scholarly journals Spatio-Temporal Distribution, Spillover Effects and Influences of China’s Two Levels of Public Healthcare Resources

Author(s):  
Xueqian Song ◽  
Yongping Wei ◽  
Wei Deng ◽  
Shaoyao Zhang ◽  
Peng Zhou ◽  
...  

In China, upper-level healthcare (ULHC) and lower-level healthcare (LLHC) provide different public medical and health services. Only when these two levels of healthcare resources are distributed equally and synergistically can the public’s demands for healthcare be met fairly. Despite a number of previous studies having analysed the spatial distribution of healthcare and its determinants, few have evaluated the differences in spatial equity between ULHC and LLHC and investigated their institutional, geographical and socioeconomic influences and spillover effects. This study aims to bridge this gap by analysing panel data on the two levels of healthcare resources in 31 Chinese provinces covering the period 2003–2015 using Moran’s I models and dynamic spatial Durbin panel models (DSDMs). The results indicate that, over the study period, although both levels of healthcare resources improved considerably in all regions, spatial disparities were large. The spatio-temporal characteristics of ULHC and LLHC differed, although both levels were relatively low to the north-west of the Hu Huanyong Line. DSDM analysis revealed direct and indirect effects at both short-and long-term scales for both levels of healthcare resources. Meanwhile, the influencing factors had different impacts on the different levels of healthcare resources. In general, long-term effects were greater for ULHC and short-term effects were greater for LLHC. The spillover effects of ULHC were more significant than those of LLHC. More specifically, industrial structure, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of ULHC, while industrial structure, urbanisation, topography, traffic accessibility, government expenditure and family healthcare expenditure were the main determinants of LLHC. These findings have important implications for policymakers seeking to optimize the availability of the two levels of healthcare resources.

2021 ◽  
pp. 003232172110072
Author(s):  
Ramon van der Does ◽  
Vincent Jacquet

Deliberative minipublics are popular tools to address the current crisis in democracy. However, it remains ambiguous to what degree these small-scale forums matter for mass democracy. In this study, we ask the question to what extent minipublics have “spillover effects” on lay citizens—that is, long-term effects on participating citizens and effects on non-participating citizens. We answer this question by means of a systematic review of the empirical research on minipublics’ spillover effects published before 2019. We identify 60 eligible studies published between 1999 and 2018 and provide a synthesis of the empirical results. We show that the evidence for most spillover effects remains tentative because the relevant body of empirical evidence is still small. Based on the review, we discuss the implications for democratic theory and outline several trajectories for future research.


2011 ◽  
Vol 21 (5) ◽  
pp. 363-369 ◽  
Author(s):  
Yukari Mori ◽  
Takuro Tobina ◽  
Koji Shirasaya ◽  
Akira Kiyonaga ◽  
Munehiro Shindo ◽  
...  

2022 ◽  
Vol 30 (6) ◽  
pp. 0-0

China actively broadens its channels for environmental protection and limits pollutant emissions through industrial structure adjustment and technical progress. Based on panel data of 30 provinces in China from 2003 to 2017, this study investigated the effects of industrial structure adjustment and technical progress on environmental pollution using spatial Dubin models. The findings show the following. (1) As the economy develops, the situation of environmental pollution in various regions deteriorates; moreover, spatio-temporal dependence is an aspect of environmental pollution. (2) Industrial structure adjustment and technical progress are beneficial to environmental improvement. Furthermore, there are spillover effects in factors such as industrial structure and technical progress to varying degrees. Thus, this study suggests that the path of coupling between industrial structure and technical progress should be explored to establish a pollution filtering mechanism, thereby improving environmental quality.


2017 ◽  
Vol 58 (1) ◽  
pp. 83-105
Author(s):  
Fabio Lavista

Abstract The article analyses Italian regional developmental policies between the 1950s and 1990s. It focuses in particular on the intervention through state-owned enterprises and public agencies in the underdeveloped southern regions known as the Mezzogiorno. Analysing the flow of investments in these regions, the article assesses the targets and the results of the so-called “extraordinary intervention,” advancing some hypotheses about the causes of its long-term failure: the lack of planning, the preference for top-down actions, and the peculiar institutional framework. The article also evaluates the long-term effects of this failure on the Italian industrial structure.


2010 ◽  
Vol 31 (2) ◽  
pp. 229-237 ◽  
Author(s):  
Ole Berg ◽  
Jon Arnemo ◽  
Jon Skei ◽  
Morten Kraabøl ◽  
Børre Dervo ◽  
...  

AbstractTelemetry studies of newt species demand small transmitters. Two types of external attachments (sutured to epidermis and backpack) and traditional implanting in the peritoneal cavity were tested between groups of 5 adult individuals of the crested newt Triturus cristatus (mass 6-15 g) held in terrariums under controlled environmental conditions. The newts were anaesthetized with 1.5 g l–1 MS222, delivered in water and buffered to pH 6.9 by Na2CO2. Surgical plane of anaesthesia was achieved after 5-12 minutes and lasted for 30-60 minutes. External tagging proved unsuitable because transmitters became entangled in vegetation, and all animals shed their transmitters shortly after tagging, except for one that died. Transmitters that were surgically implanted in the peritoneal cavity were more successful. By the fourth day following surgery, the animals that had undergone surgery behaved similarly to control animals with respect to the use of cover. Two of the newts died, however, without showing any signs of illness in advance, and the cause of death could not be established. Based on the present experiments and published studies, implantable transmitters appear to be the best method for radiotagging small and medium sized urodele species such as T. cristatus, to gain crucial information on spatio-temporal terrestrial activity patterns, habitat utilization and hibernation sites. Additional research is needed to evaluate both short and long term effects on activity, behaviour and survival.


2019 ◽  
Vol 10 (1) ◽  
pp. 19-30
Author(s):  
Riesta Karentina

Despite growing concern regarding the productivity benefits of foreign direct investment (FDI), few studies have been conducted on the impact of FDI spillovers on domestic firms’ labor productivity in Indonesia. This study aims to do three things. First, it examines the effect of FDI spillovers on domestic firms’ productivity. Second, it investigates the short-term and long-term effects of FDI spillovers on domestic firms’ productivity. Third, it explores the impact of FDI spillovers on domestic firms’ productivity in different groups of industries based on their factor intensity. Micro-level panel data covering about 20,000 medium and large manufacturing establishments in each year over the period 2010 and 2014 was employed. This study suggests that, within the same industry, horizontal spillovers are associated with domestic firms’ productivity: this relationship is negative in the short-term but positive in the long-term. This study’s findings also demonstrate that, across industries, there are negative backward spillover effects on domestic firms’ productivity. In addition, this study points out that FDI spillovers affect domestic firms’ productivity effectively when they are capital-intensive. Therefore, the results imply the importance of maintaining a long-term perspective toward foreign-invested firms in Indonesia and the government needs to stimulate policies that can enhance domestic firms’ capacity to supply intermediate materials and capital to foreign firm in downstream market by truncating the technology gap between foreign and domestic firms.


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