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

Published online by Cambridge University Press:  02 November 2020

Pyoeng Gyun Choe
Affiliation:
Associate Professor, Seoul National University Hospital
Jihee Lim
Affiliation:
Seoul National University Hospital
Eun Jin Kim
Affiliation:
Seoul National University Hospital
zeong Hee Kim
Affiliation:
Seoul National University Bundang Hospital
Myoung Jin Shin
Affiliation:
Seoul National University Bundang Hospital
Sung Ran Kim
Affiliation:
Infection Control Nurse, Korea University Guro Hospital
Jun Yong Choi
Affiliation:
Yonsei University College of Medicine
Young Hwa Choi
Affiliation:
Ajou University School of Medicine
Kyung Won Lee
Affiliation:
Yonsei University College of Medicine
Hyunsook Koo
Affiliation:
Korea Centers for Disease Control and Prevention
Hyunmin Lee
Affiliation:
Korea Centers for Disease Control and Prevention
Kyoung-Ho Song
Affiliation:
Associate Professor, Seoul National University Bundang Hospital
Eu Suk Kim
Affiliation:
Professor, Seoul National University Bundang Hospital
Nam Joong Kim
Affiliation:
Seoul National University Hospital
Myoung-don Oh
Affiliation:
Seoul National University Hospital
Hong Bin Kim
Affiliation:
Professor, Seoul National University Bundang Hospital
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Abstract

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: None

Disclosures: None

Type
Poster Presentations
Copyright
© 2020 by The Society for Healthcare Epidemiology of America. All rights reserved.
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