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Arthur B, Saha M, Sarpong FA, Dutta KD. Unlocking Africa's potential: The transformative power of foreign direct investment for sustainable development. Heliyon 2024; 10:e26507. [PMID: 38468933 PMCID: PMC10925981 DOI: 10.1016/j.heliyon.2024.e26507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2023] [Revised: 02/04/2024] [Accepted: 02/14/2024] [Indexed: 03/13/2024] Open
Abstract
In the context of developing economies, Foreign Direct Investment (FDI) has long been acknowledged for its potential to stimulate economic growth. However, with the evolving understanding of development encompassing not only economic prosperity but also environmental and social well-being, the impact of FDI on sustainable development has become a subject of increasing importance and complexity. To shed light on this multifaceted relationship, our study empirically investigates the causal link between FDI and sustainable development in a panel of 48 African economies spanning the period from 1990 to 2020. We employ a robust measure of sustainable development, Adjusted Net Savings (ANS), as well as an innovative Sustainable Economic Growth (SEG) index that encompasses the three core pillars of sustainable development. FDI is measured both as FDI net inflow as a percentage of GDP and as the stock of FDI as a proportion of GDP for robustness testing. Our analytical approach utilizes the GMM-PVAR model. Our findings reveal a noteworthy unidirectional negative causality running from foreign direct investment to sustainable development across African economies. Intriguingly, the magnitude of this adverse impact is more pronounced in low-income nations, while a favorable causal effect of FDI on sustainable development is observed in high-income countries within the region. Importantly, these results hold true across various measures of sustainable development and different metrics of foreign direct investment. As a result, our study offers valuable insights for policymakers in Africa and beyond. Recognizing the nuanced impact of FDI on sustainable development, we propose tailored policy recommendations that take into account the income level of countries to maximize the benefits of foreign investment while mitigating potential adverse effects. Moreover, we advocate for ongoing research and policy innovation to further align FDI with the broader goals of sustainable development on the African continent.
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Affiliation(s)
- Benedict Arthur
- Department of Business and Social Science Education, University of Cape Coast, Cape Coast, Ghana
- School of Humanities and Foreign Languages, Ningxia Normal University, Ningxia, China
| | - Mallika Saha
- Department of Accounting & Information Systems, University of Barishal, Barishal, Bangladesh
| | - Francis Atta Sarpong
- School of Humanities and Foreign Languages, Ningxia Normal University, Ningxia, China
- School of Finance, Zhongnan University of Economics and Law, Wuhan, China
| | - Kumar Debasis Dutta
- Department of Finance and Banking, Patuakhali Science and Technology University, Patuakhali, Bangladesh
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Wang Z, Dong L, Xing X, Liu Z, Zhou Y. Disparity in hospital beds' allocation at the county level in China: an analysis based on a Health Resource Density Index (HRDI) model. BMC Health Serv Res 2023; 23:1293. [PMID: 37996897 PMCID: PMC10668462 DOI: 10.1186/s12913-023-10266-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 11/01/2023] [Indexed: 11/25/2023] Open
Abstract
BACKGROUND As approximately 3/4 of the population lives in county-level divisions in China, the allocation of health resources at the county level will affect the realization of health equity. This study aims to evaluate the disparity in hospital beds at the county level in China, analyze its causes, and discuss measures to optimize the allocation. METHODS Data were drawn from the Chinese County/City Statistical Yearbook (2001-2020). The health resource density index (HRDI) was applied to mediate between the influence of demographic and geographical factors on the allocation of hospital beds. The trends of HRDI allocation were evaluated through the growth incidence curve and the probability density function. The regional disparity in the HRDI was examined through the Lorenz curve, and Dagum Gini coefficient. The contribution of the Gini coefficient and its change were assessed by using the Dagum Gini decomposition method. RESULTS From 2000 to 2019, the number of hospital beds per thousand people at the county level in China increased dramatically by 1.49 times. From the aspect of the HRDI, there were large regional disparities at the national level, with a Gini coefficient of 0.367 in 2019 and in the three subregions. In 2019, the Gini coefficient of the HRDI exhibited regional variations, with the highest value observed in the western region, followed by the central region and the eastern region. Decomposition reveals that the contribution of interregional disparity changed from the dominant factor to the least important factor, accounting for 29.79% of the overall disparity and the contribution of trans-variation intensity increased from 29.19% to 39.75%, whereas the intraregional disparity remained stable at approximately 31% and became the second most important factor. CONCLUSION The regional disparity in hospital beds allocation at the county level in China was large and has not improved substantially. Trans-variation intensity was the main reason for the overall disparity and changes, and the intraregional disparity was more important than the interregional disparity for the overall disparity.
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Affiliation(s)
- Zuobao Wang
- School of Humanities and Law, Northeastern University, 195 Chuangxin Road, Hunnan District, Shenyang, 110169, Liaoning Province, China.
| | - Lin Dong
- School of Humanities and Law, Northeastern University, 195 Chuangxin Road, Hunnan District, Shenyang, 110169, Liaoning Province, China
| | - XinYi Xing
- School of Humanities and Law, Northeastern University, 195 Chuangxin Road, Hunnan District, Shenyang, 110169, Liaoning Province, China
| | - Zhe Liu
- School of Humanities and Law, Northeastern University, 195 Chuangxin Road, Hunnan District, Shenyang, 110169, Liaoning Province, China
| | - Yuxiang Zhou
- School of Humanities and Law, Northeastern University, 195 Chuangxin Road, Hunnan District, Shenyang, 110169, Liaoning Province, China.
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Wang H, Jiang Y, Wang Q, Lai Y, Holloway A. The status and challenges of HPV vaccine programme in China: an exploration of the related policy obstacles. BMJ Glob Health 2023; 8:e012554. [PMID: 37586782 PMCID: PMC10432676 DOI: 10.1136/bmjgh-2023-012554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 07/13/2023] [Indexed: 08/18/2023] Open
Affiliation(s)
- Huizi Wang
- Department of Nursing, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China
- School of Health in Social Science, The University of Edinburgh, Edinburgh, UK
| | - Yujin Jiang
- Operating Room, Shandong Province Maternal and Child Health Care Hospital, Jinan, Shandong, China
| | - Qing Wang
- Department of Outpatient, Shandong Cancer Hospital and Institute Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - YuetMan Lai
- School of Health in Social Science, The University of Edinburgh, Edinburgh, UK
| | - Aisha Holloway
- School of Health in Social Science, The University of Edinburgh, Edinburgh, UK
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Boduroglu E, Atici KB, Omay T. Phase and wave dependent analysis of health expenditure efficiency: A sample of OECD evidence. Front Public Health 2023; 11:1125975. [PMID: 37006529 PMCID: PMC10063912 DOI: 10.3389/fpubh.2023.1125975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2022] [Accepted: 02/24/2023] [Indexed: 03/19/2023] Open
Abstract
Introduction Health expenditures are a factor that reflects the government's public health policy and contributes to the protection of national health. Therefore, this study focuses on measuring the effectiveness of health expenditures in order to evaluate and improve the public health system and policy during the pandemic period. Method In order to examine the effectiveness of health expenditures, the behaviors of the pandemic process were analyzed in two stages. The number of daily cases is analyzed in the first stage by dividing it into waves and phases according to the transmission coefficient (R). For this classification, the discrete cumulative Fourier function estimation is used. In the second stage, the unit root test method was used to estimate the stationarity of the number of cases in order to examine whether the countries made effective health expenditures according to waves and phases. The series being stationary indicates that the cases are predictable and that health expenditure is efficient. Data consists of daily cases from February 2020 to November 2021 for 5 OECD countries. Conclusion The general results are shown that cases cannot be predicted, especially in the first stage of the pandemic. In the relaxation phase and at the beginning of the second wave, the countries that were seriously affected by the epidemic started to control the number of cas es by taking adequate measures, thus increasing the efficiency of their health systems. The common feature of all the countries we examined is that phase 1, which represents the beginning of the waves, is not stationary. After the waves fade, it can be concluded that the stationary number of health cases cannot be sustainable in preventing new waves' formation. It is seen that countries cannot make effective health expenditures for each wave and stage. According to these findings, the periods in which countries made effective health expenditures during the pandemic are shown. Discussion The study aims to help countries make effective short- and long-term decisions about pandemics. The research provides a view of the effectiveness of health expenditures on the number of cases per day in 5 OECD countries during the COVID-19 Pandemic.
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Affiliation(s)
| | - Kazim Baris Atici
- Department of Business Administration, Hacettepe University, Ankara, Türkiye
| | - Tolga Omay
- Economics Department, Atilim University, Ankara, Türkiye
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Zhao N, Chen K. Equity and efficiency of medical and health service system in China. BMC Health Serv Res 2023; 23:33. [PMID: 36641525 PMCID: PMC9840836 DOI: 10.1186/s12913-023-09025-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 01/03/2023] [Indexed: 01/15/2023] Open
Abstract
BACKGROUND Equity and efficiency are basic value dimensions to evaluate the effectiveness of China's medical and health service system (MHS) reform and development. Coordinated development of equity and efficiency is necessary to realize high-quality development of medical and health services. This study aims to evaluate the equity, efficiency, and combined efforts in coordinating the MHS during 1991-2020 reform. METHODS Data on China's MHS were obtained from the China Statistical Yearbook 1992-2021. Ratios of urban to rural residents' medical expenditure and number of medical professionals per 10,000 people were employed to evaluate MHS's equity. The data envelopment analysis-Malmquist model was employed to evaluate MHS's efficiency. We constructed a combined-efforts-in-coordination model to examine the coordination degree between equity and efficiency. RESULTS Equity of medical expenditure burden significantly improved from during 1991-2007. Urban residents' 1991 medical expenditure burden was 87.8% of that of rural residents, which increased to 100.1% in 2007. Urban areas' mean medical expenditure burden was 105.94% of that in rural areas during 1991-2007. The gap in equity of medical expenditure burden between urban and rural areas slowly widened after 2007, with urban areas' mean burden being 68.52% of that in rural areas during 2007-2020. Medical and health resources allocation shows an alarming inequity during this period, with mean number of medical professionals per 10,000 people in urban areas being 238.30% of that in rural areas. Efficiency experienced several fluctuations before 2008. Since 2008, efficiency was high (0.915) and remained stable, except in 2020. The combined-efforts-in-coordination score for medical expenditure burden was less than 0.2 for 80% of the years, while that for in medical and health resources was more than 0.5 for 99.67% of the years. CONCLUSIONS MHS inequity remains between urban and rural China, primarily because of disproportionate allocation of medical and health resources. The government should enhance rural medical professionals' salary and welfare and provide medical subsidies for rural residents to adjust resource allocation levels in urban and rural areas, control differences in medical expenditure burden between urban and rural residents to a reasonable range, and continuously improve urban and rural residents' equity level.
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Affiliation(s)
- Na Zhao
- Party School of Liaoning Provincial Committee of C.P.C, Shenyang, Liaoning, 110004 China
| | - Kai Chen
- grid.412252.20000 0004 0368 6968School of Business Administration, Northeastern University, Shenyang, Liaoning, 110819 China
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Gebremichael B, Hailu A, Letebo M, Berhanesilassie E, Shumetie A, Biadgilign S. Impact of good governance, economic growth and universal health coverage on COVID-19 infection and case fatality rates in Africa. Health Res Policy Syst 2022; 20:130. [PMID: 36437476 PMCID: PMC9702649 DOI: 10.1186/s12961-022-00932-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2021] [Accepted: 11/01/2022] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND The coronavirus disease 2019 (COVID-19) pandemic has disrupted lives across all countries and communities. It significantly reduced the global economic output and dealt health systems across the world a serious blow. There is growing evidence showing the progression of the COVID-19 pandemic and the impact it has on health systems, which should help to draw lessons for further consolidating and realizing universal health coverage (UHC) in all countries, complemented by more substantial government commitment and good governance, and continued full implementation of crucial policies and plans to avert COVID-19 and similar pandemic threats in the future. Therefore, the objective of the study was to assess the impact of good governance, economic growth and UHC on the COVID-19 infection rate and case fatality rate (CFR) among African countries. METHODS We employed an analytical ecological study design to assess the association between COVID-19 CFR and infection rate as dependent variables, and governance, economic development and UHC as independent variables. We extracted data from publicly available databases (i.e., Worldometer, Worldwide Governance Indicators, Our World in Data and WHO Global Health Observatory Repository). We employed a multivariable linear regression model to examine the association between the dependent variables and the set of explanatory variables. STATA version 14 software was used for data analysis. RESULTS All 54 African countries were covered by this study. The median observed COVID-19 CFR and infection rate were 1.65% and 233.46%, respectively. Results of multiple regression analysis for predicting COVID-19 infection rate indicated that COVID-19 government response stringency index (β = 0.038; 95% CI 0.001, 0.076; P = 0.046), per capita gross domestic product (GDP) (β = 0.514; 95% CI 0.158, 0.87; P = 0.006) and infectious disease components of UHC (β = 0.025; 95% CI 0.005, 0.045; P = 0.016) were associated with COVID-19 infection rates, while noncommunicable disease components of UHC (β = -0.064; 95% CI -0.114; -0.015; P = 0.012), prevalence of obesity among adults (β = 0.112; 95% CI 0.044; 0.18; P = 0.002) and per capita GDP (β = -0.918; 95% CI -1.583; -0.254; P = 0.008) were associated with COVID-19 CFR. CONCLUSIONS The findings indicate that good governance practices, favourable economic indicators and UHC have a bearing on COVID-19 infection rate and CFR. Effective health system response through a primary healthcare approach and progressively taking measures to grow their economy and increase funding to the health sector to mitigate the risk of similar future pandemics would require African countries to move towards UHC, improve governance practices and ensure economic growth in order to reduce the impact of pandemics on populations.
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Affiliation(s)
| | - Alemayehu Hailu
- Department of Global Public Health and Primary Care, Bergen Center for Ethics and Priority Setting, University of Bergen, Bergen, Norway.,Harvard T.H. Chan School of Public Health, Harvard University, Boston, United States of America
| | - Mekitew Letebo
- Independent Public Health Analyst and Research Consultant, P.O. BOX 24414, Addis Ababa, Ethiopia
| | - Etsub Berhanesilassie
- Independent Public Health Analyst and Research Consultant, P.O. BOX 24414, Addis Ababa, Ethiopia
| | | | - Sibhatu Biadgilign
- Independent Public Health Analyst and Research Consultant, P.O. BOX 24414, Addis Ababa, Ethiopia.
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Paudel SS, Sapkota Y, Gyanwali P, Dhimal M, Ghimire N, Pant S, Bhandari D, Mandal SK. Revisiting the clinical trial history and regulatory mechanisms in Nepal in the context of COVID-19 pandemic. Contemp Clin Trials Commun 2022; 30:101038. [DOI: 10.1016/j.conctc.2022.101038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2022] [Revised: 10/22/2022] [Accepted: 11/07/2022] [Indexed: 11/14/2022] Open
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Yu H, Peng Y, Pu L. Study on the Impact of Government Health Expenditure Equity on Residents' Health Level in the Chengdu-Chongqing Economic Circle of China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12758. [PMID: 36232058 PMCID: PMC9566478 DOI: 10.3390/ijerph191912758] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 09/29/2022] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND When the global COVID-19 epidemic continues to spread, residents pay more attention to their health. This paper studies the relationship between the equity of government health expenditure and the health level of residents. METHODS The Theil index and a principal component analysis were used to measure the equity of government health expenditure and the health level of residents in the Chengdu-Chongqing economic circle. Then, an empirical study on the relationship between the equity of government health expenditure and the health level of residents in this region was conducted with the System GMM model. RESULTS 1. The Theil index rose from 0.0115 in 2015 to 0.0231 in 2017 and gradually decreased to 0.0106 in 2020. 2. The overall health level of residents showed an upward trend, rising from 1.95 in 2015 to 2.33 in 2017, then remained high and fluctuated slightly. 3. There was a positive correlation between the Theil index and the health level of residents at a significance level of 1% (β = 0.903, p < 0.01). CONCLUSIONS 1. The Theil index was close to 0, indicating that the equity of government health expenditure in the Chengdu-Chongqing economic circle was generally good. 2. The health level of residents in the Chengdu-Chongqing economic circle had improved compared to before. 3. The fairer the government's health expenditure, the higher the residents' health level.
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Affiliation(s)
- Haidong Yu
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
- Research Center for Public Health Security, Chongqing Medical University, Chongqing 400016, China
| | - Yujie Peng
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
- Research Center for Public Health Security, Chongqing Medical University, Chongqing 400016, China
| | - Lanfang Pu
- School of Public Health, Chongqing Medical University, Chongqing 400016, China
- Research Center for Medicine and Social Development, Chongqing Medical University, Chongqing 400016, China
- Research Center for Public Health Security, Chongqing Medical University, Chongqing 400016, China
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Puertas R, Carracedo P, Marti L. Environmental policies for the treatment of waste generated by COVID-19: Text mining review. WASTE MANAGEMENT & RESEARCH : THE JOURNAL OF THE INTERNATIONAL SOLID WASTES AND PUBLIC CLEANSING ASSOCIATION, ISWA 2022; 40:1480-1493. [PMID: 35282720 DOI: 10.1177/0734242x221084073] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
The rapid transmission of COVID-19 has meant that all economic and human efforts have been focused on confronting it, ignoring environmental aspects whose consequences are causing adverse situations all over the planet. The saturation of the sanitary system and confinement measures have multiplied the waste generated, which implies the need to adapt environmental policies to this new situation caused by the pandemic. It is a review article whose objective was to identify the environmental policies that would facilitate an adequate treatment of the waste generated by the pandemic. It was proposed to analyse the current lines of research developed on this paradigm, applying the text mining methodology. A systematic review of 111 studies published in environmental journals indexed in the Web of Science was carried out. The results identified three areas of interest: knowledge of transmission routes, management of the massive generation of plastics and appropriate treatment of solid waste in extreme situations. Leaders are called upon to implement the contingency plans to sustainably alleviate the enormous waste burden caused by society's adaptation to the restrictions imposed by the pandemic. Specifically, innovation aimed at achieving the reuse of medical products, the promotion of the circular economy and educational campaigns to promote clean environments should be encouraged.
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Affiliation(s)
- Rosa Puertas
- Universitat Politècnica de València, Valencia, Spain
| | | | - Luisa Marti
- Universitat Politècnica de València, Valencia, Spain
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Su C, Liu Y, Liu C, Tao R. The Impact of Medical and Health Fiscal Expenditures on Pharmaceutical Industry Stock Index in China. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11730. [PMID: 36142003 PMCID: PMC9517157 DOI: 10.3390/ijerph191811730] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/14/2022] [Accepted: 09/14/2022] [Indexed: 06/16/2023]
Abstract
This paper investigates the relationship between fiscal expenditure on health care (FE) and the pharmaceutical industry stock index (SP) by using full-sample and sub-sample rolling-window bootstrap causality tests. It can be observed that there is both a positive and negative relationship between FE and SP. FE will promote the rise of the pharmaceutical stock market, which proves the Keynesian theory, while the result that FE negatively affects SP supports the classical theory. In turn, SP positively impacts FE, which indicates that the development of the pharmaceutical industry and the increase in medical and health expenditures can promote each other. In addition, the negative influence of SP on FE suggests that the impact of the pharmaceutical index on fiscal expenditure needs to be judged in conjunction with other events and market conditions. In complex economic conditions, investors can rationally consider the industry situation of the pharmaceutical market and benefit by optimising their investment portfolios. The government can regulate and guide the pharmaceutical industry by adjusting the fiscal expenditure on health care, thereby promoting the sustainable and stable development of the financial market.
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Affiliation(s)
- Chiwei Su
- School of Business, Wuhan University of Technology, Wuhan 430062, China
| | - Yiru Liu
- School of Economics, Qingdao University, Qingdao 266071, China
| | - Chang Liu
- Qingdao Municipal Center for Disease Control & Preventation, Qingdao 266032, China
| | - Ran Tao
- Qingdao Municipal Center for Disease Control & Preventation, Qingdao 266032, China
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Gao Y, Zhu L, Mao ZJ. How to improve public health literacy based on polycentric public goods theory: preferences of the Chinese general population. BMC Public Health 2022; 22:921. [PMID: 35534809 PMCID: PMC9083483 DOI: 10.1186/s12889-022-13272-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2021] [Accepted: 04/19/2022] [Indexed: 11/24/2022] Open
Abstract
Background In the current era of big data, it is critical to address people’s demand for health literacy. At present, the traditional mode of communicating scientific health knowledge and information technology is interchangeable, resulting in the emergence of a new mode of communicating health literacy. To publicize health education and health literacy in a targeted way, to meet the public’s needs, and to understand how the public’s demand for subjects, contents, and forms of health literacy service has changed in the era of COVID-19, the investigation of public’s demand for health information and health literacy was conducted. Objective This study aims to understand the differences in demand for health literacy service providers, contents, channels, forms, and facilities among Chinese citizens with different genders, ages, education levels, economic conditions, and living environments, and to provide reasonable recommendations for developing public health literacy. Methods Questionnaire Star was used to conduct a large sample of random online surveys. In Wuhan, Hubei Province, 2184 questionnaires were issued, 8 invalid questionnaires were eliminated, and 2176 were recovered, with an effective rate of 99.6%. IBM SPSS Statistics 20 was utilized to analyze the survey data. Results (1) In health literacy service providers selected by the public, the proportion of government departments or government collaboration with other institutions exceeded 73%, indicating that health literacy services are public goods; (2) access to health literacy services was lower in township areas than in urban areas (P < 0.001, 3) internet media and communicating with acquaintances, which have the highest popularity rate, were also the two channels that were least trusted by the public; and (4) the differences in contents and service channels of health literacy among residents with different genders, ages, education levels, economic status, and living environments were statistically significant. Conclusions (1) It is recommended to establish an integrated health literacy service model with multi-center supply. Government departments, medical institutions, and media should cooperate effectively to provide health literacy services. (2) The government should pay attention to the fairness of health education and strengthen the supply of health literacy services in township areas. (3) It is critical to strengthen the public’s ability to discriminate network information and pay attention to scientific thinking cultivation. (4) Health literacy service providers must focus on the differences between public demands and improve the connotation of health literacy services. Supplementary Information The online version contains supplementary material available at 10.1186/s12889-022-13272-z.
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Affiliation(s)
- Yaxin Gao
- Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jie Fang Ave, Wuhan, No. 1095, China.,College of Public Administration, Huazhong University of Science and Technology, No 1037 Luau Road, Hongshan District, Wuhan, 430074, China.,Non-traditional Security Institute, Huazhong University of Science and Technology, Wuhan, 430074, China
| | - Li Zhu
- Department of Gastrointestinal Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Jie Fang Ave, Wuhan, No. 1095, China
| | - Zi Jun Mao
- College of Public Administration, Huazhong University of Science and Technology, No 1037 Luau Road, Hongshan District, Wuhan, 430074, China. .,Non-traditional Security Institute, Huazhong University of Science and Technology, Wuhan, 430074, China.
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Huang S, Zhou T, Xu C, Zheng J. Does Public Health Influence Economic Performance? Investigating the Role of Governance and Greener Energies for the Case of China. Front Public Health 2022; 10:864736. [PMID: 35425739 PMCID: PMC9001902 DOI: 10.3389/fpubh.2022.864736] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2022] [Accepted: 02/23/2022] [Indexed: 11/13/2022] Open
Abstract
In the last few decades, the world has faced some natural issues, due to which economic growth faces a severe threat. Natural disasters like pandemic outbreaks and man-made disasters like pollution emissions are very frequent in the current times, which also influenced the economic growth, where the institutes could play a primary role in economic growth stimulation. This study aims to analyze the association of public health expenditures, institutional quality, renewable energy, and economic performance in China. This study uses quarterly data covering the period from 1996Q1 to 2020Q4 and employs various time-series estimating approaches. The Augmented Dickey-Fuller estimates asserted that all the variables are stationary at first difference. Also, the Bayer-Hanck combined cointegration validates that all the variables are cointegrated. Employing the three long-run estimators, i.e., Fully Modified Ordinary Least Square, Dynamic Ordinary Least Square, and canonical cointegrating regression, the results asserted public health expenditures and institutional quality (including government efficiency and political stability) significantly enhances economic performance in China. Whereas two indicators of corruption control and regulatory quality do not play any significant role in promoting the economic performance of China. On the contrary, renewable energy is found negatively associated with economic performance. Also, the Pair-wise Granger causality validates mixed causal associations between the study variables. As a developing and fossil energy-dependent economy, this study provides relevant policy implications for maintaining economic growth and rebalancing economic performance in China.
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Affiliation(s)
- Shaojie Huang
- School of Humanities and Social Sciences, Guangxi Medical University, Nanning, China
| | - Tiansong Zhou
- School of Public Health, Guangxi Medical University, Nanning, China
| | - Chengying Xu
- School of Public Health, Guangxi Medical University, Nanning, China
| | - Jiahui Zheng
- School of Public Health, Guangxi Medical University, Nanning, China
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Shao M, Jin H, Tsai FS, Jakovljevic M. How Fast Are the Asian Countries Progressing Toward Green Economy? Implications for Public Health. Front Public Health 2022; 9:753338. [PMID: 35198528 PMCID: PMC8858809 DOI: 10.3389/fpubh.2021.753338] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2021] [Accepted: 12/23/2021] [Indexed: 11/13/2022] Open
Abstract
Monitoring progress toward green economy has been a key policy focus globally. The purpose of our study is to assess Asian countries' green development performance and also the progress toward green economy overtime. To achieve this goal, we propose a green development index (GDI) to assess the level and ranking of green development for Asian countries, and then we measure the progress toward green economy by the method based on the compound annual growth rate (CAGR). The result shows that the northeast Asian countries together with Singapore and Israel are leaders in green development performance across Asia, but the most progress toward green economy has been achieved by some medium green development level countries, like China. Countries with the fastest movement away from green economy are some laggard countries with poor green development performance, such as Syria and Yemen. More generally, the leading countries have reached a high green development level, and the medium ones move fast toward green economy, whereas some laggards get worse. We also discuss the implications for public health in environmental protection, green consumption, and green production.
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Affiliation(s)
- Ming Shao
- School of Management, Shanghai University of Engineering Science, Shanghai, China
| | - Hui Jin
- School of Economics and Management, Zhejiang Sci-Tech University, Hangzhou, China
- *Correspondence: Hui Jin
| | - Fu-Sheng Tsai
- North China University of Water Resources and Electric Power, Zhengzhou, China
- Department of Business Administration, Cheng Shiu University, Kaohsiung, Taiwan
- Center for Environmental Toxin and Emerging-Contaminant Research, Cheng Shiu University, Kaohsiung, Taiwan
- Super Micro Mass Research and Technology Center, Cheng Shiu University, Kaohsiung, Taiwan
- Fu-Sheng Tsai
| | - Mihajlo Jakovljevic
- Department Global Health Economics and Policy, University of Kragujevac, Kragujevac, Serbia
- Institute of Comparative Economic Studies, Hosei University Faculty of Economics, Tokyo, Japan
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Abstract
AIMS How the Chinese government controls the Covid-19 epidemic? This paper aims to answer this question from the perspective of public health expenditure, and policy, and then to help the government to perform better in infectious disease prevention and public health emergency management. METHODS AND MATERIALS We reviewed the development phases of the COVID-19 epidemic in China and divided it into four stages (incubation stage, outbreak stage, resolution stage, and stable stage). Then we adopted a content analysis method via MAXQDA2020, to analyze the combined application of four different types of policy tools in different stages with 571 texts of epidemic governance policy from the Chinese central government. We also calculated and compared the Chinese public health expenditure between epidemic and non-epidemic periods. Moreover, we also discussed implications for public health emergency management and for infectious disease prevention and control in China. RESULTS (1) in the incubation stage, the potential epidemic has not attracted enough attention from the government; (2) the combination of the 4 types of policies is not only an important reason in controlling epidemic during the outbreak stage and resolution stage, but also the reason why the small-scale epidemic has not expanded in the stable stage; (3) the increasing Chinese public health expenditure, involving public health emergency treatment (114.81 billion yuan), government hospitals (284.84 billion yuan) and major public health service projects (45.33 billion yuan), is another critical reason for the rapid control of the epidemic. CONCLUSION AND IMPLICATIONS Public health expenditure and policy played an important role in the governance and control of the COVID-19 epidemic in China. Some limitations of China's infectious disease prevention system and public health emergency management system have been exposed to the public in this epidemic, which the Chinese government needs to improve in the future.
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Affiliation(s)
- Hui Jin
- School of Economics and Management, Zhejiang Sci-Tech University, Hangzhou, China
| | - Baoyang Li
- School of Economics and Management, Zhejiang Sci-Tech University, Hangzhou, China
| | - Mihajlo Jakovljevic
- Institute of Advanced Manufacturing Technologies, Peter the Great St. Petersburg Polytechnic University, St. Petersburg, Russia
- Institute of Comparative Economic Studies, Hosei University, Tokyo, Japan
- Department of Global Health Economics and Policy, Faculty of Medical Sciences, University of Kragujevac, Kragujevac, Serbia
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Li D, He G, Jin H, Tsai FS. Sustainable Development of African Countries: Minding Public Life, Education, and Welfare. Front Public Health 2021; 9:748845. [PMID: 34869166 PMCID: PMC8636036 DOI: 10.3389/fpubh.2021.748845] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2021] [Accepted: 09/06/2021] [Indexed: 11/13/2022] Open
Abstract
Sustainable development (SD) has increasingly played a key background role in government policymaking across the world, especially for the least developed countries in Africa. Therefore, the purpose of our research is to study the SD of African countries in public life, education, and welfare, and then to help policy makers better monitor the status of sustainable development and formulate development policies in these aspects. We firstly propose a new method to assess the SD in public life, education, and welfare. Then we assess the SD status in 51 African countries as well as other countries in the world. After that, we also make a comparison between African countries and the countries in other continents.
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Affiliation(s)
- Danyang Li
- Department of Finance, School of Economics, Liaoning University, Shenyang, China
| | - Guosheng He
- Department of Finance, School of Economics, Liaoning University, Shenyang, China
| | - Hui Jin
- Department of Economics, School of Economics and Management, Zhejiang Sci-Tech University, Hangzhou, China
| | - Fu-Sheng Tsai
- North China University of Water Resources and Electric Power, Zhengzhou, China.,Department of Business Administration, Cheng Shiu University, Kaohsiung, Taiwan.,Center for Environmental Toxin and Emerging-Contaminant Research, Cheng Shiu University, Kaohsiung, Taiwan.,Super Micro Mass Research and Technology Center, Cheng Shiu University, Kaohsiung, Taiwan
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Coccia M. High health expenditures and low exposure of population to air pollution as critical factors that can reduce fatality rate in COVID-19 pandemic crisis: a global analysis. ENVIRONMENTAL RESEARCH 2021; 199:111339. [PMID: 34029545 PMCID: PMC8139437 DOI: 10.1016/j.envres.2021.111339] [Citation(s) in RCA: 97] [Impact Index Per Article: 32.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/11/2021] [Revised: 05/12/2021] [Accepted: 05/13/2021] [Indexed: 05/13/2023]
Abstract
One of the problems hardly clarified in Coronavirus Disease 2019 (COVID-19) pandemic crisis is to identify factors associated with a lower mortality of COVID-19 between countries to design strategies to cope with future pandemics in society. The study here confronts this problem by developing a global analysis based on more than 160 countries. This paper proposes that Gross Domestic Product (GDP) per capita, healthcare spending and air pollution of nations are critical factors associated with fatality rate of COVID-19. The statistical evidence seems in general to support that countries with a low average COVID-19 fatality rate have high expenditures in health sector >7.5% of GDP, high health expenditures per capita >$2,300 and a lower exposure of population to days exceeding safe levels of particulate matter (PM2.5). Another relevant finding here is that these countries have lower case fatality rates (CFRs) of COVID-19, regardless a higher percentage of population aged more than 65 years. Overall, then, this study finds that an effective and proactive strategy to reduce the negative impact of future pandemics, driven by novel viral agents, has to be based on a planning of enhancement of healthcare sector and of environmental sustainability that can reduce fatality rate of infectious diseases in society.
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Affiliation(s)
- Mario Coccia
- CNR, National Research Council of Italy, Via Real Collegio, N. 30, Collegio Carlo Alberto, 10024, Moncalieri, TO, Italy.
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