Spatial pattern of urban-rural integration in China and the impact of geography

Urban-rural integration (URI) is a global challenge that is highly related to inequalities, poverty, economic growth, and other Sustainable Development Goals (SDGs). Existing research has evaluated the extent of URI and explored its influencing factors, but urban-rural linkages are seldom incorporated in evaluation systems, and geographical factors are rarely recognized as the influencing factors. We construct a URI framework including regional economy, rural development, urban-rural linkage, and urban-rural gap. Based on a dataset consisting of 1,669 counties in China in 2020, we reveal the spatial pattern of URI and find a high correlation between the spatial pattern of URI and the relief degree of land surface (RDLS). Using structural equation modeling, we discover that topography has direct ( − 0.18, p < 0.001) and indirect ( − 0.17, p < 0.001) effects on URI. The indirect negative effects are mediated through the infrastructure, and the combination of localized advantages and modern technical conditions could mitigate the negative impact of topography. Finally, we identify 742 counties as lagging regions in URI, which can be clustered into eight types. Our findings could facilitate policy designing for those countries striving for integrated and sustainable development of urban and rural areas.

A new approach towards the sustainability of urban-rural integration:The development strategy for central villages in the Abbasiya District of Iraq using GIS techniques

The development of rural areas usually has a positive impact on the urban-rural integration. This study explores an innovative approach to stimulate rural development by proposing qualified villages as central villages that can provide basic urban services for their residents and residents of neighboring villages. This approach can contribute to overcoming the various problems that rural areas faced at the social, economic, and environmental levels. It seeks to achieve spatial sustainability of rural areas, representing a new approach by integrating urban development methods to revitalize rural villages. The study analyzed 15 villages belonging to Abbasiya District of AL Kufa City in the Najaf Governorate of Iraq. Based on the GIS techniques and the analysis of urban service indicators(village population, percentage of urban building materials used in villages, distance between village and health centers, distance between village and main roads, nature of economic activity, distance between village and educational institutions, distance between village and drinking water sources, number of communication towers, and distance between village and urban administrative center), this study proposed that Abu Gharb and Albu Ghraib can served as central villages in Abbasiya District in the future. This study establishes a new rural spatial structure to achieve rural sustainable development, improves the development status of rural areas, and provides a theoretical basis for the government and relevant institutions to use urban service indicators, achieving rural sustainable development and formulating relevant development policies in Abbasiya District.

Thinking about Value Realization of Ecological Products under the Background of Urban-rural Integration in Chengdu“Western Control”Area

Chengdu's development strategy of“western control”has laid a solid ecological background for 8 western districts,cities and counties and cultivated good ecological resources.The integrated urban-rural development in the new era will realize the balanced development of urban and rural areas and give full play to the value of rural ecological resources through the“powerful combination”of urban and rural areas.To realize the urban-rural integration and high-quality rural development in Chengdu“western control”area,it is necessary to enhance the awareness of ecological resources and ecological products,and carry out unified planning of ecological infrastructure,ecological material products and ecological service products in the whole“western control”area.Meantime,ecological restoration must be carried out scientifically,and scene design for value transformation of ecological products should be implemented innovatively.

Development Path of Urban-rural Integration

The urban and rural areas are regarded as two major components of the regional economic system. Only through joint balanced development of the two can we achieve overall economic optimization and social welfare maximization. But the great social division of labor has separated urban areas from rural areas,which casts the shadow of city-oriented theory on cooperative relations between urban and rural areas. Mutual separation between urban and rural settlements and independent development trigger off a range of social problems. We must undertake guidance through rational development path of urban-rural integration,to eliminate the phenomenon of urban-rural dual structure,and promote the sustainable development of population,resources and environment in urban and rural areas as soon as possible.

Restrictions and Countermeasures of Rural Vocational Education in Urban-rural Integration

Developing rural vocational education is of great significance to urban-rural integration: developing rural vocational education is helpful to cultivating new farmers for construction of new socialist countryside,favorable to improving farmers' ability of finding jobs and starting undertaking, and beneficial to transfer of rural surplus labor and acceleration of urbanization. Restrictions on development rural vocational education mainly include: low value cognition of society and social assessment of rural vocational education; out of balance of cost and expected return of rural vocational education; the quality of supply of rural vocational education failure to satisfy demand of socio-economic development; imperfect rural vocational education system. In view of these,following countermeasures and suggestions are put forward: strengthen propaganda and guidance to build environment of public opinion for rural vocational education; push forward rural vocational compulsory education system to lay social foundation for rural vocational education; reinforce policy support to assist in building rural vocational education system; improve education system to build overall framework of rural vocational education; perfect laws and regulations to establish system and norm for development of rural vocational education.

The Research of the Balanced Development of China's Urban-rural Spatial Integration Based on the Evolution of Regional Spatial Structure

The general law of regional spatial evolution is researched.In the process of the evolution of four stages,namely the early stage of traditional agriculture and industrialization,the middle stage of industrialization,the later stage of industrialization and post-industrialization,the types of space are homogenized space,polarized space,pole-axis space and integrated space respectively;the choosing of the spatial location is influenced by economy,society and environment,and the spatial structure extends along with three-dimensional space.Based on the fact that China's urban-rural spatial structure evolution develops rapidly,and the outstanding characteristics of dual structure becomes the main obstacle to urban-rural balanced development,the thesis poses the countermeasures of China's urban-rural spatial integrated balanced development.It points out that the healthy development of socio-economy is the external environment of realizing urban-rural spatial integration;the urban-rural coordinated planning is the prerequisite of realizing urban-rural spatial integration;fulfilling the governmental function is the key to realizing urban-rural spatial integration;promoting agricultural industrialization is the approach to realizing urban-rural spatial integration;perfecting social security system is the basis of realizing urban-rural spatial integration.

Construction of Urban-rural Integration Evaluation System in Nanchang City and Empirical Studies

Taking Nanchang City, Jiangxi Province for example, this paper took 17 sub-indexes from five fields, namely integration of space, population, society, economy and ecology to analyze the dynamic urban-rural integration of the city in the past decade, compared it with fruits of Beijing, Shanghai and Suzhou, and concluded that the future urban-rural integration of Nanchang should be carried out from the perspectives of optimization of industrial structure, population agglomeration, issues concerning "agriculture, rural areas and peasants", and environmental protection.

Research on the Coordinated Development of Rural Revitalization and Human-centered Urbanization Based on Urban-rural Integration

Although there are certain differences in the center of gravity between rural revitalization and human-centered urbanization,their connotations and goals require that both must be promoted in concert.Therefore,based on a deep understanding of the connotation of rural revitalization and human-centered urbanization,it is necessary to clarify the goals of the two through the two-way flow of elements between urban and rural areas,the urban-rural linkage of industries,to achieve coordinated promotion of rural revitalization and human-centered urbanization in China.

A Comparative Study of Development and Reform of Urban-Rural Integration in Chengdu and Chongqing Based on System Theory

Chengdu and Chongqing,as two core cities in the Chengdu-Chongqing economic circle,have always been in the front rank of development and reform of urban-rural integration in China.But due to different basic conditions,ideas and priorities are different in the two cities.This paper establishes an analysis framework based on system theory,conducts a systematic comparison on the development and reform of urban-rural integration in the two cities to achieve a comprehensive comparison study and finds out that:(a) Owing to different basic conditions,Chengdu and Chongqing have adopted different reform ideas and measures.Chengdu places more emphasis on systematic advancement,while Chongqing attaches more importance to key breakthroughs.(b) Chengdu’s high level shows that in the practice of urban-rural integration,independent policies and measures in local areas have limited effects.System efficiency can surpass the sum of local areas’ efficiencies only if a systematic method is adopted to comprehensively promote policies and measures for institutional innovations in various fields.

Whether the digital economy will successfully encourage the integration of urban and rural development: A case study in China

The digital economy has become an important driver for stimulating economic growth.The digital economy has now widely penetrated the fields of economy and society,providing new opportunities for the develop‐ment of urban-rural integration.Based on panel data for 30 provinces in China from 2011 to 2020,this study constructed an index system for the integration of the digital economy and the development of urban-rural areas and conducted a systematic measurement analysis.Additionally,we used a two-step system of GMM estimation to analyze the impact of the digital economy on the development of urban-rural integra‐tion.The findings demonstrate the significant imbalance paradox of China’s digital economy development,which is shown in a gradient where the eastern region is higher than the center and the central region is higher than the west.Urban-rural integration levels in China fluctuate and display geographical variance,typically displaying high levels in the east and low levels in the west.Urban-rural integration is significantly encouraged by the digital economy,yet it varies in variability between different areas and dimensions.Addi‐tionally,rural human capital moderates the favorable effects of the digital economy on urban-rural integra‐tion.As a result,in order to achieve the integrated development of urban and rural areas,it is imperative to fully exploit the active role of the digital economy,better support the development of rural revitalization,bridge the“digital divide”between urban and rural development,and build a strong foundation for the for‐mation of a digital urban-rural integrated development pattern with urban and rural areas and common con‐struction and sharing.

Integrating palliative care in oncologic emergency departments:Challenges and opportunities

Although visiting the emergency departments(EDs) is considered poor quality of cancer care,there are indications these visits are increasing.Similarly,there is growing interest in providing palliative care(PC) to cancer patients in EDs.However,this integration is not without major challenges.In this article,we review the literature on why cancer patients visit EDs,the rates of hospitalization and mortality for these patients,and the models for integrating PC in EDs.We discuss opportunities such integration will bring to the quality of cancer care,and resource utilization of resources.We also discuss barriers faced by this integration.We found that the most common reasons for ED visits by cancer patients are pain,fever,shortness of breath,and gastrointestinal symptoms.The majority of the patients are admitted to hospitals,about 13% of the admitted patients die during hospitalization,and some patients die in ED.Patients who receive PC at an ED have shorter hospitalization and lower resource utilization.Models based solely on increasing PC provision in EDs by PC specialists have had modest success,while very limited ED-based PC provision has had slightly higher impact.However,details of these programs are lacking,and coordination between ED based PC and hospitalwide PC is not clear.In some studies,the objectives were to improve care in the communities and reduce ED visits and hospitalizations.We conclude that as more patients receive cancer therapy late in their disease trajectory,more cancer patients will visit EDs.Integration of PC with emergency medicine will require active participation of ED physicians in providing PC to cancer patients.PC specialist should play an active role in educating ED physicians about PC,and provide timely consultations.The impact of integrating PC in EDs on quality and cost of cancer care should be studied.

How to Draw on the Urban-rural Space Evolution Experience of Foreign Metropolis for Xi'an?

"Space" is the place where people take social and economic activities,as well as the carrier supporting any public life style and rights and acts.Urban and rural places are the two main parts that comprise the regional economic system,and only when they are developed harmoniously can the overall economic optimization and social welfare maximization come true.On basis of analyzing the experience and mechanism of urban and rural spaces of London,New York and Tokyo 3 typical international metropolitan area and learning from their development experience,the study has proposed development strategies for the integration of urban-rural space of Xi'an City according to its current development situation.

Methods of Land Management in the Construction of Urban and Rural Integration

With the rapid development of the social economy,the pace of urban-rural integration construction has been accelerating continuously.From the actual situation at this stage,it is necessary to maintain the sound relationship of coordination,interaction and mutual advance between the city and the village.In the process of building urban-rural integration,we should focus on strengthening the development of land management,so as to improve the rationality of land development and utilization,and maximize the value of land while protecting rural farmland resources.The author explores and analyzes the problems existing in the land management work in the urban-rural integration construction.An effective way is put forward to carry out land management work in urban and rural integration construction,which contributes to the improvement of the quality of land management work.

新形势下MDT监管模式在清廉医院建设中的实践

在全国范围内开展医药领域腐败问题集中整治工作的新形势下,浙江大学医学院附属儿童医院纪检监察室借鉴多学科行政管理模式,创建了以清廉科室、行风查房为抓手的MDT监管模式,推进落实党风廉政建设党委主体责任和纪委的监督责任,通过查摆问题、督促整改、完善制度等方式实现全流程闭环管理。在强化责任体系建设、廉洁风险防控、强化行风建设、精准廉政宣教等方面取得良好成效。

联合一体化救治的沉浸式剧本设计提高急诊科护士情绪劳动与急救能力的效果评价

目的 探讨联合一体化救治的沉浸式剧本对急诊科护士情绪劳动与急救能力的干预效果,为提高急诊科护士情绪调节与急救能力提供新方法和新思路。方法 于2021年9月—2022年5月,将60名急诊科护士按照随机数字表法分为干预组和对照组,每组30人。对照组接受常规院内及科室护理培训,干预组在其基础上开展沉浸式剧本培训及体验演练,共4次,每次40 min,完成整体培训后,采用《杰弗逊共情量表》和《情绪劳动量表》对两组护士情绪调节水平进行评定,应用急性脑卒中患者静脉溶栓给药时间、住院时间和神经功能缺损评分评价护士急救能力。结果 干预组护士年龄(30.87±3.46)岁,本科学历27人、专科学历2人;对照组护士年龄(29.38±1.63)岁,本科学历28人、专科学历1人。干预组护士的共情量表得分均高于对照组(P<0.05);干预组护士情绪劳动评分高于对照组,表层扮演评分低于对照组,深层扮演和情绪表达评分高于对照组(P<0.05)。选择两组护士分别接诊的30名急性脑卒中溶栓患者,干预组患者的溶栓药物进入血管时间以及总住院时间较对照组患者减少,ASIA中枢损伤严重程度评分显著降低(P<0.05),干预组患者总体满意程度(96.67%)较对照组患者(63.33%)明显提升(P<0.05)。结论 沉浸式剧本联合一体化救治方案的设计与实施能有效提升急诊科护士的共情能力、情绪劳动水平及患者抢救效果,对急诊护士的综合能力提高具有临床推广意义。

Can the integration between urban and rural areas be realized?A new theoretical analytical framework

Urban-rural integration is an advanced form resulting from the future evolution of urban-rural relationships.Nevertheless,little research has explored whether urban and rural areas can move from dual segmentation to integrated development from a theoretical or empirical perspective.Based on the research framework of welfare economics,which offers an appealing paradigm to frame the underlying game between cities and villages,this study clarifies the ideal state of urban-rural integration.It then proposes a series of basic assumptions,and constructs a corresponding objective function and its constraints.Moreover,it assesses the possibility of seeing the transmutation from division to integration between urban and rural areas with continuous socio-economic development.The authors argue that the ideal state of urban-rural integration should be a Pareto-driven optimal allocation of urban-rural resources and outputs,and the maximization of social welfare in the entire region.Based on a systematic demonstration using mathematical models,the study proposes that urban and rural areas can enter this ideal integrated development pattern when certain parameter conditions are met.In general,this study demonstrates the theoretical logic and scientific foundations of urban-rural integration,enriches theoretical studies about urban-rural relationships,and provides basic theoretical support for large developing countries to build a coordinated and orderly urban-rural community with a shared future.

门诊一体化管理在肺癌患者治疗中的应用效果

目的 探讨门诊全程一体化管理干预应用在肺癌患者治疗过程中的效果。方法 采用前瞻性研究法,将2020年1月—2022年12月某医院的门诊肺癌患者120例随机分为对照组和观察组。对照组采用常规门诊管理,观察组采用全程一体化管理信息平台进行管理。分别于干预前后对两组患者的健康信念评分、癌因性疲乏评分、自护能力评分和负性情绪进行比较。结果 与对照组相比,干预后观察组的自护能力和健康信念评分均升高,而癌因性疲乏评分、汉密尔顿焦虑量表(HAMA)和汉密尔顿抑郁量表(HAMD)评分均降低。结论 全程一体化管理可提高门诊肺癌患者的健康信念,缓解癌因性疲乏和负性情绪,提高自护能力。

预检-挂号一体化信息系统在改进急诊科就诊流程及提升患者就诊体验中的作用分析

目的探讨分析预检-挂号一体化信息系统在改进急诊科就诊流程及提升患者就诊体验中的作用。方法选取2022年1月至12月浙江大学医学院附属儿童医院收治的100例急诊患者,为对照组,实施传统就诊模式,即预检与挂号分开进行;选取2023年1月至12月医院收治的100例急诊患者,为观察组,实施预检-挂号一体化就诊模式。对比两组患者分诊时间、分诊准确率、候诊时间、医务人员满意度及患者满意度。结果观察组分诊时间短于对照组,分诊准确率高于对照组,差异有统计学意义(P<0.05)。观察组总候诊时间较对照组短,差异有统计学意义(P<0.05)。观察组医护人员各条目及总分满意度评分均高于对照组,且差异有统计学意义(P<0.05)。观察组患者各条目评分及满意度总分均高于对照组,差异有统计学意义(P<0.05)。结论预检-挂号一体化信息系统可改进急诊科就诊流程,缩短分诊及候诊时间,提高分诊准确率,并可有效提升医务人员及患者的就诊满意度。

多学科融合教学在护生骨科临床实习中的实践

目的探讨多学科融合教学在护生骨科临床实习中的应用效果。方法选取骨科实习护生96人,按照入科先后顺序分为对照组和试验组各48人。对照组采取常规临床护理教学实践,试验组在对照组基础上开展多学科融合教学活动;比较两组出科考核成绩、教学效果以及批判性思维能力。结果两组均完成4周实习,两组出科考核成绩、教学效果评价及批判性思维评分比较,差异有统计学意义(均P<0.05)。结论多学科融合教学可促进护生批判性思维能力培养,进而促进教学效果提升。