1. Department of Healthcare Management, Chang Gung University, Taoyuan City, Taiwan
2. Medical Education Research Centre, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan
3. Graduate Institute of Health Care, Chang Gung University of Science and Technology, Taoyuan City, Taiwan
4. Department of Rheumatology, Linkou Chang Gung Memorial Hospital
5. Department of Nursing, Linkou Chang Gung Memorial Hospital, Taoyuan City, Taiwan