scholarly journals A Study of the Spatial Network Structure of the Health Economy in China: Benefits and Spillover Effects on Patient Mobility

2020 ◽  
Author(s):  
Liping Fu ◽  
Xu Kaibo ◽  
Liu Feng ◽  
Liang Lu ◽  
Wang Zhengmin
Keyword(s):  
Health Economic ◽  
Network Structure ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Western China ◽  
Health Economy ◽  
Spatial Network ◽  
Medical Resource ◽  
Patient Mobility ◽  
Medical Resources

Abstract Background: The distribution of medical resources in China is seriously imbalanced due to imbalanced economic development in the country, and unbalanced distribution of medical resources makes patients try to seek better health services. Against this backdrop, this study aims to analyse the spatial network characteristics and spatial effects of China's health economy ,and then find evidence that affects patient mobility. Methods: Data for this study were drawn from the China Health Statistical Yearbooks and China Statistical Books. The gravitational value of China’s health spatial network was calculated to establish a network of gravitational relationships. The social network analysis method is used for centrality analysis and spillover effect analysis. Based on the gravitational value, we used indicators for visits, health expenditure, GDP and geographical distance, as well as an illustrative index for the population, bed utilization, and burden of consultations per day. Results: A gravity correlation matrix was constructed among provinces by calculating the gravitational value, indicating the spatial relationships of different provinces in the health economic network. Economically developed provinces, such as Shanghai and Jiangsu, are at the centre of the health economic network (centrality degree=93.333). These provinces also play a strong intermediary role in the network and have connections with other provinces. In the CONCOR analysis, 31 provinces are divided into four blocks. In the traditional meaning analysis, the gap between eastern and western China is still obvious. In comparing the northern and southern regions, this study finds that the concentration of medical resources in northern provinces seems to be higher. The spillover effect of the blocks indicates provinces with medical resource centres have beneficial effects, while provinces with insufficient resources have obvious spillover effects. Conclusion: There is a significant gap in the geographical distribution of medical resources, and the health economic spatial network structure needs to be improved. Most medical resources are concentrated in economically developed provinces, and these provinces’ positions in the health economic spatial network are becoming more centralized. By contrast, economically underdeveloped regions are at the edge of the network, causing patients to move to provinces with medical resource centres. There are health risks of the increasing

scholarly journals A Study of the Spatial Network Structure of the Health Economy in China: Regional Health Inequality and Patient Mobility

2020 ◽  
Author(s):  
Liping Fu ◽  
Xu Kaibo ◽  
Lu Feng ◽  
Liang Lu ◽  
Wang Zhengmin
Keyword(s):  
Health Economic ◽  
Network Structure ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Western China ◽  
Health Economy ◽  
Spatial Network ◽  
Medical Resource ◽  
Medical Resources ◽  
Four Blocks

Abstract Background: The distribution of medical resources in China is seriously imbalanced due to imbalanced economic development in the country. To meet the challenges presented by increasing demand and unevenness in medical resources, the primary goal of health system reform is to eliminate spatial disproportion. Against this background, this study aims to assess the distribution characteristics of regional medical resources and the effects of regional imbalances.Methods: Data for this study were drawn from the China Health Statistical Yearbooks and China Statistical Books . The gravitational value of China’s health spatial network was calculated to establish a network of gravitational relationships. The social network analysis method is used for centrality analysis and spillover effect analysis. Based on the gravitational value, we used indicators for visits, health expenditure, GDP and geographical distance, as well as an illustrative index for the population, bed utilization, and burden of consultations per day. Results: A gravity correlation matrix was constructed among provinces by calculating the gravitational value, indicating the spatial relationships of different provinces in the health economic network. Economically developed provinces, such as Shanghai and Jiangsu, are at the centre of the health economic network (centrality degree=93.333). These provinces also play a strong intermediary role in the network and have connections with other provinces. In the CONCOR analysis, 31 provinces are divided into four blocks. In the traditional meaning analysis, the gap between eastern and western China is still obvious. In comparing the northern and southern regions, this study finds that the concentration of medical resources in northern provinces seems to be higher. The spillover effect of the blocks indicates provinces with medical resource centres have beneficial effects, while provinces with insufficient resources have obvious spillover effects.Conclusion: There is a significant gap in the geographical distribution of medical resources, and the health economic spatial network structure needs to be improved. Most medical resources are concentrated in economically developed provinces, and these provinces’ positions in the health economic spatial network are becoming more centralized. By contrast, economically underdeveloped regions are at the edge of the network, causing patients to move to provinces with medical resource centres. There are health risks of the increasing pressure to seek medical treatment in developed provinces with abundant medical resources.

scholarly journals Regional Disparity and Patients Mobility: Benefits and Spillover Effects of the Spatial Network Structure of the Health Services in China

2021 ◽  
Vol 18 (3) ◽  
pp. 1096
Author(s):  
Liping Fu ◽  
Kaibo Xu ◽  
Feng Liu ◽  
Lu Liang ◽  
Zhengmin Wang
Keyword(s):  
Health Economic ◽  
Health Services ◽  
Network Structure ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Health Economy ◽  
Spatial Network ◽  
Spatial Effects ◽  
Medical Resource ◽  
Medical Resources

Background: The distribution of medical resources in China is seriously imbalanced due to imbalanced economic development in the country; unbalanced distribution of medical resources makes patients try to seek better health services. Against this backdrop, this study aims to analyze the spatial network characteristics and spatial effects of China’s health economy, and then find evidence that affects patient mobility. Methods: Data for this study were drawn from the China Health Statistical Yearbooks and China Statistical Books. The gravitational value of China’s health spatial network was calculated to establish a network of gravitational relationships. The social network analysis method was used for centrality analysis and spillover effect analysis. Results: A gravity correlation matrix was constructed among provinces by calculating the gravitational value, indicating the spatial relationships of different provinces in the health economic network. Economically developed provinces, such as Shanghai and Jiangsu, are at the center of the health economic network (centrality degree = 93.333). These provinces also play a strong intermediary role in the network and have connections with other provinces. In the CONCOR analysis, 31 provinces are divided into four blocks. The spillover effect of the blocks indicates provinces with medical resource centers have beneficial effects, while provinces with insufficient resources have obvious spillover effects. Conclusion: There is a significant gap in the geographical distribution of medical resources, and the health economic spatial network structure needs to be improved. Most medical resources are concentrated in economically developed provinces, and these provinces’ positions in the health economic spatial network are becoming more centralized. By contrast, economically underdeveloped regions are at the edge of the network, causing patients to move to provinces with medical resource centers. There are health risks of the increasing pressure to seek medical treatment in developed provinces with abundant medical resources.

scholarly journals How Officials’ Competitive Pressure Affects Sustainable Development Capacity From a Spatial Perspective: Empirical Evidence From China

2021 ◽  
Vol 12 ◽  
Author(s):  
He Xu ◽  
Kun Wang ◽  
Guoping Li ◽  
Yufeng Zhang
Keyword(s):  
Sustainable Development ◽  
Central Government ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Entropy Method ◽  
Environmental Indicators ◽  
Western China ◽  
Competitive Pressure ◽  
Appraisal System ◽  
Development Capacity

The view of political achievements suggests that officials will prefer to implement measures that benefit their own development in order to seek promotions. In the past, GDP weighed heavily in officials’ appraisals, leading them to develop the economy without regard to sustainability. Now that the central government has incorporated environmental indicators into the officials’ appraisal system, will this lead officials to implement sustainable development strategies to the fullest extent? Are there spillover effects and regional heterogeneity in this role? This paper discusses these questions with the help of entropy method and a spatial Durbin model using data of 30 provincial-level regions in China from 2006 to 2016. The conclusions show that, firstly, the officials’ competitive pressure is beneficial to enhance the sustainable development capacity of the province, but this effect is only effective in western China. Secondly, there is no spillover effect of officials’ competitive pressure on sustainable development capacity; thirdly, foreign direct investment, the proportion of state-owned enterprises and environmental regulations have their own unique effects on sustainable development capacity, and there are spillover effects. Based on these findings, this paper proposes corresponding policy recommendations in terms of officials’ appraisal system, talent training, foreign investment introduction, and state-owned enterprise reform.

Effects of tourism development on economic growth: An empirical study of China based on both static and dynamic spatial Durbin models

2021 ◽  
pp. 135481662110211
Author(s):  
Honghong Liu ◽  
Ye Xiao ◽  
Bin Wang ◽  
Dianting Wu
Keyword(s):  
Economic Growth ◽  
Spillover Effect ◽  
Tourism Development ◽  
Spillover Effects ◽  
Policy Implications ◽  
Long Term Effects ◽  
Spatial Spillover ◽  
Domestic Tourism ◽  
Inbound Tourism ◽  
Spatial Spillover Effect

This study applies the dynamic spatial Durbin model (SDM) to explore the direct and spillover effects of tourism development on economic growth from the perspective of domestic and inbound tourism. The results are compared with those from the static SDM. The results support the tourism-led-economic-growth hypothesis in China. Specifically, domestic tourism and inbound tourism play a significant role in stimulating local economic growth. However, the spatial spillover effect is limited to domestic tourism, and the spatial spillover effect of inbound tourism is not significant. Furthermore, the long-term effects are much greater than the short-term impact for both domestic and inbound tourism. Plausible explanations of these results are provided and policy implications are drawn.

scholarly journals Spatial Spillover Effect and Influencing Factors of Information Flow in Urban Agglomerations—Case Study of China Based on Baidu Search Index

2021 ◽  
Vol 13 (14) ◽  
pp. 8032
Author(s):  
Chengzhuo Wu ◽  
Li Zhuo ◽  
Zhuo Chen ◽  
Haiyan Tao
Keyword(s):  
Influencing Factors ◽  
Information Flow ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Urban Agglomeration ◽  
Coordinated Development ◽  
Spatial Spillover ◽  
Urban Agglomerations ◽  
Search Index ◽  
Spatial Spillover Effect

Cities in an urban agglomeration closely interact with each other through various flows. Information flow, as one of the important forms of urban interactions, is now increasingly indispensable with the fast development of informatics technology. Thanks to its timely, convenient, and spatially unconstrained transmission ability, information flow has obvious spillover effects, which may strengthen urban interaction and further promote urban coordinated development. Therefore, it is crucial to quantify the spatial spillover effect and influencing factors of information flows, especially at the urban agglomeration scale. However, the academic research on this topic is insufficient. We, therefore, developed a spatial interaction model of information flow (SIM-IF) based on the Baidu Search Index and used it to analyze the spillover effects and influencing factors of information flow in the three major urban agglomerations in China, namely Beijing–Tianjin–Hebei (BTH), the Yangtze River Delta (YRD), and the Pearl River Delta (PRD) in the period of 2014–2019. The results showed that the SIM-IF performed well in all three agglomerations. Quantitative analysis indicated that the BTH had the strongest spillover effect of information flow, followed by the YRD and the PRD. It was also found that the hierarchy of cities had the greatest impact on the spillover effects of information flow. This study may provide scientific basis for the information flow construction in urban agglomerations and benefit the coordinated development of cities.

scholarly journals Implementation of Online Hospitals and Factors Influencing the Adoption of Mobile Medical Services in China: Cross-Sectional Survey Study (Preprint)

2020 ◽  
Author(s):  
Huanlin Wang ◽  
LanYu Liang ◽  
ChunLin Du ◽  
YongKang Wu
Keyword(s):  
Structural Equation Modeling ◽  
Structural Equation ◽  
Western China ◽  
Medical Services ◽  
Equation Modeling ◽  
Cross Sectional ◽  
Medical Resources ◽  
Hypothesis Model ◽  
Effort Expectancy ◽  
Willingness To Use

BACKGROUND Online hospitals are part of an innovative model that allows China to explore telemedicine services based on national conditions with large populations, uneven distribution of medical resources, and lack of quality medical resources, especially among residents needing to be protected from COVID-19 infection. OBJECTIVE In this study, we built a hypothesis model based on the unified theory of acceptance and use of technology in order to analyze the factors that may influence patients’ willingness to use mobile medical services. This research was designed to assist in the development of mobile medical services. Residents who do not live in urban areas and cannot access medical assistance would greatly benefit from this research, as they could immediately go to the online hospital when needed. METHODS A cross-sectional study based at the West China Hospital, Sichuan University, was conducted in July 2020. A total of 407 respondents, 18 to 59 years old, in Western China were recruited by convenience sampling. We also conducted an empirical test for the hypothesis model and applied structural equation modeling to estimate the significance of path coefficients so that we could better understand the influencing factors. RESULTS Out of 407 respondents, 95 (23.3%) were aware of online hospitals, while 312 (76.7%) indicated that they have never heard of online hospitals before. Gender (<i>P</i>=.048) and education level (<i>P</i>=.04) affected people’s willingness to use online hospitals, and both of these factors promoted the use of online hospitals (odds ratio [OR] 2.844, 95% CI 1.010-8.003, and OR 2.187, 95% CI 1.031-4.636, respectively). According to structural equation modeling, the results of the path coefficient analysis indicated that performance expectancy, effort expectancy, and facilitating conditions have positive effects on patients’ willingness to use online hospitals. CONCLUSIONS The goal of our research was to determine the factors that influence patients’ awareness and willingness to use online hospitals. Currently, the public’s awareness and usage of online hospitals is low. In fact, effort expectancy was the most important factor that influenced the use of online hospitals; being female and having a high education also played positive roles toward the use of mobile medical services.

scholarly journals Spatial Interaction Spillover Effects between Digital Financial Technology and Urban Ecological Efficiency in China: An Empirical Study Based on Spatial Simultaneous Equations

2021 ◽  
Vol 18 (16) ◽  
pp. 8535
Author(s):  
Yaya Su ◽  
Zhenghui Li ◽  
Cunyi Yang
Keyword(s):  
Economic Growth ◽  
Spatial Interaction ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Simultaneous Equations ◽  
Ecological Efficiency ◽  
Core Component ◽  
Coordinated Development ◽  
Three Stage Least Squares ◽  
Financial Technology

As a core component of the digital economy, digital financial technology has a complex interactive and interdependent relationship with ecological efficiency. From the holistic spatial interaction perspective, this paper uses spatial simultaneous equations and generalized spatial three-stage least squares (GS3SLS) to analyze the spatial interaction spillovers between digital financial technology and urban ecological efficiency based on data from 284 Cities in China from 2008 to 2018. The results show that: (1) Digital financial technology and urban ecological efficiency promote each other, and the latter is relatively dominant. (2) Both digital financial technology and urban ecological efficiency have significant spatial spillover effects. (3) Digital financial technology in surrounding cities has a restraining effect on local ecological efficiency, and the improvement of ecological efficiency in surrounding cities has a siphon effect on local digital financial technology. (4) There is spatial and period heterogeneity in the intensity of the spatial interaction spillover effect between the two. With resources and environment increasingly becoming rigid constraints on economic growth, these findings help identify new drivers of regional ecological efficiency and promote the coordinated development of digital finance and green ecology.

scholarly journals The Effects from The U.S. and Japan to Emerging Stock Markets in Asia and Vietnam

2021 ◽  
Author(s):  
SDAG Lab
Keyword(s):  
Emerging Markets ◽  
Stock Prices ◽  
Stock Markets ◽  
Spillover Effect ◽  
Spillover Effects ◽  
The Philippines ◽  
Volatility Spillovers ◽  
Return Effect ◽  
Asian Emerging Markets ◽  
The U.S

The subprime mortgage crisis in the U.S. in mid-2008 suggests that stock prices volatility do spillover from one market to another after international stock markets downturn. The purpose of this paper is to examine the magnitude of return and volatility spillovers from developed markets (the U.S. and Japan) to eight emerging equity markets (India, China, Indonesia, Korea, Malaysia, the Philippines, Taiwan, Thailand) and Vietnam. Employing a mean and volatility spillover model that deals with the U.S. and Japan shocks and day effects as exogenous variables in ARMA(1,1), GARCH(1,1) for Asian emerging markets, the study finds some interesting findings. Firstly, the day effect is present on six out of nine studied markets, except for the Indian, Taiwanese and Philippine. Secondly, the results of return spillover confirm significant spillover effects across the markets with different magnitudes. Specifically, the U.S. exerts a stronger influence on the Malaysian, Philippine and Vietnamese market compared with Japan. In contrast, Japan has a higher spillover effect on the Chinese, Indian, Korea, and Thailand than the U.S. For the Indonesian market, the the return effect is equal. Finally, there is no evidence of a volatility effect of the U.S. and Japanese markets on the Asian emerging markets in this study.

Engagement valence duality and spillover effects in online brand communities

2017 ◽  
Vol 27 (4) ◽  
pp. 877-897 ◽  
Author(s):  
Jana Lay-Hwa Bowden ◽  
Jodie Conduit ◽  
Linda D. Hollebeek ◽  
Vilma Luoma-aho ◽  
Birgit Apenes Solem
Keyword(s):  
Comparative Method ◽  
Spillover Effect ◽  
Spillover Effects ◽  
Consumer Engagement ◽  
Content Type ◽  
Brand Communities ◽  
Brand Engagement ◽  
Online Brand Communities ◽  
Constant Comparative Method ◽  
Depth Interviews

Purpose Online brand communities (OBCs) are an effective avenue for brands to engage consumers. While engaging with the brand, consumers simultaneously interact with other OBC members; thus engaging with multiple, interrelated engagement objects concurrently. The purpose of this paper is to explore both positively and negatively valenced consumer engagement with multiple engagement objects, the interplay between these, and the spillover effect from consumers’ engagement with the OBC to their engagement with the brand. Design/methodology/approach Drawing on 16 in-depth interviews with OBC members of a luxury accessory brand, a constant comparative method was adopted using axial and selective coding procedures. The objective was to understand the nature of participants’ engagement with the brand, the OBC, and the interplay between individuals’ engagement with these objects. The coding framework and resultant interpretive frameworks address engagement valence, outcomes, and direction. Findings This study illustrates consumer expressions of consumers’ positively and negatively valenced engagement with a focal brand, and with the OBC. Further, it demonstrates the interplay (spillover effect) that occurs between consumers’ engagement with the OBC, to their engagement with the brand. While the existence of positively valenced engagement with the OBC was found to further enhance consumer brand engagement (i.e. reflecting an engagement accumulation effect), negatively valenced engagement with the OBC was found to reduce consumer brand engagement (i.e. reflecting an engagement detraction effect). Originality/value While consumer engagement has been recognized to have both positive and negative manifestations, this study demonstrates that consumers’ engagement valence may differ across interrelated engagement objects (i.e. the brand and the OBC). Further, we demonstrate the existence of engagement spillover effects from the OBC to the brand for both positively and negatively valenced engagement.

The Spillover Effect of the Syrian Crisis on the Peace Process in Turkey

2018 ◽  
Vol 53 (8) ◽  
pp. 1251-1270 ◽  
Author(s):  
Rahman Dag
Keyword(s):  
Spillover Effect ◽  
Peace Process ◽  
Spillover Effects ◽  
External Factors ◽  
The Political ◽  
Party Government ◽  
Syrian Crisis ◽  
History Of ◽  
Kurdish Question ◽  
Internal And External Factors

The Kurdish question has been one of the most protracted issues in the political history of Turkey. Given such a long securitization of the Kurdish question, it almost came to an end due to the peace process initiated by the AK Party government and the imprisoned leader of the PKK, Abdullah Öcalan in 2013. Apparently it was not a solid process because it failed immediately after the June 2015 general election. There may have been many internal and external factors explaining the reason why it failed but this paper looks specifically at one of them: the influence of the Syrian crisis on the peace process in Turkey in light of spillover effects and spreading insurgency theories.

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