Introduction, purpose of the study: In Central Europe, in Hungary, the state guarantees access to health care and basic health services partly through the Semmelweis Plan adopted in 2011. The Health Plan aims to optimize and transform the health system. The objectives of hospital integration, as set out in the Plan, started with the state ownership of municipal hospitals in 2012, continued with the launch of integration processes in 2012–2013 and culminated today. The transformation of a health system can have an impact on health services and thus on meeting the needs of the population. We aim to study the effectiveness of integration through access to CT diagnostic testing. Our hypothesis is that integration has resulted in increased access to modern diagnostic services. The specialty under study is computed tomography (CT) diagnostic care. Our research shows that the number of people receiving CT diagnostic care has increased significantly because of integration, which has also brought a number of positive benefits, such as reduced health inequalities, reduced travel time, costs and waiting lists. Test material and method: Our quantitative retrospective research was carried out in the hospital of Kalocsa through document analysis. The research material was comparing two time periods in the Kalocsa site of Bács-Kiskun County, Southern Hungary. The number of patients attending CT examinations by area of duty of care according to postal codes was collected: Pre-integration period 2014.01.01–2017.11.30. (Kalocsa did not have CT equipment, so patients who appeared in Kecskemét Hospital but were under the care of Kalocsa), post-integration period 2017.12.01–2019.12.31. (period after the installation of CT in Kalocsa). The target group of the study consisted of women and men together, aged 0–99 years, who appeared for a CT diagnostic examination. The study sample size was 6721 persons. Linear regression statistics were used to evaluate the results. Based on empirical experience, a SWOT analysis was carried out to further investigate the effectiveness of integration. Results: As a result of the integration, the CT scan machine purchased in the Kalocsa District Hospital has enabled an average of 129.7 patients per month to receive CT scans on site without travelling. The model used is significant, explaining 86% of the change in the number of patients served (F = 43.535; p < 0.001, adjusted R2 = 0.860). The variable of integration in the model is significant, with an average increase in the number of patients served of 129.7 per month (t = 22.686; p < 0.001) following the introduction of CT due to integration. None of the month variables representing seasonal effects were found to be significant, with no seasonal effect on care. The SWOT analysis has clearly identified the strengths, weaknesses, opportunities and threats related to the integration, the main outcome of which is the acquisition of a CT diagnostic tool. Conclusions: Although we only looked at one segment of the evidence for the effectiveness of hospital integration, integration in the study area has had a positive impact on CT availability, reducing disparities in care.
The current with the rapid development of Internet and new media technology, the information openness and diversity makes ideological education is facing big challenge, in accordance with the "five a three-ring four law" teaching mode,the fundamental task of implementing ideological and political education, fostering values and cultivating talents is comprehensively carried out. We are advancing the resonance of the “three classrooms” and promoting the synchronous implementation of the “four transformations”, aiming to enhance the “five capacities” of students, according to the current construction of" big education courses "concept, change education thought and idea.
Cities are no longer viewed as creatures with a linear-climax-established cycle but as ecosystems with dynamic and complicated processes, with people as the primary component. Thus, we must understand urban ecology’s structure and function to create urban planning and appreciate the mechanisms, dynamics, and evolution that connect human and ecological processes. The ecological city (ecocity) is one of the city conceptions that has evolved with the perspective of urban ecology history. The concept of ecocity development within urban ecology systems pertains to recognizing cities as complex ecosystems primarily influenced by human activities. In this context, individuals actively engage in dynamic problem-solving approaches to address environmental challenges to ensure a sustainable and satisfactory quality of life for future generations. Therefore, it is necessary to study how ecocity has developed since it was initiated today and how it relates to the urban ecology perspective. This study aims to investigate the progression of scholarly publications on ecocity research from 1980 to 2023. Additionally, it intends to ascertain the trajectory of ecological city research trends, establish connections between scientific concepts, and construct an ecological city science network using keyword co-occurrence analysis from the urban ecology perspective. The present study used a descriptive bibliometric analysis and literature review methodology. The data was obtained by utilizing the Lens.org database, was conducted using the VOS (Visualization of Similarities) viewer software for data analysis. The urban ecology research area ecology of cities can be studied further from density visualization of ecosystem services and life cycle assessment. Finally, the challenges and future agenda of ecocity research include addressing humans by modeling functions or processes that connect humans with ecosystems (ecology of cities), urban design, ecological imperatives, integration research, and improving the contribution to environmental goals, spatial distribution, agriculture, natural resources, policy, economic development, and public health.
Life experience and moral practice are the most important ways of moral learning and moral implementation. In the teaching of lower grade morality and rule of law courses, the students are connected with the reality of life, and the teaching content is carefully designed, starting from the students' life experience and learning interests, to explore and provide time and space for students to explore and experience independently, and to guide students through exploration and learning. Interaction, experience and perception, to obtain their own emotional experience. At the same time, it deepens students' intimacy to the learning content, inspires students' curiosity, and exerts students' subjective initiative, so as to determine students' dominant position in the classroom.
Forest transition is a trend change process from decreasing to increasing forest area in a country or region. Since the 1990s, ecological and environmental problems such as climate change and loss of biodiversity have received constant attention. The research theory and method of forest transformation has gradually become the frontier and hot topic pursued by international academic circle. With forest transformation as the theme, on the basis of introducing the origin of forest transformation research, along the development vein and internal logic of forest transformation research, this paper reviews the research progress of forest transition theory from the perspectives of Kuznets curve of forest environment and forest transition path, and summarizes the major issues in forest transformation research. The main direction of future research is proposed, including the impact of economic globalization on forest transition, the refinement of research units and the analysis of forest quality transition.
Copyright © by EnPress Publisher. All rights reserved.