Continuity of Physicians’ Dedication to Inpatient Hospice and Palliative Care: A 14-year Nationwide Survey in Taiwan
Abstract
:1. Introduction
2. Materials and Methods
2.1. Data Sources
2.2. Study Design
2.3. Data Processing and Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Acknowledgments
Conflicts of Interest
References
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Year | No. of Hospitals | No. of Patients | Patient-Hospitalization Days | No. of Physicians in the Year | No. of Physicians Still Providing Inpatient HPM Care in 2013 (%) | No. of New Physicians in the Year | No. of New Physicians Still Providing Inpatient HPM Care in 2013 (%) |
---|---|---|---|---|---|---|---|
2000 1 | 16 | 1970 | 37,423 | 77 | 28 (36.4) | 77 | 28 (36.4) |
2001 | 18 | 3919 | 75,345 | 107 | 33 (30.8) | 48 | 7 (14.6) |
2002 | 19 | 4532 | 83,302 | 116 | 43 (37.1) | 44 | 9 (20.5) |
2003 | 21 | 4768 | 84,473 | 120 | 47 (39.2) | 38 | 5 (13.2) |
2004 | 25 | 5336 | 100,077 | 129 | 51 (39.5) | 33 | 5 (15.2) |
2005 | 29 | 5759 | 110,410 | 127 | 64 (50.4) | 37 | 12 (32.4) |
2006 | 32 | 6769 | 141,871 | 139 | 66 (47.5) | 32 | 8 (25.0) |
2007 | 33 | 7261 | 152,972 | 158 | 81 (51.3) | 44 | 15 (34.1) |
2008 | 34 | 7515 | 157,839 | 151 | 93 (61.6) | 30 | 11 (36.7) |
2009 | 40 | 8180 | 176,139 | 165 | 109 (66.1) | 39 | 19 (48.7) |
2010 | 44 | 9281 | 202,487 | 199 | 119 (59.8) | 52 | 9 (17.3) |
2011 | 49 | 10,284 | 222,619 | 213 | 145 (68.1) | 53 | 25 (47.2) |
2012 | 47 | 10,609 | 228,933 | 200 | 162 (81.0) | 32 | 19 (58.4) |
2013 | 47 | 10,319 | 223,689 | 217 | - | 45 | - |
Total | 60 | 89,243 | 1,997,579 | 604 | - | 604 | 217 (35.9) |
Demographic Factors | Physicians Who Ever Practiced from 2000 to 2013 (%, n = 603 1) | Physicians Who Practiced in 2000 (%, n = 77) | Physicians Who Practiced in 2013 (%, n = 217) | Physicians Who Practiced in Both 2000 and 2013 (%, n = 28) | Physicians Who Left HPM Work in 2013 (%, n = 386 1) | Physicians Who Ever Interrupted HPM Work and Returned before and in 2013 (%, n = 29) |
---|---|---|---|---|---|---|
Sex | ||||||
Female | 97 (16.1) | 8 (10.4) | 46 (21.2) | 6 (21.4) | 51 (13.2) | 4 (13.8) |
Male | 506 (83.9) | 69 (89.6) | 171 (78.8) | 22 (78.6) | 335 (86.8) | 25 (86.2) |
Birth year | ||||||
1930s | 3 (0.5) | 1 (1.3) | 0 (0) | 0 (0) | 3 (0.8) | 0 (0) |
1940s | 20 (3.3) | 8 (10.4) | 5 (2.3) | 2 (7.1) | 15 (3.9) | 1 (3.4) |
1950s | 141 (23.4) | 32 (41.6) | 29 (13.4) | 11 (39.3) | 112 (29.0) | 5 (17.2) |
1960s | 198 (32.8) | 34 (44.2) | 61 (28.1) | 14 (50.0) | 137 (35.5) | 12 (41.4) |
1970s | 207 (34.3) | 2 (2.6) | 97 (44.7) | 1 (3.6) | 110 (28.5) | 11 (37.9) |
1980s | 34 (5.6) | 0 (0) | 25 (11.5) | 0 (0) | 9 (2.3) | 0 (0) |
Specialty | ||||||
Internal medicine | 201 (33.3) | 25 (32.5) | 78 (35.9) | 8 (28.6) | 123 (31.9) | 11 (37.9) |
Family medicine | 162 (26.9) | 17 (22.1) | 81 (37.3) | 11 (39.3) | 81 (21.0) | 9 (31.0) |
Surgery | 50 (8.3) | 3 (3.9) | 7 (3.2) | 0 (0) | 43 (11.1) | 1 (3.4) |
Radiation oncology | 38 (6.3) | 12 (15.6) | 14 (6.5) | 6 (21.4) | 24 (6.2) | 4 (13.8) |
Others | 152 (25.2) | 20 (26) | 44 (20.3) | 3 (10.7) | 115 (29.8) | 4 (13.8) |
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Cheng, B.-R.; Lin, M.-H.; Chang, H.-T.; Wang, Y.-J.; Chen, T.-J.; Chou, L.-F.; Hwang, S.-J. Continuity of Physicians’ Dedication to Inpatient Hospice and Palliative Care: A 14-year Nationwide Survey in Taiwan. Int. J. Environ. Res. Public Health 2019, 16, 2932. https://doi.org/10.3390/ijerph16162932
Cheng B-R, Lin M-H, Chang H-T, Wang Y-J, Chen T-J, Chou L-F, Hwang S-J. Continuity of Physicians’ Dedication to Inpatient Hospice and Palliative Care: A 14-year Nationwide Survey in Taiwan. International Journal of Environmental Research and Public Health. 2019; 16(16):2932. https://doi.org/10.3390/ijerph16162932
Chicago/Turabian StyleCheng, Bo-Ren, Ming-Hwai Lin, Hsiao-Ting Chang, Yi-Jen Wang, Tzeng-Ji Chen, Li-Fang Chou, and Shinn-Jang Hwang. 2019. "Continuity of Physicians’ Dedication to Inpatient Hospice and Palliative Care: A 14-year Nationwide Survey in Taiwan" International Journal of Environmental Research and Public Health 16, no. 16: 2932. https://doi.org/10.3390/ijerph16162932