Search

Youyang folk songs represent a significant component of China's intangible cultural heritage from Youyang County in Chongqing Municipality, China. The study objective is to analyze the education literacy in preserving and transmitting Youyang Chinese folk songs within the cultural context of Chongqing Municipality, China. The research content encompasses various aspects, including integrating folk songs into educational curricula, artistic engagement in rural communities, government initiatives for transmission enhancement, and preservation through publication and book distribution. The research site primarily focuses on Youyang County, renowned for its cultural heritage and ethnic traditions. Three key informants include governmental bodies, educational institutions, private organizations, and individual custodians involved in preservation efforts. Data analysis involves qualitative methods such as document analysis and interviews with stakeholders. The research results highlight a concerted effort from stakeholders to preserve and transmit Youyang folk songs, emphasizing the importance of legislative support, increased funding, and community involvement in safeguarding intangible cultural heritage. Suggestions for further improvement include strengthening legislative support, increasing funding for preservation efforts, and enhancing community involvement in protecting intangible cultural heritage.

Objective: To determine whether there are significant differences in costs of treatment and readmission rates for hospital consultations undertaken by female versus male physicians in China. Methods: Using data from the Urban Employee Basic Medical Insurance program from January 2018 through October 2019, we investigated spending patterns and clinical outcomes for patients at tertiary hospitals in one of the largest cities in China by the gender of the attending physician. Our sample included 79,085 hospitalizations treated by 3993 physicians in internal medicine departments. We examined the association between physician gender and visit cost using a multivariable linear model. We examined the association between physician gender and 30-days readmission rates using a multivariable probability model. We adjusted for a rich set of patient characteristics, primary diagnosis fixed effects, and hospital fixed effects. In addition, we used patient fixed effects in a robustness analysis. Results: Adjusting for primary diagnosis fixed effects, spending per visit was 4.1% higher for patients treated by male physicians than for those treated by female physicians, a statistically significant difference (95% CI [1.5%, 6.7%]). This pattern persisted after further adjusting for hospital fixed effects (3.2% [1.2%, 5.2%]), patient characteristics (3.2% [1.2%, 5.1%]), and patient fixed effects (4.2% [1.8%, 6.7%]). The difference is mainly driven by higher spending on drugs (8.7% [3.9%, 13.6%]) and out-of-pocket costs (3.9% [1.7%, 6.0%]). No statistically significant differences were observed in the readmission rates of patients treated by male and female physicians in any of our three model specifications. Conclusions: Spending per visit was significantly higher among patients treated by male physicians than among those treated by female physicians, with the difference mainly driven by spending on drugs and out-of-pocket costs. No significant difference was observed in the hospital readmission rates of patients treated by male and female physicians. These findings have important implications for gender equality in medicine and health care quality and efficiency in developing countries. [ABSTRACT FROM AUTHOR]