Affordability, Accessibility, and Quality of Maternal Health Care Services and Level of Satisfaction of Mothers in Rural Areas in China

Objective:This study aimed to understand the affordability,accessibility,and quality of maternal and child health services for postpartum mothers,and their impact on satisfaction.Methods:The study utilized the Anderson model and revised the Maternal Pregnancy and Perinatal Health Service Questionnaire.A survey was conducted among 289 mothers aged 20–49 in Feicheng City.Results:Regarding accessibility,most respondents(133)reported that travel time to healthcare services exceeded 60 minutes,while 99 respondents indicated a travel time of 16–30 minutes.The issue of affordability was highlighted,with 86.85%of participants perceiving maternal healthcare services as costly,indicating a significant financial burden.More than 50%of respondents were satisfied with two specific dimensions(P<0.05)regarding the quality of maternal healthcare services.Conclusion:The study found that accessibility,affordability,and quality significantly affect mothers’satisfaction with maternal health services.Future research should focus on developing more suitable service pathways for rural mothers.

The Effect of Public Healthcare Service Quality on Residents’ Satisfaction in the United Arab Emirates (UAE), the Case of Ajman Emirate

The quality of healthcare services is becoming a major concern in all countries, through improving performance to maximize the population health, effectively and efficiently, by doing the right thing, at the right time, in the right way, for the right person and having the best possible results, through well-managed hospitals and clinics. The purpose of this paper is to identify and measure Ajman residents’ satisfaction on healthcare service, using data of a sample of 1035 households, randomly selected from a total of 95,531 households, who were permanently residing in the Emirate of Ajman and having prior experience in availing any healthcare service. Data were analyzed using the Statistical Package for the Social Sciences (SPSS) version 22 and AMOS version 22. Structural Equation Modeling (SEM) analysis showed an acceptable model fit used to measure residents’ satisfaction. Findings showed that in the government sector only reliability and empathy correlated positively with healthcare service quality, which also had a strong, positive correlation with residents’ satisfaction, while tangible, assurance and responsiveness were not sufficiently correlated to healthcare service quality. On the other hand, for private sector, except for responsiveness and tangible dimensions, reliability, assurance, and empathy correlated positively with healthcare service quality, which also had a strong, positive correlation with residents’ satisfaction. This study used healthcare service quality dimensions, namely, tangible, reliability, responsiveness, assurance, and empathy, to determine the residents’ satisfaction within the public hospitals and to provide an empirical contribution to understanding the factors associated with public satisfaction and healthcare systems. According to the survey results, Ajman residents were satisfied 82% on Quality Dimension, 77% on Empathy Dimension, 80% on both Assurance and responsiveness Dimensions, 89% on Reliability Dimension and 88% on Tangible Dimension. Moreover, Statistical analysis revealed that, each of Tangible Dimension, Healthcare Service Quality Dimension and Empathy Dimension, is positively correlated with Healthcare Service Quality. Likewise, Healthcare Service Quality, is also positively correlated with residents’ satisfaction. But Reliability, Responsiveness, and Assurance Dimensions, are not positively correlated with Healthcare Service Quality.

Residents Achieve a High Patient Satisfaction in Pre-Anesthetic Patient Assessment. An Observational Study

A physician’s empathetic attitude is regarded as an important influencing factor towards patient satisfaction. However, physicians’ self-assessed empathy declines during medical school and through residency, which may limit patient satisfaction in the doctor-patient contact. In conse-quence, we hypothesized that residents might fail in generating high levels of patient satisfaction. We conducted an observational study in the setting of a pre-anesthetic assessment center, Univer-sity Hospital Leipzig, Germany. Patient satisfaction was measured using the overall ZUF-8 score (8 - 32 points;increasing with patient satisfaction). Data were collected by questionnaires (ZUF-8 items, additional satisfaction items, and items of organizational and logistical processes). Key items for patient satisfaction as primary endpoints were defined. Statistical evaluation was performed in dependency of the anesthesiologists’ level of training (residents vs. consultants) by using the Mann-Whitney-U test or the chi square test, as required. Statistical significance was accepted for p < 0.05. In total, 2565 patients were assessed for eligibility. 986 patients met the criteria of inclusion. 978 questionnaires were submitted with 517 questionnaires being excluded because of missing values. Finally, 461 questionnaires could be analysed. Both residents and consultants achieved a high level of patient satisfaction. The ZUF-8-scores were comparable between the groups (p = 0.91), whilst the quality of consultation was rated slightly better by patients being assessed by residents (p = 0.047). The results in additional satisfaction items were comparable between the groups. We found a trend in residents assessing to be rated more friendly. Residents are able to generate a high level of patient satisfaction which is comparable to that of consultants with scores ranging between “good” and “very good”. Small albeit significant differences in favor of residents underline the quality of their performance in pre-anesthetic patient assessment.

Residents＇ Satisfaction with the Public Housing Unit Features and Its Implications in China

This paper studied the residents＇ level of satisfaction in public housing units in Shenyang of China which aimed to identify how each housing unit feature correlates with the residents＇ overall satisfaction and implication on policy and design. The discussion is based on a questionnaire survey conducted in 2011. This research concluded that more residents were satisfied with the housing unit features than those who were dissatisfied, while some remarkable differences could be observed if comparative analysis between two different public housing types in China were studied. The affordable housing residents are generally more satisfied with housing unit features than those living in low-rent housing. The most dissatisfying feature is the living room, followed by unit size and the floor plan. Additionally, the living room and the floor plans were features which were highly and positively correlated to the residents＇ overall satisfaction of housing unit features. Consequently, improving the living room size and the design of housing unit floor plans would clearly be beneficial to alleviating residents＇ dissatisfaction to the housing units.

Residents’ Satisfaction Assessment of Outdoor Residential Spaces;A Local Study in an Urban Compact Form in Sana’a, Yemen—Winter Period

This paper studies the thermal performance of outdoor residential spaces in the old part—historical part—of Sana’a city in the winter period and its impact on the residents’ satisfaction who occupied the buildings which overlook these spaces and use them on a pedestrian comfort basis. The analysis was carried out through the results of field measurements which study the temperature, relative humidity, and the air movement inside the selected outdoor spaces in the period of winter (2 months) data recorded through the devices used and compared with those obtained from the General Authority of Meteorology and Aviation—Meteorology Sector. Despite the passage of years, the author remained occupied with the opinion of the people whose homes overlook those outdoors spaces and what is their opinion of their performance. Therefore, an assessment was conducted in November 2020 to know the opinion of the people about the performance of these outdoor spaces and to compare the results of the field measurements with the results of the assessment. The measurements were conducted by using data-loggers that spread in some outdoor spaces in 7 spaces in old city of Sana’a and in its modern extension during the winter period which is the time of concern of this work. The measurements showed that the outdoor residential spaces in the old city of Sana’a are represented an advantage for winter climate over that of the modern city, so the focus in this paper was on that outdoors with the question of the users of the outdoor spaces in the old city only to clarify their satisfaction with it and whether it has succeeded as well from their point of view. Results presented in this paper are important to consider the relationship between the climatical performance of outdoor spaces and the comfort of the residents in the urban environment and give implications for urban planners and architects to improve the climate-based design methodology towards sustainable developments.

Residents'satisfaction of Beijing new regulations for domestic waste classification based on binary logistic regression:A case study of Daxing District

On the first anniversary of the implementation of the new regulations of Beijing Municipality on the management of domestic waste,to understand residents’views on the waste classification policy,the project conducted relevant investigation of the satisfaction of residents with the domestic waste classification policy in Daxing District of Beijing,China.Based on the analysis of the survey,this study uses the binary logistic regression model to explore the residents’satisfaction with the new domestic waste classification policy in Beijing and its influencing factors.The data from 398 valid questionnaires involve the demographic characteristics of residents,residents’cognition and views on Beijing municipal solid waste classification policy,and residents’satisfaction with Beijing domestic waste classification policy.The data show that the comprehensive satisfaction level of residents with the domestic waste classification policy in Beijing is quite high,up to 84.7%.Among them,the satisfaction level of residents with the details of the classification standards,the allocation of garbage cans,the publicity and supervision of the policy,incentive measures and the implementation process and effect of the policy is very high,exceeding 80%or even more than 90%.Through binary logistic regression analysis,we come to the conclusion that six factors significantly affect residents’satisfaction with Beijing municipal solid waste classification policy,such as residents’monthly income,household daily average domestic waste production,publicity of waste classification policy,supervisors’better understanding of waste classification standards,guidance of waste delivery by community classification supervisors,and convenience of waste classification process.

Overview of Research on Relationship between Income Level and Happiness of Chinese Rural Residents

By conducting meta-analysis on the researches of relationship between income level and happiness at home and abroad,this paper researches the relationship between income level and happiness.The results show that the relationship between income level and happiness takes on U-shape curve,and it can be explained from adaptation,social comparison and psychological expectation.Finally,in order to promote rural residents' income level and strengthen rural residents' happiness in China,corresponding policy suggestions are put forward as follows:bridge gap of urban-rural residents' income distribution;dilute the competitions for money and status among people;perfect rural social security system;endeavor to create a situation in which all rural residents do their best.

Empirical Study on Customer Satisfaction Influencing Factors of Industry Application Products Based on Experiential Level Theory

The rapid development of industry application products has greatly influenced society. It has become essential for some telecommunication companies to focus on customer satisfaction with industrial products used by the government and enterprise customers. Following the review of a previous study of customer satisfaction and with the help of experiential level theory,this article attempts to establish a Satisfaction Factors Model for researching customer satisfaction with industry applications. We chose a product named "Mobile Monitor" and investigated the emotional satisfaction of 127 users and company leaders from different walks of life,and showed that 7 of the product's features affected the customers' overall emotional satisfaction. Lastly,this paper points out management implications of this application based on quantitative results. It presents a preliminary exploration program for customer satisfaction research in this specific field. The empirical research on a specific product based on experimental level theory may serve as a reference for other companies that desire to carry out similar surveys in future.

Evaluation of Farmer Training Satisfaction Level in Hubei Province

Based on fully understanding the significance of farmer training,this paper builds the evaluation index system for farmer training satisfaction level. Then this paper employs the field survey data about Yichang and Jingzhou in Hubei Province to evaluate the farmer training satisfaction level in Hubei Province. Results show that farmers have high level of satisfaction on agricultural training in Hubei Province,and the average satisfaction level reaches 0. 8556; there are regional differences in the farmer training satisfaction level in Hubei Province; the index weight is not entirely directly proportional to the training satisfaction level in the evaluation index system. Finally,from training courses,training teachers,training organization and follow-up services,this paper brings forward the recommendations for improving farmer training satisfaction level in Hubei Province,improve farmer training system,further improve the effectiveness of training and promote farmers' quality.

Epidemiologic surve of blood lipid level among 1401 residents aged≥60 years in rong-gui community

Objectives To investigate prevalence of blood lipid level among 1401 residents aged≥60 years in rong-gui community.Methods 1401 ones(579 males,822 females, (68.12±6.64)years Of total 1503 residents aged≥60 years in the 2 villages which were randomly exampled in rong-gui community were investigated.867 ones aged among 60-69 years(61.9%),430 ones aged among 70-79 years (30.7%),104 ones aged≥60 years(7.4%).Investigative items included age,sex,total cholesterol(TC),triglyceride (TG),body height,body weight,waist circumference(WC), hip circumference(HC),fasting plasma glucose(FG),blood pressure,history of past illness,body mass index(BMI), waist hip ratio(WHR),waist height ratio(WHtR).Results (l)Of total 1401 residents,Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male(P【0.01), The difference among three age groups were not significant, the combined prevalence of hyperlipemia and borderline hyperlipemia was 80.1%.(2)The FG、BMI、SBP、DBP、WC、WHR、WHtR of residents with hyperlipemia were higher than ones with normal blood lipid level(P【0.01).(3)By Pearson correlation analysis,we found that hyperlipemia was obviously correlated with FG,BMI,WC,WHR,WHtR, SBP,DBP.Conclusions(1)Prevalence of hyperlipemia were 42.8%,female were signifleanfly higher than male.(2) hyperlipemia were obviously correlated with higher FG、BMI、WC、WHR、WHtR、SBP、DBP.

The status and influence factors of residents＇ health knowledge awarenessin Yizhou district of Hami city

[目的] 了解新疆哈密市伊州区居民健康知识知晓情况及其影响因素.[方法]采用分层整群随机抽样 的方法,抽取哈密市伊州区的丽园街道丽园社区、石油新城街道支油区社区、陶家宫乡和回城乡的居民（ 共 700名）进行问卷调查,利用二元Logistic回归方法分析影响因素.[结果]居民健康知识知晓率为23.5%.具 备健康理解知识知晓、科学健康观知识知晓、传染病知识知晓和职业病知识知晓的比例分别为 55. 0%、 33.4%、27.3%、33. 14%和 52.3%.居民获取健康知识的主要途径占比分别为医生80. 15%、电视38. 10%、 学校或单位22.33%、网络21.02%.居民文化程度与家庭平均月收入及健康知识知晓水平有关（P〈0. 05）. [结论]居民的健康知识知晓水平还有提升空间,影响健康知识知晓水平的主要因素为文化程度和家庭平均月 收入,应有针对性地制定健康教育和健康促进策略,以提高居民健康知识知晓水平.

RADIOACTIVITY LEVEL OF RESIDENTIAL AREAS AROUND XINJIANG NUCLEAR TESTING SITE AND ESTIMATED POPULATION DOSE

Results are reported on a research for the radioactive level in the investigation region and the control region around the Xinjiang Nuclear Testing Site from 1982 to 1987. There are no significant differences on the land γ radiation level, nor in the radioactive level in the soil, food and water between the two regions. The distribution and transfer of 90Sr, 137Cs and Pu in various kinds of soil are also discussed. It is estimated that the effective dose equivalent of radiation, undergone by the residents around the Testing Site is only 2.9% of that of natural radiation taken yearly by people in normal areas.

Immigrants’ Satisfaction from the National Health System in Greece: In the Quest of the Contributing Factors

Immigrants deserve special attention as they constitute a very sensitive social group, facing an increasing risk of social exclusion. The access of immigrants to health services is one of the most important factors, which contributes to their integration into the society of induction. The purpose of this study is to track and assess the immigrants’ satisfaction from the health services provided by the Greek National Health System (NHS). The satisfaction level assessment is examined in conjunction with demographic and socio-economic characteristics of the study participants, as well as with the characteristics that are related to their personal experience with the National Health System in Greece. The research was conducted from March 2012 to May 2013. The sample of the research comprises of 126 “first-generation” immigrants on legal permit of residence in Greece, who lived in the prefecture of Attica. It is panel study based on “snowball sampling” and the statistical analysis was conducted with the use of the Stata (ver. 11), while the statistical analysis used probit estimation techniques. The demographic and social variables—particularly the variables of gender, “understanding the Greek language”, “education”, “participation in the community of origin” and “insurance”—the variables of “health” and specifically “long-term diseases” and the variable of “trust” are found to be highly related with immigrants’ satisfaction degree from the Greek health system. Our research concludes that health is a fundamental, human right and immigrants’ access to health services is essential not only for their instant and effective treatment of their health problems and the improvement of their lives but also for ensuring the public health in Greece. In order to properly incorporate immigrants in Greece in particular, the health policy decision-makers have to pay attention to the contributing factors.

The Effect of a Psycho-Educational Program on Psychiatric Symptoms, Drug Attitude and Treatment Satisfaction of Patients with Schizophrenia

The purpose of this study was to determine the effect of a Comprehensive Psycho-Educational Approach and Scheme Set (COMPASS) for patients with schizophrenia who were treated with risperidone long-acting injectable (RLAI), on their psychiatric symptoms, drug attitudes, and treatment satisfaction levels. Participants were sixty-five patients at thirteen hospitals in Japan who met ICD-10 F2 criteria for schizophrenia or schizo-affective disorder and were treated with RLAI. A correlational study design was used to measure the effect of the COMPASS on the psychiatric symptoms, drug attitudes, and treatment satisfaction levels of patients treated with RLAI. Using the following evaluation indicators: The Subjective Satisfaction to Treatment Scale (SSTS), Brief Psychiatric Rating Scale (BPRS), Global Assessment of Functioning (GAF), Drug-Induced Extrapyramidal Symptoms Scale (DIEPSS), and Drug Attitude Inventory-10 (DAI-10), measurements were taken at the beginning of the program (baseline), at the end of the program, and six months after (endpoint). Data analysis included descriptive statistics, Mann-Whitney U test or Wilcoxon signed-rank test, and Spearman’s rank correlation coefficient. Significant differences were observed in BPRS total (p < 0.001), sub-scales of BPRS positive (p < 0.001), BPRS negative (p < 0.01), BPRS affective (p < 0.01), and GAF (p < 0.001). However, there was no significant change in subscale of BPRS manic, DAI-10, DIEPSS, or SSTS but significant positive correlations were found between SSTS and DAI-10 and GAF at baseline;a negative correlation was found between SSTS and BPRS. The findings of the study suggested the benefit of using the COMPASS in conjunction with RLAI to decrease patients’ psychiatric symptomatology and improve treatment satisfaction. In addition, patient satisfaction was found to be an important factor to be considered by the psychiatrist.

A Study on the Relationship Paths Between Leisure and Well-Being of Elderly Residents

With the increasing of the elderly population in China,the aging of population has become an important issue that cannot be ignored in the development of our country.Based on the social support theory,this study surveyed elderly residents in Shanghai to construct and explore the driving model of well-being of elderly residents in China.The results indicated that leisure motivation of elderly residents in China significantly affected their leisure involvement;leisure involvement was related to leisure satisfaction of the elderly;leisure satisfaction had a significant positive effect on well-being of the elderly.Moreover,a series of managerial implications and recommendations were provided to formulate leisure management policies for the elderly,meet their leisure needs,and improve their well-being.

Analysis and Prediction of Residents' Income Gap in Poverty-stricken Areas of Yunnan Province

Taking Ludian County in Zhaotong City of Yunnan Province for example,according to the data on residents'income gap in Ludian County during the period 2002-2011,we analyze the residents'income gap in Ludian County,and offer the forecast value of residents'income gap in Ludian County during the period 2012-2015,using Compertz curve model and Eviews software for fitting.The forecast value shows that the residents'income gap will continue to widen in Ludian County.Finally we put forth the recommendations for bridging the residents'income gap in Ludian County,in order to provide a reference for settling the problems concerning residents'income gap in other state-level povertystricken counties of Yunnan Province.

Coupling Coordination Relationship between Ecological Human Settlements and the Happiness Levels of Residents in the Yangtze River Delta Urban Agglomeration

Promoting the coordinated development of ecological human settlements and the happiness levels of residents will help to promote people-centered high-quality development.This study was based on the 2011-2021 data of the Yangtze River Delta urban agglomeration,and constructed an evaluation index system of ecological human settlements and the happiness levels of residents.The entropy value method,coupling coordination degree model,Dagum Gini coefficient and Geodetector model were used to explore the coupling coordination relationship and influencing factors of these two systems.The findings indicate that ecological human settlements and the happiness levels of residents in the Yangtze River Delta urban agglomeration have shown an upward trend over time.By 2021,the overall level of the region had significantly improved.The coupling coordination level between these two systems has gradually increased,showing a spatial distribution pattern of high in the east and low in the west.The Dagum Gini coefficient shows a fluctuating downward trend in the overall and intra-regional differences,with the largest inter-regional difference between Shanghai and Anhui,and the inter-regional difference is the main source of the spatial differences.Economic development level(Eco)was the main factor influencing the coupling coordination of the two systems from 2011 to 2021.The results of this study provide references for constructing ecological human settlements and enhancing the happiness levels of residents.

Research on the Satisfaction Impact Factors of China-Eurasia Expo:From the Perspectives of Local Residents and Exhibitors

Understanding the satisfaction impact factors of China-Eurasia Expo is important to hold and improve the Expo.This paper divides the impact factors of satisfaction into local residents and exhibitors’aspects.Firstly,this paper constructs a five-dimension conceptual model to measure the local residents’satisfaction which consists of the degree of promoting economic development,environmental protection,cultural quality,urban convenience and urban brand image of the China-Eurasia Expo.898 valid questionnaires were collected and structural equation model(SEM)was used to validate the constructed model and the proposed hypotheses were proved;the path coefficients of cultural quality,urban convenience and urban brand image to locals’satisfaction are all greater than 0.90,indicating that they have high impacts on local residents’satisfaction,while the path coefficient of the degree of promoting economic development to residents’satisfaction is 0.695,indicating a relatively low impact.Secondly,this paper constructs a five-dimension conceptual model of exhibitors’satisfaction which includes infrastructure,management level,service quality,organizing effect,and advancement.708 valid questionnaires were collected and SEM was used to valid the constructed model and the proposed hypotheses.The results show that the five path coefficients to exhibitors’satisfaction are higher than0.7,all hypotheses were proved.

互联网使用对中国居民家庭消费结构的影响及其空间异质性

基于中国家庭追踪调查(CFPS)数据,对互联网普及与居民家庭消费水平时空演变进行分析,并检验互联网使用是否会对居民家庭消费水平和结构产生影响,是否促进居民家庭消费升级。发现:①互联网使用人数、使用互联网进行商业活动的频率以及居民家庭总消费在时序上均显著增长;东部地区享受型消费占比最高,中部地区发展型消费占比最高,东北地区生存型消费占比最高;互联网使用人数和家庭总消费呈现空间集聚特征,且表现出空间扩张和向西南方向移动的趋势。②互联网使用在促进家庭总消费的同时,也推动家庭消费结构由生存型向发展型和享受型转变。此外,互联网使用对于不同区域、城乡家庭的影响也存在显著差异,在城镇、西部、东北地区家庭消费升级中有更突出的积极作用。

数字乡村建设对县域产业升级的影响

县域作为我国经济功能完整、运行独立的基本空间单元,在经济发展体系中的地位举足轻重。当下,我国大多数县域经济发展仍旧处于较低的水平,存在产业发展严重依赖于传统工业与农业、数字基础设施条件落后等多重掣肘。县域产业升级是实现县域经济高质量发展的重要动力,合理的技术应用会促进产业结构的升级进而影响经济增长,数字技术的蓬勃发展为县域发展带来了新的契机。在此背景下,探讨数字乡村建设是否会影响县域产业升级,通过何种渠道来影响,这种影响效应又是否会因县域经济发展水平不同而存在异质性,这一系列问题的解答对理论与实践都具有重大意义。目前关于数字乡村建设与县域产业结构升级关系的研究尚未形成一致结论,由于变量度量指标、样本观测期、理论基础的不同而有所区别。文章将北京大学新农村发展研究院和阿里研究院共同发布的县域数字乡村指数数据与中国县级层面相关数据进行匹配,最终得到2018—2020年涵盖中国1094个县(市)的面板数据,运用面板固定效应模型实证考察数字乡村建设水平对产业结构影响的总效应,并进一步开展了作用机制以及异质性效应讨论。实证结果表明:从全样本层面看,数字乡村建设能够显著促进产业结构升级转型,在进行内生性问题、替换解释变量和被解释变量、剔除特殊样本等多种稳健性检验后,该结果依然成立;从作用机制来看,数字乡村建设通过提升居民创业活跃度和收入水平促进了县域产业结构升级;异质性分析表明,数字乡村建设对中国东北、中部地区产业升级的正向效应更为明显。综合以上结果,文章提出了继续推动县域地区数字建设水平和数字应用水平、加强县域居民数字素养的培养、激发数字乡村建设的就业促进效应、发挥数字技术在经济欠发达地区的后发优势等政策建议。文章的主要贡献在于运用县域数字乡村指数科学且直观地衡量县域数字建设水平,以县域这一更加细微的尺度探讨了数字乡村建设和产业升级之间的关系,丰富现有研究,为政府加快推进数字乡村建设、实现乡村产业振兴和共同富裕目标提供指导。