{
  "id": "ph-radiotherapy-facilities",
  "title": "Radiotherapy facilities in the Philippines",
  "metric": "Facilities delivering radiotherapy, national",
  "unit": "facilities",
  "kind": "count",
  "volatility": "annual",
  "direction_note": "a facility count that lags population and cancer-case growth pushes the nearest machine further from where a retiree chose to live",
  "publisher": "No Margin Left",
  "source": {
    "label": "\"Radiation Oncology in the Philippines: Current State and Future Directions\", Advances in Radiation Oncology (2023) — narrative review",
    "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10885584/"
  },
  "license": "CC BY 4.0",
  "license_url": "https://creativecommons.org/licenses/by/4.0/",
  "attribution": "No Margin Left, \"Radiotherapy facilities in the Philippines\" (Facilities delivering radiotherapy, national). CC BY 4.0. https://nomarginleft.com/data/ph-radiotherapy-facilities.json",
  "canonical": "https://nomarginleft.com/data/ph-radiotherapy-facilities.json",
  "csv": "https://nomarginleft.com/data/ph-radiotherapy-facilities.csv",
  "retrieved": "2026-08-20",
  "stale": false,
  "observations": [
    {
      "date": "2015",
      "value": 22,
      "source": {
        "label": "\"Radiation Oncology in the Philippines: Current State and Future Directions\", Advances in Radiation Oncology (2023) — the 2015 facility baseline stated in the review",
        "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10885584/"
      },
      "confidence": "sourced",
      "checked": "2026-08-20",
      "note": "22 radiotherapy facilities in 2015, the review's own historical comparator to its 2022 count."
    },
    {
      "date": "2022",
      "value": 51,
      "source": {
        "label": "\"Radiation Oncology in the Philippines: Current State and Future Directions\", Advances in Radiation Oncology (2023) — 51 facilities holding 61 megavoltage units (56 linacs, 4 cobalt-60, 1 gamma knife) in 2022",
        "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC10885584/"
      },
      "confidence": "sourced",
      "checked": "2026-08-20",
      "note": "51 facilities in 2022, holding 61 megavoltage units — the machine count is NOT this series and is never paired with the 2015 facility figure. Contemporaneous national counts on the same or an adjacent unit disagree and are kept as readings rather than reconciled: no register is adjusted to fit another.\n",
      "readings": [
        {
          "value": 50,
          "source": {
            "label": "\"Radiotherapy resources in the Philippines: A 2022 update\", Journal of Cancer Policy (2024) — 50 facilities surveyed (2022 data), 98% response",
            "url": "https://pubmed.ncbi.nlm.nih.gov/38768855/"
          }
        },
        {
          "value": 54,
          "source": {
            "label": "Eala et al., \"Travel Burden of Radiation Therapy in the Philippines\", Advances in Radiation Oncology (2024), Table 1 — 54 facilities capable of conventional external-beam RT",
            "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11751511/"
          }
        },
        {
          "value": 53,
          "source": {
            "label": "Flores et al., \"Radiotherapy services in the Philippines\", Lancet Reg Health WP (2024) — 53 radiotherapy CENTRES (a distinct unit from \"facilities\" per the sidecar method note)",
            "url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC11490669/"
          }
        }
      ],
      "rationale": "c9's 51 is the resolved value because it is the only count that arrives with a same-source, same-unit 2015 baseline (22), which is what makes the trend honest. The 50 / 54 / 53 competing counts are all 2022-era national figures on the same or an adjacent unit; none reconciles the others and none is used to adjust the value. Machine counts and single-geography / other-register counts are excluded entirely — see the header.\n"
    }
  ],
  "corrections": []
}