Ecological Impacts Associated with the Qinghai-Tibet Railway and Its Influencing Factors: A Comparison Study on Diversified Research Units.

The ecological impacts of the construction and operation of the main transport infrastructure on the Qinghai-Tibet Plateau cannot be disregarded. Based on different sections, buffers, bilateral sides, and periods, the authors of this study explored the ecological changes along the Qinghai-Tibet Railway through an integrated analysis of the landscape fragmentation index and ecological service value calculation from 2000 to 2020, as well as the influencing factors of differentiated trends, using multinomial logistic regression. It was discovered that there was heterogeneity among the sections, buffers, and bilateral sides in both the landscape fragmentation index and the ecological service value. It was also found that there was recoverability in the operation period, compared to the construction period. The negative correlation between the landscape fragmentation index and the ecological service value was only significant in 2020, which was not enough to fully explain the negative effect between them. Distinct human and natural circumstances have resulted in different consequences. However, regions far away from the main settlement areas, and with lower population densities, could aid in the simultaneous recovery of the ecological service value and landscape fragmentation index. According to these findings, prior studies may have exaggerated the ecological impact of the Qinghai-Tibet Railway. However, it should be highlighted that, in a location with a delicate ecological environment, it is still crucial to consider regional development, infrastructure construction, and ecological protection synchronously.

Impact of the presence of private hospitals on the spatial equality of healthcare accessibility in Beijing, China.

Providing equal geographical access to hospitals, either in the public or private healthcare sector, is vital and will benefit public health in general. Against the background of the partial privatization of the healthcare sector, the impact of private hospitals on equal healthcare access has been a highly neglected issue. We have applied an assessment methodology to study this situation by comparing the status quo scenario with one without private hospitals, based on accessibility analysis and spatial equality measurements. The case study of Beijing, China revealed a double-sided impact. With the presence of private hospitals, the Gini coefficient of spatial accessibility in urban districts was reduced from 0.03391 to 0.03211, while it increased from 0.1734 to 0.1914 in suburban districts. Thus, private hospitals improved spatial equality in urban districts in Beijing but jeopardized it in suburban districts. These research findings should enlighten policymakers to promote healthcare equality but would also need to be repeated in some other big cities.

Spatial optimization of residential care facility locations in Beijing, China: maximum equity in accessibility.

BACKGROUND: The residential care system is rapidly developing and plays an increasingly important role in care for the elderly in Beijing. A noticeable disparity in the accessibility to existing residential care facilities, however, is demonstrated in existing studies. The spatial optimization of residential care facility (RCF) locations is urgently needed to promote equal access to residential care resources among the elderly population. METHODS: A two-step floating catchment area method with an additional distance-decay function is adopted to measure accessibility to residential care facilities. The spatial optimization model is developed to maximize equity in accessibility by minimizing the total square difference between the accessibility score of each demand location and the weighted average accessibility score. The Particle Swarm Optimization (PSO) method is implemented for the solution. RESULTS: The optimized RCF layouts improve equal spatial access to residential care resources with very low accessibility standard variation (0.0066). A relatively large number of beds (51% of the total beds) to be located in the suburban districts between the central and periphery districts of Beijing are optimized. A smaller number of beds to be located in the central and periphery districts (33% and 16% respectively) are optimized. The gaps between the existing and optimized layouts suggest that more RCF beds (5961 beds) are needed in suburban districts, while the RCF beds in some subdistricts located in the central and periphery districts are oversupplied (5253 and 1584 surplus beds respectively). CONCLUSIONS: The optimized results correspond to the municipal special plan proposed by the Beijing government. The optimization objective of this study is different from traditional facility location optimization models, and the method is efficient in maximizing equal access to residential care facilities. This method can support knowledge-based policy-making and planning of residential care facilities.