{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T14:36:19Z","timestamp":1777732579514,"version":"3.51.4"},"reference-count":44,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2019,1,1]],"date-time":"2019-01-01T00:00:00Z","timestamp":1546300800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Taipei Veterans General Hospital, Taiwan","award":["V105E10-002-MY2-1"],"award-info":[{"award-number":["V105E10-002-MY2-1"]}]},{"DOI":"10.13039\/501100004663","name":"Ministry of Science and Technology, Taiwan","doi-asserted-by":"publisher","award":["MOST 104-2410-H-010-015"],"award-info":[{"award-number":["MOST 104-2410-H-010-015"]}],"id":[{"id":"10.13039\/501100004663","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["INQUIRY"],"published-print":{"date-parts":[[2019,1]]},"abstract":"<jats:p>\n                    Family physicians serve as personal doctors for individuals and their families and also act as gatekeepers of the health care system. If no special status is accorded to family physicians, however, then the rates at which health care recipients utilize their service might be affected. In the present cross-sectional study, representative claims data sets for 2010 from Taiwan\u2019s National Health Insurance program, a health care system in which beneficiaries are not required to register with a family physician, were used to investigate the provision of health care to the population by family physicians. Among 919\u2009206 beneficiaries with a total of 13\u2009713\u2009199 ambulatory visits, 49.1% had visited family physicians, 34.1% had visited internists, 24.3% had visited pediatricians, and 38.9% had visited otolaryngologists. Women (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1) = 538, P &lt; .001) and patients aged 65 and above (\u03c7\n                    <jats:sup>2<\/jats:sup>\n                    (1) = 16\u2009000, P &lt; .001) had a higher proportion of visiting family physicians rather than visiting other specialties. The onion-shaped population pyramid with family medicine visits was compatible with the general population, and the proportion of visiting family physicians increased with increasing age. Among 112\u2009289 patients with essential hypertension, 63\u2009379 patients with diabetes mellitus, and 80\u2009090 patients with hyperlipidemia, only 35.3%, 32.0%, and 31.1%, respectively, had visited family physicians. The age and sex distributions of these patients were illustrated with population pyramids for data visualization and direct comparisons. Taken together, the results of this study indicate that the utilization of family physicians in Taiwan and the effectiveness of their associated role in chronic disease management still have room for improvement.\n                  <\/jats:p>","DOI":"10.1177\/0046958019834830","type":"journal-article","created":{"date-parts":[[2019,4,5]],"date-time":"2019-04-05T03:11:50Z","timestamp":1554433910000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["The Provision of Health Care by Family Physicians in Taiwan as Illustrated With Population Pyramids"],"prefix":"10.1177","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2790-9233","authenticated-orcid":false,"given":"Yi-Jen","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Family Medicine, Taipei Veterans General Hospital"},{"name":"School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao-Yen","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Taipei Veterans General Hospital"},{"name":"School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8350-0232","authenticated-orcid":false,"given":"Tzeng-Ji","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Taipei Veterans General Hospital"},{"name":"School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shinn-Jang","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Taipei Veterans General Hospital"},{"name":"School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-Fang","family":"Chou","sequence":"additional","affiliation":[{"name":"Department of Public Finance,National Chengchi University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Hwai","family":"Lin","sequence":"additional","affiliation":[{"name":"Department of Family Medicine, Taipei Veterans General Hospital"},{"name":"School of Medicine, National Yang-Ming University, Taipei"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,4,5]]},"reference":[{"key":"bibr1-0046958019834830","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(96)03512-X"},{"key":"bibr2-0046958019834830","first-page":"1101","volume":"33","author":"Watt WD.","year":"1987","journal-title":"Can Fam Physician"},{"key":"bibr3-0046958019834830","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2012.02.110200"},{"issue":"1","key":"bibr4-0046958019834830","volume":"12","author":"Sch\u00e4fer W","year":"2010","journal-title":"Health Syst Transit"},{"issue":"1","key":"bibr5-0046958019834830","first-page":"1","volume":"15","author":"Marchildon G.","year":"2013","journal-title":"Health Syst Transit"},{"key":"bibr6-0046958019834830","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1997.00440230021004"},{"key":"bibr7-0046958019834830","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(85)90007-3"},{"key":"bibr8-0046958019834830","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-6-54"},{"key":"bibr9-0046958019834830","doi-asserted-by":"publisher","DOI":"10.1046\/j.1444-1683.2003.00059.x"},{"key":"bibr10-0046958019834830","unstructured":"Taiwan Medical Association. 2015 statistics yearbook of practicing physicians and health care organizations in Taiwan (Chinese). http:\/\/www.tma.tw\/stats\/files\/2015_stats.pdf. 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