volume-title":""},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.17.0608"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jctube.2018.04.006"},{"key":"ref6","first-page":"695","volume-title":"Treatment of bacillary pulmonary tuberculosis at the chest clinics in the private sector in Korea, 1993","author":"Hong","year":"1999"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1177\/10105395211000529"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.2807\/ese.15.27.19611-en"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003717"},{"key":"ref10","first-page":"112","volume-title":"Tuberculosis treatment in Japan: problems and perspectives-how to expand the Japanese version of DOTS","author":"Mori","year":"2009"},{"key":"ref11","volume-title":""},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1097\/00006199-198611000-00017"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20199"},{"key":"ref14","volume-title":""},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(15)00401-6"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.18.208959"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30478-9"},{"key":"ref18","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-017-4892-5"},{"key":"ref19","first-page":"19","volume-title":"Roles of public health centers (Hokenjo) in tuberculosis control in Japan","author":"Katsuda","year":"2015"},{"key":"ref20","doi-asserted-by":"publisher","DOI":"10.1177\/1010539519871779"},{"key":"ref21","doi-asserted-by":"publisher","DOI":"10.5588\/ijtld.14.0104"},{"key":"ref22","doi-asserted-by":"publisher","DOI":"10.56786\/PHWR.2023.16.12.1"}],"container-title":["Journal of Preventive Medicine and Public Health"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/jpmph.org\/upload\/pdf\/jpmph-24-597.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jpmph.org\/journal\/view.php?doi=10.3961\/jpmph.24.597","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/jpmph.org\/upload\/pdf\/jpmph-24-597.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T07:04:40Z","timestamp":1749107080000},"score":1,"resource":{"primary":{"URL":"http:\/\/jpmph.org\/journal\/view.php?doi=10.3961\/jpmph.24.597"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,31]]},"references-count":22,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,5]]}},"URL":"https:\/\/doi.org\/10.3961\/jpmph.24.597","relation":{},"ISSN":["1975-8375","2233-4521"],"issn-type":[{"value":"1975-8375","type":"print"},{"value":"2233-4521","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5,31]]},"assertion":[{"value":"2024-10-10","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-14","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-25","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-31","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}