Introduction: There is a great health services disparity between urban and rural areas in China. The percentage of people who are unable to access health services due to long travel times increases. This paper takes Donghai County as the study unit to analyse areas with physician shortages and characteristics of the potential spatial accessibility of health services. We analyse how the unequal health services resources distribution and the New Cooperative Medical Scheme affect the potential spatial accessibility of health services in Donghai County. We also give some advice on how to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated. Methods: The shortest traffic times of from hospitals to villages are calculated with an O-D matrix of GIS extension model. This paper applies an enhanced two-step floating catchment area (E2SFCA) method to study the spatial accessibility of health services and to determine areas with physician shortages in Donghai County. The sensitivity of the E2SFCA for assessing variation in the spatial accessibility of health services is checked using different impedance coefficient values^a. Geostatistical Analyst model and spatial analyst method is used to analyse the spatial pattern and the edge effect of potential spatial accessibility of health services. Results: The results show that 69% of villages have access to lower potential spatial accessibility of health services than the average for Donghai County, and 79% of the village scores are lower than the average for Jiangsu Province. The potential spatial accessibility of health services diminishes greatly from the centre of the county to outlying areas. Using a smaller impedance coefficient leads to greater disparity among the villages. The spatial accessibility of health services is greater along highway in the county. Conclusions: Most of villages are in underserved health services areas. An unequal distribution of health service resources and the reimbursement policies of the New Cooperative Medical Scheme have led to an edge effect regarding spatial accessibility of health services in Donghai County, whereby people living on the edge of the county have less access to health services. Comprehensive measures should be considered to alleviate the unequal spatial accessibility of health services in areas that are more remote and isolated.

Tourism eco-efficiency is an important indicator that has often been applied to measure the quality of green tourism development. This paper takes the 31 provinces of China as examples to analyze regional tourism eco-efficiency. By constructing multiple input and output indicator systems for regional tourism, we estimated the eco-efficiency of 31 provinces in 1997–2016 using an undesirable output model of a slack-based model (undesirable-SBM) for data envelopment analysis (DEA). Then, we analyzed the spatial–temporal evolutionary trends and patterns of the eco-efficiency over 20 years by using the Hot Spot Model and Spatial Center of Gravity Model. Finally, we explored the driving forces internal and external to the tourism eco-economic system using the Panel Tobit Regression Model and Geodetector Model, respectively. The results show that: In the last 20 years, the tourism eco-efficiency of provinces in China declined, though tourism has experienced rapid but extensive development. The western regions of China, which have better eco-environmental conditions, and the southeastern coastal regions, which have higher levels of economic development, have higher tourism eco-efficiency. Regions with lower tourism eco-efficiency show diffusion trends, while regions with higher tourism eco-efficiency are characterized by a lack of obvious space spillover effects. Technology is the core driving force of regional tourism eco-efficiency, while traffic conditions and social civilization levels are key external influence factors leading to improvement of tourism eco-efficiency. The research results reveal the great significance of laws for sustainable green tourism development with different economic levels in the different regions. Our work could provide a reference for similar countries and regions in the world with the rapid growth of tourism or obvious spatial differentiation in socioeconomic development.

Urban agglomeration is an advanced spatial form of integrating cities, resulting from the global urbanization of recent decades. Understanding spatiotemporal patterns and evolution is of great importance for improving urban agglomeration management. This study used continuous time-series NTL data from 2000 to 2018 combined with land-use images to investigate the spatiotemporal patterns of urbanization in the three most developed urban agglomerations in China over the past two decades: the Beijing–Tianjin–Hebei urban agglomeration (BTH), the Yangtze River Delta urban agglomeration (YRD), and the Guangdong–Hong Kong–Macao Greater Bay Area (GBA). The NTL intensity indexes, dynamic thresholds, extracted urban areas, and landscape metrics were synthetically used to facilitate the analysis. This study found that the urbanization process in the study areas could be divided into three stages: rapid urbanization in core cities from 2000 to 2010, a fluctuating urbanization process in both core cities and surrounding cities from 2010 to 2015, and stable urbanization, mainly in surrounding cities with a medium size after 2015. Meanwhile, the urbanization level of GBA was higher than that of YRD and BTH. However, with the acceleration of urban development in YRD, the gap in the urbanization level between GBA and YRD narrowed significantly in the third stage. In addition, this study confirmed that the scattered, medium-sized cities in YRD and GBA were more developed than those in BTH. This study showed that continuous NTL data could be effectively applied to monitor the urbanization patterns of urban agglomerations.

Eco-efficiency analysis can provide useful information about sustainability in the tourism industry, which has an important role in both global economy recovery and Sustainable Development Goals (SDGs), generating considerable indirect carbon emissions with respect to the supply chain due to its significant connections to other industries. This study, from the perspective of tourism sectors, including tourism hotels, travel agencies, and scenic spots, integrated the environmentally extended input–output analysis (EEIO) and data envelopment analysis (DEA) models to develop a research framework, analyzing the indirect carbon emissions of the tourism supply chain, evaluating eco-efficiency with respect to both direct carbon emissions and total carbon emissions (including direct and indirect parts), and exploring the driving factors of eco-efficiency of tourism sectors using Tobit regression models. This study took Gansu as a case, a province in China characterized by higher carbon intensity, an underdeveloped economy, and rapid tourism growth. The results demonstrate that (1) tourism hotels contribute the most carbon emissions in tourism sectors, especially indirectly due to the supply chain, with carbon emissions mainly resulting from the manufacturing of food and tobacco; (2) the eco-efficiency of tourism sectors in Gansu presents a U-shaped curve, which is consistent with Kuznets’ theory; and (3) energy technology is key to improving the eco-efficiency of tourism sectors. The research results provide a clear path for the reduction of carbon emissions and the improvement of eco-efficiency in Gansu tourism sectors. Against the backdrop of global climate change and the post-COVID-19 era, our research framework and findings provide a reference for similar regions and countries who are in urgent need of rapid tourism development to effect economic recovery.