ABSTRACT
ObjectiveTo understand the distribution characteristics of soil metal pollution around an abandoned rare earth ore in Jiangxi and the health impact on the surrounding residents. MethodsAccording to the distribution of abandoned rare earth ore， the village was divided into mining and non-mining areas. The prevalence of chronic diseases among residents over 15 years old in the village was collected through a self-designed questionnaire. Twenty-three soil samples were collected. The contents of rare earth metals （including lanthanum， cerium， praseodymium， and neodymium） and heavy metals （including arsenic （metalloids）， cadmium， and lead） in the soil samples were determined by inductively coupled plasma mass spectrometry （ICP-MS）. ResultsThe metal content showed a cumulative increasing trend. One of the23 sampling sites showed mild cadmium pollution. Compared with non-mining farmland， the metal content of farmland soil around the abandoned rare earth mine was relatively higher. The residents' top six self-reported chronic diseases were hypertension， chronic bronchitis， diabetes， stroke， hyperlipidemia， and cataract. The prevalence of hypertension in mining area was higher than non-mining area （χ2=4.141， P=0.042）. The main related factors for hypertension in residents were the increase in age （OR=14.576， 95%CI： 2.773‒76.605） and body mass index （OR=3.147， 95%CI： 1.121‒8.835）. ConclusionAbandoned rare earth ore may have a potential impact on the health of surrounding residents.
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Objective: To analyze the current non-linear and spatial dependence of health industry clustering and residents' health level in China. Methods: Using the panel data of China from 2002 t0 2017, the panel threshold model and the spatial Dubin model were constructed to conduct empirical tests. Results and Conclusion: Based on the internal perspective of the region, it was found that whether the health industry cluster would inevitably promote the improvement of residents' health level was bound by the threshold of agglomeration scale. Only when the agglomeration scale was in the median interval of [1.209, 1.763], the output effectiveness of the health industry cluster was more significant; based on the spatial spillover perspective, the positive health "spill effect" caused by the accumulation of health and health industries in the surrounding areas had made compensation on the “health short board” of the health and health industry in the region although the health and industrial clusters in the region had not made significant contributions to the improvement of the health of local residents.
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Objective:Analyzing the efficiency of medical system in China and examining the impact of the imbalance of regional health system efficiency on the health status of residents.Methods:Using DEA method to measure the output efficiency of inter-provincial medical system in China;employing the panel quantile regression model to measure the health improvement effect and changing trend brought by the promotion of the efficiency of medical system.Results:The efficiency of health systems in different provinces in China showed the situation of high in the east and low in the west,regional imbalances were obvious;the impact of the promotion of efficiency of the medical system on the residents' health status would be weakened with improvement of residents' health status.In areas where the residents' health status was the best,the effect of improving the efficiency of medical treatment had no significant.Conclusion:It should give full play to improvement effect of medical system efficiency on the residents' health,focus on supporting the construction of medical systems in backward areas to promote the balanced development of China's regional medical system.
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Objective To investigate the attention of community population in Shanghai to chronic kidney disease (CKD) and related influencing factors. Methods Community populations in 27 community health service centers in Jing’an District and Minhang District of Shanghai were surveyed by stratified random sampling method. The investigation included the understanding the early symptoms, examination methods, dietary requirements and intervention measures of CKD and the attention to kidney health and the related influencing factors. Results The overall attention of community population in Shanghai to CKD was 31.4% (240/764). The community population paid the most attention to the treatment of CKD (57.5%, 439/764), followed by life expectancy (63.5%, 485/764), while the concerns about physical symptoms and urination change were the lowest (19.5% [149/764] and 21.7% [166/764], respectively). Residents aged 60 years or older, with junior college or above, and having participated in the CKD health lectures paid the most attention to CKD. Conclusion The attention of community population in Shanghai to CKD is low, suggesting that the health education should be strengthened to improve the cognitive level of CKD in community population.
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Based on the analysis of the medical background of the current communities,the paper puts forward the construction of community medical service platform based on big data analysis,introduces the establishment of resident health record and precautions,module layout and function development of service platform,provides medical decision support for data mining technology,and improves the medical service level of communities.
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Resident health card is the golden key for the trans-institutional, trans-regional, interconnected, and intercommunicating medical and health information service , resource sharing and collaboration , the stress was thus laid in this paper on the specific target, design ideas, general design program, implementation of their functions, and measures for their safety for the resident health card operation system on Internet.