scholarly journals “Single System, Single-Standard” vs. “Single System, Multi-Standard”—The Impact of the Financing Method of Chinese Urban-Rural Integrated Medical Insurance System on the Rate of Joining Insurance for Middle-Aged and Elderly People

2021 ◽  
Vol 14 (1) ◽  
pp. 274
Author(s):  
Hai Zhong ◽  
Zhen Wang

Basic Chinese medical insurance has achieved full coverage, but the inequality between urban and rural areas is still outstanding. Under this background, the government proposed the urban-rural Integrated Medical Insurance System which proposes two kinds of financing modes. Based on the decision-making theory of medical insurance and the logit regression model, this paper studies the influence of two kinds of financing modes on middle-aged and elderly people’s decisions to participate in integrated medical insurance in China. The two financing modes are “single-standard” and “multi-standard”. The results show that the two kinds of financing methods have positive and significant effects, and the incentive effect of “multi-standard” on the integrated medical insurance is greater than that of “single-standard”. Having an urban household registration promotes the development of the “multi-standard”. However, there are some central provinces are not eable to improve the integrated medical insurance participation rate through “multi-standard”. Improving the participation rate of integrated medical insurance can promote the balanced allocation of resources between urban and rural areas, as well as different income groups and regions. Moreover, it can ensure a smooth transition of medical insurance policies. We should hold and boost the financing method of “multi-standard” to guarantee medical insurance integration’s rapid and steady progress in China.

Author(s):  
Chi Chen ◽  
Dan Li ◽  
Trevor F. Keenan

Abstract Satellite observations show that the surface urban heat island intensity (SUHII) has been increasing over the last two decades. This is often accompanied by an increased urban-rural contrast of vegetation greenness. However, the contribution of uneven vegetation trends in urban and rural areas to the trend of SUHII is unclear, due to the confounding effects of climate change and changes in man-made amenities and anthropogenic heat sources. Here we use a data-model fusion approach to quantify such contributions during the peak growing season. We show that the LAIdif (the urban-rural difference of leaf area index) is increasing (P<0.05) in 189 of the selected 228 global megacities. The increasing trend of LAIdif from 2000 to 2019 accounts for about one quarter of the trend in satellite-derived SUHII, and the impact is particularly evident in places with rapid urbanization and rural cropland intensification. The marginal sensitivity of SUHII to LAIdif is the strongest in hot-humid megacities surrounded by croplands and in hot-dry megacities surrounded by mixed woody and herbaceous vegetation. Our study highlights the role of long-term vegetation trends in modulating the trends of urban-rural temperature differences.


1982 ◽  
Vol 21 (4) ◽  
pp. 275-296 ◽  
Author(s):  
Rehana Siddiqui

The paper aims at testing the validity of Engel's law with data on Pakistan. Consumption functions for urban and rural areas have been estimated separately. These functions are shown to be determined by total expenditure and household size. Engel's law is confirmed for some commodity groups but not for all. Following tests of urban-rural homogeneity and of stability of urban and rural consumption functions, demand growth rates for different food and non-food items have been calculated, assuming different growth rates of total expenditure and household size.


2021 ◽  
Vol 195 ◽  
pp. 110892
Author(s):  
J.A. López-Bueno ◽  
M.A. Navas-Martín ◽  
C. Linares ◽  
I.J. Mirón ◽  
M.Y. Luna ◽  
...  

Author(s):  
Jun Zhang ◽  
Xiaodie Yuan ◽  
Xueping Tan ◽  
Xue Zhang

As one of the most important methods for limiting urban sprawl, the accurate delineation of the urban–rural boundary not only promotes the intensive use of urban resources, but also helps to alleviate the urban issues caused by urban sprawl, realizing the intensive and healthy development of urban cities. Previous studies on delineating urban–rural boundaries were only based on the level of urban and rural development reflected by night-time light (NTL) data, ignoring the differences in the spatial development between urban and rural areas; so, the comprehensive consideration of NTL and point of interest (POI) data can help improve the accuracy of urban–rural boundary delineation. In this study, the NTL and POI data were fused using wavelet transform, and then the urban–rural boundary before and after data fusion was delineated by multiresolution segmentation. Finally, the delineation results were verified. The verification result shows that the accuracy of delineating the urban–rural boundary using only NTL data is 84.20%, and the Kappa value is 0.6549; the accuracy using the fusion of NTL and POI data on the basis of wavelet transform is 93.2%, and the Kappa value is 0.8132. Therefore, we concluded that the proposed method of using wavelet transform to fuse NTL and POI data considers the differences between urban and rural development, which significantly improves the accuracy of the delineation of urban–rural boundaries. Accurate delineation of urban–rural boundaries is helpful for optimizing internal spatial structure in both urban and rural areas, alleviating environmental problems resulting from urban development, assisting the formulation of development policies for urban and rural fringes, and promoting the intensive and healthy development of urban areas.


Author(s):  
Bhaskar Kumar Kakati

This article discusses the relevance of Gram Swaraj or village self-governance and rural industries in the context of pandemic-ravaged countries like India. Drawing mainly from Gandhian Gram Swaraj ideas and secondary sources, it discusses the impact on informal sector workers, their rural–urban–rural migration and precarious livelihood question, the need for rural industries and the adaptation and application of Gram Swaraj ideas. The analysis has implications for considering these ideas for creating sustainable employment and livelihood in rural areas in countries like India.


Land ◽  
2021 ◽  
Vol 10 (11) ◽  
pp. 1228
Author(s):  
Zhiheng Yang ◽  
Nengneng Shen ◽  
Yanbo Qu ◽  
Bailin Zhang

Integrated development in urban and rural areas has led to a new form of urban–rural interdependence, which promotes rural territorial functional evolution and land use changes. Rural land use transition, showing the synchronous development between cities and villages, is an important window through which to observe integrated development in urban and rural areas. We focus on uncovering the association between rural land use transition and urban–rural integration development (URID), put forward a dynamic relationship assumption between rural land use transformation and URID stages based on the transmission mechanism of urban–rural linkages, and undertake empirical analysis using the panel regression model with the data of county-level administrative units in Shandong Province, China. The results show that rural land use transition has maintained a close association with URID, and that the changes in cultivated land, forest land, and surface-water area are highly related to URID. There are different leading urban–rural linkages in rural areas around big-sized cities, mid-sized cities, and small-sized cities, which determine whether rural areas are in different URID stages of high, medium, or low levels. Further, rural areas can take different actions to promote URID at different stages through strengthening or introducing urban–rural linkages driven by economies of scale and deepening urbanization. This provides a reference for developing countries to formulate rural land use policies on achieving the goal of URID.


2021 ◽  
Author(s):  
Shekhar Chauhan ◽  
Shobhit Srivast ◽  
Pradeep Kumar ◽  
Ratna Patel

Abstract Background: Multimorbidity is defined as the co-occurrence of two or more than two diseases in the same person. With rising longevity, multimorbidity has become a prominent concern among the older population. Evidence from both developed and developing countries shows that older people are at much higher risk of multimorbidity, however, urban-rural differential remained scarce. Therefore, this study examines urban-rural differential in multimorbidity among older adults by decomposing the risk factors of multimorbidity and identifying the covariates that contributed to the change in multimorbidity.Methods: The study utilized information from 31,464 older adults (rural-20,725 and urban-10,739) aged 60 years and above from the recent release of the Longitudinal Ageing Study in India (LASI) wave 1 data. Descriptive, bivariate, and multivariate decomposition analysis techniques were used.Results: Overall, significant urban-rural differences were found in the prevalence of multimorbidity among older adults (difference: 16.3; p<0.001). Moreover, obese/overweight and high-risk waist circumference were found to narrow the difference in the prevalence of multimorbidity among older adults between urban and rural areas by 8% and 9.1%, respectively.Conclusion: There is a need to substantially increase the public sector investment in healthcare to address the multimorbidity among older adults, more so in urban areas, without compromising the needs of older adults in rural areas.


2018 ◽  
pp. 67-86
Author(s):  
Luca Salvati ◽  
Ilaria Zambon

Being more sensitive to economic fluctuations, childbearing postponement increased during the second demographic transition and was accompanied by a moderate decline in the number of children per woman and the progressive rise of mother’s age at first birth. Under the hypothesis that recessions have a marked influence on population dynamics, the present study investigates spatial changes in mother’s age at birth in Greece with the aim to assess the differential impact of economic crisis along the urban-rural gradient. The percent composition of births by mother's age class – considered a gross indicator of fertility under a changing socioeconomic context – was studied at 4 spatial scales (the whole country, administrative regions, prefectures and metropolitan areas or specific economic districts) over an economic cycle from expansion to recession (1980–2016). While stimulating childbearing postponement observed since the early 1980s, empirical results of this study indicate that the 2007 recession was quite neutral on fertility trends in Greece, consolidating the traditional divide between urban and rural areas.


2020 ◽  
Vol 32 (6) ◽  
pp. 863-873
Author(s):  
Branimir Maretić ◽  
Borna Abramović

The planning and organisation of public passenger transport in rural areas is a complex process. The transport demand in rural areas is often low, which makes it hard to establish and run a financially sustainable public transport system. A solution is integrated passenger transport that eliminates deficiencies and provides benefits for all participants in the public passenger transport process. This paper describes the impact of integrated passenger transport on mobility in rural areas and critically evaluates different literature sources. Integration of passenger transport in urban areas has been described in the context of rural areas, and the challenges of integration of public passenger transport specific to rural areas have been analysed. Through the application in urban and rural areas, the planning of integrated and non-integrated passenger transport has been functionally analysed. The analysis found an increase in the degree of mobility in the areas that use integrated passenger transport compared to the non-integrated one. This research of the literature review has identified the rural areas of mobility as under-researched. The mobility research can set up a more efficient passenger transport planning system in rural areas.


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