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Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?

BACKGROUND/PURPOSE: Taiwan implemented the non-compulsory postgraduate year training program for dentists (PGYD) in 2010. Previous studies found that training institutions for dentists are mostly distributed in metropolitan areas. This study explored whether the PGYD system might worsen the imbalanc...

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Autores principales: Cheng, Feng-Chou, Chang, Julia Yu-Fong, Lin, Tzu-Chiang, Tsai, Po-Fang, Chang, Yung-Ta, Chiang, Chun-Pin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Association for Dental Sciences of the Republic of China 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816031/
https://www.ncbi.nlm.nih.gov/pubmed/33505628
http://dx.doi.org/10.1016/j.jds.2020.08.009
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author Cheng, Feng-Chou
Chang, Julia Yu-Fong
Lin, Tzu-Chiang
Tsai, Po-Fang
Chang, Yung-Ta
Chiang, Chun-Pin
author_facet Cheng, Feng-Chou
Chang, Julia Yu-Fong
Lin, Tzu-Chiang
Tsai, Po-Fang
Chang, Yung-Ta
Chiang, Chun-Pin
author_sort Cheng, Feng-Chou
collection PubMed
description BACKGROUND/PURPOSE: Taiwan implemented the non-compulsory postgraduate year training program for dentists (PGYD) in 2010. Previous studies found that training institutions for dentists are mostly distributed in metropolitan areas. This study explored whether the PGYD system might worsen the imbalance of geographical distribution of dentists in Taiwan. MATERIALS AND METHODS: This study collected the data of population, the number of practicing dentists from 2010 to 2018, and the number of practicing dentists in the training institutions in 2018 to draw the Lorenz curve and to calculate the Gini coefficient for evaluating whether the PGYD system might worsen the imbalance of geographical distribution of dentists in Taiwan. RESULTS: Our results showed that the uneven geographical distribution of overall practicing dentists did not deteriorate after the implementation of the PGYD system. However, the uneven geographical distribution of practicing dentists in training institutions was more serious than the uneven geographical distribution of overall practicing dentists. CONCLUSION: Because the PGYD system is not mandatory, dentists engage in training program and select training institutions as driven by the market factors. After completion of the PGYD training, dentists choose the practice location as driven by the market factors again and this in turn redistributes the dentists to different regions of Taiwan. In addition, major dentist policies may also result in the movement of dentists to various regions of Taiwan. Thus, the market-driven redistribution of dentists to different regions of Taiwan finally reduces the imbalance of geographical distribution of dentists in Taiwan caused by the PGYD system.
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spelling pubmed-78160312021-01-26 Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan? Cheng, Feng-Chou Chang, Julia Yu-Fong Lin, Tzu-Chiang Tsai, Po-Fang Chang, Yung-Ta Chiang, Chun-Pin J Dent Sci Original Article BACKGROUND/PURPOSE: Taiwan implemented the non-compulsory postgraduate year training program for dentists (PGYD) in 2010. Previous studies found that training institutions for dentists are mostly distributed in metropolitan areas. This study explored whether the PGYD system might worsen the imbalance of geographical distribution of dentists in Taiwan. MATERIALS AND METHODS: This study collected the data of population, the number of practicing dentists from 2010 to 2018, and the number of practicing dentists in the training institutions in 2018 to draw the Lorenz curve and to calculate the Gini coefficient for evaluating whether the PGYD system might worsen the imbalance of geographical distribution of dentists in Taiwan. RESULTS: Our results showed that the uneven geographical distribution of overall practicing dentists did not deteriorate after the implementation of the PGYD system. However, the uneven geographical distribution of practicing dentists in training institutions was more serious than the uneven geographical distribution of overall practicing dentists. CONCLUSION: Because the PGYD system is not mandatory, dentists engage in training program and select training institutions as driven by the market factors. After completion of the PGYD training, dentists choose the practice location as driven by the market factors again and this in turn redistributes the dentists to different regions of Taiwan. In addition, major dentist policies may also result in the movement of dentists to various regions of Taiwan. Thus, the market-driven redistribution of dentists to different regions of Taiwan finally reduces the imbalance of geographical distribution of dentists in Taiwan caused by the PGYD system. Association for Dental Sciences of the Republic of China 2020-12 2020-09-01 /pmc/articles/PMC7816031/ /pubmed/33505628 http://dx.doi.org/10.1016/j.jds.2020.08.009 Text en © 2020 Association for Dental Sciences of the Republic of China. Publishing services by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Article
Cheng, Feng-Chou
Chang, Julia Yu-Fong
Lin, Tzu-Chiang
Tsai, Po-Fang
Chang, Yung-Ta
Chiang, Chun-Pin
Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title_full Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title_fullStr Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title_full_unstemmed Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title_short Does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in Taiwan?
title_sort does postgraduate year training program for dentists worsen the imbalance of geographical distribution of dentists in taiwan?
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7816031/
https://www.ncbi.nlm.nih.gov/pubmed/33505628
http://dx.doi.org/10.1016/j.jds.2020.08.009
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