ArticleScientific reports2023
Bridging geographical disparities across 368 townships with healthcare system and socioeconomic factors in Taiwan.
Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Translating Population-Based Epidemiology into Clinical Recognition of Coronary Artery Spasm: Prevalence, Incidence, and Geographic-Seasonal Variation in Taiwan.Medical sciences (Basel, Switzerland) · 2026Article
- Adolescent mortality in Lebanon (2017-2022): Trends, causes, and policy implications.Public health in practice (Oxford, England) · 2026Article
- Climate vulnerability factors for temperature-related respiratory mortality: a nationwide two-stage time-series study from 2008 to 2021.Environmental health : a global access science source · 2026Article
- Universal Atrial Fibrillation Screening Using Electrocardiographic Artificial Intelligence: A Cost-Effective Approach in Rural Communities.Journal of medical systems · 2025Article
- Observational
- Utilizing the National Early Warning Score 2 (NEWS2) to confirm the impact of emergency department management in sepsis patients: a cohort study from taiwan 1998-2020.International journal of emergency medicine · 2024Article
- Modifiable gaps in preventive medication use and exercise among patients with chronic migraine: A descriptive study from Eastern Taiwan.Tzu chi medical journalArticle
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Authors and funding
6 authors.
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Abstract
A universal health insurance program such as the National Health Insurance in Taiwan offers a wide coverage and increased access to healthcare services. Despite its ongoing efforts to enhance healthcare accessibility, differences in health for people living in urban and resource-deprived areas remain substantial. To investigate the longitudinal impact of the healthcare system and other potential structural drivers such as education and economic development on geographical disparities in health, we designed a panel study with longitudinal open secondary data, covering all 368 townships in Taiwan between 2013 and 2017. Our findings indicated higher mortality rates in the mountainous and rural areas near the east and south regions of the island in both years. Multivariate analyses showed an increase in the density of primary care physicians (PCP) was associated with lower all-cause mortality (β = - 0.72, p < 0.0001) and cardiovascular disease mortality (β = - 0.41, p < 0.0001). Effect of PCP is evident, but merely focusing on access to healthcare is still not enough. Additional measures are warranted to address the health disparities existing between urban and underprivileged areas.
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