scholarly journals Neurology practice and stroke services across East China: a multi-site, county-level hospital-based survey

BMC Neurology ◽  
2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Jun-Fang Zhang ◽  
Meng-Yao Qiu ◽  
Yu-Lei Zhang ◽  
Xi-Xi Wang ◽  
Guo-Ping Wang ◽  
...  
Keyword(s):  
Yangtze River ◽  
Tertiary Care ◽  
Yangtze River Delta ◽  
River Delta ◽  
East China ◽  
County Level ◽  
Medical Resources ◽  
Urban Agglomerations ◽  
Care Services ◽  
Level Hospital

Abstract Background Neurological disorders are an economic and public health burden which requires efficient and adequate medical resources. Currently, little is known about the status of the quality of neurological care services available in China. As neurological primary care is mostly provided at the county hospital level, investigation of this geographical level is required. The aim of this study is to evaluate currently available neurology care services in Yangtze River Delta Urban Agglomerations in east China. Methods A multi-site, county-level hospital-based observational survey was conducted in east China from January 2017 to December 2017. A questionnaire was made to assess hospital and the departmental patient care capabilities, human resources and technical capacity in neurology departments. Results Of 228 hospitals across the Yangtze River Delta Urban Agglomerations, 217 documents were returned. Of these, 22 were excluded due to invalid hospital information or duplicate submission. Overall, most hospitals have neurology departments (162, 83.1%) while less than half of the hospitals have a stroke center (80, 41.0%) and neurology emergency department (46, 23.6%). Among 162 hospitals with neurology department, 5 were excluded due to inadequate sharing, leaving 157 hospitals for analysis. About 84.1% of these neurology departments can administer intravenous thrombolysis while about one third of them has the ability to perform arterial thrombectomy (36.9%). In addition, 46.2% of hospitals can carry out computed tomography angiography (CTA) in emergency room. Tertiary care hospitals are much more equipped with modern medical resources compared to the secondary hospitals. In four administrative regions, the neurology services are better in more economically advanced regions. Conclusions Neurological care services need to be enhanced at the county-level hospitals to improve health care delivery.

scholarly journals Integrating Sustainability Assessment into Decoupling Analysis: A Focus on the Yangtze River Delta Urban Agglomerations

2020 ◽  
Vol 12 (19) ◽  
pp. 7872
Author(s):  
Yijia Huang ◽  
Jiaqi Zhang ◽  
Jinqun Wu
Keyword(s):  
Environmental Sustainability ◽  
Yangtze River ◽  
Sustainability Assessment ◽  
Yangtze River Delta ◽  
River Delta ◽  
The Yangtze River ◽  
Urban Agglomerations ◽  
Decoupling Analysis ◽  
The Yrd ◽  
The Yangtze River Delta

Rapid urbanization has led to a growing number of environmental challenges in large parts of China, where the Yangtze River Delta (YRD) urban agglomerations serve as a typical example. To evaluate the relationship between environmental sustainability gaps and urbanization in 26 cities of the YRD, this study revisited the environmental sustainability assessment (ESA) by combining the metrics of environmental footprints and planetary boundaries at the city level, and then integrated the footprint-boundary ESA framework into decoupling analysis. The results demonstrated considerable spatiotemporal heterogeneity in the environmental sustainability of water use, land use, carbon emissions, nitrogen emissions, phosphorus emissions and PM2.5 emissions across the YRD cities during the study period 2007–2017. Decoupling analysis revealed a positive sign that more than half of the 26 cities had achieved the decoupling of each category of environmental sustainability gaps from urbanization since 2014, especially for nitrogen and phosphorus emissions. On the basis of ESA and decoupling analysis, all the cities were categorized into six patterns, for which the optimal pathways towards sustainable development were discussed in depth. Our study will assist policy makers in formulating more tangible and differentiated policies to achieve decoupling between environmental sustainability gaps and urbanization.

scholarly journals Spatial-Temporal Differences and Influencing Factors of Tourism Eco-Efficiency in China’s Three Major Urban Agglomerations Based on the Super-EBM Model

2020 ◽  
Vol 12 (10) ◽  
pp. 4156
Author(s):  
Yiyang Sun ◽  
Guolin Hou ◽  
Zhenfang Huang ◽  
Yi Zhong
Keyword(s):  
Pearl River Delta ◽  
Yangtze River ◽  
Eastern China ◽  
Yangtze River Delta ◽  
Tourism Industry ◽  
External Factors ◽  
River Delta ◽  
Policy Implications ◽  
Pearl River ◽  
Urban Agglomerations

On the background of climate change, studying tourism eco-efficiency of cities is of great significance to promote the green development of tourism. Based on the panel data of the three major urban agglomerations in China’s Yangtze River Delta, Pearl River Delta, and Beijing–Tianjin–Hebei region from 2008 to 2017, this paper constructed an evaluation index system and measured the tourism eco-efficiency of 63 cities by using a hybrid distance model called Super-EBM (epsilon-based measure). We compared the spatial and temporal evolution characteristics of tourism eco-efficiency in the three urban agglomerations. Furthermore, the internal factors influencing tourism eco-efficiency were explored through input–output redundancy, and the external factors were analyzed by a panel regression model. The results indicate that the tourism eco-efficiency of the three urban agglomerations in China generally shows a decreasing-rising-declining trend. Among them, the Yangtze River Delta has the highest eco-efficiency, followed by the Pearl River Delta, and the lowest in the Beijing–Tianjin–Hebei region. Moreover, there is a certain gap within each urban agglomeration. The redundancy input of labor and capital is the main internal cause of low eco-efficiency. Among the external factors, the status of the tourism industry and the level of urbanization have a positive effect on eco-efficiency, while the level of tourism development, technological innovation and investment have a negative impact on it. In the future, we must attach great importance to the development quality and overall benefit value of the tourism industry so as to achieve green and balanced development of the three major urban agglomerations in eastern China. Based on the above conclusions, this paper puts forward targeted policy implications to improve the tourism eco-efficiency of cities.

scholarly journals Measuring Multi-Faceted Land Use Efficiency of Large-Scale Urban Agglomerations under Multi-Scale Drivers: Evidence from China

Land ◽  
2022 ◽  
Vol 11 (1) ◽  
pp. 91
Author(s):  
Jinfeng Ma ◽  
Weifeng Li ◽  
Zhao Wang ◽  
Liang He ◽  
Lijian Han
Keyword(s):  
Land Use ◽  
Yangtze River ◽  
Yangtze River Delta ◽  
River Delta ◽  
The Yangtze River ◽  
Construction Land ◽  
Urban Agglomerations ◽  
Land Use Efficiency ◽  
Use Efficiency ◽  
The Yangtze River Delta

Although urban agglomerations are vital sites for national economic development, comprehensive multidimensional investigations of their performance are lacking. Accordingly, we examined land use efficiency from multiple perspectives in two of the earliest developed and most advanced urban agglomerations in China, the Beijing–Tianjin–Hebei (BTH) region and the Yangtze River Delta (YRD), using different metrics, including trans-regional drivers of the spatial allocation of construction land. We found that: (1) The land use efficiency of urban agglomerations was context dependent. Whereas it was higher in the Beijing–Tianjin–Hebei region for population density per unit area of construction land than in the Yangtze River Delta region, the opposite was true for gross domestic production. Thus, a single aspect did not fully reflect the land use efficiency of urban agglomerations. (2) The land use efficiency of the two urban agglomerations was also scale dependent, and in the Yangtze River Delta region, the use of multiple metrics induced variations between aggregate and local measures. Median values for the land use efficiency of cities within an urban agglomeration were the most representative for comparative purposes. (3) The drivers of the spatial allocation of construction land were trans-regional. At the regional scale, most topographical factors were restrictive. Major regional transport networks significantly influenced the occurrence of construction land near them. Dominant cities and urban areas within each city exerted remote effects on non-dominant cities and rural areas. In principle, the median value can be considered a promising metric for assessing an urban agglomeration’s performance. We suggest that stringent management of land use in areas located along regional rail tracks/roadways may promote sustainable land use.

scholarly journals Study on Dynamic Total Factor Carbon Emission Efficiency in China’s Urban Agglomerations

2020 ◽  
Vol 12 (7) ◽  
pp. 2675
Author(s):  
Fan Zhang ◽  
Gui Jin ◽  
Junlong Li ◽  
Chao Wang ◽  
Ning Xu
Keyword(s):  
Pearl River Delta ◽  
Yangtze River ◽  
Carbon Emission ◽  
Yangtze River Delta ◽  
River Delta ◽  
Pearl River ◽  
Low Carbon ◽  
Frontier Analysis ◽  
Urban Agglomerations ◽  
Emission Efficiency

The scale effect of urbanization on improving carbon emission efficiency and achieving low-carbon targets is an important topic in urban research. Using dynamic panel data from 64 prefecture-level cities in four typical urban agglomerations in China from 2006 to 2016, this paper constructed a stochastic frontier analysis model to empirically measure the city-level total-factor carbon emission efficiency index (TCEI) at different stages of urbanization and to identify rules governing its spatiotemporal evolution. We quantitatively analyzed the influences and functional characteristics of TCEI in the four urban agglomerations of Pearl River Delta, Beijing-Tianjin-Hebei, the Yangtze River Delta, and Chengdu-Chongqing. Results show that the TCEI at different stages of urbanization in these urban agglomerations is increasing year by year. The overall city-level TCEI was ranked as follows: Pearl River Delta > Beijing-Tianjin-Hebei > Yangtze River Delta > Chengdu-Chongqing. Improvements in the level of economic development and urbanization will help achieve low-carbon development in a given urban agglomeration. The optimization of industrial structure and improvement of ecological environment will help curb carbon emissions. This paper provides decision-making references for regional carbon emission reduction from optimizing industrial and energy consumption structures and improving energy efficiency.

Sign in / Sign up

Export Citation Format

Share Document