Based on our 11 years of medical bachelor's degree education practice for international students in China, combined with the national "the Belt and Road" strategic background and the "Quality Standards of Higher Education for International Students in China (Trial)" issued by the Ministry of Education, this paper explores the strategies to improve the quality of medical education in China. Specifically, it includes: 1) optimizing the enrollment standards of students from countries along the "the Belt and Road"; 2) Improve the quality assurance system for medical bachelor's degree education in China; 3) Innovate the management concept of "convergence"; 4) Establish a comprehensive education system for the cultivation of international students in China; 5) Strengthen the process monitoring role of awarding standards for medical bachelor's degrees in China. To provide theoretical support and reference for our school and sister universities to improve the quality of medical bachelor's degree education in China.

Based on the population change data of 2005–2009, 2010–2014, 2015–2019 and 2005–2019, the shrinking cities in Northeast China are determined to analyze their spatial distribution pattern. And the influencing factors and effects of shrinking cities in Northeast China are explored by using multiple linear regression method and random forest regression method. The results show that: 1) In space, the shrinking cities in Northeast China are mainly distributed in the “land edge” areas represented by Changbai Mountain, Sanjiang Plain, Xiaoxing’an Mountain and Daxing’an Mountain. In terms of time, the contraction center shows an obvious trend of moving northward, while the opposite expansion center shows a trend of moving southward, and the shrinking cities gather further; 2) in the study of influencing factors, the results of multiple linear regression and random forest regression show that socio-economic factors play a major role in the formation of shrinking cities; 3) the precision of random forest regression is higher than that of multiple linear regression. The results show that per capita GDP has the greatest impact on the contraction intensity, followed by the unemployment rate, science and education expenses and the average wage of on-the-job workers. Among the four influencing factors, only the unemployment rate promotes the contraction, and the other three influencing factors inhibit the formation of shrinking cities to various degrees.

Hospital performance possesses strategic significance in achieving an essential completive advantage for the public hospitals. This study aimed to examine the relationship between patient safety culture (PSC) and the performance of traditional Chinese medicine (TCM) public hospitals in Sichuan, China. To address the research purpose, this study analyses the hospital performance and Patient safety culture in traditional Chinese medicine public hospital in China. We examine the propose model by analyzing cross-sectional survey data from 194 clinical directors at 194 public traditional Chinese medicine hospitals using the Partial least squares structural equation model in Smart PLS 4.0. This study provides predictive evidence that PSC in unit management and management support can lead to better patient safety outcomes. The results revealed patient safety outcomes significantly and positively effects of patient safety related to unit management and management support on overall hospital performance (p-value: 0.000–0.003).

China is currently at a critical juncture in implementing the rural revitalization strategy, with urbanization and tourism development as crucial components. This study investigates 41 counties (cities) in the Wuling Mountain area of central China, constructing an evaluation system for the coordinated development of these two sectors. The coupling coordination degree is calculated using a combination weighting method and the coupling coordination degree model. Spatio-temporal evolution characteristics are analyzed through spatial autocorrelation, while the geographic detector explores the driving factors of spatial variation. The findings reveal a significant increase in coupling coordination between urbanization and tourism, transitioning towards a coordinated phase. Spatially, urbanization and tourism exhibit positive correlations, with high-value clusters in the southeast and northwest and low-value clusters in the south. The geographical detector identifies industrial factors as the most critical drivers of spatial variation. This study offers novel insights into the dynamics of urbanization and tourism, contributing to the broader literature by providing practical implications for regional planning and sustainable development. The results are relevant to the Wuling Mountain area and serve as a reference for similar regions globally. However, the study has certain limitations, such as regional specificity and data availability, which should be considered in the context of this research.

This paper aims to segment online consumers based on their attitude toward self-interest and ethical attitudes and explore the impact of these attitudes on the purchasing behavior of agricultural products online in China. The study was conducted using 633 online survey responses from consumers who have purchased agricultural products online in China. First, to validate the relationship between attitude and behavior by structural equation modeling. Next, the number of segments was determined using K-means. Finally, Pearson Chi-square difference tests were performed to analyze demographic and behavioral variables and identify each segment’s characteristics. The results of this study provide a segmentation analysis of the online market for agricultural products in China. The four segments identified are pure ethical consumers, information communicators, brand-quality pursuers, and well-heeled shoppers. Additionally, this study reveals the characteristics of each segment based on demographic and behavioral variables. This study provides a novel approach to segmenting Chinese consumers who purchase agricultural products online based on their attitudes toward self-interest and ethical attitudes, aiming to understand the impact of these attitudes on their purchasing behavior. Moreover, from an ethical consumerism perspective, it explores the effect of ethical information on purchasing agricultural products online, highlighting its significant implications for online marketing strategies.