上海浦东城乡医疗保障体系一体化的发展策略——城乡阶梯式医疗保障体系的构建

由于城乡之间卫生体制的差异,卫生资源城乡分布不均,历史上浦东新区城乡形成了各自独立的两大医疗保障格局。新区农村实行的主要是合作医疗的保障制度,与城市相对完善的基本医疗保障体制相比,二者的保障水平存在一定差异。随着浦东城市化进程的加快,现有的城乡两大体系已越来越不适应浦东城乡一体化的社会发展趋势。本文较系统地提出了上海浦东城乡医疗保障体系一体化的发展策略,通过积极的制度创新,为二元结构向一体化结构的转变搭建过渡的阶梯。     

重视城市化过程中的人口分布变化——以上海市为例

上海几十万、上百万户籍人口从内环线以内迁到内环线以外 ,这给迁出地、迁入地的社会、经济、教育、卫生、治安等各方面带来一系列新的变化和问题 ,是一个带有全局性影响的大问题。这种数公里数十公里范围内的人口分布变化 ,必将影响上海整个城市形态、城市结构 ,有利于新型的城乡结合型的新城的建成。上海有六千多平方公里冲积平原 ,有广阔的发展空间 ,应不断扩大城市化地域范围 ,与其国际经济中心城市之一相匹配。     

A user’s guide to Lisbon: mobilities,spatial apprenticeship and migrant urban integration*

This paper engages with the ‘mobility turn’ scholarship in order to provide tools for the study of migrants’ integration to urban space. The analysis of urban mobilities draws attention to the practical know-how that underlies mobility practices. I argue that migrants’ urban apprenticeship – that is, the ways migrants learn (to use) city spaces – shape their access to urban resources and their participation in urban life. Based on fieldwork conducted in Lisbon, Portugal, I explore how migrants’ urban knowledges play out in their everyday practices and resonate with broader concerns over migrant integration.     

Imagined Rural/Regional Spaces: Non-Normative Sexualities in Small Towns and Rural Communities in Croatia

This research aims to critically examine how the complexity of the ongoing process of “coming out” in small towns and rural spaces in Croatia undermines the imagined hierarchical distinction between rural/urban spaces. The narratives of LGBQ individuals living in these spaces subvert imaginaries of their communities as homogeneously hostile and threatening. Some participants did, however, perceive other spaces as either “gay-friendly” or “deeply homophobic.” As Croatia is transnationally perceived to be a part of a larger “homophobic region,” the construction of the rural/urban hierarchical distinction is (re)produced and (re)configured within discourses that signify Western countries and so-called more developed regions within Croatia as “more open and liberal” as opposed to “more homophobic and backward” spaces. These distinctions between countries, regions, and the rural/urban spaces come into contradiction with each other and are undermined by my interviewees’ own incongruous experiences.     

Rhythms of urban space: skateboarding the canyons,plains, and asphalt-banked schoolyards of coastal Los Angeles in the 1970s

ABSTRACT

This paper examines the ways in which pioneering skateboarders in Southern California reacted to, and exploited a capital-intensive urban landscape to create a sport that today has tremendous economic, political, and cultural implications. The analysis focuses on archival material drawn from Skateboarder Magazine from 1975 to 1980. Ultimately, the skateboarders and those who documented their emerging sport express deep awareness and understanding of urban space as influenced by topography, urban development and emerging notions of mobility. The asphalt-banked schoolyards of Los Angeles provided an unintended playground for skateboarders and served as a starting point for the modern-era of the sport.     

Analyzing Accessibility Dimension of Urban Quality of Life: Where Urban Designers Face Duality Between Subjective and Objective Reading of Place

The subject of urban quality of life and the promotion of its concept in particular, has always been the central focus of urban designers. This term is a multi-conceptual and dimensions. However most of the scholars have agreed that the concept consisted from two main dimensions; objective and subjective which these two approaches are used for its measuring. One of the important goals of urban designers is to create urban environment that all citizens have easy access to urban services, as accessibility reflects the quality of an urban environment. The present research intends to measure the public space accessibility by using objective approach in first and then by using the subjective approach for measuring in the study area to compare the results. The results revealed that there are considerable differences between objective and subjective measuring of urban quality of life in a urban space, therefore urban designers can not rely only on the results of objective measuring to understand such spaces for planning, if so, their attitudes towards urban spaces could not be an appropriate guide for explaining the quality of life for urban residents.     

健康冲击、基本医疗保险与老年人“退而不休”

在我国进入深度老龄化、劳动力供给不足的背景下,探究健康以及基本医疗保险对老年人退而不休的影响对未来合理有效开发老年人力资源具有重要意义。本文使用四期CHARLS数据将健康冲击、医疗保险与老年人退而不休放在一个统一的分析框架中,分别考察了健康冲击、新农合以及城镇职工医疗保险对老年人退而不休的影响,并进一步探究了医疗保险对老年人退而不休影响的健康异质性。结果表明:健康冲击对老年人退而不休意愿和劳动时间均有显著正向促进效应,且对劳动时间的影响有明显城乡差异,对农村地区影响更大。新农合会明显激励农村老年人选择退而不休,发生比率提高为未参合时的3.59倍,但会降低劳动时间,全年平均减少了21.21天;而城镇职工医疗保险对老年人退而不休意愿没有显著影响,但会增加劳动时间,全年平均增加了13.92天,且对劳动时间供给更多的个体,其激励效应逐渐减弱。同时,医疗保险对老年人退而不休的影响还存在性别差异,其中新农合对女性退而不休意愿影响更大,但对劳动时间并没有显著的性别差异;而职工医疗保险对女性退而不休意愿、对男性劳动时间影响更大。此外,本文还发现医疗保险对老年人退而不休的影响存在健康异质性,对健康变差的群体影响更大。     

Differences in Child Health Across Rural,Urban, and Slum Areas: Evidence From India

The developing world is rapidly urbanizing, but an understanding of how child health differs across urban and rural areas is lacking. We examine the association between area of residence and child health in India, focusing on composition and selection effects. Simple height-for-age averages show that rural Indian children have the poorest health and urban children have the best, with slum children in between. With wealth or observed health environment held constant, the urban height-for-age advantage disappears, and slum children fare significantly worse than their rural counterparts. Hence, differences in composition across areas mask a substantial negative association between living in slums and height-for-age. This association is more negative for girls than boys. Furthermore, a large number of girls are “missing” in slums; we argue that this implies that the negative association between living in slums and health is even stronger than our estimate. The missing girls also help explain why slum girls appear to have a substantially lower mortality than rural girls, whereas slum boys have a higher mortality risk than rural boys. We estimate that slum conditions (such as overcrowding and open sewers), which the survey does not adequately capture, are associated with 20 % to 37 % of slum children’s stunting risk.     

社会保障、代际支持如何影响城镇老年人退而不休?

对城镇老年人退而不休的动因分析,是合理开发和管理老年人力资源的前提.基于代际支持的传导作用,研究发现,具有较高社会保障水平、健康状况较好和学历较高的城镇老年人选择退而不休更倾向于实现自我价值,同时,足够的家庭养老支持对他们积极发挥余热的动机有正向推动作用;而健康状况较差和学历较低的城镇老年人,由于家庭养老支持不足、其付出与获得的家庭资源不对等以及由此产生的社会保障"外溢"等压力,更可能以获得收入为动机选择退而不休,进而导致其发展权利受损.因此,有差别地开发和管理老年人力资源、谨慎制定并实施延迟退休政策,对实现积极、健康的老龄化社会有着重要的意义.     

Happiness and Comparison Income: Evidence from Canada

During the past decade, there has been an increasing interest in the link between urban street design principles and the built environment in the field of urban studies. This interest is motivated by the possibility that design principles associated with the built environment can be used to manage individual activities and improve the quality of urban life. This paper proposes an approach which can be used to generate and prioritize important social indicators for designing urban street environment. The proposed approach integrates both analytic network process and zero-one goal programming methods into a quality function deployment planning in order to translate end-user needs into technical design requirements. User needs and technical requirements are explored, and the modeling result uncovers five important urban street environment design principles on quality of life’s satisfaction: transportation planning and parking development, guidelines for public transit and bus stops, landscape and open space design guidelines, pedestrian network planning and facility design guide, and street landscape. Overall, these important principles (five quality of life indicators) show future directions for the street environment improvements in Taipei City, Taiwan.     

邻里社会资本、城市医疗卫生服务体系与自评健康 ——基于中国劳动力动态调查的实证研究

从仅依靠卫生健康系统转向社会整体联动,实现将健康融入所有政策,是健康中国战略实施的重点.本研究基于中国劳动力动态调查数据和多层次随机截距模型,探讨邻里社会资本、城市医疗卫生服务体系对城市居民健康状况的影响效应,以及健康促进的多层次作用机理.研究发现,个人层次和社区层次的邻里社会资本都有利于提高城市居民的健康水平.邻里社...     

The inequality of maternal health care in urban sub-Saharan Africa in the 1990s

Numerous studies document the disadvantage in child health of the urban poor in African cities. This study uses Demographic and Health Survey data from 23 countries in sub-Saharan Africa to examine whether the urban poor experience comparable disadvantages in maternal health care. The results show that, although on average the urban poor receive better antenatal and delivery care than rural residents, the care of the urban poor is worse than that of the urban non-poor. This suggests that the urban bias in the allocation of health services in Africa does not benefit the urban poor as much as the non-poor. Multilevel analyses reveal significant variations in maternal health in urban areas across countries of sub-Saharan Africa. The dis-advantage of the urban poor is more pronounced in countries where maternal health care is relatively good. In these countries the urban poor tend to be even worse off than rural residents, suggesting that the urban poor have benefited least from improvements in maternal health care.     

Consumption-led mobilized urbanism: socio-spatial separation in the second-home city of Sanya

Abstract

Tourism and recreational second-home development has increased rapidly in peripheral and lower tier cities of China in recent years. While tourism-led real estate development has been widely accepted as an effective investment opportunity, it can increase urban segregation and stratification. This pattern is seen in the resort city of Sanya on Hainan Island, China. Sanya’s recreational second homes vary in form and can be categorized into (1) elite-vacation second homes (short stay, private homes), (2) lifestyle-migration second homes (short stay, commercial homes), and (3) retirement-migration second homes (longer term, seasonal homes). Unlike the segregated cities formed by displaced labor migrants in many of China’s cities, seasonal recreational migrants are both economically better-off and are emerging as a dominant political force. The segregated residential spaces created by Sanya’s second-home development landscape further limits interaction and social network building between indigenous local residents and part-time recreational migrants. The perceived home space and feelings of place attachment towards Sanya is under drastic change, with locals feeling increasingly displaced. The new mosaic of consumption-led amenity cities in developing economies is one where traditional models of migration-based segregation are reversed. Wealthier second-home migrants have the capacity for more political power than local residents, as well as relying more on non-localized social networks and multi-nodal home spaces. Consumption-led mobility is an important determinant in building explanations of socio-spatial segregation and stratification in global cities that are undergoing dramatic development change.     

Mediating Effects Between Objective and Subjective Indicators of Urban Quality of Life: Testing Specific Models for Safety and Access

Enhancing the urban quality of life (QoL) is an explicit policy goal of many countries, yet it is rarely studied using models that relate objective measures of the urban environment to the subjective evaluations of residents. It thus often remains unclear how planning interventions in the urban environment may influence residents’ satisfaction with their living conditions. In particular, during periods of significant urban growth, such as those recently observed in Switzerland, which result in diverse, unwanted threats to the local QoL (e.g., loss of green spaces, traffic congestions, and fear of crime). This study uses data from a sample of 1,693 residents that participated in a postal survey about urban QoL. The responses were combined with objective attributes of residential conditions, using geographic information systems. Structural equation models were calibrated to examine the direct and indirect effects of important indicators of urban QoL, namely safety in public spaces and access to central urban facilities. The study sheds further light on the mediating effects between objective characteristics and subjective evaluations that influence the urban QoL. The results showed predominantly low correlations between objective characteristics and subjective evaluations of urban QoL, which confirmed the findings of the few previous studies on this topic. Surprisingly, this study also found a strong link between objective access and perceived accessibility. This relation was explained by the spatial scope of the study region and suggested that the scale discordance theory should be tested in future research. The findings implied that variations in objective measures do not reliably represent differences as evaluated by residents.     

统筹城乡发展中的人口政策研究述评

认真研究统筹城乡发展中的人口政策问题对统筹城乡发展和统筹解决人口问题都具有非常重要的意义。统筹城乡发展中的人口政策研究涉及到了统筹解决城乡人口数量、素质、结构、分布的协调发展问题．包括了人口与计划生育、人力资源开发与教育、社会保障、就业与劳动保障等方面的内容。目前较多成果集中在人口政策对统筹城乡发展的重要性、意义、作用路径与方式等方面。未来还需要在对人口政策体系进行调研的基础上进行全面系统地研究。文章最后提出了系统研究统筹城乡发展中的人口政策内容。     

Population changes and the cost of health care for the elderly in Poland

"The author...has attempted to measure the effects of population changes upon the costs of health care [in Poland] by applying a simulation model. In this model the total cost of health care is a function of the per capita cost of health care by age, sex, and place of residence (urban, rural) and population structure.... The paper includes...the results concerning population 60 years of age and over." Data are from several official health-related surveys carried out in 1989.     

Racial Separation at Home and Work: Segregation in Residential and Workplace Settings

Population Research and Policy Review - Racial segregation has long characterized urban life in the U.S., with research consistently showing that minority groups occupy different social spaces than...     

Inequality in life expectancy, functional status, and active life expectancy across selected black and white populations in the United States

We calculated population-level estimates of mortality, functional health, and active life expectancy for black and white adults living in a diverse set of 23 local areas in 1990, and nationwide. At age 16, life expectancy and active life expectancy vary across the local populations by as much as 28 and 25 years respectively. The relationship between population infirmity and longevity also varies. Rural residents outlive urban residents, but their additional years are primarily inactive. Among urban residents, those in more affluent areas outlive those in high-poverty areas. For both whites and blacks, these gains represent increases in active years. For whites alone they also reflect reductions in years spent in poor health.     

Creating Welcoming Spaces for Lesbian,Gay, Bisexual,and Transgender (LGBT) Patients: An Evaluation of the Health Care Environment

ABSTRACT

Health outcomes are affected by patient, provider, and environmental factors. Previous studies have evaluated patient-level factors; few focusing on environment. Safe clinical spaces are important for lesbian, gay, bisexual, and transgender (LGBT) communities. This study evaluates current models of LGBT health care delivery, identifies strengths and weaknesses, and makes recommendations for LGBT spaces. Models are divided into LGBT-specific and LGBT-embedded care delivery. Advantages to both models exist, and they provide LGBT patients different options of healthcare. Yet certain commonalities must be met: a clean and confidential system. Once met, LGBT-competent environments and providers can advocate for appropriate care for LGBT communities, creating environments where they would want to seek care.     

Natural Change in the Environment: A Challenge to the Pressure-State-Response Concept

The pressure-state-response framework is a powerful approach to environmental assessment. In many of its current expressions, however, it ignores the background natural processes that play a major role in determining environmental and ecosystem health. Clearly, policies must be focused on human actions that scar the landscape and harm the environment, but coping with environmental change also requires an assessment of the natural processes that take place whether or not human influences are at work. A newly-developed class of environmental indicators (geoindicators), presented here in brief, may be helpful in understanding the interaction of human and natural processes and impacts. Explicit recognition of the need to include natural conditions in the indicator system is essential in the transition from environmental reporting to sustainability reporting.