scholarly journals Spatial accessibility to emergency care in Sichuan province in China

2020 ◽  
Vol 15 (2) ◽  
Author(s):  
Xuefeng Tang ◽  
Yufan Deng ◽  
Huazhen Yang ◽  
Fan Tian ◽  
Youping Li ◽  
...  

Timely access to emergency care can substantially improve overall population’s health outcomes. However, currently existed evidence focusing on access to emergency care in China remains insufficient. A better understanding of emergency care from the perspective of spatial accessibility is therefore essential to assist in future healthcare planning. This study provided a brief introduction to the emergency medical service system of China, and assessed the spatial accessibility of emergency care as well as its associated social-economic characteristics based on Sichuan province. Based on populational and hospital administrative data in 2018, we employed the nearest-neighbor method to measure the spatial accessibility while identifying its associated social-economic factors via conventional Ordinary Least Square (OLS) model. The shortest travel time analysis reported a relatively high level of overall spatial accessibility to emergency care in Sichuan. However, substantial geographical disparity in accessibility could nevertheless be observed throughout the province, with the eastern area presenting much higher accessibility than the western area. Regression results suggested that county-level discrepancies in accessibility could be significantly attributed to the variance in local economic development, urbanization level and administrative area. These findings indicated that long-term efforts need to be made by central government on optimizing the allocation of healthcare resources, as well as on fortifying financial support and providing preferential policies for economically disadvantaged regions.

2021 ◽  
Vol 4 (1) ◽  
pp. 90-105
Author(s):  
Audrey Smock Amoah ◽  
Imoro Braimah ◽  
Theresa Yaba Baah-Ennumh

For the past three decades Ghana’s democratic decentralisation policy has sought in vein to establish a local government system capable of pursuing Local Economic Development (LED). One of the major impediments has been the insincere implementation of fiscal decentralisation for the local government to provide the enabling environment for LED. This paper employed primary and secondary data from the Wassa East District Assembly (WEDA) to assess the progress so far in Ghana’s fiscal decentralisation and its effect on LED. The paper highlights the potential benefits of LED and the incapacitation of the District Assembly by the Central government for LED financing. The paper again reveals the effects of the constraints of fiscal decentralisation on LED at the local government level and makes policy recommendations towards effective fiscal decentralisation for improvement in LED.


2012 ◽  
Vol 17 (01) ◽  
pp. 165-189
Author(s):  
Monica de Togni

The process that led to the creation of self-government organs, and their activities in the first years of their existence, shows a consistent continuity between the imperial and the republican institutions, but also some changes in the institutional behaviour of the representatives of the local communities before and after the 1911’s revolution. The different meaning attributed to the institutional reforms as they appear to have been interpreted by the Qing Court, from the interpretations by the local society - a tools to control the political activism of the local notables vs a means to play a more active role in the local policy -, did not interfere with the creation of the organs of self-government, a part of the new structure to be built for the constitutional monarchy scheduled through imperial edicts on 27th August, 1908. The local activism and activities, as they are illustrated for Sichuan province through provincial and county archive documents, local gazetteers and reviews, show contradictory tendencies even as relates to some officials, and part of local communities anticipating sometimes the dispositions by the central government for the implementations of self-government, and some resistance by the people who had the right to vote in the participation to the preparatory process for the poll. However, the flourishing of self-government councils of the lower level and the fields of their interventions as representatives of the local communities show a very positive attitude on part of the local communities that continued until Yuan Shikai closed them down in 1914. This study will be concentrating on this aspect and will include, among other things, the case-study of Xuanhan county in north-western Sichuan, where a powerful local lineage played a very relevant role, taking advantage of the disruption of the provincial institutional order.


2021 ◽  
Vol 19 (2) ◽  
pp. 135
Author(s):  
Boanerges Putra Sipayung ◽  
Theodorus Fobia ◽  
Werenfridus Taena ◽  
Umbu Joka

<p>Village funds allocation has been provided to village government by central government starting in 2015. The provision of village funds aims at ingreasing equitable development in urban areas. This study aims to design a model of implementation of village funds management and farmer empowerment, with a case of Manusasi Village, Timor Tengah Utara Distict, bordering with Timor Leste. This research was conducted in August-September 2020. The methods used in this research were quantitative descriptive analysis and SEM based on variance, namely Partial Least Square (PLS). The sampling method used in this study was accidental sampling, with the chosen sample of 75 households from the total popultation 258 huosehold farmers. Results of this study indicated that planning had a significant effect on the evaluation process of village funds. The multiplier effect value of village funds in Manusasi Village was 1.39. There was no direct effect between physical capital, social capital, and human capital on the empowermeny of farming community in Manusasi Village. An important component of the implementation model of village fund management and farmer empowerment is the socialisation of the use of village funds which aims to increase public knowledge about village funds and build partnerships with universities or other institutions as sources of experts. The role of experts is to help improve village fund management and improve the quality of programs and planning. </p>


2020 ◽  
Vol 8 (2) ◽  
pp. 18-30
Author(s):  
Dušan Aničić ◽  
Jasmina Gligorijević ◽  
Miloje Jelić ◽  
Milosav Stojanović

The practice in developed countries has shown a necessity for local government's stronger inclusion in local economic development issues. The economic system in Serbia has features of high unemployment rate and low living standard among the population, and therefore local government taking a larger part in local economic development issues is seen as a real possibility for reducing these problems. Although most of the economic policy instruments lie within the central government jurisdiction, which largely restricts local government possibilities, there is still an important area for local government influence on economic development. There are numerous obstacles for a successful application of the local economic development concept in Serbia, which causes the municipality and regional potentials to be used much less than the possibilities allow, and it has a negative reflection, especially in rural and undeveloped areas.


Author(s):  
Siti Mariana Che Mat Nor ◽  
Shazlyn Milleana Shaharudin ◽  
Shuhaida Ismail ◽  
Nurul Hila Zainuddin ◽  
Mou Leong Tan

Rainfall data are the most significant values in hydrology and climatology modelling. However, the datasets are prone to missing values due to various issues. This study aspires to impute the rainfall missing values by using various imputation method such as Replace by Mean, Nearest Neighbor, Random Forest, Non-linear Interactive Partial Least-Square (NIPALS) and Markov Chain Monte Carlo (MCMC). Daily rainfall datasets from 48 rainfall stations across east-coast Peninsular Malaysia were used in this study. The dataset were then fed into Multiple Linear Regression (MLR) model. The performance of abovementioned methods were evaluated using Root Mean Square Method (RMSE), Mean Absolute Error (MAE) and Nash-Sutcliffe Efficiency Coefficient (CE). The experimental results showed that RF coupled with MLR (RF-MLR) approach was attained as more fitting for satisfying the missing data in east-coast Peninsular Malaysia.


2017 ◽  
Vol 1 (1) ◽  
pp. 21-36
Author(s):  
Gigih Pratomo

Developing countries are always faced with various economic development challenges (Todaro, 2000). Development of social economic Infrastructures has an important factor to influence the level of Gross Domestic Product. In coastal areas, infrastructure development is low and not optimal utilization. This study aims to determine the effects of development of social economic Infrastructures to the economy of coastal area in East Java Province during the perion 2008-2015. This study uses secondary data and samples taken by purposive random sampling technique that is the district/city of Banyuwangi, Jember, Probolinggo, Trenggalek, Sumenep, Sampang, Bangkalan, Lamongan, Gresik, Malang, dan kota Surabaya. This study uses panel data Fixed Effects Model (FEM) method with Generalized Least Square (GLS) cross section weight.The results of this study indicate that the variable of number school building, roads, and electricities significantly and positively effect to the economy of coastal area in East Java Province.


Author(s):  
Christine Cheyne

Since 2000 intergovernmental relations in New Zealand have been evolving rapidly as a result of a significant shift in government policy discourse towards a strong central-local government partnership. New statutory provisions empowering local government to promote social, economic, environmental and cultural wellbeing have significant implications for the range of activities in which local authorities are engaged. In turn, this has consequences for the relationship between local government and central government. The effectiveness of the new empowerment and the prospects for further strengthening of the role of local government are critically examined. Despite some on-going tensions, and an inevitable mismatch in the balance of power between central and local government, it is argued that there is a discernible rebalancing of intergovernmental relations as a result of new legislation and central government policy settings which reflect a ‘localist turn’. On the basis of developments since 2000 it may be argued that the New Zealand system of local government is evolving away from the recognised ‘Anglo’ model. However, further consolidation is needed in the transformation of intergovernmental relations and mechanisms that will cement a more genuine central-local government partnership.


2016 ◽  
Vol 36 (20) ◽  
Author(s):  
汪嘉杨 WANG Jiayang ◽  
宋培争 SONG Peizheng ◽  
张碧 ZHANG Bi ◽  
刘伟 LIU Wei ◽  
张菊 ZHANG Ju

1986 ◽  
Vol 4 (4) ◽  
pp. 439-450 ◽  
Author(s):  
K Young

Local authority involvement in economic matters has become widespread since the early 1970s. Recent developments in the pattern of local economic activity have been the increasing use of section 137 of the Local Government Act 1972 to fund local programmes, the spread of local authority involvement from the Assisted Areas to the more prosperous regions, and the increasing interest shown by the smaller shire districts, often in rural areas. The portfolio of possible interventions has also changed, bringing a new diversity to the practice of local economic development. Whereas central government has in the past eschewed the temptation to exercise close controls over these activities, the new diversity of local economic initiatives presents it with new dilemmas. It can no longer be assumed that such initiatives will be supportive of central government's spatial or sectoral policies. This vacuum in central-local relations is unlikely to remain, and renewed pressures to grant specific economic development powers to local authorities can be expected. If these claims are accepted, central government will be drawn inexorably into local economic affairs by the need to develop the capacity of local authorities to intervene effectively in pursuit of economic and employment goals.


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