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This paper contributes to the study of regional economic resilience by analyzing the characteristics and mechanisms of resilience under different shock situations. The paper focuses on the resistance dimension of resilience and analyzes the mechanisms of influence from structural and agency-based factors. Our findings reflect that the regional economic resilience characteristics of resource-based cities in China in response to the 2008 financial crisis and the COVID-19 pandemic vary significantly. We find that the economic resilience has positive spatial autocorrelation characteristics. The regions with strong ability to deal with the shocks can promote resistance in the surrounding regions through their spatial spillover effect. Both structural and agency-based factors play significant roles in regional economic resilience under different shock situations, but the direction of the effect varies significantly. The agency-based factors have a more important role in regional economic resilience. The findings suggest that the nature of different shock situations deserves greater attention in the analysis of regional economic resilience. The mechanisms of structural and agency-based factors may change under different shock situations, and the spatial correlation characteristics of regional economic resilience and the spatial spillover effects should be taken into consideration. [ABSTRACT FROM AUTHOR]

The microgrid is a new concept in China and may potentially play an important role in enhancing the resilience and sustainability of electricity generation and distribution. However, the development of microgrids faces many challenges. This study examines the barriers to microgrid development using a case study of a pilot zone in Qingdao. Drawing on the theories of multi-level perspective and multi-actor perspective, we presented new empirical evidence on how the pilot microgrid projects were rendered difficult by the resistance from the existing industrial regime and the challenging economic and socio-political environments. The monopoly of state-owned grid operators in electricity transmission and distribution is difficult to break at a local level. The findings deepen our understanding of the challenges encountered by innovators in China's microgrid development and hold implications for policymakers in making more targeted policy mixes to support energy transition activities. [ABSTRACT FROM AUTHOR]

Private (out-of-pocket) healthcare expenditure (PHCE) is a complex phenomenon that is shaped by many different factors. In this paper, we analyzed the influencing factors of PHCE in China, with a specific focus on regional differences. We found that old-age dependency ratio, income, and education have significant impacts on PHCE in all regions, whereas public HCE, number of beds in medical institutions, and economic development levels have significant impacts only in some regions. The results indicate that the government should pay attention to regional inequality and implement targeted adjustments for improving the health service system. In particular, we recommend: (1) monitoring regional inequality in PHCE and other healthcare issues to unmask geographical differences in healthcare interventions; (2) adopting regional-specific policy measures—the government should divert some resources from eastern to western and central regions to increasing the support for public health undertakings and improve the quality of the local health services while providing matching medical resources by targeting the needs of the residents; (3) paying more attention to the healthcare demand of the elderly population; and (4) improving the education level of residents to improve public health and avoid high PHCE. [ABSTRACT FROM AUTHOR]

This study examined the changing trajectory and factors that influenced the health and medical expenditure of the Chinese elderly population over the past two decades. Based on the Chinese Longitudinal Healthy Longevity Survey (CLHLS) from 1998 to 2018, inferential and multiple linear regression models were constructed. The key finding is that China has experienced a decoupling of healthcare demand (HCD) and healthcare expenditure (HCE) since around 2014, when HCE began to decline despite the fact that HCD continued to rise. This is a promising sign, suggesting that the government's health insurance policy is working. Furthermore, participating in health insurance schemes can significantly reduce the elderly's HCD and HCE, demonstrating that health insurance can effectively affect the elderly's decision to seek medical treatment and improve their health condition. We also found that age, region, basic old-age insurance, and care by the government and institutions were significant factors that influenced the healthcare demand and expenditure of the elderly population. [ABSTRACT FROM AUTHOR]