Taiwan hospitals, surgeons, physicians
, Medical Doctors                            
                            
   this site's world No. 1 in  2020~21,  2017~19,  2016 20152014, 2013 2010~12       Top rankings since 1998   


 

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Taiwan

       Taiwan hospitals  not include top 100 list

National Insurance is in "a state of diseases"

     In Bloomber's CovID-19 Resilience Ranking at 2021-7-28 (bloomberg.com/graphics/covid-resilience-ranking/)Taiwan plunges into the bottom half of the Ranking (from No. 5 in April, down to now No. 40 out of 53 countries). Taiwan was ranked No. 83 in Nikkei CovID-19 Recovery Index (Japan, Jun. 2021), and No.49 out of 50 countries in Economist "The Global Normalcy Index".   According to WorldoMeters,  2021-7-25 , Taiwan's CovID-19 patient recovery rate is 88.67% which is worse than that of global average and Asian average.   Johns Hopkins University, 2021-7-25 ( coronavirus.jhu.edu/region/taiwan) : Taiwan's CovID-19 fatality rate 5%(784/15535), well above the global rate at approximately 2.2 percent (National Interest, 2021-7-6).  The death rate in late Jun. was about 2.3 times that in Japan, 2.5 times Hong Kong's, 3.3 times Korea's, much worse than Asia's average.   CTV news, 2021-7-11 and Johns Hopkins U.: Taiwan's CovID death rate ranks 8th worst worldwide.   The father of CoronaVirus in Taiwan 賴明詔 said Singapore's medical tech. is better, and the culture is different. ( e.g., Financial Times, 2021-6-1: Another problem appears to be cultural...other public health experts have been discouraged from challenging Health Minister......The country ... was not prepared for a surge of infections).  Guardian, 2021-6-7: Taiwan authorities hadn’t kept up with new scientific knowledge around virulent new strains...   theguardian.com/world/2021/jun/07/a-victim-of-its-own-success-how-taiwan-failed-to-plan-for-a-major-covid-outbreak  The number of Taiwanese deaths in 1 day (Jun. 5) is more than that in Singapore in 1.5 years.  The PCR test capacity in Singapore is 5+ times of that in Taiwan (https://udn.com/news/story/121823/5493969?from=udn-catehotnews_ch2) , but Singapore's population is about 1/4 Taiwan's.  FTV, 2021-7-12: Taiwan's CoVID high death rate is caused by inadequate medicine.  Why don't Taiwan purchase enough Remdesivir to save human lives ? Bloomberg, 2021-7-25: Taiwan’s medical care system is run on a tight budget to keep costs affordable.  Taipei Medical University professor  comments Taiwan's medical quality is no longer good.  full text: CovID-19 in Taiwan
 

 

 

      

pic. left: No.1 "medical Doctors in Taiwan" on Microsoft Bing ,  2021-7-18, 2021-6-4, 2021-5-25, 2021-4-27, 2021-4-10,  3-10-2021, 2-12-2021, 8-17-2020, 8-5-2020;
pic. right: No.1 "physicians in Taiwan" on Microsoft Bing , 2021-7-18,  2021-6-4, 2021-5-25, 2021-4-27, 2021-4-10, 3-10-2021, 2-12-2021

 

 

 

       

 pic. left: No.1 "medical Doctors in Taiwan" on SwissCows (Switzerland) ,2021-7-18,  2021-5-31;  pic. right: No.1 "medical Doctors in Taiwan" on ecosia (Germany) , 2021-7-18, 2021-5-31

 

 

 

pic. above: No.1 "medical Doctors  in Taiwan" on Yahoo Taiwan , 2021-6-4

 

 

 

pic. : This websites group was ranked No.1 on US Google  by keyword "medical Doctors in Taiwan"  test at  2020-1-20   

 

 

 

        

pic. left : No.1 "medical Doctors in Taiwan" on Baidu of China ,  2021-5-31, 2021-5-5, 2021-4-27, 2021-4-10, 3-10-2021, 2-12-2021;

pic. right: No.1 "physicians in Taiwan" on  Baidu of China , 2021-5-5, 2021-4-27, 2021-4-10, 3-10-2021, 2-12-2021

 


Some government's research projects such as
「2019年西醫師人力發展估計畫期末報告」,「衛生福利部104年度科技研究計畫」by Dr. Chao A. Hsiung, 熊昭 conclude: the supply shortage pf physicians (M.D.) would be possible, given that the number of regional hospitals increasing one per year till end of 2020, as for other scenarios, supply exceeds demand.  The Liberty Times (opinion, 12-22-2020, https://talk.ltn.com.tw/article/paper/1420360王宏育) notes that, on average, one medical Doctor is for 250- patients in Taipei city, 500- patients in Taiwan, besides, about 1500 Doctors graduate from medical school in each year, Taiwan's current problem are (1) the more Doctors, the heavier burden to insurance system, (2) inequality  ―  the underprivileged minority in remote places needs better medical care.  In contrast, according to WEF<Travel and tourism competitiveness report> (released at 9-4-2019), Taiwan's Health & Hygiene (including "physicians density" ) score 6.0 is worse than that of No.16 Japan, No. 17 Korea, and Australia, Mongolia  According to  WEF<Travel and tourism competitiveness report> (released at 4-6-2017), Taiwan's "Physician density" ranks pretty bad   ―   world No. 65 (No. 57 in 2015's report).  

                                                             Num. of physicians in Taiwan from '12 to '19               https://www.statista.com/statistics/860217/taiwan-physician-number/

yr

2012 2013 2014 2015 2016 2017 2018 2019

number

40,938 41,965 42,961 44,006 44,849 46,356 47,471 49,542

increase

  1,027 996 1,045 843 1,507 1,115 2,071

According to Wikipedia (2021-5-5) and Liberty Times (2020-1-6),  Taiwan's doctor-to-population ratio (see pic. below) almost hit lowest in Asia, behind Japan, Korea, Singapore, China, Malaysia, Philippines, Vietnam...even Myanmar,  Doctor visits about 2 to 5 minutes per patient.  Taiwan also suffers a shortage of nurses.  For budget factor, Taiwan's system has no regard for faculties of risk (surgery, internal medicine, gynaecology, pediatrics, emergency), which affects the medicine, operation and diagnostic tools (X-ray vs. MRI) prescribed.  The government said (LTN, 2020-1-6) the upper limit, 1,300, of new Doctors in each year will be reevaluated.  Scholar 鄭英耀 criticized the big imbalance of medical resource between Taipei and Kaohsiung, TaiTung, PinTung, remote places, mountains, which should be improved urgently.  As for other indexes, Taiwan loses Hong Kong, Macau (China), Singapore, S. Korea etc in indexes such as Life Expectancy at birth, Death per 1,000 Population, and Health-Care Cost, etc (see pic. below).  Taiwan was not included in top 100 "best healthcare in the world, 2021" by world population review (worldpopulationreview.com/country-rankings/best-healthcare-in-the-world).  None of Taiwan's hospitals were selected in Newsweek's "World Best Hospitals 2020", but many hospitals in Asia's Singapore, Japan, South Korea, India etc were included in top 100 (see pic. below) Taiwan's high education was ranked around No. 8 ~ No. 10 among Asian & Pacific countries in Nature Index (2020), Times Higher Education-World University Rank (2021),  Quacquarelli Symonds UK (2021) full text , etc.   Apple Daily (6-30-2018) notes Taiwan's only pride left, health insurance, includes no preventive health care and health promotion, and will worsen within next 10 years for political factors.   Apple Daily (6-30-2018) pointed out Taiwan's only pride left, health insurance, includes no preventive health care and health promotion, and will worsen within next 10 years for political factors. 

Wikipedia : physicians density in Asia

 Newsweek:  World Best Hospitals 2020

Asia's rankings country  physicians
per 10,000 people
global
rankings
country hospitals
1 Qatar 77.4 8 Singapore Singapore General Hospital
2 N Korea 33 16 Japan St Luke's Int'l Hospital
3 Australia 32.7 18 Japan  The U of Tokyo Hospital
4 Lebanon 32 28 Australia Royal Melbourne Hospital
5 Mongolia 28.4 31 Singapore National Univ Hospital 
6 New Zealand 27.4 36 Australia Alfred Hospital
7 Jordan 25.6 42 S. Korea Samsung Medical Center
8 UAE 25.3 45 Japan Kyoto Univ Hospital
9 Saudi Arabia 24.9 50-100 India All India Institute of Medical Sciences
10 Japan 23 Japan Kameda Medical Center
11 Korea 21.4 S. Korea Korea Univ Anam Hospital
12 Singapore 19.5 Japan Kurashiki Center Hospital
13 China 14.9 Japan Kyushu Univ Hospital
14 Malaysia 12 Japan Osaka Univ Hospital
15 Philippines 12 Australia Royal Brisbane & Women's Hospital
16 Vietnam 11.9 Australia Royal prince Alfred Hospital
17 Iran 9 S. Korea Seoul National Univ - Bundang Hospital
18 Pakistan 8.3 S. Korea Seoul National Univ Hospital
19 Indonesia 8 S. Korea Severance Hospital
20 India 7 S. Korea The Catholic Univ of Korea - St. Mary's Hospital
21 Myanmar 6.1

 table. above:  newsweek.com/best-hospitals-2020

 

table left: en.wikipedia.org/wiki/List_of_countries_and_dependencies_by_number_of_physicians
, data:  2007-2013

en.wikipedia.org/wiki/Healthcare_in_Taiwan   2021-5-5

 

talk.ltn.com.tw/article/paper/1343896   Liberty Times, 2020-1-6

talk.ltn.com.tw/article/paper/1343897
talk.ltn.com.tw/article/paper/1343895

22 Iraq 6.1
23 Taiwan  (Taipei city) 5.01
23 Taiwan
 (Kaohsiung city, PingTung, TaiTung city)
2.12
24 Laos 1.8
25 Cambodia 1.7
Health Care Costs By Country 2021   World population Data Sheet, PRB  2020-7-10  

 

Global
Rankings
Country Global
Rankings
Country Country Life Expectancy
 at birth
L.Expectancy
(Male)
L.Expectancy
(Female)
Death per 1000 population
1 China 27 Myanmar China HK 85 82 88 6
2 India 28 South Korea Macau 84 81 87 3
4 Indonesia 36 Iraq Japan 84 81 87 11
5 Pakistan 41 Saudi Arabia Singapore 83 81 85 5
8 Bangladesh 45 Malaysia S Korea 83 80 86 6
11 Japan 49 Nepal Taiwan 80 77 84 7
13 Philippines 54 North Korea    
15 Vietnam 57 Taiwan  

worldpopulationreview.com/country-rankings/health-care-costs-by-country

worldpopulationreview.com/country-rankings/best-healthcare-in-the-world    2021

prb.org/wp-content/uploads/2020/07/letter-booklet-2020-world-population.pdf

18 Iran 58 Sri Lanka
20 Thailand 71 Cambodia 

According to professor 林鴻志 on Apple Daily (2021-5-8, tw.appledaily.com/forum/20210508/3DJUH6VA2ZEKDEIOXXCAHEER4E/ ), Taiwan's neonatal mortality rate is ranked at latter part of OECD countries, top 5 death causes are congenital anomaly chromosome abnormalities, respiratory diseases, PNM, Perinatal mortality, illness related to fetal growth & gestation, accidents and perinatal infection.  The government needs to improve national insurance coverage, on such as a well-trained and licensed Doctor should be on the site when a child was born, to decrease the possibility of complication.   The statistics by CIA Factbook and Wikipedia show Taiwan's Infant Mortality ranks world No. 41 and is behind countries of Asia & Pacific like Japan, Singapore, HK, S. Korea, Australia, Macau and NZ in 2020 as well as in 2018. (see table below)

Infant mortality (deaths/1,000 live births) – 2018 and 2020 estimates

en.wikipedia.org/wiki/List_of_countries_by_infant_and_under-five_mortality_rates

rankings country death/1,000 live births(2020) death/1,000 live births (2018)

Doctors per 10,000 people in Taiwan

  Taipei Southern and Eastern Taiwan (Kaohsiung, PinTung, TaiTung, PonHo), remote places
physicians 5.01 2.12
surgeon 1.77 0.82
Pediatrics 1.11 0.46
Obstetrics & Gynecology  0.86 0.42
Accident & Emergency 0.82 0.47
Liberty Times, 2020-1-6;
talk.ltn.com.tw/article/paper/1343896
1 (2) Japan 1.9 2.0
2 (5) Singapore 2.3 2.3
3 (12) Hong Kong 2.7 2.7
4 (13) S. Korea 3 3.0
5 (14) Australia 3.1 4.2
5 (15) Macau 3.1 3.1
6 (30) NZ 3.5 4.1
7 (41) Taiwan 4.2 4.3

Taiwan only ranks world 45th position in Lancet's Healthcare Access and Quality Index released in 2017 (based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015: a novel analysis from the Global Burden of Disease Study, 2015),  some chronic disease items got very low scores, e.g.,   Leukemia score 49,  Kidney disease 50, Gallbladder & biliary 57, Hypertensive Heart Disease 60,   diabetes mellitus 58, etc.  But, according to Lancet's Measuring performance on the Healthcare Access and Quality Index released at May 23, 2018,  from 1990 to 2016, 186 of 195 countries and territories significantly increased their HAQ Index score, South Korea, Taiwan (Province of China), and Cyprus recorded the largest improvements among high-SDI countries.  Taiwan's HAQ is still behind other Asia & Pacific countries, Australia, Japan, New Zealand, Singapore, South Korea, and USA.

Lancet's national or territory

estimates of the HAQ Index

yr. 2016 2000  
Australia 95.9 90.4
Japan 94.1 86.9
New Zealand 92.4 87.0
Singapore 90.6 79.7
S Korea 90.3 74.4
USA 88.7 86.8
Taiwan 85.4 71.8

  Taiwan ranks world 45th in Lancet's Healthcare Access and Quality Index released in 2017
   
   

http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(17)30818-8.pdf  

Besides, Apple Daily (2021-4-23) points out that the neurology (taking care of the most number of Persons with Disabilities) and its patients have been often ignored by government and national insurance system.  ( tw.appledaily.com/forum/20210423/DMJGXHAOSBGO5J5KUNRFL5MVSA/ )

AIT (American de facto embassy to Taiwan,  ait.org.tw/u-s-citizen-services/doctors/) made some comments about Taiwan's medical system : (1) huge numbers of physicians in large hospitals have received training abroad – most of them in the U.S. (2) In most Taiwanese emergency rooms, patients lying on gurneys crowded everywhere – sometimes down the hall and out the door  (3)  Hospital based outpatient clinics differ dramatically from Western notions of privacy and the doctor-patient relationship (4) In some instances, the ambulances are short of trained technicians or/and medical equipments......  

As for CovID-19 , in Bloomberg's CovID-19 Resilience Ranking (2021-6-28),  Taiwan plunges into the bottom half of the Ranking , accentuated by a lagging vaccination drive and a resurgent outbreak; compared with the same list No. 4 in April, and No. 15 in May 2021.  Taiwan's death rate is double global average.  Taiwan's recovery rate  is much worse than that of other major countries of Asia & Pacific.  According to  CovID-19 Taiwan deaths - Google Search, 2021-5-27, Singapore 99.1%, Hong Kong 97.6%, China 94.5%, Korea 92.75%, Japan 88.9%,  (pic. below).  Media reports (UDN, 2021-6-7) Taiwanese patients in serious situation waiting for about one week but failed to get Remdesivir, a specific remedy for cure coronavirus, in spite of that CovID headquarter declares Remdesivir in stock is enough.  In short, the stock is enough because they don't give you. (udn.com/news/story/7339/5513808?from=udn-catehotnews_ch2) 

  China Times, editorial, 2021-6-9: The medicine for patients is not enough which made high death rate and high number of severe CovID disease.
chinatimes.com/opinion/20210608005991-262101?chdtv  CTV news, 2021-6-9: In 2020, only 1 hospital, NTUH,  can use  Remdesivir, a specific remedy for CovID-19 patients, in earlier this year, all hospitals need CDC's approval (was rejected quite often) and usually 8 ~ 12 hours for patients to use it, sometimes it's too late to save lives.  CTV news, 2021-6-30, 19:11: CovID patient in Ministry of Health's PingTung Hospital got nothing but antipyretic, cough medicine.  Besides, Taiwan did not use Monoclonal antibody  in the first place to save patients.  Will Taiwan's national Insurance system treat patients with other critical diseases like this ?  Taipei Medical University professor says "we should no more think Taiwan's medical quality is quite good" (udn.com/news/story/7339/5513808?from=udn-catehotnews_ch2).  Global Times criticizes "Taiwan authorities have no intention or power to fight the epidemic at all.",  "Taiwan's COVID-19 fight has been a mess and the Taiwan authorities can only play tricks to make up for their mistakes".   globaltimes.cn/page/202106/1225525.shtml globaltimes.cn/page/202106/1225540.shtml (ps: they regard politics more).  China Times, 2021-6-26: some medical expert's critiques lead to being "horror attack" by internet army.  No wonder some experts might doubt Taiwan's pride - national insurance system, treats money more than its nationals' health and lives.
  The lawmaker blasted (2021-6-9 news) what color the Health minister's heart is !

Bloomberg's the CovID-19 RESILIENCE rankings , 2021-6-28
www.bloomberg.com/graphics/covid-resilience-ranking/

rankings ECONOMY RESILIENCE SCORE PEOPLE COVERED BY VACCINES LOCKDOWN SEVERITY FLIGHT
 CAPACITY
VACCINATED
 TRAVEL ROUTES
1 U.S. 76 50.3% 47 -20.1% 334
2 New Zealand 73.7 10.3% 22 -31.3% 140.5
3 Switzerland 72.9 41% 48 -69.9% 365.5
4 Israel 72.9 59.1% 22 -63.7% 134.5
5 France 72.8 40.3% 48 -59.3% 346.5
6 Spain 72 41.7% 54 -54.7% 365
7 Australia 70.1 14.2% 50 -35.3% 136.5
8 Mainland China 69.9 40.8% 78 1.7% 121.5
9 U.K. 68.7 57.1% 51 -77.8% 216.5
10 South Korea 68.6 19.2% 50 -46.4% 137
11 Norway 67.9 36.5% 59 -59.9% 133
12 Denmark 67.5 43.2% 50 -73.2% 173.5
13 Singapore 67 44.1% 58 -83% 137
14 Turkey 66.9 28.2% 63 -39.2% 354.5
15 Saudi Arabia 66.9 25.2% 54 -44.2% 349
16 Belgium 66.4 45.3% 51 -62.6% 170.5
17 Finland 66.1 38.1% 48 -83.2% 142.5
18 U.A.E. 65.8 70% 61 -59.9% 253
19 Greece 65.8 36.9% 45 -42.9% 187.5
20 Romania 65 23.2% 43 -33.2% 371
23 Japan 64.1 14.7% 49 -59.7% 175
30 H.K. 62 23.3% 71 -89% 129
37 Iraq 54.6 1% 77 -41.1% 333.5
39 Thailand 54.1 6.4% 54 -86.3% 157.5
40 Vietnam 53.8 1.6% 77 -48.3% 115.5
42 Iran 53.1 3% 76 -1.2% 108
44 Taiwan. 52.1 4% 69 -91.5% 122

 

 

Bloomberg CovID-19  Resilience Ranking

Rank Economy total deaths per million 1-month fatality rate % people covered by vaccines %
1 New Zealand 5 0 4.8
2 Singapore 5 0.2 29.9
3 Australia 36 0 7.1
4 Israel 740 4 58.3
5 S Korea 38 0.7 5.4
6 Finland 168 0.5 24.1
7 Norway 144 0.4 21.9
8 Denmark 433 0.1 26.1
9 China (mainland) 3 0 17.8
10 HK 28 1 14.3
11 UK 1885 0.5 45.4
12 UAE 167 0.2 56.3
13 US 1782 1.7 44.5
14 Japan 97 1.5 3.2
15 Taiwan 1 0.2 0.6
https://news.gtp.gr/2021/05/25/greece-moves-up-on-bloombergs-covid-resilience-ranking/

 CovID-19 Taiwan deaths - Google Search 
CovID-19 recovery rates in Asia & Pacific countries

  sources : Wikipedia, NewYork Times etc,    2021-5-27

country cases recovered recovery rate
Singapore 61916 61360 0.991
New Zealand 2670  2623 0.982
Hong Kong 11836 11561 0.9767
UAE 561K 541K 0.964
Macau 51 49 0.96
Saudi Arabia 445K 427K 0.959
Australia 20575 19720 0.958
China (mainland) 91038 86075 0.945
Korea 138K 128K 0.9275
Japan  731K 650K 0.889
Malaysia 533K 465K 0.872
Vietnam 6086  2853 0.468
Thailand 138K 26873 0.194
Taiwan 6091 1133 0.186

 

Why ? CovID-19 death rate in Taiwan is worse than global average !

put cart before the horse !


Taiwan's CovID-10 recovery rate is near end of Asia, and the entire world.   As for death rate ...

SCMP, 2021-6-9,  scmp.com/news/china/science/article/3136609/coronavirus-critics-ask-why-taiwans-death-rate-higher-global:  Taiwan has a fatality-per-infection rate of 2.78 per cent compared with global average 2.14 per cent critics ask why Taiwan’s death rate is higher than the global pandemic average ?
Taiwanese government's official answer is
mainly because of the acute rise in cases in the past month and because many patients had pre-existing chronic diseases
However, the causes probably are more than that ...

inadequate medicines /  
(1) CTV news, 2021-6-9: In 2020, only one hospital, NTUH,  can use  Remdesivir, a specific remedy for CovID-19 patients, in earlier this year, all hospitals need CDC's approval (was rejected quite often) and usually take 8 ~ 12 hours for patients to have it, sometimes it's too late.  (2) China Times, 2021-6-9 : Doctors say increasing deaths are related to inadeguate medication   chinatimes.com/opinion/20210608005991-262101?chdtv   (3) United Daily, editorial, Jun. 2021: severe patient awaited one week but failed to have Remdesivir, CDC said adequate medication for Covid-19 patients. ―  expert comments:  patients are hard to have it, certainly medicines are enough。 (udn.com/news/story/7339/5513808?from=udn-catehotnews_ch2  ).  Taiwan national insurance system cares money more than lives and health.


  shortage of vaccines  /   older people are not priority group to vaccination
      (1)  New York Times, 2021-5-21:
New York Times, 2021-5-21: Taiwan focused on developing its own vaccine, which has yet to pan out, and did not hustle for overseas doses. (Taiwan's vaccine probably can not get the green light from the global health body, media like UDN, CTV, CTN etc question the gov. trying to have benefit from local vaccine
      (2) 
CDC , 2021-6-8:  90+% deaths are aged 60+news 2021-6-5: about 70% sever patients are aged 60+.   Unlike western countries giving old citizens priority to take vaccination, Taiwanese old citizens were behind the waiting queue, even now they are in 6th priority and 11th priority.  New Taipei City once tried to move the elder forward, but CDC warn to allocate smaller vaccines.

      (3)  CTS  TV news (華視) 2021-6-9: some people have privilege to take vaccination  ! ;  CTV news (中視), 2021-6-9 : Lawmaker slammed abusing power to take vaccination, just like Taiwan's lousy judiciary ("有錢判生 沒錢死"  ―  "有錢免排  沒錢等埋"   FTV news, 2021-6-9 (8:00pm ~) criticizes Taipei government for vaccination privilege.


  wrong order  /   Financial Times, 2021-6-1: Taipei put patients with light symptoms up in the best-equipped hospital beds before the local outbreak. Hospitals were therefore not ready to rapidly take up the large numbers of severe cases arriving now

ft.com/content/9c0aaf96-28ed-4dee-88a9-38557a200813   (Taiwan failed to take flexible measure, why ?)

  lacking knowledge /