Suchergebnisse

River networks have experienced serious degradation because of rapid urbanization and population growth in developing countries such as China, and the protection of these networks requires the integration of evaluation with ecology and economics. In this study, a structured questionnaire survey of local residents in Shanghai (China) was conducted in urban and suburban areas. The study examined residents' awareness of the value of the river network, sought their attitude toward the current status, and employed a logistic regression analysis based on the contingent valuation method (CVM) to calculate the total benefit and explain the socioeconomic factors influencing the residents' willingness to pay (WTP). The results suggested that residents in Shanghai had a high degree of recognition of river network value but a low degree of satisfaction with the government's actions and the current situation. The study also illustrated that the majority of respondents were willing to pay for river network protection. The mean WTP was 226.44 RMB per household per year. The number of years lived in Shanghai, the distance from the home to the nearest river, and the amount of the bid were important factors that influenced the respondents' WTP. Suggestions for comprehensive management were proposed for the use of policy makers in river network conservation.

Objectives: This study took Fuzhou city as a case, described how the public health insurance coverage policy in 2016 of novel anti-lung cancer medicines benefited patients, and who benefited the most from the policy in China. Methods: This was a retrospective study based on health insurance claim data with a longitudinal analysis of the level and trend changes of the monthly number of patients to initiate treatment with the novel targeted anti-lung cancer medicines gefitinib and icotinib before and after health insurance coverage. The study also conducted a multivariate linear regression analysis to predict the potential determinants of the share of patient out-of-pocket (OOP) expenditure for lung cancer treatment with the study medicines. Results: The monthly number of the insured patients in Fuzhou who initiated the treatment with the studied novel targeted anti-lung cancer medication abruptly increased by 26 in the month of the health insurance coverage (95% CI: 14–37, p < 0.01) and kept at an increasing level afterward (p < 0.01). By controlling the other factors, the shares of OOP expenditure for lung cancer treatment of the patients who were formal employee program enrollees not entitled to government-funded supplementary health insurance coverage and resident program enrollees were 18.3% (95% CI: 14.1–22.6) and 26.7% (95% CI: 21.0–32.4) higher than that of the patients who were formal employee program enrollees with government-funded supplementary health insurance coverage. Conclusion: The public health insurance coverage of novel anti-lung cancer medicines benefited patients generally. To enable that patients benefit from this policy more equally and thoroughly, in order to achieve the policy goal of not to leave anyone behind, it is necessary to strengthen the benefits package of the resident program and to optimize the current financing mechanism of the public health insurance system.

Most of the existing research on shared autonomous vehicles (SAVs) and road congestion pricing have studied the short-term impact on traffic flow. These types of studies focused on the influences on mobility and ignored the long-term impacts on regional job accessibility. Given this, from the perspective of land use and transportation integration, this study explored the long-term effects of SAVs and cordon-based congestion pricing on regional land use, transportation, and job accessibility. The contributions of this study have been summarized by the following three purposes. First, to the best of the authors' knowledge, this study was the first attempt to identify the long-term impact of the combination of these two technologies on regional job accessibility. Second, compared to the previous research methodology, this study adopted the land use and transportation integrated model (TRANUS model) and scenario planning to ensure the comprehensiveness and validity of the results. Third, this study analyzed the spatial heterogeneity of the impact of the combination of the two technologies on regional job accessibility in different areas with different built-environment attributes. To realize this purpose, this study quantitatively classified traffic analysis zones (TAZs) using data mining technology, i.e., factor analysis and clustering analysis. Results showed that the introduction of SAVs will contribute to job and population development in the charging zone and reduce the negative effect of road congestion pricing. From the perspective of reducing the average travel time between TAZs, the best strategy will be to implement SAVs alone, followed by integrated use of SAVs and road congestion pricing, while the worst strategy will be to implement the cordon-based congestion pricing policy alone. By comparison, from the perspective of improving regional job accessibility, the effect of introducing SAVs was better than that of road congestion pricing, while the combination of these two technologies was not superior to implementing SAVs alone.