Background In contrast to the Grading Diagnosis and Treatment System (GDTS), Vertically Integrated Health-care at County-level (VIHC) is a strategic policy in rural China. This research intends analyze shift governance paradigm with regard adjustment of power structure interest relationships among various participants, using building VIHC as cut-in point. Methods We carry out multi-case study investigate paradigms health when three different counties Results There were exchanges between...

Due to the increased awareness of environmental protection and possible pollution caused by thermal power generation, research on hydro-related multi-energy complementary generation has emerged. In this article, we used literature analysis software analyze relevant our object fully understand its status. Results show that use is current trend for maximizing profits, reducing losses so on. future, design, operation optimization systems related hydro, especially wind solar energy will be...

ABSTRACT We estimated the monetary value of informal care from perspectives caregivers and recipients in China using contingent valuation method. Data were obtained a specially designed survey 1458 972 recipients. The mean for caregivers' willingness to pay (WTP) reducing by 1 h per week was CNY32.37 (€4.11), while accept (WTA) increasing CNY46.21 (€5.87). recipients' WTP values or CNY28.74 (€3.65) CNY44.78 (€5.69), respectively. WTA varied according hours tasks, kinship, living...

Abstract Background Although the implementation of a hierarchical medical system (HMS) has been shown to improve allocation resources and patient health-seeking behaviour, its role in patient’s perceived quality primary care remains unexplored. This study aimed assess impact HMS on rural urban residents’ care. Methods Data were obtained from China Family Panel Study for 2012, 2014, 2016, 2018. A total 40,011 22,482 residents included research participants analysis. adopted quasi-natural...

Abstract The material efficiency of cast‐in‐situ concrete floor slabs can be significantly improved through topology optimization and 3D‐printed formwork. isostatic ribbed slab (IRS), a legacy Pier Luigi Nervi, aligns the ribs with lines principal bending moments. This work introduces Functional IRS as lightweight system using permanent serves compact functional ceiling plenum that integrates skylights building devices such air ducts. To create openings in ribs, coupled pods (formwork) were...

Abstract Background During the COVID-19 pandemic, it is vital for individuals to comply with government’s prevention and control measures. This study aims explore determinants of college students’ compliance behaviour during pandemic. Methods conducted an online survey among 3,122 aged 18 above from March November 2022 in China. Individuals’ was divided into protective (that includes wearing a mask, maintaining physical distance, getting vaccinated) restrictive offering health codes nucleic...

China launched its long-term care insurance (LTCI) program for older adults in 2016. Although the scheme has shown some promising outcomes, little is known about whether it improves subjective well-being. This study explored this topic among persons with a disability and identified underlying mechanisms associated channel of effect using data from national survey. The LTCI was to improve well-being increased over time. great positive women those who lived alone compared their counterparts....

The objective of this study was to assess the determinants decision purchase private health insurance (PHI) in China. Nationally representative data from fourth wave China Household Finance Survey 2017 were used, and dataset comprised 105,691 individuals aged 18 years or older. Andersen services utilization model used inform research. Chi-square tests logistic regression analyses estimate PHI. proportion sample that had PHI small, at 5.06%, but coverage for social basic medical (SBMI)...

Abstract Background The shift towards integrated care (IC) represents a global trend more comprehensive and coordinated systems of care, particularly for vulnerable populations, such as the elderly. When health face fiscal constraints, has been advanced potential solution by simultaneously improving service effectiveness efficiency. This paper addresses latter. There are three study objectives: first, to compare efficiency differences between IC non-IC hospitals in China; second, examine...

Abstract Background Due to ongoing expenses for both short-term and long-term needs health services, people with chronic diseases tend struggle financial hardship. Health insurance is employed as a useful tool in aiding solve such strain. This study aims examine compare the impacts of public private on solving barriers diseases. Methods research obtained an outpatient sample consisted 1739 individuals inpatient 1034 individuals. We Chi-square test two-sample T- explore differences strain...

Abstract Background The zero-markup drug policy (also known as the universal (UZMDP)) was implemented in stages beginning with primary healthcare facilities 2009 and eventually encompassing city public hospitals 2016. This has been a central pillar of Chinese health reforms. While literature examined impacts this on utilization expenditures, more comprehensive detailed assessment is warranted. purpose paper to explore UZMDP inpatient outpatient visits well both aggregate expenditures its...

Abstract Long-term care given to disabled older adults takes many forms, with each impacting life satisfaction through different ways. Drawing data from the 2011–2018 China Health and Retirement Longitudinal Survey, this article explores effects of various types on satisfaction, a particular focus persons. Estimates derived fixed model propensity score matching show that compared formal care, informal has significant positive for adults. In addition, its greatest effect those who are mildly...

We evaluated the long-term effects of air pollution controls on health and inequity among Chinese >45 years age.

This paper examines the effect of internet use on household financial market participation and its underlying mechanism. Using data from 2018 China Family Panel Studies (CFPS), we find that households with are 4.7% more likely to participate in investments than those without. The finding remains robust after accounting for endogeneity concerns using instrumental variables approach a fresh double machine learning approach. We highlight phenomenon 'digital divide' positive effects making...

Integrated healthcare has received considerable attention and developed into the highly important health policy known as Healthcare in County (IHC) against background of Grading Diagnosis Treatment System (GDTS) rural China. However, causal conditions under which different integrated health-care modes might be selected are poorly understood, particularly context China’s authoritarian regime. This study aims to identify these conditions, how they shape mode selection mechanism for (IHC). A...

The psychological state of geriatric social workers affects the intention to leave and thus quality services provided older adults. This study explored relationship between work environment, attitudes, turnover intentions workers. obtained an analytic sample comprising 999 from 2019 Longitudinal Study Social Work in China. Multivariate regression techniques combined with a mediation analysis was performed explore relationships. results preliminary evidence on complex associations among We...

Introduction: Rural residents have been shown to limited access reliable health information and therefore may be at higher risks for the adverse effects of COVID-19. The aim this research is 2-fold: (1) explore impacts demographic factors on accessibility information; (2) assess channels reliability accessed by rural in China during COVID-19 outbreak. Methods: Mixed methods was performed provide a relatively complete picture about face A quantitative conducted through surveying 435 Chinese...

To investigate the level of implicit care rationing and its association with training needs in nursing homes Shanghai, China.Nursing Shanghai are confronted a lack resources. Implicit can emerge due to inadequate workers.A cross-sectional survey was conducted between 10 September 17 November 2020. A total 374 workers from 16 randomly were selected each administrative districts participated surveys. The Basel Extent Rationing Nursing Care-Nursing Home instrument analysis adopted measure...

This study aimed to analyze and summarize the research trends on satisfaction given people with disabilities by art activities/workshops abroad. The seeks compare results focus of Japanese foreign literature in order improve artistic activities for Japan. used a systematic review (SR) relevant find out how sessions other countries proceeded what changes were obtained. In Japan, various disabled have been reported be effective. However, only qualitative studies conducted evaluate them. On...