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.
An increasing number of studies have demonstrated that blue space can promote the recovery of the human body, as does green space. However, the influence of blue space on the color space has been studied much less. Based on research on color psychology and healthy cities, the current study takes Yijie District of Dujiangyan City as the research object. Logistic regression models and the semantic differential method was used to explore residents’ perceptions of color space and their restorative ratings of blue space. This study describes the characteristics of the people visiting blue space, investigates whether the benefits brought about by blue space are related to the color space, and studies whether the surrounding colors in the blue space have a positive effect in promoting residents’ perceptions of pleasure. Based on residents’ choices of environmental pictures containing various colors, a color tendency map was constructed. The results revealed strong correlations between residents’ perceived pleasure and color space color collocation. Socio-demographic factors were found to affect the frequency of visiting blue space. Reasonable color planning is necessary for human health. Based on the study findings, relevant planning suggestions are proposed as a reference basis for waterfront space color planning.
This study examined the hollowing process of rural communities, which is caused by migration, and explored its influence factors based on Hierarchical Linear Model (HLM) analysis in an attempt to explore effect of regional characteristic. To capture the essence of rural hollowing, a logical framework was constructed. The rural hollowing was then evaluated based on an index system. Based on the assessment, HLM analysis was conducted to explore the influence factors at the household and community levels. The results demonstrated significant differences of rural hollowing among villages. In addition, the hollowing was not only affected by household-level variables but also by community-level variables. Further, for rural hollowing, the household-level variable was endogenous drive, while the community-level variables were exogenous drive. Among all the endogenous influence factors, population quality was the most important, and thus the loss of highly educated talents will aggravate the trend of rural hollowing and hinder the sustainable development of the countryside. Furthermore, in addition to promoting economic development and its diversification to alleviate rural hollowing, improving the quality of the population is more important to the sustainable development of the countryside in China.