Spatial Equity Evaluation of Rural Eldercare Service Resources Based on Accessibility: A Case Study of Huanxian County of Gansu Province, China

Safeguarding the elderly population in the countryside is an inherent requirement for alleviating social conflicts in rural areas and effectively carrying out China’s Rural Revitalization.The existing spatial mismatch between rural elderly service facilities and pop-ulation distribution in China aggravates the imbalance of facility resource space,how to improve the accuracy of demand and supply results and better measuring the spatial fairness of elderly service is significant to realize the optimal allocation of rural elderly service.Based on the above,this study pays attention to the refined needs of the elderly population,and focuses on the spatial equity of the rural elderly facilities,to make up for the short boards of the basic public services in the countryside and realize the all-round rural revitalization.This study takes Huanxian County in the hilly loess area of Longdong,China as an example and explores the spatial equity of rural elderly services by using the Urban Spatial Network Analysis(UNA)to measure the accessible quantity and supply capacity of elderly services.The results found that there were 553 rural eldercare service facilities in Huanxian County,including 285 eldercare facilities and 268 medical and health facilities,and the spatial distribution is characterized by a southward shift in the east and uneven regional distribution.Overall,the supply capacity of rural pension services was generally good,with the township center as the gathering point and spreading out in a faceted manner,with nearby townships forming a contiguous area;however,there were strong contrasts and obvious differences in the strength of supply capacity.However,the spatial equity of rural eldercare service was poor.In 42.05%of the eld-erly population grid cells,eldercare service spatial equity was extremely low.The spatial distribution also presented a northern preference over the southern,a western preference over the eastern,and a concentration along the highway.The study explored the realization of spatial equity in the optimal allocation of rural elderly services based on paying attention to the refined needs of the rural elderly pop-ulation,a vulnerable group,to provide a reference for solving the shortcomings of basic public services in rural areas.The fair allocation of rural elderly services demands that the spatial optimization of facility layout be organically coordinated with policy,management,and post-maintenance,and all elements in the rural territorial system be fully mobilized to achieve the basic guarantee of China’s rural elderly problems.

Remodeling of Rural Public Service Supply Mechanism under the Background of New Village Construction

Under the background of new village construction, the necessity of remodeling the supply mechanism of rural public service is expounded. It is conducive to improving the capability of public service to satisfy farmers' demand; to constructing a rural diversified public service system and improving the supply efficiency of rural public goods; to realizing the equalization of urban-rural public services to coordinate urban-rural development. Problems in the supply of Chinese rural public services are analyzed:the demand of rural public goods is enormous, governmental fiscal expenditure is insufficient; social organization is imperfect and public service capability is weak; urban-rural gap is large and the supply of pubic service is unequal; the system of rural public service is single and the functions are imperfect; the market degree of rural public service is low and the efficiency needs improving. In view of these problems, the strategies for remodeling the supply mechanism of rural public service are put forward, covering intensifying the input intensity of the government, expanding the coverage of public services; vigorously supporting the development of social organization and improving its capability of public goods; breaking through dual system and realizing the equalization of urban-rural public service; perfecting rural diversified public services and perfecting its public service functions; promoting the market progress of rural public services and improving the efficiency of public service.

Benign Interaction Between Rural Information Service and Farmers' Income

Based on the improvement of interactive relationship between rural information service system and farmers＇ income, accompanied by the serious restriction to its mutual promotion caused by such problems as asymmetric information, focusing on introduction of rural information service infrastructure while ignored the application of them, shortage of human resource on information and so on, this paper proposed corresponding measures respectively to promote the benign interaction development between rural information service and farmers＇ income.

Outcome of treatment seeking rural gamblers attending a nurse-led cognitive-behaviour therapy service:A pilot study

Objectives:Little is known about the differences between urban and rural gamblers in Australia,in terms of comorbidity and treatment outcome.Health disparities exist between urban and rural areas in terms of accessibility,availability,and acceptability of treatment programs for problem gamblers.However,evidence supporting cognitivebehaviour therapy as the main treatment for problem gamblers is strong.This pilot study aimed to assess the outcome of a Cognitive-Behavioural Therapy(CBT)treatment program offered to urban and rural treatment-seeking gamblers.Methods:People who presented for treatment at a nurse-led Cognitive-Behavioural Therapy(CBT)gambling treatment service were invited to take part in this study.A standardised clinical assessment and treatment service was provided to all participants.A series of validated questionnaires were given to all participants at(a)assessment,(b)discharge,(c)at a one-month,and(d)at a 3-month follow-up visit.Results:Differences emerged between urban and rural treatment-seeking gamblers.While overall treatment outcomes were much the same at three months after treatment,rural gamblers appeared to respond more rapidly and to have sustained improvements over time.Conclusion:This study suggests that rural problem gamblers experience different levels of co-morbid anxiety and depression from their urban counterparts,but once in treatment appear to respond quicker.ACBT approach was found to be effective in treating rural gamblers and outcomes were maintained.Ensuring better availability and access to such treatment in rural areas is important.Nurses are in a position as the majority health professional in rural areas to provide such help.

Research on Rural Public Service System Based on the Data of "The Eleventh Five-Year Plan"

Rural public service is the services provided to rural residents to fulfill the needs of agricultural production, development of rural economy and improvement of peasant's living standard. Improving rural public service system is good for promoting the development of rural economy, enhancing the quality of peasant's living standard, narrowing the gap between rural and urban areas and constructing socialistic harmonious society. Currently, our rural power grid construction can meet the essential needs of economic and social development in rural areas. Rural water conservancy structure also fulfills the needs of agricultural production and peasant's life. Rural traffic condition has an obvious improvement. Education, culture, medical care and other public services all have a general enhancement. However, comparing to the city, rural public service system still exists some problems including imperfect infrastructures, low-quality education and medical treatment, low-level living environment and so on. Therefore, it is needed to establish a long-acting system of rural public service to boost the reform of rural basic education, improve the facilities of rural medical treatment, promote the reform of rural cooperative medical service, enhance the management of rural governance and improve the quality of rural life and environment.

On the Basis of SWOT Analysis Method to Xichang Rural Public Sports Service System Optimization Path

In October 2021,the State General Administration of Sport officially issued the“14th Five-Year”sports development plan and proposed to build a higher level of national fitness public service system,the people’s physical literacy and health level is further improved,and the sense of gain and happiness is constantly improved(General Administration of Sport of China,2021).China has lifted itself out of poverty across the board.The 19th CPC National Congress put forward the rural revitalization strategy,fully implemented the national fitness program,and accelerated efforts to build a healthy China.We should fully tap the new drivers of sports development,optimize the spatial distribution of sports development,and conform to the new trend of urbanization and rural revitalization.Based on SWOT analysis,this paper analyzes the current situation of the reconstruction of the rural public sports service system in Xichang after poverty alleviation,and explores the optimization path for the reconstruction of the rural public sports service system in Xichang,in order to make modest contribution to the development of sports in Xichang.

Interview with Village Leaders(III):Political,Legal and Public Services in Rural Tibet

Village Head Nyima Cering Ready to Leave His Office Omda is a village within the jurisdiction of Chewei Township of Qamdo County, lying some 80 km from Qamdo Town, the county headquarters. About 40 km to the north of Omda Village is Garma Monastery of the Garma Gagyu Sect, famous for its Buddhist images

Current Rural Medical Service in China

In contrast to the great changes that have taken place in the Chi- nese economy, China is confronting with a rural health crisis. Statistics shows that about 40-60% of the people in rural areas fail to see a doctor when they get sick simply because they cannot afford it and 70% of the people impoverished due to diseases. In the western part of the country, 60-80% of the patient farmers have to die at home. Part of the Chinese farmers has been thrown into an endless cycle of disease-poverty-disease. Health has become a problem that the farmers are most concerned about.

40 Years of Rural Cooperative Medical Service

Our story dates from 40 years ago, on August 10, 1966, when China＇s first institution of rural medical service was inaugurated at a county called Changyang, Hubei Province, Central China, where people of Tujia, an ethnic minority group, live in compact communities. It was actually a clinic at a Dujia Village in the county, which charged itself with the task of making primary or basic medical care available and affordable-- to all the villagers. China has undergone tremendous changes since then, and now its economy becoming increasingly market-oriented. Despite that, rural cooperative medical service has kept expanding at Changyang though having experienced twists and turns over the past four decades. The county has been chosen by the central authorities to try out a new type of rural medical service, which in many ways is different from the old pioneered by Dujia in Changyang County.

Present Situation of Rural Regional Development and Agricultural Extension Policy

The formulation of agricultural extension policy and the development of rural regional economy present the relationship of mutual existence,mutual influence and mutual promotion.Therefore,it is necessary to study the agricultural extension policy according to the current situation of rural regional development.Agricultural technology extension system is an organization set up at county and township levels to provide farmers with scientific research achievements and practical technical services on planting,animal husbandry,fishery,forestry,agricultural machinery and water conservancy,and it is an important carrier for implementing the strategy of developing agriculture through science and technology.On the basis of expounding the value and significance of rural regional economic development,this paper analyzes the problems existing in China s rural regional development from the aspects of rural infrastructure and public services,rural labor force s cultural and scientific level,rural grass-roots extension system,etc.,and puts forward corresponding measures against the problems.This study has certain theoretical reference value for promoting the all-round development of China s rural economy and realizing the great strategy of rural revitalization in China.

Public Service Provision and Poverty Reduction in Rural Tibet

During the recent two decades, reduced accessibility to basic public goods has become acommon problem in most of the inland provinces, and it is particularly the case in the less-developed regions. In response to this situation, the local government in Tibet has securedthe normal operation of the agricultural support system, strengthened investment in primaryeducation and basic health care, and has guaranteed social assistance to the key vulnerablegroups. There are two main reasons for this. Firstly, it is considered that substantialregional aid enables the local government to perform its public function with adequate fiscalresources. Secondly, external supervision has driven the local government to maintainsufficient political will to provide low-income groups with the basic public services at lowprices or free of charge. This is essentially a type of investment-oriented income redistribution.In both the short and long term, it will contribute to reducing the economic inequality that themarket mechanism has brought about. In other words, it will help to narrow the regional,sectoral and individual economic gaps.

Impact of colorectal cancer screening participation in remote northern Canada:A retrospective cohort study

BACKGROUND Screening provides earlier colorectal cancer(CRC)detection and improves outcomes.It remains poorly understood if these benefits are realized with screening guidelines in remote northern populations of Canada where CRC rates are nearly twice the national average and access to colonoscopy is limited.AIM To evaluate the participation and impact of CRC screening guidelines in a remote northern population.METHODS This retrospective cohort study included residents of the Northwest Territories,a northern region of Canada,age 50-74 who underwent CRC screening by a fecal immunohistochemical test(FIT)between January 1,2014 to March 30,2019.To assess impact,individuals with a screen-detected CRC were compared to clinically-detected CRC cases for stage and location of CRC between 2014-2016.To assess participation,we conducted subgroup analyses of FIT positive individuals exploring the relationships between signs and symptoms of CRC at the time of screening,wait-times for colonoscopy,and screening outcomes.Two sample Welch t-test was used for normally distributed continuous variables,Mann-Whitney-Wilcoxon Tests for data without normal distribution,and Chi-square goodness of fit test for categorical variables.A P value of<0.05 was considered to be statistically significant.RESULTS 6817 fecal tests were completed,meaning an annual average screening rate of 25.04%,843(12.37%)were positive,629 individuals underwent a follow-up colonoscopy,of which,24.48%had advanced neoplasia(AN),5.41%had CRC.There were no significant differences in stage,pathology,or location between screen-detected cancers and clinically-detected cancers.In assessing participation and screening outcomes,we observed 49.51%of individuals referred for colonoscopy after FIT were ineligible for CRC screening,most often due to signs and symptoms of CRC.Individuals were more likely to have AN if they had signs and symptoms of cancer at the time of screening,waited over 180 d for colonoscopy,or were indigenous[respectively,estimated RR 1.1895%CI of RR(0.89-1.59)];RR 1.523(CI:1.035,2.240);RR 1.722(CI:1.165,2.547)].CONCLUSION Screening did not facilitate early cancer detection but facilitated higher than anticipated AN detection.Signs and symptoms of CRC at screening,and long colonoscopy wait-times appear contributory.

Intervention Effect Based on Self-Regulation to Promote the Continuation of Self-Care Behavior of Patients with Type-2 Diabetes Mellitus

[Purpose] The purpose of this study was to identify the effect of a support program based on self-regulation. [Methods] Participants: Patients with type-2 diabetes mellitus in rural areas;Research design: Quasi-experimental research. A t-test and Mann-Whitney U test were performed to compare the intervention and control groups before the intervention. For the comparison within the groups before and after the interventions, a t-test and the Wilcoxon signed-rank test were performed. For statistical analysis, the significance level was set to 5%. [Results] The intervention group included 19 participants (age 59.8 ± 6.14) and 10 participants in the control group (age 64.3 ± 3.95). After the program, the scores in knowledge about diabetes (p = 0.001) and sub-items of the diabetes self-management (foot care) (p = 0.048) of the intervention group statistically significantly increased, and the calorie intake decreased (p = 0.080). The intervention group had higher scores in all three sub items of the self-efficacy (positiveness, control, and total score). There were no statistically significant differences in the changes in BMI, HbA1c, and the subscales of self-efficacy between the two groups. However, the scores of these items of the intervention and control groups were 3.3 and 2.9, 2.2 and −0.3, and 5.5 and 2.6, respectively. [Conclusions] The support program based on self-regulation in this study helped the participants to acquire general knowledge of diabetes to assess own medical condition and problems in self-care behavior and practical knowledge to manage diabetes in daily life, and this shows the effectiveness of the program.

Improving Health Services for Rural Pregnant and Lying-in Women——Achievements in the Reproductive Health Program of Chinese Women

FROM 1992 to 1997, the All-China Women’s Federation organized and implemented a reproductive health program for Chinese women, which was sponsored by the American Ford Foundation. The program was divided into two phases. The first phase, lasting from 1992 to 1994, focused on locating problems and studying them. Women’s federations from 16 provinces, municipalities and autonomous regions throughout China formed a research group and conducted extensive studies in a variety of fields while cooperating with experts from sociology,

Enriching Farmers through Sharing: Improving People’s Livelihood and Well-Being in the Modernization of Agriculture and Rural Areas in China

Shared development is an important means by which to improve people’s livelihood and well-being in the new era. During the 13th Five-Year Plan period (2016–2020), China has made great achievements in the three major aspects of targeted poverty alleviation through industrial development, development of special rural areas, and equalization of urban and rural infrastructure and basic public services. In addition, the important experience of multi-agent participation, multi-mode guidance, and multi-line promotion has been accumulated in the individual, regional and urbanrural dimensions. However, there remain some deficiencies, such as low policy efficiency, poor matching ability, and prominent structural problems. At the beginning of the 14th Five-Year Plan (2021–2025), the task of enriching farmers through sharing has been faced with many challenges, such as major changes in the focus of poverty governance, greater numbers of restraints on the development of special rural areas, and heavy responsibilities of equalizing urban and rural infrastructure and basic public services. Therefore, it is necessary to acquire a profound understanding of the new development concept, and to continuously enrich farmers through sharing in terms of accelerating the improvement of the institutionalized poverty reduction system in the new era, actively building a green development system of agriculture and animal husbandry in special rural areas, and striving to create a fair and complementary urban and rural infrastructure and basic public service system.

New Life .Meets Real Life： Chinese Women in Nation Budding and State Making, 1934-1949

This article uses gender analysis to reexamine the New Lifk Movement illustrating how strategies for women＇s leadership cultivation played an important role in Guomindang （GMD） state-building efforts during the 1930s and 1940s. The GMD government promoted the New Life Movement to rectify the morals and conduct of civil servants and the general public for the purpose of building a modern nation-state at minimum cost. Although the New Life Movement is best known for employing urban middle-class centric approaches to reform, its Women＇s AdvisoW Council （WAC） carried the moderr）izing project to China＇s rural interior, where tbe GMD was previously bereft of access to local society. Although the WAC prioritized the mobilization of rural women for the war effort, its endeavors transcended the confinement of ＂women＇s work＂ and were instrumental in bridging the central government and local authorities, bringing the state into rural households.