Valuating the efficiency of social security and healthcare in OECD countries from a sustainable development.

Under the goal of sustainable development, coping with the increase in social security and healthcare expenses caused by population aging is becoming increasingly important, but it is rare in the literature to evaluate the impact of social security efficiency on healthcare efficiency. This research uses the dynamic SBM two-stage model to observe the efficiencies of social security and healthcare in OECD countries. There are two findings as follows. First, the higher social security efficiency is, the better is the healthcare efficiency of countries with lower per capita GDP. Second, higher social security efficiency of National Health Service (NHS) countries denote better healthcare efficiency. When the financial source of the social security system is taxation, then it is more likely to bring higher efficiency to healthcare.

Dynamic slack-based measure model efficiency evaluation of the impact of coal mining characteristics.

Chinese coal enterprises are facing severe challenges due to low-carbon economy requirements and capacity reductions. This paper adopts a dynamic SBM model to compare the mining efficiency of each mining area of a coal company in China. We use total excavation footage, number of working platforms, and machine quantities as input indicators, and coal sales and CO2 emissions as output indicators. It was found that (1) both high efficiency and low efficiency mines maintained their production status each year and did not actively improve over time; (2) energy consumption was the primary indicator affecting comprehensive mining efficiency; and (3) while changes in the market environment did not have any significant impact on coal mining efficiency, coal mine characteristics were found to have some correlations with efficiency.

The influence of climate change on the allocation efficiency of new and tradition energy.

The purpose of this paper is to strengthen research concerning the impact of climate change on China's water resources, in order to avoid extreme weather events such as regional rainstorms and floods affecting the stable supply of energy and electricity. The goal is to reorganize energy industry allocation to make China's energy the most efficient, which would thus help achieve sustainable development goals. The biggest contribution and of this paper is not only to enlarge the scale and take into account the sustainable aspects, but also to consider climate change factors that have been ignored in the past as exogenous variables. For the first time, we take stock of the optimal allocation of new and tradition energy sources and carbon dioxide. This study uses the Dynamic ZSG-DDF model with exogenous variables and undesirable outputs to find a way to redistribute carbon dioxide, new energy, and tradition energy from different provinces on the premise of maximizing efficiency, thus achieving the goal of reducing carbon and saving the earth. The research results show that the energy efficiency of tradition energy is higher than that of new energy in various provinces. At the same time, the China government must comprehensively review the quota targets of new energy, tradition energy, and carbon dioxide (CO2) in each province as quickly as possible. Currently, the quotas of various provinces are seriously misplaced, and 26 provinces in total have great room for improvement.

Characterization of the Prognostic Values of CXCL Family in Epstein-Barr Virus Associated Gastric Cancer.

Background: CXCL family is a class of secreted growth factors signaling through G-protein-coupled receptors, and abnormal expression is associated with the growth and progression of many tumors. However, their prognostic value has been poorly studied in Epstein-Barr virus- (EBV-) associated gastric cancer (EBVaGC). Therefore, it is of great significance to explore the prognostic value of the CXCL family in EBVaGC. Methods: CXCL family mRNA expression was analyzed in STAD data from The Cancer Genome Atlas (TCGA). Kaplan-Meier Plotter was used to assess the prognostic value of the CXCL family. Transcription factors (TFs) and miRNAs associated with the CXCL family were identified by TFCheckpoint, miRWalk, and ViRBase databases. The prognostic model was evaluated using the EBVaGC patient cohort GSE51575. Results: The mRNA expression of CXCL1/3/5/6/8/9/10/11/16 was significantly upregulated, while the expression of CXCL12/14 was downregulated in EBVaGC compared with normal tissues from TCGA-STAD. The mRNA expressions of CXCL9, CXCL10, CXCL11, and CXCL17 in EBVaGCs were higher than those in EBVnGCs, but the mRNA expressions of CXCL6, CXCL12, and CXCL17 were lower than those in EBVnGCs. The mRNA expression levels of CXCL9, CXCL10, and CXCL11 in EBVaGCs were higher than those in EBVnGCs regardless of the tumor stage. High mRNA expression of CXCL8 was associated with better OS in patients with EBVaGC, while high expression of CXCL9 was associated with better OS in patients with EBVnGC. We obtained 10 candidate potential transcription factors (TFs) associated with CXCLs: OTOP3, NKX6-2, NKX2-2, FEV, SMYD1, TRIMSO, TBX10, CDX1, SLC26A3, and ARC. 576 miRNA-mRNA interactions were obtained. Among them, 65 miRNAs were predicted to be correlated with CXCL6, CXCL9, CXCL10, and CXCL11. Similar to the results of TCGA-STAD, the GSE51575 dataset also showed that the mRNA expression levels of CXCL1/3/9/10/11/16 were markedly enhanced in EBVaGC tissues compared with corresponding normal gastric mucosa tissues, while the mRNA expression levels of CXCL12/14 were significantly reduced. The mRNA expression levels of CXCL3/9/10/11/13/17 were increased in EBVaGC compared with EBVnGC tissues. Conclusions: The expression differences of CXCL family members are closely associated with the progression of EBVaGC. Expression of CXCL9/10/11/17 mRNA may be a promising prognostic indicator for EBVaGC patients.

The impact of media reports on energy and environmental efficiency in China: evidence from modified dynamic DEA with undesirable outputs.

BACKGROUND: Rapid economic growth in China has resulted in a commensurate increase in energy consumption, which in turn has seen an increase in environmental pollution problems. Past research has tended to focus on energy and environmental efficiency analyses and has rarely examined the media influence on environmental protection efforts. Further, most studies have used static models and ignored the dynamic changes over time. METHODS: To go some way to filling this research gap, this study developed a modified undesirable Dynamic DEA model that included air quality index (AQI) and CO2 indicators to explore the relationships between energy, the environment, and media report efficiencies in 31 Chinese cities from 2013 to 2016. RESULTS: It was found that: (1) Chongqing, Guangzhou, Nanjing and Shanghai had efficiencies of 1, but Lanzhou, Shijiazhuang, Taiyuan, Xining and Yinchuan needed significant improvements; (2) Chongqing, Guangzhou, Kunming, Nanning and Shanghai had relatively high media efficiencies, but the other cities had low efficiencies and required improvements; (3) the CO2 emissions efficiencies in most cities were better than the air quality index efficiencies; and 4. the media reports in most cities were found to have a more positive impact on the CO2 emissions efficiency than on the AQI efficiency. CONCLUSIONS: Environmental awareness enhances civilian health and promotes economic growth. Therefore, as the news media should be responsible for promoting environmental protection, they need to increase their environmental pollution coverage. It was found that the environmental pollution media report quality and especially air pollution reports needed improvements, and greater media coverage on environmental pollution and awareness was needed.

Evaluating the energy, health efficiency, and productivity in OECD.

In the past, energy and environmental research focused on the performance of individual efficiencies. In order to make up for the research deficiencies, this research uses SBM (slack-based measures) dynamic network DEA (DN-SBM) to assess energy, health efficiency, and DN-TFP productivity changes from 2011 to 2015. This research uses forest area as the carryover that can objectively measure the performance of OECD energy, health, and total efficiency, and calls for the importance of forest protection and planting. The empirical results show that Estonia, Finland, Hungary, Iceland, Mexico, New Zealand, Portugal, Slovenia, Sweden, and Turkey have the best overall efficiency performance, while Ireland (0.4469), Israel (0.4179), and the Netherlands (0.3697) are the three worst. In total, 29 economies show progress in terms of productivity. Moreover, Chile (0.9706), Mexico (0.9995), Slovak Republic (0.9942), Turkey (0.9815), and the UK (0.9886) exhibit a slight decline. The overall efficiency value of 20 countries is greater than the average, and their productivity is showing an upward trend. Only the UK (0.5081, 0.9886) has an overall efficiency value that is less than the overall average with productivity that is showing a drop. About research method, this study utilizes dynamic intertemporal data to evaluate the changes in the overall efficiency and productivity of OECD members with DN-SBM and DN-TFP indices in order to offer more objective research results for various economies that are useful for formulating policies related to energy, national health, and forest conservation.

Dynamic analysis of residential and enterprise water supply and leakage efficiencies.

With per capita water resources at only around a quarter of the world average, China's water resources are limited and unevenly distributed. Past research on water resource utilization has mainly focused on industrial water use (agriculture and industry), water plant ownership efficiencies (private or public operation), or water resources and economic production; however, there have been few studies focused on water supply livelihood. Therefore, this paper considered both industrial production water services, non-production water services (public sector and residential water use), and water leakage losses, which is a water supply problem seldom mentioned in other studies. An undesirable directional distance function (DDF) dynamic data envelopment analysis (DEA) model was employed for the dynamic analysis as it was able to deal with both desirable and undesirable outputs at the same time. The model examined collected water supply and water leak efficiency data from 30 Chinese provinces/municipalities from 2007 to 2018, from which it was found that (1) Beijing, Gansu, Guangdong, and Ningxia had efficient water supply and water leak losses from 2007 to 2018 and the most improved province was Jiangxi; (2) the eastern provinces, in general, had better water efficiencies and the central and western provinces needed greater improvements; and (3) the lowest water leakage loss efficiencies were in Inner Mongolia, Jiangxi, and Heilongjiang, all of which required significant improvements.

Efficiency assessment of coal energy and non-coal energy under bound dynamic DDF DEA.

The demand for energy has continued to increase because of global economic development, which has led to rising fuel prices and continued pollution problems. China is currently the largest coal consumer and is also the largest emitter of coal-fired CO2 emissions. However, past efficiency studies have been mostly limited to static analyses and have not considered undesirable outputs. Therefore, this study developed a bound dynamic directional distance function (DDF) data envelopment analysis (DEA) model to explore the energy and environmental efficiencies in 30 Chinese provinces from 2011 to 2015, from which it was found that (1) the overall efficiency was the best in the eastern region, but relatively low in the western region; (2) Beijing, Guangdong, Jiangsu, Shandong, Shanghai, Tianjin, Jiangxi, Jilin, and some other regions had efficiencies of 1; (3) the revenue and non-coal indicator efficiencies were reasonably good, but the expenditure and emissions efficiencies were generally poor; and (4) the key direction for primary improvements was found to be the emissions index.

Economic, Social, Medical, Work Injury, and Environmental Efficiency Assessments.

Improving the management efficiency of industrial accidents is significant for stabilizing social order and improving production efficiency. Although many previous studies have discussed the impact of work injury on different occupations from the work safety and health perspectives, few have jointly discussed economic, social, medical, and environmental pollution issues, and those that do mostly employ static models, failing to take into account welfare factors and environmental pollution issues that affect society. Therefore, in order to understand the dynamic evolution trend between social and economic activities and environmental issues, this study utilizes a modified undesirable two-stage dynamic exogenous data envelopment analysis (DEA) model to explore the economic, social, medical, and environmental efficiencies of 30 provinces in China to fill the gap in the literature. In terms of work injury insurance expenditure efficiency, the results show that the air quality index (AQI) impacts the ranking of China's 30 provincial regions, with Fujian, Ningxia, Qinghai, Shandong, Tianjin, and Xinjiang being greatly affected. AQI significantly influences overall factor efficiency, rescue invalid deaths, and the work-related injuries in the various regions. AQI also has a relatively small effect on the efficiency of work injury insurance benefits. Based on this, we offer suggestions for policy makers to evaluate the social benefits of environmental governance and the efficiency of human capital.

The Impact of the Media and Environmental Pollution on the Economy and Health Using a Modified Meta 2-Stage EBM Malmquist Model.

China's pursuit of economic growth, rapid industrialization, and urbanization over the past few decades has resulted in high energy consumption, which in turn has caused serious environmental pollution problems, such as CO2 and PM2.5 emissions, the long-term exposure to which can seriously affect resident health. To resolve these air pollution problems, the Chinese government has put in place several policies to reduce air and environmental pollution. Past studies on energy and environmental efficiency have been mostly static, have ignored the dynamic changes over time and regional differences, and have rarely considered human health factors. Therefore, this study employed a modified meta 2-stage Epsilon-Based Measure (EBM) Malmquist model to explore the relationships between the economy, energy, the environment, health and media, and the regional differences in 31 Chinese cities from 2014 to 2016. It was found that (1) Haikou and Lhasa's efficiencies were 1 and were the best in all 3 years, and Shijiazhuang, Jinan and Shenyang's were the most improved; (2) there was a gap between the eastern, central and western technological frontiers, with Chengdu, Hohhot, Chongqing, and Nanchang having technological gap ratios below 0.70 in the western and central Chinese regions, and Haikou, Guangzhou, and Shanghai in eastern China having technological gap ratios above 0.90 in all 3 years; and (3) the variations in the health treatment stage were greater than in the production stage, indicating that technological changes and efficiency improvements in the health treatment stages in each city were not stable.

Dynamic linkages among economic development, environmental pollution and human health in Chinese.

BACKGROUND: Research on the relationships between economic development, energy consumption, environmental pollution, and human health has tended to focus on the relationships between economic growth and air pollution, energy and air pollution, or the impact of air pollution on human health. However, there has been little past research focused on all the above associations. METHODS: The few studies that have examined the interconnections between the economy, energy consumption, environmental pollution and health have tended to employ regression analyses, DEA (Data Envelopment Analysis), or DEA efficiency analyses; however, as these are static analysis tools, the analyses did not fully reveal the sustainable economic, energy, environmental or health developments over time, did not consider the regional differences, and most often ignored community health factors. To go some way to filling this gap, this paper developed a modified two stage Undesirable Meta Dynamic Network model to jointly analyze energy consumption, economic growth, air pollution and health treatment data in 31 Chinese high-income and upper-middle income cities from 2013-2016, for which the overall efficiency, production efficiency, healthcare resource utilization efficiency and technology gap ratio (TGR) for all input and output variables were calculated. RESULTS: It was found that: (1) the annual average overall efficiency in China's eastern region was the highest; (2) the production stage efficiencies were higher than the healthcare resource utilization stage efficiencies in most cities; (3) the high-income cities had lower TGRs than the upper-middle income cities; (4) the high-income cities had higher average energy consumption efficiencies than the upper-middle income cities; (5) the health expenditure efficiencies were the lowest of all inputs; (6) the high-income cities' respiratory disease and mortality rate efficiencies were higher than in the upper-middle income cities, which had improving mortality rate efficiencies; and (7) there were significant regional differences in the annual average input and output indicator efficiencies. CONCLUSIONS: First, the high-income cities had higher average efficiencies than the upper-middle income cities. Of the ten eastern region high-income cities, Guangzhou and Shanghai had average efficiencies of 1, with the least efficient being Shijiazhuang. In the other regions, the upper-middle income cities required greater technology and health treatment investments. Second, Guangzhou, Lhasa, Nanning, and Shanghai had production efficiencies of 1, and Guangzhou, Lhasa, Nanning, Shanghai and Fuzhou had healthcare resource utilization efficiencies of 1. As the average production stage efficiencies in most cities were higher than the healthcare resource utilization stage efficiencies, greater efforts are needed to improve the healthcare resource utilization. Third, the technology gap ratios (TGRs) in the high-income cities were slightly higher than in the upper-middle income cities. Therefore, the upper-middle income cities need to learn from the high-income cities to improve their general health treatment TGRs. Fourth, while the high-income cities had higher energy consumption efficiencies than the upper-middle income cities, these were decreasing in most cities. There were few respiratory disease efficiency differences between the high-income and upper-middle income cities, the high-income cities had falling mortality rate efficiencies, and the upper-middle income cities had increasing mortality rate efficiencies. Overall, therefore, most cities needed to strengthen their health governance to balance economic growth and urban expansion. Fifth, the average AQI efficiencies in both the high-income and upper-middle income cities were higher than the average CO2 efficiencies. However, the high-income cities had lower average CO2 emissions and AQI efficiencies than the upper-middle income cities, with the AQI efficiency differences between the two city groups expanding. As most cities were focusing more on air pollution controls than carbon dioxide emissions, greater efforts were needed in coordinating the air pollution and carbon dioxide emissions treatments. Therefore, the following suggestions are given. (1) The government should reform the hospital and medical systems. (2) Local governments need to strengthen their air pollution and disease education. (3) High-income cities need to improve their healthcare governance to reduce the incidence of respiratory diseases and the associated mortality. (4) Healthcare governance efficiency needs to be prioritized in 17 upper-middle income cities, such as Hangzhou, Changchun, Harbin, Chengdu, Guiyang, Kunming and Xi'an, by establishing sound medical management systems and emergency environmental pollution treatments, and by increasing capital asset medical investments. (5) Upper-middle income cities need to adapt their treatment controls to local conditions and design medium to long-term development strategies. (6) Upper-middle income cities need to actively learn from the technological and governance experiences in the more efficient higher-income cities.

Energy Efficiency and Health Efficiency of Old and New EU Member States.

Environmental protection and health issues have always been of great concern. This study employed modified Meta-Frontier Dynamic Network Data Envelopment Analysis to explore the environmental pollution effects from energy consumption on the mortality of children and adults, tuberculosis rate, survival rate, and health expenditure efficiencies in 15 old EU states and 13 new EU states from 2010 to 2014. We calculated the overall efficiency scores and technology gap ratios for each old EU and new EU states as well as the efficiencies of non-renewable energy, renewable energy, PM2.5, CO2, labor, GDP, tuberculosis, child mortality, adult mortality, health expenditure efficiency, and survival efficiency at the health stage. The average annual overall efficiencies of the old EU states are higher than that of the new EU states. Whether in terms of energy efficiencies or health efficiencies, the inputs and outputs of the old EU states are always higher than that of the new EU states. Overall, developing countries in Eastern Europe are lagging behind in terms of energy and health efficiencies. At the same time, the efficiency of child mortality is lower than that of adult mortality, and the efficiency of PM2.5 is higher than that of CO2 in both old and new EU states.

The Energy Efficiency and the Impact of Air Pollution on Health in China.

The rapid growth of China's economy in recent years has greatly improved its citizens' living standards, but economic growth consumes many various energy sources as well as produces harmful air pollution. Nitrogen oxides, SO2 (sulfur dioxide), and other polluting gases are damaging the environment and people's health, with a particular spike in incidences of many air pollution-related diseases in recent years. While there have been many documents discussing China's energy and environmental issues in the past, few of them analyze economic development, air pollution, and residents' health together. Therefore, this study uses the modified undesirable dynamic two-stage DEA (data envelopment analysis) model to explore the economic, environmental, and health efficiencies of 30 provinces in China. The empirical results show the following: (1) Most provinces have lower efficiency values in the health stage than in the production stage. (2) Among the provinces with annual efficiency values below 1, their energy consumption, CO2 (carbon dioxide), and NOx (nitrogen oxide) efficiency values have mostly declined from 2013 to 2016, while their SO2 efficiency values have increased (less SO2 emissions). (3) The growth rate of SO2 efficiency in 2016 for 10 provinces is much higher than in previous years. (4) The health expenditure efficiencies of most provinces are at a lower level and show room for improvement. (5) In most provinces, the mortality rate is higher, but on a decreasing trend. (6) Finally, as representative for a typical respiratory infection, most provinces have a high level of tuberculosis efficiency, indicating that most areas of China are highly effective at respiratory disease governance.

Impact of Media Reports and Environmental Pollution on Health and Health Expenditure Efficiency.

Over the past few decades, China's rapid economic, energy, and industrial developments have caused serious environmental damage. However, as there are large resource, energy use, economic, and environmental damage differences across Chinese regions, the Chinese government is seeking to reduce city pollution across the country. Most previous analyses have only looked at these issues on a single level; for example, the impact of environmental pollution on health, or energy and environmental efficiency analyses, but there have been few studies that have conducted overall analyses. Further, many of the methods that have been used in previous research have employed one-stage radial or non-radial analyses without considering regional differences. Therefore, this paper developed a meta undesirable two-stage EBM DEA model to analyze the energy, environment, health, and media communication efficiencies in 31 Chinese cities, from which it was found that the productivity efficiency in most cities was better than the health treatment efficiencies, the GDP and fixed asset efficiency improvements were small, the air quality index (AQI) and CO2 efficiencies varied widely between the cities, media report and governance inputs were generally inefficient, the birth rate efficiencies were better than the respiratory disease efficiencies, and the technical gap was best in Guangzhou, Shanghai, and Lhasa. Also, it found that high-income cities have a higher technology gap than upper middle-income cities, and media reports efficiency have a high correlation with respiratory diseases and CO2.

A Two-stage Dynamic Undesirable Data Envelopment Analysis Model Focused on Media Reports and the Impact on Energy and Health Efficiency.

Past research on energy and environmental issues in China has generally focused on energy and environmental efficiencies with no models having included the public health associations or the role of the media. Therefore, to fill this research gap, this paper used a modified Undesirable Dynamic Network model to analyze the efficiency of China's energy, environment, health and media communications, from which it was found that the urban production efficiency stage was better than the health treatment stage, and that the energy efficiencies across the Chinese regions varied significantly, with only Beijing, Guangzhou, Lhasa and Nanning being found to have high efficiencies. Large urban gaps and low efficiencies were found for health expenditure, with the best performances being found in Fuzhou, Guangzhou, Haikou, Hefei, Nanning, and Urumqi. The regions with the best media communication efficiencies were Fuzhou, Guangzhou, Haikou, Hefei, Lhasa, Nanning and Urumqi, and the cities with the best respiratory disease efficiencies were Fuzhou, Guangzhou, Haikou, Lhasa, Nanning, Wuhan, Urumqi, Xian, and Yinchuan. Overall, significant efficiency improvements were needed in health expenditure and in particular in respiratory diseases as there were major differences across the country.

Research on New and Traditional Energy Sources in OECD Countries.

To mitigate the problems associated with climate change, the low-carbon economy concept is now being championed around the world in an effort to reduce greenhouse gas emissions and ensure sustainable economic growth. Therefore, to reduce the dependence on traditional energy sources, the Organization for Economic Co-operation and Development (OECD) has been actively promoting the use of renewable energy. Past research has tended to neglect the influence of other pollutants such as fine particulate matter (PM2.5) and sulfur dioxide (SO2) and have mainly been based on static analyses. To make up for these research gaps, this study examined OECD country data from 2010⁻2014, with labor, fixed assets, new energy, and traditional energy as the inputs, and Gross Domestic Product (GDP), carbon dioxide (CO2), and PM2.5 as the outputs, from which it was found: (1) the overall efficiency of the individual countries varied significantly, with nine countries being found to have efficiencies of 1 for all five years, but many others having efficiencies below 0.2; (2) in countries where there was a need for improvements in traditional energy (which here refers to coal, petroleum and other fossil energy sources), there was also a significant need for improvement in new energy sources (which here refers to clean energy which will produce pollutant emissions and can be directly used for production and life, including resources like nuclear energy and "renewable energy"); (3) countries with poor traditional energy and new energy efficiencies also had poor CO2 and PM2.5 efficiencies; (4) many OECD countries have made progress towards sustainable new energy developments.

Cross-Regional Comparative Study on Carbon Emission Efficiency of China's Yangtze River Economic Belt Based on the Meta-Frontier.

The Yangtze River Economic Belt (YREB) is one of the most important areas for the economic growth of China, but rapid development has caused tremendous damage to the energy and ecological environments of the region. Very few studies have compared the carbon emissions of YREB with that of non-YREB and furthermore, have not considered regional differences and radial or non-radial characteristics in their analysis. This paper thus selects the energy consumption data of 19 provinces and cities in YREB and 19 provinces and cities in non-YREB from 2013 to 2016, constructs the modified meta-frontier Epsilou-based measure (EBM) data envelopment analysis (DEA) model and adds an undesirable factor, energy consumption, and CO2 emission efficiency of each province and city of the two regions. The results are as follows. (1) China's provinces and cities have different energy efficiency scores in energy consumption, economic growth, and CO2 emissions. The regional ranks and technology gaps of five provinces and cities in non-YREB and of four provinces and cities in YREB exhibit a decline. Overall, the ranks and technology gaps of the provinces and cities in YREB are significantly lower than those in non-YREB, meaning that there is greater room for efficiency improvement in the latter region. (2) The gross domestic product (GDP) and CO2 efficiency values of non-YREB provinces present great differences, especially the CO2 efficiency value that ranges from 0.2 to 1, while their values in YREB are more balanced with little difference between provinces and cities. Thus, YREB is more coordinated in terms of energy savings and air pollutant reduction. (3) Some cities with good economic development such as Beijing, Shanghai, and Tianjin have regional and technology gap values of one, indicating that they not only target economic growth but also address energy savings and air pollutant reduction. The regional rank and technology gap values of some underdeveloped provinces such as Neimenggu, Ningxia, and Qinghai are also one. Finally, this research proposes countermeasures and recommendations to both areas.

The Impact of Economic Growth and Air Pollution on Public Health in 31 Chinese Cities.

The rapid economic growth of China in the last twenty years has caused a commensurate rise in atmospheric pollution which has had an impact on both the environment and public health. Since 2013, SO2, CO2 and nitrogen oxide levels have reached a level that may cause climate change and have adverse effects on the health of the local residents. Past environmental efficiency analyses have rarely examined economic development, air pollution and health as interacting systems; therefore, this study used a new two-stage DEA model, the Modified Undesirable EBM Two Stage DEA (Epsilon-Based Measure) to explore the environmental, economic and health efficiencies in thirty-one major cities in China. The results were as follows: while all cities needed to improve their GDP, the environmental efficiencies were continuing to rise in most cities. The health efficiency index indicated that disease efficiency had increased in most cities but declined in one third; therefore, it is necessary to strengthen treatment. The respiratory disease treatment efficiency in most cities was rising, and the room for improvement had significantly reduced. There were improvements in the mortality rate in 15 cities; however, the mortality rate treatment efficiency declined in 11 cities.

Air Pollutant and Health-Efficiency Evaluation Based on a Dynamic Network Data Envelopment Analysis.

Environmental pollution and the associated societal health issues have attracted recent research attention. While most research has focused on the effect of air pollution on human health and local economies, few articles have discussed the environment, health, and economic development in in an integrated analysis. This paper used a Dynamic Network SBM Model to evaluate production and health efficiencies in Chinese cities and found that the production efficiency scores were slightly higher than the health efficiency scores, with the two-stage efficiency scores in most cities having significant fluctuations. Labor, fixed assets, energy, GDP, and lung disease and mortality reduction efficiencies in the first stage were generally high; however, the medical input efficiencies in the second stage were low, indicating that there was there significant room for improvement in many cities.