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Accessibility and Fairness of Public Service Facilities from the Perspective of Supply and Demand Coordination: A Case Study of Old Urban Area of Guangzhou City
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作者 CHEN Xu LI Xin 《Journal of Landscape Research》 2024年第3期21-26,共6页
The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facili... The accessibility and fairness of public service facilities are important manifestations of the convenience and equality of urban public service resource allocation.Optimizing the layout of urban public service facilities is an inevitable requirement for promoting the construction of people centered cities.This paper takes the old urban area of Guangzhou as the research area,measures the accessibility of multiple types of public service facilities based on an improved two-step floating catchment method,and combines Palma Ratio and location quotient methods to explore the fairness of urban public service facilities from two dimensions:social equity and spatial equity,with supply and demand relationship analysis as the main line.Research has shown that:①there is a significant spatial difference in the accessibility of public service facilities in the old urban areas of Guangzhou,and the comprehensive accessibility is generally higher in the central and southeastern regions of the old urban areas with fewer residential populations;②from the perspective of social equity,the resource allocation of public service facilities in the old urban areas of Guangzhou is in a seriously unfair state(with a fairness index of 2.99),and there are also varying degrees of unfairness within the streets;③from the perspective of spatial equity,the location quotient of public service facilities in the old urban areas of Guangzhou shows a pattern of multil center circles decreasing,indicating a significant spatial mismatch between the accessibility supply side of public service facilities and the demand side of the residential population.The research conclusion will provide scientific basis for optimizing the allocation of urban public service facilities and ensuring the equalization of public services. 展开更多
关键词 Public service facilities ACCESSIBILITY Social equity Space equity guangzhou city
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Evaluation of Thermal Comfort in Urban Parks in Guangzhou City
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作者 Zhanqian Wu Kim Soo-bong Haoyu Gu 《Journal of Architectural Research and Development》 2024年第6期83-91,共9页
Thermal comfort evaluations for Yuexiu Park,Lushan Park,and Baiyun Lake Park in Guangzhou were conducted using field meteorological data collection,visitor questionnaires,and literature reviews.It analyzed the impact ... Thermal comfort evaluations for Yuexiu Park,Lushan Park,and Baiyun Lake Park in Guangzhou were conducted using field meteorological data collection,visitor questionnaires,and literature reviews.It analyzed the impact of green coverage,water body layout,and facility configuration on thermal comfort.The results showed that good green and water body design effectively lowered the temperature in the park and improved the thermal comfort of visitors,but the insufficient facility configuration in some open areas affected the experience.The visitor’s experience is closely related to the natural environment and facility layout of the park.Therefore,in the future,park design should pay more attention to the rational configuration of shading,ventilation,and cooling facilities to improve thermal comfort,and encourage citizens to participate in the construction and management of parks to improve ecological quality and user experience.This study provides a reference for the improvement of thermal comfort in urban parks in Guangzhou and aims to promote the sustainable and human-oriented development of urban park design. 展开更多
关键词 guangzhou city Urban parks Thermal comfort MICROCLIMATE Green coverage Water layout Sustainable design
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Spatial-temporal Characteristics and Factors Influencing Commuting Activities of Middle-class Residents in Guangzhou City, China 被引量:8
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作者 DAI Dandan ZHOU Chunshan YE Changdong 《Chinese Geographical Science》 SCIE CSCD 2016年第3期410-428,共19页
The middle class in metropolitan Chinese cities has become an important social group. With the rapid development of urbanization and constant advancement of suburbanization, the middle class has increasingly come to i... The middle class in metropolitan Chinese cities has become an important social group. With the rapid development of urbanization and constant advancement of suburbanization, the middle class has increasingly come to influence city traffic. Research into middle-class commuting activities thus has practical significance for improving traffic congestion and reducing the commuting burden in metropolitan cities. Based on a dataset formed by 816 completed surveys, this paper analyzes the commuting mode, time and distance of middle-class residents in Guangzhou City using the descriptive statistical method. The results indicate that private cars are the main commuting mode, followed by public transport. Meanwhile, middle-class residents mainly undertake medium-short time and medium-short distance commuting. The study subsequently uses multilevel logistic regression and multiple linear regression models to analyze the factors that influence commuting mode choice, time and distance. The gender, age, number of family cars, housing source and jobs-housing balance are the most important factors influencing commuting mode choice; housing, population density, jobs-housing balance and commuting mode significantly affect commuting time; and transport accessibility, jobs-housing balance and commuting mode are the notable factors affecting commuting distance. Finally, this paper analyzes what is affecting the commuting activities of middle-class residents and determines the differences in commuting activity characteristics and influence factors between middle-class and ordinary residents. Policy suggestions to improve urban planning and urban management are also proposed. 展开更多
关键词 middle-class residents commuting mode commuting time commuting distance influencing factors guangzhou city China
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RELATION BETWEEN THE MRT BUILDING AND UNDERGROUND SPACE EXPLOITATION——A Case in Guangzhou City 被引量:5
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作者 LIWen-ling YANXiao-pei WANGFang 《Chinese Geographical Science》 SCIE CSCD 2003年第4期364-369,共6页
On the basis of analyzing the history and characteristics of the undergroundspace exploitation and the urban space development in Guangzhou, and making a thorough study on theunderground space exploitation based on th... On the basis of analyzing the history and characteristics of the undergroundspace exploitation and the urban space development in Guangzhou, and making a thorough study on theunderground space exploitation based on the subway building, this paper points out some mam problemsin the exploitation of underground space in Guangzhou, and emphasizes that Guangzhou must developthe underground space on a large scale with the aid of the subway building, and puts forward aproposal on the urban space coordinate development between on-ground and underground in GuangzhouCity. 展开更多
关键词 metro rail transit (MRT) underground space guangzhou city
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Images of Green Landscapes in Huadu District, Guangzhou City
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作者 LI Xiaoyun 《Journal of Landscape Research》 2014年第6期7-9,共3页
Urban landscape, as an important part of the overall landscape or the overall image of the city, is of great significance in highlighting city features, building green cities, and improving city image, so image of gre... Urban landscape, as an important part of the overall landscape or the overall image of the city, is of great significance in highlighting city features, building green cities, and improving city image, so image of green spaces has become one of the key construction objectives for many cities. Taking Huadu District in Guangzhou City for example, urban green landscape pattern was analyzed from the level of region and district, according to the landscape ecology. The results showed that local green landscapes had many problems such as unreasonable structure, high fragmentation, unbalanced distribution of green space types, poor corridor networks etc.. In view of these problems, countermeasures for improving green landscape images in Huadu District were proposed. 展开更多
关键词 Green landscape IMAGE Huadu District guangzhou city
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Urban Flood Mitigation Strategies with Coupled Gray-Green Measures:A Case Study in Guangzhou City,China
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作者 Jiayue Li Jiajun Zeng +1 位作者 Guoru Huang Wenjie Chen 《International Journal of Disaster Risk Science》 SCIE CSCD 2024年第3期467-479,共13页
The integration of gray and green infrastructure has proven to be a feasible approach for managing stormwater in established urban areas.However,evaluating the specific contributions of such coupled strategies is chal... The integration of gray and green infrastructure has proven to be a feasible approach for managing stormwater in established urban areas.However,evaluating the specific contributions of such coupled strategies is challenging.This study introduced a novel integrated hydrological-hydrodynamic model that takes into account the layout of low-impact development(LID)facilities along with pipeline alignment and rehabilitation.Reliable results from modeling were used to assess the individual contribution of LID and improved drainage facilities to urban flooding mitigation.We selected a natural island in Guangzhou City,China,as the study site.The results indicate that combining three LID measures,namely green roofs,sunken green spaces,and permeable pavements,can reduce total runoff by 41.7%to 25.89%for rainfall recurrence periods ranging from 1year to 100 years,and decrease the volume of nodal overflow by nearly half during rainfall events of less than 10-year return period.By integrating LID measures with the upgraded gray infrastructure,the regional pipeline overloading condition is substantially alleviated,resulting in a significant improvement in pipeline system resilience.For urban flooding control,it is recommended to integrate sufficient green space and avoid pipe-laying structural issues during urban planning and construction.The findings may assist stakeholders in developing strategies to best utilize gray and green infrastructure in mitigating the negative eff ects of urban flooding. 展开更多
关键词 Coupled hydrodynamic model.Gray-green approach guangzhou city LID.Pipe renovation Urban inundation
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Sustainability analysis of the urban ecosystem in Guangzhou City based on information entropy between 2004 and 2010 被引量:9
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作者 LIN Zhenming XIA Bin 《Journal of Geographical Sciences》 SCIE CSCD 2013年第3期417-435,共19页
The urban ecosystem possesses dissipating structures that can absorb substances and energy from the external environment and export products and wastes to maintain order within the system. Given these circumstances, t... The urban ecosystem possesses dissipating structures that can absorb substances and energy from the external environment and export products and wastes to maintain order within the system. Given these circumstances, this paper analyzed the ability of the urban ecosystem in Guangzhou City to sustain development from the perspective of entropy. The research was carried out in three steps. First, an evaluation index system that considers the ability of the urban ecosystem for sustainable development was formed based on the struc- tures and functions of the urban ecosystem and the change in the entropy of the urban so- cioeconomic ecosystem. Second, the sustainable development ability assessment model for the urban ecosystem was built using information entropy. Last, by combining the time series variation of the evaluation indicators with the entropy weights, this paper analyzed the influ- ence of the combined factors on the sustainable development ability of the urban ecosystem in Guangzhou and suggested some measures to promote the sustainable development of the urban ecosystem in Guangzhou. The conclusions of this study can be summarized as follows: (1) The urban ecosystem has developed in an orderly and healthy direction, with effective control over the urban environmental pollution problems in Guangzhou between 2004 and 2010. (2) The sustainable development ability of the urban ecosystem had been on an up- ward trend in Guangzhou during the study period. The ability of the natural urban ecosystem to support the urban socioeconomic ecosystem increased continuously, and the improved ecoenvironment enhanced the harmony and vitality of the urban ecosystem in Guangzhou. 展开更多
关键词 urban ecosystem entropy change information entropy sustainable development guangzhou city
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Changing Concepts of City and Urban Planning Practices in Guangzhou(1949–2010): An Approach to Sustainable Urban Development 被引量:2
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作者 XUE Desheng HUANG Gengzhi +1 位作者 GUAN Jingwen LIN Jiarong 《Chinese Geographical Science》 SCIE CSCD 2014年第5期607-619,共13页
By focusing on Guangzhou, this paper examines how different concepts of city in terms of urban-rural relationships are shaped in transforming China since 1949, and explores how they influence the way in which urban pl... By focusing on Guangzhou, this paper examines how different concepts of city in terms of urban-rural relationships are shaped in transforming China since 1949, and explores how they influence the way in which urban planning are practiced. In the pre-reform era, the city was defined as a productive space under the system of urban-rural segregation established for securing rapid industrialization. Urban planning was thus only concerned with the development of urban areas. In the 1980 s and 1990 s after the reform, institutional change and economic transformation mobilized the urban-rural linkages. The development of suburban areas was then considered by urban planning, but this consideration was a passive response to urban problems such as population explosion and water resources protection. Since the new millennium, the agenda for sustainable development and problems of uneven urban-rural development have called for the development of urban-rural integration. In this context, the city is conceptualized as a complex of mountain, city, river, farmland and sea, reconstructing the ideology of urban-rural division in defining urban development. Urban planning has therefore sought in an active way to develop a sustainable city embracing rural and natural elements, and to balance economic growth and environmental protection. It is argued that developing the concept of city as a complex of urban and rural elements contributes to the urban planning for sustainable urban development, while this conceptualization relies on the recognition of the integrated urban-rural relationship. 展开更多
关键词 urban-rural relationship concept of city urban planning sustainable urban development guangzhou
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Guangzhou: Fifth Largest City in China
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《China Population Today》 2002年第2期19-19,共1页
关键词 Fifth Largest city in China guangzhou RATE
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City Image Analysis of Food in Guangzhou-Taking Yamaha Fish Stall as an Example
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作者 Zihua Zhan Runting Li 《Proceedings of Business and Economic Studies》 2021年第6期73-77,共5页
In the representation system of city image,food has become a huge influence in the process of city image construction.In the construction of“food as the sky”as the city image of Guangzhou,it includes three forms:pro... In the representation system of city image,food has become a huge influence in the process of city image construction.In the construction of“food as the sky”as the city image of Guangzhou,it includes three forms:prototype image,conceptual image,and symbol image.There are several differences in the three forms,and the myth of“eating in Guangzhou”is constructed in the specific visual practice. 展开更多
关键词 Food in guangzhou city image Yamaha Fish Stall
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Investigation and Analysis of the Linguistic Landscape in High-end Consumer Business District in Guangzhou——Taking TaiKoo Hui as an Example
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作者 Shimei Xu 《Journal of Contemporary Educational Research》 2023年第8期30-35,共6页
Linguistic landscape has become an emerging research topic in sociolinguistics due to the development of urban linguistic landscape.Based on the development of linguistic landscape in TaiKoo Hui,its diverse characteri... Linguistic landscape has become an emerging research topic in sociolinguistics due to the development of urban linguistic landscape.Based on the development of linguistic landscape in TaiKoo Hui,its diverse characteristics are analyzed,and the language signs,usage,and codes are summarized.It is found that there is poor transmission effect of multilingual landscape information and improper use of linguistic landscape in TaiKoo Hui.This paper concludes that the linguistic landscape of Taikoo Hui can be optimized from two aspects to enhance its attractiveness and competitiveness,including improving the informational function of foreign language signs and regulating the use of linguistic landscape. 展开更多
关键词 guangzhou city High-end consumer business district Linguistic landscape TaiKoo Hui
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高质量发展导向下大城市社会空间分异格局及调控策略——以广州为例 被引量:2
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作者 魏宗财 兰志懿 +2 位作者 唐琦婧 袁奇峰 黄铎 《中国名城》 2024年第2期41-51,共11页
城市社会空间分异是城乡规划领域的经典议题。以广州市为例,根据人口普查数据和人群画像数据等,聚焦城市内部各街区,通过对居住空间类型与社会群体分布和公共服务设施配置的关联分析,深入探究中心城区社会空间分异特征及现存问题,进而... 城市社会空间分异是城乡规划领域的经典议题。以广州市为例,根据人口普查数据和人群画像数据等,聚焦城市内部各街区,通过对居住空间类型与社会群体分布和公共服务设施配置的关联分析,深入探究中心城区社会空间分异特征及现存问题,进而提出城市社会空间高质量均衡发展的调控策略。研究发现,广州市中心城区在居住空间类型方面以商品房街区和城中村街区为主,老旧街区占比较小,呈现出明显的居住空间分异特征,且三类街区的居民在年龄、受教育程度、收入、消费水平等社会经济特征方面差异显著;各类公共服务设施供给水平在不同社会群体及三类街区之间亦表现出明显的不均衡性;在城市历史发展惯性、城市规划引导、房地产发展的共同影响下,广州市中心城区呈现出“圈层+斑块”的社会空间结构。为缓解中国快速城镇化进程中大城市出现的社会空间维度不均衡发展的问题,从可负担住房保障和公共服务设施布局两方面提出相关调控策略,为推动城市高质量发展提供研究支撑。 展开更多
关键词 社会空间分异 居住空间 公共服务设施 广州
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认知众包模式下的总体城市意象特色分析方法与广州市实践
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作者 陈戈 李佳宇 +2 位作者 郭文博 兰文龙 朱骁 《规划师》 CSSCI 北大核心 2024年第6期118-127,共10页
引入“认知众包”这一概念,以社交媒体数据为信息抓手,以广州市为分析对象,逐级阐释“理论探析—信息提炼—转译分析”的意象特色解析流程:通过意象特色属性与社媒数据的特征拟合,构建场景特色与攻略特色结合的数字化总体城市意象特色体... 引入“认知众包”这一概念,以社交媒体数据为信息抓手,以广州市为分析对象,逐级阐释“理论探析—信息提炼—转译分析”的意象特色解析流程:通过意象特色属性与社媒数据的特征拟合,构建场景特色与攻略特色结合的数字化总体城市意象特色体系;以可意象性数字量化为技术主轴,提出众包型意象特色的信息提炼框架,搭建从网络素材到认知信息再到意象要素的提炼途径;将要素频次作为统计归纳的基础,从强度、等级、空间分布等方面对意象特色进行整合剖析,得到广州市三能级交互的意象特色体系。同时,捕捉到意象特色在新方法的促进下形成的变化模式、创新动力和问题体现等情况,构建一个非介入式的公众认可的广州城市特色体系,实现可读、可看、可感知的意象分析再创新。 展开更多
关键词 城市特色 城市意象 认知地图 社交媒体 设计规划 广州市
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城市外围地区农村物流设施空间分布演变及影响因素--以广州市为例
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作者 何微丹 马倩丽 +1 位作者 魏宗财 李晓军 《上海城市规划》 北大核心 2024年第2期154-161,共8页
城市外围地区农村物流设施是保障城乡物资双向流通和农村产业发展的重要支撑。以广东省广州市为例,综合使用多源空间数据和空间回归模型等分析方法,探索城市外围地区农村物流设施空间分布演变特征及影响因素。在空间分布演变方面,城市... 城市外围地区农村物流设施是保障城乡物资双向流通和农村产业发展的重要支撑。以广东省广州市为例,综合使用多源空间数据和空间回归模型等分析方法,探索城市外围地区农村物流设施空间分布演变特征及影响因素。在空间分布演变方面,城市外围地区农村物流设施从单核转向多核,具有圈层化、等级化特征,与广州市空间发展方向和空间格局相一致,最外围地区物流设施建设短板突出;受村级设施分布变化影响,物流设施集聚性呈现“增强—减弱—增强”的波动。影响因素方面,人口因素、交通因素和工业因素对物流设施分布有显著正向影响,农业因素对其有显著负向影响,区位因素对其无明显影响。研究结果能够丰富对农村物流设施分布演变规律的认识,为城市尺度的农村物流设施的布局优化和支撑要素的建设等提供参考。 展开更多
关键词 城市外围地区 农村物流设施 空间分布 影响因素 广州市
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新形势下村级工业园改造的路径选择与治理转型——以广州市为例
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作者 朱一中 张耀芳 《中国国土资源经济》 2024年第10期49-55,共7页
村级工业园改造是存量土地开发与城市经济转型的重要力量,是破解城市土地增量难题的重要途径之一。文章通过梳理广州市村级工业园改造政策演进的三个阶段,分析新形势下广州市村级工业园改造的转型路径及改造过程中治理模式的选择机制,... 村级工业园改造是存量土地开发与城市经济转型的重要力量,是破解城市土地增量难题的重要途径之一。文章通过梳理广州市村级工业园改造政策演进的三个阶段,分析新形势下广州市村级工业园改造的转型路径及改造过程中治理模式的选择机制,揭示了村级工业园改造中仍存在的园区定位不清、内生成长能力不足、治理失灵等困境。并针对问题提出相关政策建议:①加强长远整体规划,避免运动式推进;②明确政府定位,完善产业政策和用地政策;③构建合理的利益分配机制,创新治理机制。 展开更多
关键词 村级工业园 转型路径 治理机制 广州市
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城市休闲产业聚类模式APM算法模型开发与校验
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作者 刘逸 吴雪涵 许汀汀 《旅游学刊》 CSSCI 北大核心 2024年第4期40-52,共13页
城市休闲相关产业的高质量发展对当前我国城市消费升级以及人居环境质量提升具有重要现实意义。但是,现有研究未能精准地捕捉海量广域分布的城市休闲产业的基本空间分布规律与结构,而已有的空间聚类算法较多适用于城市用地分析,未能很... 城市休闲相关产业的高质量发展对当前我国城市消费升级以及人居环境质量提升具有重要现实意义。但是,现有研究未能精准地捕捉海量广域分布的城市休闲产业的基本空间分布规律与结构,而已有的空间聚类算法较多适用于城市用地分析,未能很好地适用于离散分布的城市休闲产业研究。为此,文章基于空间兴趣点数据,开发距离通达值及空间集群中心点等算法,构建城市休闲旅游产业聚类模式空间算法模型(APM)。在以广州为例的研究中,APM模型捕捉出3170个以500 m步行生活圈为范围的城市休闲产业集群,校验了APM模型的科学性与应用价值。整体上,APM算法可以较好地捕捉城市休闲业态集群的空间结构,清晰识别城市休闲产业空间冷、热点分布的基本结构,由其捕捉行程的聚类边界与实际道路和建筑走向、水系边界、区域范围等重合度高,聚类集群符合实际情况,具备可信度与有效性。该研究是休闲产业集聚机制研究的一次方法创新,在算法精度、实际应用、可视化效率上均做出了创新性推进。与Fishnet方法相比,可以更科学精准地识别城市内部多个休闲消费商圈的边界,实现了高效率的城市休闲产业集群捕捉;与同位模型相比,可以呈现多类别的城市休闲业态结构,突破了现有研究只能捕捉两类业态组团的局限。 展开更多
关键词 城市旅游休闲 产业集聚模式 空间数据挖掘 聚类算法 POI 广州市
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基于多源数据的县域小学教育设施供需匹配评价——以广州市增城区为例
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作者 刘玉亭 郝蓓 范俞茹 《地域研究与开发》 CSSCI 北大核心 2024年第4期91-97,共7页
教育设施的供需均衡性对实现教育公平具有重要意义。以广州市增城区为例,基于多源数据类型,综合人口空间化和小学可达性分析结果,对小学教育设施的供需匹配度进行评价。结果表明:(1)增城区小学可达性整体水平有待提升,各镇街可达性差异... 教育设施的供需均衡性对实现教育公平具有重要意义。以广州市增城区为例,基于多源数据类型,综合人口空间化和小学可达性分析结果,对小学教育设施的供需匹配度进行评价。结果表明:(1)增城区小学可达性整体水平有待提升,各镇街可达性差异较大;车行可达性自南向北圈层递减,步行可达性点状空间集聚特征显著。(2)车行出行方式下供需匹配较均衡,基本符合“核心-边缘”空间分布规律;步行出行方式下供需失衡严重且单中心集聚特征显著,增城区小学教育设施存在一定的空间错配现象。针对不同类型地区的小学教育设施供需匹配情况,应从区际均衡、校际均衡及政策保障多角度出发,采取差异化配置策略,以应对未来学龄人口就学的不同需求。 展开更多
关键词 小学教育设施 供需匹配评价 多源数据 广州市增城区
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未来海上城市设计构想
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作者 杨威 邓蜀阳 《新建筑》 2024年第2期84-89,共6页
基于粤港澳大湾区的发展战略和未来城市发展空间模式,将“未来”“海洋”与“城市”三者紧密结合进行研究设计,为未来城市向海洋拓展提供灵感与导向是未雨绸缪之举。2023“未来海上城市”研究生国际联合工作坊以广州南沙龙穴岛海域设计... 基于粤港澳大湾区的发展战略和未来城市发展空间模式,将“未来”“海洋”与“城市”三者紧密结合进行研究设计,为未来城市向海洋拓展提供灵感与导向是未雨绸缪之举。2023“未来海上城市”研究生国际联合工作坊以广州南沙龙穴岛海域设计构想为题具有重要价值和意义。重庆大学设计小组方案融入海洋科创、海上人居、海上田园、海洋能源、海洋交通、海洋生态等要素,聚合科学与技术手段,从不同视角梳理总结未来海上城市发展模式和建设路径的可能性,是对未来海上城市建设模式和发展远景的探索与尝试。 展开更多
关键词 粤港澳大湾区 广州南沙 海上城市 未来城市
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基于智能化技术的广州市老年人居住空间设计研究
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作者 荣明芹 《鞋类工艺与设计》 2024年第2期174-176,共3页
随着我国老龄人口数量持续增加,老龄化现象日趋严峻。文章通过对广州市老年人群体特点的分析,了解他们对智能化居住空间的实际需求,提出老年人智能化居住空间的设计策略,优化老年人的居住空间环境。
关键词 广州市 养老 智能化 居住空间
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“十三五”期间广州市不同结核病防治管理模式实施效果评价 被引量:4
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作者 郑光敏 王挺 +5 位作者 张丹妮 雷宇 杨洁莹 吴桂锋 杜雨华 肖新才 《中国防痨杂志》 CAS CSCD 北大核心 2024年第2期199-205,共7页
目的:评价广州市现存结核病管理模式的实施效果,为不断完善结核病防治服务体系提供依据和实例。方法:从广州市结核病监测信息报告管理系统和广州市“十三五”结核病防治规划终期评估报告中搜集2016-2020年广州市4种结核病防治管理模式(... 目的:评价广州市现存结核病管理模式的实施效果,为不断完善结核病防治服务体系提供依据和实例。方法:从广州市结核病监测信息报告管理系统和广州市“十三五”结核病防治规划终期评估报告中搜集2016-2020年广州市4种结核病防治管理模式(慢病管理模式、“三位一体”模式、综合医院管理模式和委托服务模式)下的结核病疫情资料,计算不同模式下的肺结核患者登记率、病原学阳性率、治疗成功率、管理率和规范管理率等,并进行实施效果的成本-效用分析。结果:2016-2020年,广州市肺结核年均总登记率为51.78/10万(46 228/89 280 200),4种模式年均登记率由高及低依次为委托服务模式[74.37/10万(10 522/14 148 900)]、“三位一体”模式[50.17/10万(11 349/22 619 500)]、慢病管理模式[47.37/10万(14 588/30 793 700)]和综合医院管理模式[44.98/10万(9769/21 718 100)],差异有统计学意义(χ^(2)=222.422,P<0.001)。总病原学阳性率为49.33%(22 806/46 228),以慢病管理模式为最高[50.98%(7437/14 588)],委托服务模式为最低[48.07%(5058/10 522)];总治疗成功率为93.26%(43 113/46 228),以综合医院管理模式为最高[95.73%(9352/9769)],“三位一体”模式为最低[90.30%(10 248/11 349)];总规范管理率为89.08%(13 254/14 879),以委托服务模式为最高[95.40%(2573/2697)],“三位一体”模式为最低[82.69%(3100/3749)];差异均有统计学意义(χ^(2)=27.302,P<0.001;χ^(2)=306.666,P<0.001;χ^(2)=294.272,P<0.001)。总人均投入0.86元(76 477 200/89 280 200),挽回1个伤残调整生命年(DALY)损失需要投入的费用以“三位一体”模式为最高[188.20元(20 326 600/108 003.67)],综合医院管理模式为最低[153.77元(15 155 800/98 560.73)]。结论:“十三五”期间广州市4种结核病防治管理模式各有其优势及不足,未来仍需结合各区需求导向,从政府部门、系统到人才建设,积极采取措施,完善其现存结核病防治服务体系中的不足,以进一步提升患者登记率、病原学阳性率和总规范管理率。 展开更多
关键词 结核 管理医疗规划 公共卫生管理 结果评价(卫生保健) 广州市
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