Multi-level Cooperation and Complementary Advantage Poverty Alleviation Model in Poverty-Stricken Counties of Tibetan Areas:A Case Study of Songpan County in Sichuan Province

Songpan County is a poverty-stricken county in Tibetan areas of Sichuan Province,it belongs to a concentrated poverty-stricken area in China.Through summarizing the specific conditions of multi-level cooperation and complementary advantage poverty alleviation model in Songpan County,this paper analyzed the effect of this model.Through the analysis on the cooperative poverty alleviation model(eastern-western cooperation,provincial targeted assistance,county-wide"four-leading and four-assistance"inner-party assistance,social force"10000 enterprises helping 10000 villages",and"visiting every household and keeping every person busy"),it summarized the implementation and actual results of each level.In addition,it summarized the problems encountered in the implementation process of multi-level cooperation and complementary advantage poverty alleviation model and came up with recommendations.With the aid of this successful multi-level cooperation and complementary advantage poverty alleviation model,Songpan County has achieved a decisive victory in the fight against poverty.At the end of April 2019,the poverty rate in the whole region fell to 0.45%,and it successfully took off the poverty hat.This paper analyzed and refined the specific practice,main achievements,successful experience,implications and reference significance of multi-level cooperation and complementary advantage poverty alleviation model,to provide necessary references for innovation of poverty alleviation model in poverty-stricken Tibetan areas,or even other similar provinces and regions.

Present situation and the countermeasures of health human resources in Guangxi general hospitals at the county - level

[目的] 了解广西县级综合医院卫生人力资源状况,为进一步推进县级医院改革提供建设性意见. [方法]通过问卷调查法、数理统计法等综合分析广西县级综合医院卫生人力资源现状.[结果]广西县级综合 医院在岗人员在编率为41.56%,医护比为1： 1.68, 67.12%的卫生技术人员职称为初级及以下,超七成拥有 大专及以上学历.[结论]广西县级综合医院卫生技术人员在编率较低,医护比、职称及学历结构不合理,整 体年龄偏低,需通过综合措施加以改善.

Dynamic Characteristics and Influencing Factors of Groundwater Level in Qianyang County

The dynamic characteristics and influencing factors of groundwater level in Qianyang County were analyzed.The results showed that in the south bank of the Qianhe River,the change of groundwater level was mainly affected by precipitation,and the response of the groundwater level to the change of precipitation was one year later.The groundwater level presented a downward trend on the whole.In the north bank of the Qianhe River,the supply source of the groundwater level included precipitation and hydrology,and the groundwater level showed a rising trend on the whole.In the plain area,there was a sudden change in the groundwater level under the control of human activities.In a word,the main factors influencing the groundwater level in various geological conditions were different,so there were great differences between various regions in the dynamic characteristics of the groundwater level in Qianyang County.

Spatial Pattern Evolution and Casual Analysis of County Level Economy in Changsha-Zhuzhou-Xiangtan Urban Agglomeration, China

In order to evaluate whether or not the county units′ economy in the Changsha-Zhuzhou-Xiangtan(Chang-Zhu-Tan) Urban Agglomeration was growing as expected, this study analyzed the spatial economy pattern at county-level by using the Exploratory Spatial Data Analysis(ESDA) method. In this process, the global Moran′s I and local Getis-Ord G*i indexes were employed to analyze indicators including per capita GDP and three industrials(i.e. primary, secondary and tertiary industry) from 2000 to 2010. The results show that: 1) the county units′ economy in the Chang-Zhu-Tan Urban Agglomeration has exhibited a strong spatial autocorrelation and an accelerated integration trend since 2008(Moran′ s I increased from 0.26 to 0.56); 2) there is a significant difference in economy development between the northern and southern county units in the Chang-Zhu-Tan Urban Agglomeration: the hotspot zone with high economic level was formed among the northern county units whereas the coldspot zone with low economic level was located in the southern areas. This difference was caused primarily by the increasingly prominent economic radiation effect of Changsha ′upheaval′; 3) town density, secondary industry, and the integration policy are the major contributors driving the evolution of the spatial economy pattern in the Chang-Zhu-Tan Urban Agglomeration.

Spatial Pattern and Influencing Factor of County-level Industrial Development in Liaoning Province of China

County-level industrial development and structure upgrade is one of the most important issues of revitaliz- ing old industrial base of China. After the cluster analysis on GDP per capita and GDP per area of each county in Liaoning Province, this paper finds the similarity of population size, land use intensity, and economic development of each county. Location quotient reflects the specialization intensity of industries in each county, and it also reflects the spatial differences of county-level industrial development. Economic development level is higher in the southeast than in the northwest of Liaoning, and the industry driving effect on county-level economy is apparent. The main influenc- ing factors include location, industrial foundation and economic system reform, capital input level, knowledge and technology dissemination, conditions of domestic and overseas markets, population and labor force transfer. Industri- alization is an important approach to urbanization for the counties in Liaoning Province. The proportion of agriculture is much higher in the northwest than in the southeast of Liaoning, so it will be take longer time for counties in the northwest of Liaoning to make industrialization, urbanization and modernization.

Correlation between Geographical Regional Economy and Construction of County-level Vocational Education Centers

In the period of Eleventh Five-Year Plan,the construction of county-level vocational education centers in Shanxi Province made great contribution to local social and economic development. Due to influence of special geography,population environment and regional economic development situation,it forms the pattern of strong in southeast and weak in northwest. Thus,scientific making plan for construction of vocational education centers in northwestern counties( cities) and establishing long-term mechanism for construction of vocational education centers will be helpful for serving regional economic construction.

Evaluation on Terrain-Climate Superiority Degree at County Level in Yunnan Province

Terrain slope and climate zone(heat zone)are important factors affecting land use zoning and agricultural production layout in mountainous areas.Using"weight grade method",a quantitative index of comprehensively evaluating terrain slope and climatic(thermal)conditions in mountainous areas was proposed:terrain-climate superiority degree(TCSD),and TCSD,terrain superiority degree(TSD),and climate superiority degree(CSD)in 129 counties(cities and districts)of Yunnan Province were measured and analyzed.The results showed that TCSD in 50.39%of counties of Yunnan Province was relatively better(levels I and II),and TCSD in 38.76%of counties was moderate(level III),while TCSD in 10.85%of counties was relatively poorer(levels IV and V).

Development Path of Different County-Level Towns

County-level town is important space carrier of China's urbanization and the emphasis and key of strategic distribution for urbanization. Backwardness of county-level towns limits nearby transfer of surplus labor. To promote development of county-level towns,on the basis of classifying county-level towns,this paper analyzed motive and resistance factors of evolution of different county-level towns using historical data collection and statistical method,comparative approach,typical case study method,and studied development path for different county-level towns. From analysis,it reached the conclusion that industry exerts the most direct and fundamental influence on development of county-level towns,while the industrial development in county-level towns must base on their actual conditions. The county-level towns are not isolated,and their development should be established within the framework of national policy environment and superior and subordinate town system.

STUDY ON METHODS OF LAND USE DYNAMIC MONITORING AT COUNTY LEVEL──Taking Dehui County, Jilin Province for Example

Remote sensing technique has played an important role in land use dynamic monitoring, but as for the land use dynamic monitoring at county level, traditional remote sensing methods such as satellite imagery visual interpretation and computer classification can not meet its demand for accuracy. The result of 1:10 000 land use investigation map has high accuracy, but this method can not be used to dynamically monitor the land use because of its big expenses, long period and difficulty in updating data. In this paper, the characteristics of physiognomy, climate and the status of land use in Dehui County are taken into consideration and a set of method, which takes use of 3S techniques and applies to Northeast China Plain, is come up with. When the land use type of a land parcel changed as a whole, the date updating can be make by changing its land type ID in the attribute table in a GIS. When the land use type of an irregular area changed, GPS receivers are used to position its border. This set of method is characteristic of high accuracy and low expenses. It gets the information of land use change timely and can be used to dynamically monitor the land use. .

Exploring the Nexus between Climate Hazards and Conflict in Lamu County: Implications for Community Adaptation Action Plans

This paper investigated the complex relationship between climate change and security in Lamu County, with focus on community perceptions, vulnerabilities, and adaptation strategies. The study utilized a participatory approach involving Focus Group Discussions (FGDs) and Key Informant Interviews (KIIs) to gather insights from diverse community members. Results revealed a growing recognition of climate change as a significant factor amplifying security risks, including resource-based conflicts, food and water insecurity, pest and disease outbreaks, and rising sea levels. The analysis of historical climate data indicated shifts in rainfall patterns and rising temperatures, exacerbating these hazards. Furthermore, it underscores the need to mainstream climate change actions across various sectors for sustainable development and human security. Lamu County in Kenya faces a myriad of security challenges stemming from climate change, with the community perceiving droughts, pests, diseases, and conflicts as prominent hazards. These climatic impacts have led to crop failures, livestock losses, water scarcity, property damage, displacement, and instability. Local adaptation strategies have shown varying degrees of effectiveness, highlighting the need for community-specific and sustainable solutions. The study identified local adaptation strategies and emphasized the importance of early warning systems, informed decision-making, and mainstreaming climate change actions across sectors to enhance human security and sustainable development. However, it also acknowledges limitations in community participation and suggests future research avenues to ensure the inclusion of marginalized voices in such studies.

县域医共体助力乡村振兴的实践路径研究

乡村振兴背景下,基层医疗卫生机构受体制机制的束缚,存在服务能力弱、反应性差、服务分隔与碎片化、服务低效与资源错配、理念落后和模式单一等问题。县域医共体以医疗组织形式的创新,通过体制机制改革,弥合城乡医疗服务能力差距,改善服务碎片化,激发服务积极性,为乡村振兴提供健康保障。

基于全流程仿真创伤救治模拟演练下的县域医院创伤救治现状分析

目的通过仿真创伤全流程早期救治模拟演练分析我国县域医院创伤救治能力现状。方法2018年7月—2022年7月在全国40家县域医院举办了中国创伤救治培训基层版(China trauma training basic,CTCT?-B),培训包括仿真的创伤早期全流程救治模拟演练。本研究对演练中创伤院前急救、院前院内信息联动、院内早期评估与处置、院内救治模式和流程、影响救治结局因素等进行归纳统计分析。结果40家县域医院,其中二级医院29家,三级医院11家;院前急救模式:依托型32家,指挥型6家,独立型2家;院前急救能力方面:院前规范处置31家,不规范处置7家,不处置2家;院前院内信息联动方面:电话/微信24家,院前急救系统8家,中国创伤联盟紫云系统6家,无信息交互2家;院内交接和早期评估:能够按照创伤救治规范化培训要求进行评估和处置23家,不规范17家;创伤救治模式方面:以急诊科为主导的多学科会诊模式34家,创伤科主导的创伤救治模式4家,专科主导多学科会诊模式2家;实体创伤病房6家,急诊病房23家,无病房11家;40名模拟创伤患者16人死亡,其余存活,死亡原因为早期评估和处置不规范,输血流程不合理、创伤相关核心技术缺乏,有效运行的创伤多学科团队缺乏。结论县域创伤救治过程中存在创伤早期评估和核心技术不足、缺乏院内高效的多学科救治团队、创伤集中收治模式尚未普及等问题,亟须重视解决。

电子商务进农村综合示范政策对县域农业增长的影响研究

本文利用2000—2019年我国县域数据,采用多期DID等方法探讨了电子商务进农村综合示范政策对县域农业发展水平的影响。研究结果显示,电子商务进农村综合示范政策对县域农业经济发展水平提高具有显著的促进作用,且这种促进作用具有长期效应。这一结果在考虑实验组非随机分配、更换因变量和调整样本后仍然稳健。电子商务进农村综合示范政策主要通过农业产业集聚、农业金融服务改善两个途径对县域农业发展水平产生影响。异质性分析表明,电子商务进农村综合示范政策对粮食主产区、经济欠发达地区、地形平缓地区的农业发展水平的促进作用更强。因此,应重视农村电子商务发展对推进乡村全面振兴、促进共同富裕的重要作用,政府要在农村电子商务带头人培训、电子商务基础设施建设、农业产业集聚的产业空间布局规划等方面发挥作用,注重数字普惠金融与县域农业发展的融合,强化数字普惠金融的支持力度。

中国县级领导班子群体特征研究——基于东西部比较分析

面对东西部发展存在的巨大差距,西部地区必须全面提升发展质量,而这离不开作为地区发展“领头羊”的领导班子的引领和推动。现有文献对于领导干部群体特征以及配置结构进行了深入的归纳和探讨,但也有必要比较区域间领导干部整体水平的差异并分析其潜在原因,据此对症下药。比较东西部领导班子的群体特征,对于西部地区领导干部的培养、选拔有一定参考价值。论文运用高层梯队理论,采用分层抽样的方法,在广东省、天津市、陕西省、重庆市获得562名县级党政领导班子的履历信息,从人口统计学特征、教育背景、职业发展经历三个维度进行分析,对比研究东西部地区县级党政领导班子群体特征的共性和差异。本研究利用EXCEL对县级领导班子特征各个指标的变量进行统计分析,通过均值、标准差等数据展示变量的分布结构和特征;利用SPSS21.0对东西部县级领导班子的差异性特征进行分组,通过t检验、卡方检验等呈现数据间的差异性。研究表明,东西部党政领导班子在性别、民族、政治面貌、教育背景等方面呈现出相似的特征,但在籍贯来源、年龄、任职经历、晋升路径等方面呈现出显著差异,西部地区县级领导班子年龄分布呈现“两头多,中间少”、籍贯结构“本地多,外地少”、教育背景“偏人文,轻理工”、“任职经历单一,工作经验同质性高”、自下而上晋升比例更低等明显特征。针对分析结果,建议西部县级党政领导班子要着重加强领导班子协同效能建设、优化领导班子干部队伍结构、完善现代干部任用选拔机制,以及进一步强化领导干部的交流制度。

应用Colaizzi分析法对县域“互联网+医联体”的调查研究

目的:运用Colaizzi七步分析法对某医疗集团“互联网+医联体”关键人物的访谈记录进行分析,了解当前县域“互联网+医联体”发展现状及未来发展趋势、“互联网+医联体”开展过程中存在的问题与影响因素,为提出管理建议提供定性依据。方法:采用半结构式访谈法对“互联网+医联体”县域各层级医疗机构负责人及卫生行政部门负责人等进行访谈,并按照Colaizzi七步分析法对访谈结果进行整理分析。结果:根据15位受访者的访谈记录,提炼出15个副主题并整理归纳为4个主题。结论:受访者对“互联网+医联体”发展普遍持乐观态度,但是面临着医联体建设无法做到信息系统互通共享等难题,需进一步在政府部门、医疗机构及社会的共同努力下,加强互联网平台建设,强化对社会群众的宣传接受力度,强化医务人员对相关技能的掌握程度。

广东省县区级医院感染管理质量控制中心的现状调查

目的调研广东省县区级医院感染管理质量控制中心现实情况,为本省院感质控中心对县区级院感质量控制中心质控管理方案的制定提供参考依据,并探讨相应的管理对策。方法通过问卷星问卷调查平台对广东省2023年12月31日前成立的县区级质控中心进行调研,内容包括医院感染管理专业质控中心的成立时间、人员架构、信息化水平、管理、质控及培训工作情况等。结果广东省有68家县区级院感质控中心,覆盖率达50.37%,近五年成立的占95.59%。专家以临床和护理为主(分别占23.75%、62.97%),学历以本科为主(占71.06%)。仅13%有运行经费。39家已建医院感染信息化监测,23家未配备,6家在建。20家进行质控督导出具质控报告,占29.41%;41家举办培训,占60.29%。结论广东省医院感染管理质量控制组织体系县区级覆盖率正在稳步提升,但是未完全覆盖所有县区,缺乏政策、经费支持,人员配备、人员专业覆盖面不足。卫生健康行政部门及县区级院感质控中心需统一监测标准、质控规范及考核评价方案,提升院感质控能力,完善“四级”管理与培训体系,以有效推动提升基层医疗机构的质量安全管理水平。

县域医共体医防融合实现机制与典型路径

目的:构建县域医共体医防融合实现机制,总结医防融合的典型路径,为其他地区开展基层医防融合提供借鉴和参考。方法:基于扎根理论并借助Nvivo软件进行数据编码及定性分析。结果:确定县域医共体开展医防融合的7个核心维度为体系融、管理融、服务融、人员融、信息融、绩效融和资金融,在实践中仅有少数县域医共体实现了较多维度的融合。结论:将服务融、管理融、信息融放在开展医防融合的首要位置,注重体系融和资金融的均衡设置,参考县域医共体医防融合实践的典型路径,进一步推动医防融合的发展。

县域国土空间“双评价”理论与实践探索——以山西省清徐县为例

资源环境承载能力和国土空间开发适宜性评价是国土空间规划的基础,而县域国土空间规划具有承上启下的作用,县域国土空间双评价如何支撑县域规划一直是重点研究的问题。围绕县级国土空间规划对资源环境要素的选取、国土空间开发适宜性评价、资源环境承载能力评价、国土空间规划优化4个关键问题,以山西省清徐县为研究区,提出基于短板-长板理论的资源环境要素分析和基于地区特色+上下协同的国土空间优化模式,构建适应地区特点的县域双评价框架体系。研究结果表明:清徐县除西部山区、汾河两侧、潇河和水源地一级保护区为生态保护极重要区外,其他地区均为农业生产适宜区和城镇建设适宜区;清徐县农业生产和城镇建设规模主要受水资源约束,该地部分农业灌概区已超出水资源承载规模。研究合理划分清徐县生态、农业、城镇优先发展区,提出县域生态空间、农业空间和城镇空间优化建议,为清徐县等县域国土空间详细规划提供了基础支撑。

基于SERVQUAL模型的基层医疗卫生服务质量评价研究

目的:在县域医共体的建设背景下,评价社区卫生服务中心服务质量及影响因素,提出基层医疗卫生服务质量改善对策。方法:运用SERVQUAL模型,从社区卫生服务中心服务质量的有形性、可靠性、响应性、信任性、移情性方面,形成问卷条目;通过多因素二分类logistic回归探索筛查服务质量差距的影响因素;借助IPA象限图呈现居民对社区卫生服务中心的SERVQUAL模型各维度服务质量重要性的分布情况。结果:问卷各项条目的服务质量差距均为负值,服务保证性和移情性维度的服务质量差距得分最高,分别为-0.47±0.59分和-0.47±0.65分;服务有形性维度的服务质量差距得分最低,为-0.40±0.55分。年龄、收入情况和慢病年限是服务质量差距的影响因素。结论:当前基层医疗卫生服务质量与居民的期望之间存在一定差距,基层医疗卫生服务机构应重视对低年龄、高收入和慢病病程较长的居民的服务需求。

贵州仁怀生物多样性及其环境背景

通过对仁怀市自然环境、遗传资源多样性、物种多样性、生态系统多样性、景观与土地利用开展全面、深入、系统地调查,结果发现仁怀市自然地理环境较为特殊,区内共记录野生生物物种5515种,其中植物2590种,动物1262种,微生物1663种,包括贵州省新记录科1个、新记录属9个、新记录种116个。仁怀市分布有国家重点保护野生植物21种,国家重点保护野生动物26种。本研究首次全面摸清了仁怀市生物多样性本底资源现状,并尝试系统地从无机环境、微生物和生物多样性方面阐释酱香白酒生产条件的特殊性,对仁怀市生物多样性保护和利用、酱香白酒产业的可持续发展具有一定的指导意义。