Lufa Zhang
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View article: Beyond Immediate Impact: A Systems Perspective on the Persistent Effects of Population Policy on Elderly Well-Being
Beyond Immediate Impact: A Systems Perspective on the Persistent Effects of Population Policy on Elderly Well-Being Open
This study adopts a systems perspective to examine the persistent effects of China’s One-Child Policy (OCP) on the subjective well-being of older adults, emphasizing structural persistence, reinforcing feedback, and path-dependent lock-in …
View article: Research on the Spatial Correlation Pattern of Sustainable Development of Cities in the Yangtze River Delta Region of China, Based on the Dynamic Coupling Perspective of “Ecology-Economy”
Research on the Spatial Correlation Pattern of Sustainable Development of Cities in the Yangtze River Delta Region of China, Based on the Dynamic Coupling Perspective of “Ecology-Economy” Open
Focusing on the dynamic change process of urban ecology and economy, this paper explores the spatial correlation pattern of cities in the Yangtze River Delta (YRD) region for sustainable development from 2012 to 2023 based on the coupled c…
View article: Scale of Employees’ Initiative for Proactive Health: Development and Validity Testing
Scale of Employees’ Initiative for Proactive Health: Development and Validity Testing Open
Background: Non-communicable diseases (NCDs) pose a significant public health challenge, with employees particularly vulnerable due to modifiable lifestyle risk factors. Proactive health underscores the importance of self-initiated behavio…
View article: Why do rural residents in China withdraw from the health insurance system? —A qualitative study based on Y County in S Province, China
Why do rural residents in China withdraw from the health insurance system? —A qualitative study based on Y County in S Province, China Open
The decision of rural residents in China to withdraw from the medical insurance system is influenced not only by economic factors but also by the system's design and various aspects of rural governance. Moving forward, the Chinese governme…
View article: How environmental perception influence depression and anxiety: the mediating role of social interaction
How environmental perception influence depression and anxiety: the mediating role of social interaction Open
Individuals with poorer environmental perceptions were more likely to experience symptoms of depression and anxiety than individuals with better environmental perceptions in the YRDC. This relationship is partly moderated by social interac…
View article: Why do rural residents in China withdraw from the health insurance system? —A Qualitative Study Based on Y County in S Province, China
Why do rural residents in China withdraw from the health insurance system? —A Qualitative Study Based on Y County in S Province, China Open
Background:Since the 2009 healthcare reform, the Chinese government has been committed to establishing a universal healthcare system. This study aims to investigate the complex reasons behind the decision of rural residents in China to for…
View article: How Environmental Perception influence Depression and Anxiety: The Mediating Role of Social Interaction
How Environmental Perception influence Depression and Anxiety: The Mediating Role of Social Interaction Open
Background: With the economic and social transformations, depression and anxiety disorders are presenting an increasingly common trend globally, becoming a widely addressed issue in mental health. Research has shown that livable natural en…
View article: Social Medical Insurances, Choices of Medical Institutions and the ‘Siphon Effect’ in the Health Service Market: Evidence from 2021 Yangtze River Delta Region of China
Social Medical Insurances, Choices of Medical Institutions and the ‘Siphon Effect’ in the Health Service Market: Evidence from 2021 Yangtze River Delta Region of China Open
Different social medical insurances can substantially affect residents' first choice of medical institutions. BMISUE with higher benefits level could exacerbate the siphon effect in the health service market. More equitable medical securit…
View article: Measuring the inequalities in healthcare resource in facility and workforce: A longitudinal study in China
Measuring the inequalities in healthcare resource in facility and workforce: A longitudinal study in China Open
Objective The study aimed to measure time trends of inequalities of the geographical distribution of health facilities and workforce in Shanghai from 2010 to 2016 and used a spatial autocorrelation analysis method to precisely detect the p…
View article: Community Environment Co-Production and Environmental Satisfaction of Older Urban Residents in Shanghai, China
Community Environment Co-Production and Environmental Satisfaction of Older Urban Residents in Shanghai, China Open
Objective: Many factors may affect the environmental satisfaction of elderly people, including their sense of involvement. This study examined the associations between community environment co-production and environmental satisfaction in o…
View article: Scarcity Value Assessment of Ecosystem Services Based on Changes in Supply and Demand: A Case Study of the Yangtze River Delta City Cluster, China
Scarcity Value Assessment of Ecosystem Services Based on Changes in Supply and Demand: A Case Study of the Yangtze River Delta City Cluster, China Open
Rapid urbanization and economic development have resulted in a mismatch between the supply and demand of ecosystem services. The theoretical value of ecosystem services (ESTV) is not suitable for determining ecosystem service compensation,…
View article: Measuring the inequalities in healthcare resource in facility and workforce: A longitudinal study in a municipal city of China
Measuring the inequalities in healthcare resource in facility and workforce: A longitudinal study in a municipal city of China Open
Background Previous literature has proved that the uneven distribution of healthcare resources leads to growing inequalities between the rich and the poor with respect to wellbeing and health outcomes. Reducing inequalities in healthcare r…
View article: Gender Differences in Burnout Among Endocrinologists in China
Gender Differences in Burnout Among Endocrinologists in China Open
Objective To survey the prevalence of burnout in a national sample of endocrinologists in China and to examine its correlates, with a special focus on gender differences. Methods An anonymous online survey was conducted among endocrinologi…
View article: Does the Direct Settlement Policy of Trans-Provincial Outpatient Expenses Aggravate the Siphoning Effect? An Empirical Study on Yangtze River Delta, China
Does the Direct Settlement Policy of Trans-Provincial Outpatient Expenses Aggravate the Siphoning Effect? An Empirical Study on Yangtze River Delta, China Open
To solve the problem of reimbursing trans-regional medical expenses, using only cross-regional manual reimbursement but not direct medical insurance card settlement, China implemented a pilot policy of direct settlement of trans-provincial…
View article: Differences in Regional Distribution and Inequality in Health-Resource Allocation on Institutions, Beds, and Workforce: A Longitudinal Study in Shanghai, China
Differences in Regional Distribution and Inequality in Health-Resource Allocation on Institutions, Beds, and Workforce: A Longitudinal Study in Shanghai, China Open
Background: The distribution of health-care resources is a critical component of health-care access, and equity is a basic principle of health-resource allocation, and foundational to achieving fairness in the provision of health services.…
View article: Differences in regional distribution and inequality in health-resource allocation at hospital and primary health centre levels: a longitudinal study in Shanghai, China
Differences in regional distribution and inequality in health-resource allocation at hospital and primary health centre levels: a longitudinal study in Shanghai, China Open
Objectives To analyse differences in regional distribution and inequality in health-resource allocation at the hospital and primary health centre (PHC) levels in Shanghai over 7 years. Design A longitudinal survey using 2010–2016 data, whi…
View article: Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai
Spatial Accessibility to Healthcare Services in Metropolitan Suburbs: The Case of Qingpu, Shanghai Open
Spatial accessibility is an important factor for planning healthcare services to maintain a quality life for the metropolitan area. The metropolitan suburb is a special area for its location and rapidly changing population during urbanizat…