Impact on National Policy on the Hand Hygiene Promotion Activities in Hospitals in Korea

Autor: Hyun-Sook Koo, Kyungwon Lee, Eun Jin Kim, Myoung Don Oh, Kyoung Ho Song, Eu Suk Kim, Myoung Jin Shin, Jun Yong Choi, Hyunmin Lee, Young Hwa Choi, Sung Ran Kim, Hong Bin Kim, Jihee Lim, Pyoeng Gyun Choe, Nam Joong Kim, zeong Hee Kim
Rok vydání: 2020
Předmět:
Zdroj: Infection Control & Hospital Epidemiology. 41:s267-s267
ISSN: 1559-6834
0899-823X
DOI: 10.1017/ice.2020.836
Popis: Background: After the Middle East respiratory syndrome coronavirus outbreak in Korea in 2015, the government newly established the additional reimbursement for infection prevention to encourage infection control activities in the hospitals. The new policy was announced in December 2015 and was implemented in September 2016. We evaluated how infection control activities improved in hospitals after the change of government policy in Korea. Methods: Three cross-sectional surveys using the WHO Hand Hygiene Self-Assessment Framework (HHSAF) were conducted in 2013, 2015, and 2017. Using multivariable linear regression model including hospital characteristics, we analyzed the changes in total HHSAF scores according to the survey time. Results: In total, 32 hospitals participated in the survey in 2013, 52 in 2015, and 101 in 2017. The number of inpatient beds per infection control professionals decreased from 324 in 2013 to 303 in 2015 and 179 in 2017. Most hospitals were at intermediate or advanced levels of progress (90.6% in 2013, 86.6% in 2015, and 94.1% in 2017). In a multivariable linear regression model, the total HHSAF scores were significantly associated with hospital teaching status (β coefficient of major teaching hospital, 52.6; 95% CI, 8.9–96.4; P = .018), bed size (β coefficient of 100-bed increase, 5.1; 95% CI, 0.3–9.8; P = .038), and survey time (β coefficient of 2017 survey, 45.1; 95% CI, 19.3–70.9; P = .001). Conclusions: After the national policy implementation, the number of infection control professionals increased, and the promotion of hand hygiene activities was strengthened in Korean hospitals.Funding: NoneDisclosures: None
Databáze: OpenAIRE