Cost analysis of radical resection of malignant breast tumors under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Breast cancer is one of the most common malignant tumors in women worldwide and poses a severe threat to their health.Therefore,this study examined patients who underwent breast cancer surgery,analyzed hospitalization costs and structure,and explored the impact of China Healthcare Security Diagnosis Related Groups(CHS-DRG)management on patient costs.It aimed to provide medical institutions with ways to reduce costs,optimize cost structures,reduce patient burden,and improve service efficiency.AIM To study the CHS-DRG payment system’s impact on breast cancer surgery costs.METHODS Using the CHS-DRG(version 1.1)grouping criteria,4073 patients,who underwent the radical resection of breast malignant tumors from January to December 2023,were included in the JA29 group;1028 patients were part of the CHS-DRG payment system,unlike the rest.Through an independent sample t-test,the length of hospital stay as well as total hospitalization,medicine and consumables,medical,nursing,medical technology,and management expenses were compared.Pearson’s correlation coefficient was used to test the cost correlation.RESULTS In terms of hospitalization expenses,patients in the CHS-DRG payment group had lower medical,nursing,and management expenses than those in the diagnosis-related group(DRG)non-payment group.For patients in the DRG payment group,the factors affecting the total hospitalization cost,in descending order of relevance,were medicine and consumable costs,consumable costs,medicine costs,medical costs,medical technology costs,management costs,nursing costs,and length of hospital stay.For patients in the DRG nonpayment group,the factors affecting the total hospitalization expenses in descending order of relevance were medicines and consumable expenses,consumable expenses,medical technology expenses,the cost of medicines,medical expenses,nursing expenses,length of hospital stay,and management expenses.CONCLUSION The CHS-DRG system can help control and reduce unnecessary medical expenses by controlling medicine costs,medical consumable costs,and the length of hospital stay while ensuring medical safety.

Surgical treatment of liver cancer and pancreatic cancer under the China Healthcare Security Diagnosis Related Groups payment system

BACKGROUND Data from the World Health Organization’s International Agency for Research on Cancer reported that China had the highest prevalence of cancer and cancer deaths in 2022.Liver and pancreatic cancers accounted for the highest number of new cases.Real-world data(RWD)is now widely preferred to traditional clinical trials in various fields of medicine and healthcare,as the traditional research approach often involves highly selected populations and interventions and controls that are strictly regulated.Additionally,research results from the RWD match global reality better than those from traditional clinical trials.AIM To analyze the cost disparity between surgical treatments for liver and pancreatic cancer under various factors.METHODS This study analyzed RWD 1137 cases within the HB1 group(patients who underwent pancreatectomy,hepatectomy,and/or shunt surgery)in 2023.It distinguished different expenditure categories,including medical,nursing,technical,management,drug,and consumable costs.Additionally,it assessed the contribution of each expenditure category to total hospital costs and performed cross-group comparisons using the non-parametric Kruskal–Wallis test.This study used the Steel–Dwass test for post-hoc multiple comparisons and the Spearman correlation coefficient to examine the relationships between variables.RESULTS The study found that in HB11 and HB13,the total hospitalization costs were significantly higher for pancreaticoduodenectomy than for pancreatectomy and hepatectomy.Although no significant difference was observed in the length of hospital stay between patients who underwent pancreaticoduodenectomy and pancreatectomy,both were significantly longer than those who underwent liver resection.In HB15,no significant difference was observed in the total cost of hospitalization between pancreaticoduodenectomy and pancreatectomy;however,both were significantly higher than those in hepatectomy.Additionally,the length of hospital stay was significantly longer for patients who underwent pancreaticoduodenectomy than for those who underwent pancreatectomy or liver resection.CONCLUSION China Healthcare Security Diagnosis Related Groups payment system positively impacts liver and pancreatic cancer surgeries by improving medical quality and controlling costs.Further research could refine this grouping system and ensure continuous effectiveness and sustainability.

Quantifying the agreement and accuracy characteristics of four satellite-based LULC products for cropland classification in China

Various land use and land cover(LULC)products have been produced over the past decade with the development of remote sensing technology.Despite the differences in LULC classification schemes,there is a lack of research on assessing the accuracy of their application to croplands in a unified framework.Thus,this study evaluated the spatial and area accuracies of cropland classification for four commonly used global LULC products(i.e.,MCD12Q1V6,GlobCover2009,FROM-GLC and GlobeLand30)based on the harmonised FAO criterion,and quantified the relationships between four factors(i.e.,slope,elevation,field size and crop system)and cropland classification agreement.The validation results indicated that MCD12Q1 and GlobeLand30 performed well in cropland classification regarding spatial consistency,with overall accuracies of 94.90 and 93.52%,respectively.The FROMGLC showed the worst performance,with an overall accuracy of 83.17%.Overlaying the cropland generated by the four global LULC products,we found the proportions of complete agreement and disagreement were 15.51 and 44.72% for the cropland classification,respectively.High consistency was mainly observed in the Northeast China Plain,the Huang-Huai-Hai Plain and the northern part of the Middle-lower Yangtze Plain,China.In contrast,low consistency was detected primarily on the eastern edge of the northern and semiarid region,the Yunnan-Guizhou Plateau and southern China.Field size was the most important factor for mapping cropland.For area accuracy,compared with China Statistical Yearbook data at the provincial scale,the accuracies of different products in descending order were:GlobeLand30,FROM-GLC,MCD12Q1,and GlobCover2009.The cropland classification schemes mainly caused large area deviations among the four products,and they also resulted in the different ranks of spatial accuracy and area accuracy among the four products.Our results can provide valuable suggestions for selecting cropland products at the national or provincial scale and help cropland mapping and reconstruction,which is essential for food security and crop management,so they can also contribute to achieving the Sustainable Development Goals issued by the United Nations.

Industrial Carbon Emission Distribution and Regional Joint Emission Reduction:A Case Study of Cities in the Pearl River Basin,China

China’s low-carbon development path will make significant contributions to achieving global sustainable development goals.Due to the diverse natural and economic conditions across different regions in China,there exists an imbalance in the distribution of car-bon emissions.Therefore,regional cooperation serves as an effective means to attain low-carbon development.This study examined the pattern of carbon emissions and proposed a potential joint emission reduction strategy by utilizing the industrial carbon emission intens-ity(ICEI)as a crucial factor.We utilized social network analysis and Local Indicators of Spatial Association(LISA)space-time trans-ition matrix to investigate the spatiotemporal connections and discrepancies of ICEI in the cities of the Pearl River Basin(PRB),China from 2010 to 2020.The primary drivers of the ICEI were determined through geographical detectors and multi-scale geographically weighted regression.The results were as follows:1)the overall ICEI in the Pearl River Basin is showing a downward trend,and there is a significant spatial imbalance.2)There are numerous network connections between cities regarding the ICEI,but the network structure is relatively fragile and unstable.3)Economically developed cities such as Guangzhou,Foshan,and Dongguan are in the center of the network while playing an intermediary role.4)Energy consumption,industrialization,per capita GDP,urbanization,science and techno-logy,and productivity are found to be the most influential variables in the spatial differentiation of ICEI,and their combination in-creased the explanatory power of the geographic variation of ICEI.Finally,through the analysis of differences and connections in urban carbon emissions under different economic levels and ICEI,the study suggests joint carbon reduction strategies,which are centered on carbon transfer,financial support,and technological assistance among cities.

Evolution and Governance of the Structure of Marine Economic Networks in China’s Coastal Areas: Based on Sea-related A-share Listed Companies

Data on discrete,isolated attributes of the marine economy are often used in traditional marine economic research.However,as the focus of urban research shifts from internal static attributes to external dynamic linkages,the importance of marine economic net-work research is beginning to emerge.The construction of the marine economic network in China’s coastal areas is necessary to change the flow of land and sea resources and optimize regional marine economic development.Employing data from headquarters and branches of sea-related A-share listed enterprises to construct the marine economic network in China,we use social network analysis(SNA)to discuss the characteristics of its evolution as of 2010,2015,and 2020 and its governance.The following results were obtained.1)In terms of topological characteristics,the scale of the marine economic network in China’s coastal areas has accelerated and expan-ded,and the connections have become increasingly close;thus,this development has complex network characteristics.2)In terms of spatial structure,the intensity of the connection fluctuates and does not form stable development support;the group structure gradually becomes clear,but the overall pattern is fragmented;there are spatial differences in marine economic agglomeration radiation;the radi-ation effect of the eastern marine economic circle is obvious;and the polarization effect of northern and southern marine economic circles is significant.On this basis,we construct a framework for the governance of a marine economic network with the market,the government,and industry as the three governing bodies.By clarifying the driving factors and building objectives of marine economic network construction,this study aims to foster the high-quality development of China’s marine economy.

The Role of AI in Cyber Security: Safeguarding Digital Identity

This article signals the use of Artificial Intelligence (AI) in information security where its merits, downsides as well as unanticipated negative outcomes are noted. It considers AI based models that can strengthen or undermine infrastructural functions and organize the networks. In addition, the essay delves into AI’s role in Cyber security software development and the need for AI-resilient strategies that could anticipate and thwart AI-created vulnerabilities. The document also touched on the socioeconomic ramifications of the emergence of AI in Cyber security as well. Looking into AI and security literature, the report outlines benefits including made threat detection precision, extended security ops efficiency, and preventive security tasks. At the same time, it emphasizes the positive side of AI, but it also shows potential limitations such as data bias, lack of interpretability, ethical concerns, and security flaws. The work similarly focuses on the characterized of misuse and sophisticated cyberattacks. The research suggests ways to diminish AI-generating maleficence which comprise ethical AI development, robust safety measures and constant audits and updates. With regard to the AI application in Cyber security, there are both pros and cons in terms of socio-economic issues, for example, job displacement, economic growth and the change in the required workforce skills.

Economic Growth:The Fundamental Path to the Realization of Social Security Rights for Migrant Workers

The International Labour Organization seems to only see the aspect of social security promoting economic growth,while neglecting the aspect of economic growth supporting social security.From the standpoint of materialism and the practice of social security,the realization of social security rights for migrant workers fundamentally depends on economic growth.The Belt and Road Initiative has provided a Chinese solution for creating a strong material and technological foundation to meet the social security needs of all people,including migrant workers.

China's Social Security System for the Urban Poor

China'ssocialsecuritysystemiscomposedofthreefields:basiclivingsecurityforunemployedstaffandworkers,unemploymentinsuranceandminimumlivingseeurityforurbaninhabitants.Thebasiclivingconditionofunemployedstaffandworkersareguaranteedbyemploymentservicecent...

The Social Image of Modern China in the Perspective of Western Peregrinators

Since the middle and late 18th century,as Chinese civilization entered a downward trajectory,the social image of China built by the Western society before modern times as a land of wisdom,virtue and faith with vast territory,abundant resources,prosperity and inclusive civilization had gradually collapsed.As peregrinators to China had a deeper understanding of China,the overall disappearance of urban and rural poetry and the overall decline of social groups constituted the historical base map for peregrinators to construct the social image of modern China.

The Islamic Studies in China-Research in Political and Social Fields

In the research of political and social fields,modern Islamic politics has evolved into three schools of nationalism,modernism and fundamentalism in the 20th century.The research in the field of contemporary Islam involves different countries,nationalities and different economic and political conditions.It is not only the research field of religion,but also has the characteristics of interdisciplinary academic frontier.From the perspective of academic research,these trends have attracted the attention and research of scholars inside and outside the church on Islamic political and social issues.Recently,there have been many problems related to Islam and the current international political life,as well as the research results of Islamic social thoughts and social movements.

The effects of social security expenditure on reducing income inequality and rural poverty in China

Social security has,as one of its primary aims,the provision of financial support to those deemed to be poor or facing the threat of poverty.Based on China's national statistical data covering social insurance,social assistance,and social welfare between the period 1978–2018,this paper evaluates the effect of social security expenditure in reducing income inequality and rural poverty with cointegration analysis.It was found that there is a positive correlation between social security expenditure and the income gap of urban and rural residents in the long run,but the effect is very limited;nearly 99%of the changes of the urban–rural income gap come from its own contributions.Further research also shows that the elasticity of rural poverty incidence to social security expenditure is–0.2255,which indicates social security expenditure helps reduce rural absolute poverty.Based on these findings,the policy implications can be that much social security expenditure and a more equitable social security system should be encouraged.It will become one of the major anti-poverty strategies after 2020 in China when we win the battle against absolute poverty.

Study on the Construction of Eco-security System in China under the Ecological Civilization Concept——Based on the Ecological Civilization Construction in Qingzhen City of Guizhou Province

The construction of eco-security system was a complicated systematic project, included the comprehensive construction and collaborative propulsion of eco-environment system, eco-economy system, eco-culture system, eco-society system and eco-law system. The comprehensive, coordinated and sustainable development of ecology, economy and society only could be achieved under the guidance of ecological civilization concept by the integrated consideration, comprehensive planning and multi-coordination.

Developing the Agro-Grassland System to Insure Food Security of China

China’s food security has always been the top priority in China. As the huge increase of animal food consumption, the current agriculture system in China namely “grain farming”, whose major animal feed are grains, seems to meet a great challenge to ensure China’s food security in the future. Not only the current situation, but also the production capacity as developing grassland agriculture is analyzed in this paper. The results show that half of provinces don’t have enough grain to meet their various needs for grain, and the whole country’s potential of grain yield is reaching a limited position. On the other hand, implementing cereal-forage rotation on 20% of the total arable land and developing high productivity sown pastures on 3% of the total rangeland areas could create approximately 1.2 times Arable Land Equivalent Unit (ALEU) than ever. So changing the traditional agriculture system into Grassland Agro-Ecosystems is an effective way to insure China’s food security. It includes utilization of rangeland rationally, establishment of more sown pasture and implementation of cereal-pasture rotation system, increase livestock production, and use of arable land more efficiently.

Spatial-temporal characteristics of the coupling coordination of social security and economic development in China during 2002–2018

Clarifying the relationship between social security and economic development is helpful to realize the sustainable social security system and the stable function of sustainable economic development.In this paper,the entropy method,coupling coordination degree,standard deviation ellipse model,and spatial autocorrelation were used to study the spatial-temporal characteristics of coupling coordination of social security and economic development in China from 2002 to 2018.The results indicate that the relationship between social security and economic development in China has been gradually strengthened in the process of mutual adaptation and common development.The benign interaction between the two was unstable,though the coupling coordination degree gradually transitioned to the primary coupling coordination type.Besides,from a spatial perspective,first,the coupling coordination degree of social security and economic development in China contracted in the east-west and north-south directions,and the coupling coordination clustered in the central region in this period;second,the coupling coordination degree generally presented a positive spatial autocorrelation,and regions with similar coupling coordination degrees were in a state of agglomeration;finally,the hot spots clumped together to form a continuous area in the eastern coastal area while the cold spots expanded toward the northwest and northeast.Furthermore,the random distribution areas exhibited a trend of contraction.

China's Labor and Social Security Protection under the Globle Financial Crisis

Against the background of economic globalization, the economy of many countries has been inevitably affected by the globle financial crisis. But the impact varies. China, as one of the leading countries in globalization, the direct or indirect impact it suffered can be imagined. The Chinese government adopted a series of measures to deal with the financial crisis.

The Influence of China Demographic Structure on Social Security Expenditure—Based on Panel Data Model

Based on the panel data of 31 provinces and municipalities inChinafrom 1998 to 2016, this paper studies the effect of demographic structure on social security expenditure inChinaby using entity fixed effect regression model. The results show that there is a long-term co-integration relationship between population aging and social security expenditure in the demographic structure, and there is a positive correlation between population aging and social security expenditure. And the different cross-sectional effects in 31 regions of China reflect the difference between population aging and social security expenditure in different regions of China.

The Social Security Miracle of China:Development Mechanism and Institutional Transformation

In the rapid progress of China’s economic development and social security,economic development has led to a higher level of social security.Every economic crisis or economic adjustment has created the opportunity for improving social security.This paper argues that there is a“shock-response”relationship between economic development and social security and analyzes how social security changed from the passive response to the active response.Due to economic growth,the politics centering on people’s livelihood has promoted the full coverage of the social security system.The government investment in social security has been increasing,showing a new pattern of“middle-level economic growth and middle-level social welfare”and is helping to shift away from the previous“put welfare behind development”model toward simultaneous development and coordinated development.Creating a virtuous cycle of social security and economic development has become a key issue that China must face and need to solve on its way to become a strong country.

The Social Assistance of Migrant Workers and the Urban Minimum Living Security System

The surplus rural labors transferring to the city is an inevitable trend in the economic development of the reform and opening up. The household register system has made urban migrant workers free from the social security system and drift on the brink of city. Social assistance system concerning their interests is few. This article starts with the current situation of rural migrant workers in social assistance system, states the necessity and feasibility for bringing the migrant workers into the urban minimum living security system and according to the characteristics of the migrant workers on the reasonable classification, finally talks about existing obstacles and countermeasures of the migrant workers joining into the urban low income system. I believe that with the continuous reform of the registered permanent household register system, the continuous development of urbanization, the basic life of migrant worker will be guaranteed.

Social Security Internationalization During China's Reform and Opening Up from 1978 to 2018——Viewed from the Paradigm of a Community with a Shared Future for Mankind

China's reform and opening-up policy,launched in 1978,marks the start of the internationalization process of its social security system.This paper takes the notion of "a community with a shared future" as the perspective to analyze the internationalization of social security in the process of China's reform and opening up.Based on China's developments in globalization,it divides the internationalization process of China's social security from 1978 to 2018 into three stages: the stage of reshaping the domestic social security system with reference to the best international practice; the stage of achieving bilateral or multilateral alignment on the premise of equality and mutual benefit,and the stage of injecting Chinese wisdom in social security into the development of global social security.The trajectory of the development of China's social security internationalization shows the incremental evolution within the country,between nations,and in the world community.This paper studies the internationalization process to show China's grand achievements in the four decades of reform and opening-up and to demonstrate Chinese wisdom and confidence.

The International Experience of the Construction of Social Security System

Comparative Vision article from Social Security Intemational, discusses the need for international comparison focuses on the typical characteristics of the United Kingdom, Germany, the United States established the developed capitalist countries and emerging East Asian countries social security model, and on this basis, summed up the country should learn fi＇om each experience, its essence, as I used to promote the construction of China＇s social security system towards healthy and sustainable direction.