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Qualitative analysis of direction of public hospital reforms in China

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《医学前沿（英文）》 2018年 第12卷 第2期   页码 218-223 doi: 10.1007/s11684-017-0534-7

摘要：

Reforms in public hospitals are among the most important improvements in China’s health care system over the last two decades. However, the reforms that should be implemented in public hospitals are unclear. Thus, a feasible direction of reforms in Chinese public hospitals is suggested and reliable policy suggestions are provided for the government to reform public hospitals. The data used in this study were mainly derived from a qualitative study. Focus group discussions and in-depth interviews were conducted in Shanghai, Guangdong, and Gansu between May and December 2014. Government funding accounted for approximately eight percent of the total annual revenue of public hospitals in China, and the insufficient government subsidy considerably affects the operation mechanism of public hospitals. However, solely increasing this subsidy cannot address the inappropriate incentives of public hospitals in China. The most crucial step in setting the direction of reforms in public hospitals in China is transforming inappropriate incentives by implementing a new evaluation index system for directors and physicians in public hospitals.

关键词： public hospital     government hospital     public funding     operation mechanism    

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The impact of government incentives and penalties on willingness to recycle plastic waste: An evolutionary

Zhen Wang, Jiazhen Huo, Yongrui Duan

《环境科学与工程前沿（英文）》 2020年 第14卷 第2期 doi: 10.1007/s11783-019-1208-2

摘要： • Punishments increase the participation probability of collectors and recyclers. • Policy-sponsored incentives make collectors and recyclers to participate earlier. • Recyclers are more sensitive to government punishments than collectors. Because governments have introduced policies involving incentives and penalties to promote the recycling of plastic waste, it is important to understand the impact of such incentives and penalties on the willingness of stakeholders to participate. In this study, government is included as a player, alongside waste collectors and recyclers, in a tripartite evolutionary game model of plastic waste recycling. The study explores the evolutionary equilibrium and performs a simulation analysis to elucidate the effect of government incentives and penalties on the willingness of other players to participate in recycling. Three conclusions are drawn from this research. First, an increase in incentives or in penalties increases the probability that collectors and recyclers will participate in the recycling process. Second, policy support incentives encourage collectors and recyclers to participate in plastic waste recycling earlier than subsidy incentives do. Finally, recyclers are more sensitive than collectors to government-imposed penalties.

关键词： Plastic waste     Recycle     Reuse     Government incentives     Government penalties     Evolutionary game    

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Membrane bioreactors for hospital wastewater treatment: recent advancements in membranes and processes

《化学科学与工程前沿（英文）》 2022年 第16卷 第5期   页码 634-660 doi: 10.1007/s11705-021-2107-1

摘要： Discharged hospital wastewater contains various pathogenic microorganisms, antibiotic groups, toxic organic compounds, radioactive elements, and ionic pollutants. These contaminants harm the environment and human health causing the spread of disease. Thus, effective treatment of hospital wastewater is an urgent task for sustainable development. Membranes, with controllable porous and nonporous structures, have been rapidly developed for molecular separations. In particular, membrane bioreactor (MBR) technology demonstrated high removal efficiency toward organic compounds and low waste sludge production. To further enhance the separation efficiency and achieve material recovery from hospital waste streams, novel concepts of MBRs and their applications are rapidly evolved through hybridizing novel membranes (non hydrophilic ultrafiltration/microfiltration) into the MBR units (hybrid MBRs) or the MBR as a pretreatment step and integrating other membrane processes as subsequent secondary purification step (integrated MBR-membrane systems). However, there is a lack of reviews on the latest advancement in MBR technologies for hospital wastewater treatment, and analysis on its major challenges and future trends. This review started with an overview of main pollutants in common hospital wastewater, followed by an understanding on the key performance indicators/criteria in MBR membranes (i.e., solute selectivity) and processes (e.g., fouling). Then, an in-depth analysis was provided into the recent development of hybrid MBR and integrated MBR-membrane system concepts, and applications correlated with wastewater sources, with a particular focus on hospital wastewaters. It is anticipated that this review will shed light on the knowledge gaps in the field, highlighting the potential contribution of hybrid MBRs and integrated MBR-membrane systems toward global epidemic prevention.

关键词： membrane technology     membrane bioreactor     hospital wastewater     hybrid MBR     integrated MBR-membrane system    

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Efficiency evaluation of government investment for air pollution control in city clusters: A case from

《工程管理前沿（英文）》   页码 612-624 doi: 10.1007/s42524-023-0269-x

摘要： Air pollution poses a significant threat to human health, particularly in urban areas with high levels of industrial activities. In China, the government plays a crucial role in managing air quality through the Air Pollution Prevention and Control Action Plan. The government provides direct financial support and guides the investment direction of social funds to improve air quality. While government investment has led to improvements in air quality across China, concerns remain regarding the efficiency of such large-scale investments. To address this concern, we conducted a study using a three-stage data envelopment analysis (DEA)-Malmquist model to assess the efficiency of government investment in improving air quality in China. Our analysis revealed regional disparities and annual dynamic changes. Specifically, we focused on the Beijing–Tianjin–Hebei areas as a case study, as the investment primarily targeted industrial activities in urban areas with the goal of improving living conditions for urban residents. The results demonstrate significant differences in investment efficiency between regions. Beijing exhibits relatively high investment efficiency, while cities in Hebei Province require improvement. We identified scale inefficiency, which refers to the ratio of air pollutant reduction to financial investment, as the main factor contributing to regional disparities. However, we found that increasing the total investment scale can help mitigate this effect. Furthermore, our study observed positive but fluctuating annual changes in investment efficiency within this city cluster from 2014 to 2018. Investment-combined technical efficiency, which represents the investment strategy, is the main obstacle to improving yearly investment efficiency. Therefore, in addition to promoting investment strategies at the individual city level, it is crucial to enhance coordination and cooperation among cities to improve the investment efficiency of the entire city cluster. Evaluating the efficiency of government investment and understanding its influencing factors can guide future investment measures and directions. This knowledge can also support policymaking for other projects involving substantial investments.

关键词： investment efficiency     government investment     air pollution control     three-stage DEA-Malmquist model    

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Optimal production strategy for auto manufacturers with government subsidies in competitive environments

《工程管理前沿（英文）》 doi: 10.1007/s42524-023-0261-5

摘要： Using the Hotelling model and evolutionary game theory, this paper studies the optimal production strategy of duopoly auto manufacturers and explores the impacts of two government policies (manufacturer and consumer subsidies) on strategies related to the production of electric vehicles (EVs) or fuel vehicles (FVs). The study finds that consumers’ environmental preferences have direct effects on manufacturers’ market shares and profits, which in turn, affect the manufacturers’ production strategy selection. Specifically, when consumer environmental preference is sufficiently high, both auto manufacturers will eventually choose to produce EVs; when it is moderate, only one with a cost advantage will choose to produce EVs. Finally, when it is low, neither auto manufacturer will produce EVs. The findings further reveal that the more significant the difference in EV production costs is, the more inclined auto manufacturers are to choose a different final stable strategy. Regardless of whether the government subsidizes manufacturers or consumers, the policy only works if subsidies reach a certain threshold. The study also identifies the conditions under which government subsidies are considered more cost-effective.

关键词： supply chain management     low-carbon emission     electric vehicle     subsidy     evolutionary game theory    

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Research and Practice of Meta-synthesis Management for the Government-led Urban Complex Construction

Ru-gui Chen,Jia-meng Chen

《工程管理前沿（英文）》 2014年 第1卷 第1期   页码 52-61 doi: 10.15302/J-FEM-2014008

摘要： This paper researches the overall construction target of government-led urban complex construction projects based on the perspective of sustainable urban development.In order to achieve benefit maximization, the meta-synthesis management for the government-led urban complex construction project is studied.In order to combine theory and practice, several typical government-led urban complex construction project cases, such as Guangzhou Higher Education Mega Center and Guangzhou International Financial City etc. areexamined. These examples point to thefeasibility of government-led meta-synthesis management and demonstrate the benefits that can be achieved through this model.

关键词： government-led construction project     urban complex     meta-synthesis management     sustainable development     benefit maximization    

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战略性新兴产业政府引导方式创新研究

韦结余,薛澜,周源

《中国工程科学》 2016年 第18卷 第4期   页码 18-22 doi: 10.15302/J-SSCAE-2016.04.003

摘要：

“十二五”以来，我国战略性新兴产业取得了长足发展，对于转变经济增长方式、调整产业结构、稳定经济增长发挥了重要作用，但仍然存在产业关键核心技术缺乏、资源配置分散、体制机制不完善、配套设施发展滞后等问题。“十三五”期间，战略性新兴产业的引导方式需要进行创新，要改变以政府为主导的传统发展模式，建立以“市场为主导，政府引导”的新型发展模式。总体来看，战略性新兴产业的发展应该运用新的创新治理工具，完善战略性新兴产业治理体系建设，推进战略性新兴产业创新能力建设，促进“十三五”时期战略性新兴产业的发展。

关键词： 战略性新兴产业     政府引导     创新治理体系     创新能力     创新治理工具    

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SinoSCORE: a logistically derived additive prediction model for post-coronary artery bypass grafting in-hospital

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《医学前沿（英文）》 2013年 第7卷 第4期   页码 477-485 doi: 10.1007/s11684-013-0284-0

摘要：

This study aims to construct a logistically derived additive score for predicting in-hospital mortality risk in Chinese patients undergoing coronary artery bypass surgery (CABG). Data from 9839 consecutive CABG patients in 43 Chinese centers were collected between 2007 and 2008 from the Chinese Coronary Artery Bypass Grafting Registry. This database was randomly divided into developmental and validation subsets (9:1). The data in the developmental dataset were used to develop the model using logistic regression. Calibration and discrimination characteristics were assessed using the validation dataset. Thresholds were defined for each model to distinguish different risk groups. After excluding 275 patients with incomplete information, the overall mortality rate of the remaining 9564 patients was 2.5%. The SinoSCORE model was constructed based on 11 variables: age, preoperative NYHA stage III or IV, chronic renal failure, extracardiac arteriopathy, chronic obstructive pulmonary disease, preoperative atrial fibrillation or flutter (within 2βweeks), left ventricular ejection fraction, other elective surgery, combined valve procedures, preoperative critical state, and BMI. In the developmental dataset, calibration using a Hosmer-Lemeshow (HL) test was at =β0.44 and discrimination based on the area under the receiver operating characteristic curve (ROC) was 0.80. In the validation dataset, the HL test was at =β0.34 and the area under the ROC (AUC) was 0.78. A logistically derived additive model for predicting in-hospital mortality among Chinese patients undergoing CABG was developed based on the most up-to-date multi-center data from China.

关键词： coronary artery bypass grafting     risk stratification     in-hospital mortality    

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Removal efficiencies of natural and synthetic progesterones in hospital wastewater treated by different

《环境科学与工程前沿（英文）》 2022年 第16卷 第10期 doi: 10.1007/s11783-022-1558-z

摘要：

● The concentrations of 61 progesterones in HWW, PFTE, SBTE were evaluated.

关键词： Progesterones     Hospital wastewater     Primary filtration treatment effluent     Secondary biological treatment effluent     Disinfection process    

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战略性新兴产业国外经典政策工具分析——政府采购与补贴政策

许冠南,王秀芹,潘美娟,周源

《中国工程科学》 2016年 第18卷 第4期   页码 113-120 doi: 10.15302/J-SSCAE-2016.04.017

摘要：

当前，战略性新兴产业已经成为一国产业结构升级和抢占世界经济发展制高点的关键，世界各国纷纷将新兴产业的发展提升到国家战略高度，应用各种政策工具大力推动新兴产业加速发展。研究国外为促进新兴产业发展做出的重要举措对我国制定相应政策具有重要的借鉴作用。本文重点分析了发达国家为了推进新兴产业发展所采用的政府采购与政府补贴两种经典政策工具，以期为我国培育发展战略性新兴产业提供参考。

关键词： 新兴产业     政策工具     政府采购     政府补贴     产业政策分析    

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Association between ICU quality and in-hospital mortality of V-V ECMO-supported patients—the ECMO quality

《医学前沿（英文）》 doi: 10.1007/s11684-023-1014-x

摘要： This cohort study was performed to explore the influence of intensive care unit (ICU) quality on in-hospital mortality of veno-venous (V-V) extracorporeal membrane oxygenation (ECMO)-supported patients in China. The study involved all V-V ECMO-supported patients in 318 of 1700 tertiary hospitals from 2017 to 2019, using data from the National Clinical Improvement System and China National Critical Care Quality Control Center. ICU quality was assessed by quality control indicators and capacity parameters. Among the 2563 V-V ECMO-supported patients in 318 hospitals, a significant correlation was found between ECMO-related complications and prognosis. The reintubation rate within 48 hours after extubation and the total ICU mortality rate were independent risk factors for higher in-hospital mortality of V-V ECMO-supported patients (cutoff: 1.5% and 7.0%; 95% confidence interval: 1.05–1.48 and 1.04–1.45; odds ratios: 1.25 and 1.23; P = 0.012 and P = 0.015, respectively). Meanwhile, the V-V ECMO center volume was a protective factor (cutoff of ≥ 50 cases within the 3-year study period; 95% confidence interval: 0.57–0.83, odds ratio: 0.69, P = 0.0001). The subgroup analysis of 864 patients in 11 high-volume centers further strengthened these findings. Thus, ICU quality may play an important role in improving the prognosis of V-V ECMO-supported patients.

关键词： veno-venous extracorporeal membrane oxygenation     in-hospital mortality     high-volume centers     quality control     intensive care unit capacity parameters    

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Prevalence and determinations of physical inactivity among public hospital employees in Shanghai, China

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《医学前沿（英文）》 2015年 第9卷 第1期   页码 100-107 doi: 10.1007/s11684-014-0372-9

摘要：

This study aims to explore the prevalence and determinations of physical inactivity among hospital employees in Shanghai, China. A cross-sectional study of 4612 employees aged 19 to 68 years was conducted through stratified cluster sampling from different classes of Shanghai hospitals in 2011. The total physical activity was evaluated using the metabolic equivalent according to the Global Physical Activity Questionnaire. Among the participants, 38.5%, 32.3%, and 64.6% of the employees are inactive at work, commuting, and taking leisure time, respectively. Up to 41.8% of the men and 37.8% of the women (P = 0.012) are physically inactive. When the age and educational level are adjusted, male doctors and medical technicians show a higher percentage of physical inactivity than male workers in logistics (P = 0.001). Among females, employees who are working in second- and third-class hospitals show a higher proportion of physical inactivity than those who are working in community health care centers. Logistic regression analyses show that the odds ratios (ORs) of leisure-time physical inactivity associated with the intensity of physical activity at work are 2.259, 2.897, and 4.266 for men (P<0.001) and 2.456, 3.259, and 3.587 for women (P<0.001), respectively. The time during commuting activities is significantly associated with leisure-time physical inactivity in either sex (OR= 2.116 for men and 2.173 for women, P<0.001). Hospital employees, particularly doctors and medical technicians, show a higher proportion of physical inactivity than other inhabitants in Shanghai. The time and intensity of activity at work and commuting are associated with leisure-time activities.

关键词： prevalence     determination     employee     public hospital     cross-sectional study     physical inactivity    

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Investigating the impact of air pollution on AMI and COPD hospital admissions in the coastal city of

《环境科学与工程前沿（英文）》 2022年 第16卷 第5期 doi: 10.1007/s11783-021-1490-7

摘要：

• The impact of air pollution on AMI/COPD hospital admissions were examined.

关键词： AMI     COPD     Air pollution exposure     GAM    

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Assessment of leaching behavior and human bioaccessibility of rare earth elements in typical hospital

Chunfeng Wang, Guanfei Chen, Yanchen Zhu, Dan Yao, Wanfeng Wang, Lianjun Wang

《环境科学与工程前沿（英文）》 2017年 第11卷 第6期 doi: 10.1007/s11783-017-0946-2

摘要： Leaching behavior and gastrointestinal bioaccessibility of rare earth elements (REEs) from hospital waste incineration (HWI) fly and bottom ash samples collected from Beijing and Nanjing Cities were assessed. In the same ash sample, the leaching concentrations of individual REEs determined by the Toxicity Characteristic Leaching Procedure (TCLP) were higher than those detected by the European standard protocol (EN-type test), thereby suggesting that the low pH value of leaching solution was an important factor influencing the leachability of REE. The REE bioaccessibility results, which were evaluated using the physiologically based extraction test (PBET), indicated that REEs were highly absorbed during gastric phase by dissolution; and subsequently precipitated and/or re-adsorbed in small intestinal phase. The relative amounts of the total REEs extracted by the TCLP method, EN-type test and PBET test were compared. In addition to the pH value of extraction solutions, the chelating role of REEs with organic ligands used in the PBET method was also an important parameter affecting REE adsorption in human body. Additionally, this study showed that REEs were extracted by these methods as concomitants of heavy metals and anions (NO , F , SO , and Cl ) from HWI ash, which probably caused the remarkably complex toxicity on human body by the exposure pathway.

关键词： Assessment     Rare earth elements     Leaching behavior     Bioaccessibility     Hospital waste    

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follow-up after colorectal adenoma polypectomy is important: A multiple-center study in symptomatic hospital-based

Qin-Yan GAO, Hui-Min CHEN, Jing-Yuan FANG, Jian-Qiu SHENG, Ping ZHENG, Cheng-Gong YU, Bo JIANG,

《医学前沿（英文）》 2010年 第4卷 第4期   页码 436-442 doi: 10.1007/s11684-010-0200-9

摘要： The recurrence of colorectal adenoma (CRA) is high. Although there are guidelines for colonoscopy surveillance after polypectomy in other countries, little is known about its recurrence rate and recurrence peak, especially in China. The aim of the present research is to investigate how long after polypectomy follow-up should take and to analyze risk factors of recurrence. 1208 patients who received polypectomies from five clinical research centers in four regions of China (Shanghai, Guangzhou, Nanjing and Beijing) were included. They were divided into 4 groups: group A (follow-up≤1 year after polypectomy), group B (follow-up 2–3 years after polypectomy), group C (follow-up 4–5 years after polypectomy), and group D (follow-up>5 years after polypectomy). The sex, age, adenoma location, size, number, and pathological characteristics were compared. On the whole, the recurrence rate was 59.46% in group A, 61.09% in group B, 78.07% in group C, and 87.12% in group D, which indicated an increased tendency with a prolonged follow-up duration. There was a significant difference between group A and C or D, and between group B and C or D (<0.01), but there was no statistical difference between group A and B. Additionally, the recurrent patients in the first year had a recurrence rate of 97.33% in the first three years (59.46/61.09), which means that the peak of recurrence was almost entirely concentrated in the first year. The recurrence rate was higher in males and the elder. The risk factors included multiple numbers, villous feature, high-grade dysplasia of medium or smaller size and location in the distal colon. In conclusion, the peak of recurrence was almost totally concentrated in the first year; meanwhile, the first year follow-up is of critical importance in China. It may not be necessary to do the follow-up examination during the second and third years, but after three years, another colonoscopy should be undertaken.

关键词： colorectal adenoma     polypectomy     follow-up     recurrence     risk factor    

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标题 作者 时间 类型 操作

Qualitative analysis of direction of public hospital reforms in China

null

期刊论文

The impact of government incentives and penalties on willingness to recycle plastic waste: An evolutionary

Zhen Wang, Jiazhen Huo, Yongrui Duan

期刊论文

Membrane bioreactors for hospital wastewater treatment: recent advancements in membranes and processes

期刊论文

Efficiency evaluation of government investment for air pollution control in city clusters: A case from

期刊论文

Optimal production strategy for auto manufacturers with government subsidies in competitive environments

期刊论文

Research and Practice of Meta-synthesis Management for the Government-led Urban Complex Construction

Ru-gui Chen,Jia-meng Chen

期刊论文

战略性新兴产业政府引导方式创新研究

韦结余,薛澜,周源

期刊论文

SinoSCORE: a logistically derived additive prediction model for post-coronary artery bypass grafting in-hospital

null

期刊论文

Removal efficiencies of natural and synthetic progesterones in hospital wastewater treated by different

期刊论文

战略性新兴产业国外经典政策工具分析——政府采购与补贴政策

许冠南,王秀芹,潘美娟,周源

期刊论文

Association between ICU quality and in-hospital mortality of V-V ECMO-supported patients—the ECMO quality

期刊论文

Prevalence and determinations of physical inactivity among public hospital employees in Shanghai, China

null

期刊论文

Investigating the impact of air pollution on AMI and COPD hospital admissions in the coastal city of

期刊论文

Assessment of leaching behavior and human bioaccessibility of rare earth elements in typical hospital

Chunfeng Wang, Guanfei Chen, Yanchen Zhu, Dan Yao, Wanfeng Wang, Lianjun Wang

期刊论文

follow-up after colorectal adenoma polypectomy is important: A multiple-center study in symptomatic hospital-based

Qin-Yan GAO, Hui-Min CHEN, Jing-Yuan FANG, Jian-Qiu SHENG, Ping ZHENG, Cheng-Gong YU, Bo JIANG,

期刊论文