Search

[Display omitted] • The drought pattern in China is closely related to the basin distribution and multiple teleconnection factors. • The intensity and frequency of drought in China exhibited an increasing trend. • The ENSO-AO had important positive effects in the major basins in China. • Multiple wavelet coherence helps identify the processes controlling drought changes. Due to increasing global warming and the frequent occurrence of severe drought risk in recent decades, many studies have investigated drought in China. However, the spatiotemporal heterogeneities of droughts are complicated, and a comprehensive analysis of the driving forces has not been thoroughly explored. In this paper, we studied the temporal and spatial patterns of drought in China from 1960 to 2018 and disclosed its relationship with multiple teleconnection factors on different time scales. The results show that (1) Drought in China has exhibited a fluctuating increasing trend over the past 59 years, with a standardized precipitation–evapotranspiration index (SPEI) rate of change of –0.12/10 a, and the most severe droughts occurred during 2000–2010. (2) There was a significant abrupt change in China's meteorological droughts induced by climate change around 1997. (3) The trend in China was characterized by drought in spring and autumn and humidification in winter, while the trend in the Southwest River Basin was characterized by drought. (4) A combination of factors can best explain the drought variations from basin to basin, and the El Niño-Southern Oscillation (ENSO)-Arctic Oscillation (AO) was most commonly the best predictor. The use of multiple wavelet coherence helps to identify the dominant drought change processes. [ABSTRACT FROM AUTHOR]

The assessment of the accessibility for medical resources is of great significance for understanding the distribution characteristics and optimizing the space allocation of medical resources. This paper incorporated the probability statistical data of actual medical treatment choice behavior of residents into the formulation of accessibility. We constructed a health facility accessibility index combined the travel time with waiting time and an improved three-step floating catchment area method to evaluate the accessibility of outpatient and inpatient treatment for residents. Results showed the accessibility of outpatient and inpatient treatment has significant geographical differentiation characteristics and presents a distribution pattern of high in the eastern and central China and low in the western. The outpatient medical service was available for residents, which there are more than 85% of the population having access to medical services within 30min.The accessibility of inpatient treatment presents a radiological distribution model with provincial capital city as the core, in which the spatial allocation of high-quality medical resources is not balanced and the regional difference is obvious. This study demonstrated the geographical differentiation characteristics of spatial distribution for the accessibility of medical resources in China, which can provide targeted proposals according to medical institutions level. • Evaluating the spatial accessibility from outpatient and inpatient medical treatment. • A health facility accessibility index and the improved three-step floating catchment area method were employed. • The policy-oriented matrix of medical services was constructed to provide policy recommendations for the provinces in China. [ABSTRACT FROM AUTHOR]

[Display omitted] • Accurate assessment of China's ecological environment changes in the past 20 years is important. • We used time-series NDVI data (1998–2018) to evaluate China's ecological environment change. • In one-third of China the ecological environment has improved, and in 10%, the ecological environment has deteriorated. • The Yellow River Basin is an area where the ecological environment has significantly improved. • The main reason for the deterioration in the ecological environment of the eastern coastal areas is urban expansion. The ecological environment is the foundation of human survival and development. China's ecological environment has undergone a historic transition from partial improvement to overall improvement. In this paper, long time series NDVI data (1998–2018) are used to evaluate the ecological environment change and spatiotemporal change that has taken place in China over the last 20 years, at different scales (regional, provincial, county, and grid scales). Combined with typical areas, the causes of ecological environment change are revealed. The results show that in about one-third of China, the ecological environment improved, and in 10%, the ecological environment deteriorated. Ningxia, Shaanxi, Shanxi, Guizhou, and Guangxi are the provinces in which the improvement of the ecological environment is most pronounced. However, the ecological environments with vegetation as the core in Shanghai and Jiangsu Province have deteriorated significantly. The areas with the fastest improvement in their ecological environment are those with precipitation of 200–600 mm. The Yellow River Basin is an area where the ecological environment has significantly improved. Forestry projects and the development of oasis agriculture effectively promote the improvement of the ecological environment. In the past 20 years, the main reason for the degradation of the ecological environment in eastern coastal areas is urban expansion. China should continue to strengthen its overall layout of forestry projects and improve its ecological environment. When planning its ecological construction, China should fully consider the associated physical and geographical conditions, and adjust measures to local conditions accordingly. China should coordinate the relationship between development and protection and avoid the "pie spread" expansion witnessed in eastern coastal areas. [ABSTRACT FROM AUTHOR]