Purpose: This study was conducted to construct and test a structural equation model of health-related quality of life (HRQoL) among hospitalizedpatients with pulmonary tuberculosis (PTB). Methods: Participants were 256 patients with PTB who were 20 years or older and admitted intwo national tuberculosis hospitals. The patients participated in pulmonary function testing and responded to structured questionaries. Results:The goodness-of-fit statistics of the final hypothetical model were as follows: c2/df=2.19, RMSEA=.07, SRMR=.05, GFI=.95, NFI=.95, CFI=.96,TLI=.92, and PCFI=.52. Symptoms and general health perception had significant direct effects, and subjective economic status, social supportand stigma had significant indirect effect on HRQoL of hospitalized patients with PTB. These variables explained 64% of variance in the predictionmodel. Conclusion: Findings suggest that strategies and intervention for physical symptoms and depressive symptoms are crucial to improvethe quality of life in hospitalized patients with PTB. The development of various social support programs is also recommended.