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Nonlinear effects of digital development on manufacturing innovation: evidence from China

ABSTRACT The digital economy has brought innovative power to the manufacturing transformation. This study aims to investigate the nonlinear effects of digital development on manufacturing innovation using provincial panel data from China from 2011 to 2018. A two-way fixed effects model is used to examine the inverted U-shaped curve that represents the nonlinear impact of digital development on innovation. To explore the reasons behind the nonlinear digital innovation spillover, this study considered both the internal factors and external boundary conditions. We employ a moderation effect model to verify the interaction between digital development and user literacy which has a positive impact on manufacturing innovation. Especially, higher education can help users enhance digital literacy in driving digital innovation spillovers. Threshold effect model is used to examine the boundary conditions such as Internet penetration rate, information resources, and protection of intellectual property rights that contribute to the nonlinear effects. The research findings suggest that when these factors reach a critical point, the positive impact of the digital economy on manufacturing innovation turns towards a declining trend. The study provides insights into the complex relationship between digital development and manufacturing innovation and proposes policy implications.

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Telehealth use and work stress among Chinese health care providers during the COVID-19 pandemic

Telehealth services in China rapidly expanded during the COVID-19 pandemic. The work stress of health care providers (HCPs) associated with providing telehealth care services in China has been less studied. Our study describes the telehealth services provided by hospitals in China and examines the relationships between telehealth use and work stress of HCPs in China during the COVID-19 pandemic. With a survey research design, HCPs aged 18 or older in China were electronically recruited from October 19 to November 10, 2021 (n=1,073). After preprocessing, data from 1,036 HCPs were used for further analyses, which included descriptive statistics and multiple linear regression models. Results showed that 64.29% of Chinese hospitals reported virtual physician-to-physician consultations, and 59.94% of Chinese HCPs conducted online physician consultations. Lower levels of HCP work stress was associated with live video conferencing (p=0.04), online physician consultations (p=0.00), and higher levels of team collaboration (p=0.00) and team trust (p=0.00). Work stress was also positively correlated with COVID-19 stress (p=0.00), working hours (p=0.00), and the interaction between live video conferencing and COVID-19 stress (p=0.04). HCPs’ work stress decreased by using live video conferencing and online patient care. However, the positive effects of live video conferencing may decrease with the increase in COVID-19 stress for HCPs. Our findings encourage efforts to develop extensive coverage of telehealth service systems in China to promote HCPs’ virtual communication and collaboration to relieve HCPs’ work stress and support their well-being.

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Open Access
Assessment of urban resilience and subsystem coupling coordination in the Beijing-Tianjin-Hebei urban agglomeration

Building resilient cities is a novel concept for dealing with risk crises and achieving sustainable urban development in modern times. This paper utilized data from the Beijing-Tianjin-Hebei urban agglomeration (BTHUA) spanning from 2009 to 2019, along with the CRITIC-Entropy weight method, coupling coordination degree (CCD) model and spatial correlation analysis to measure urban resilience and investigate subsystem coupling coordination relationships while considering spatial clustering characteristics. The results indicate that: (1) Spatially, there is a significant gap between the UR index of cities in Hebei Province and that of Beijing-Tianjin, with a “Beijing-Tianjin dual-core driven” trend. Regarding temporal evolution, the growth trend of the UR index is consistent with that of the subsystem resilience index. (2) In general, the CCD of the urban resilience subsystem is slowly trending upwards, with the overall CCD level of BTHUA ranging from primary coordination to moderate coordination. (3) The degree of spatial correlation of subsystem CCD in BTHUA is weak, and more cities exhibit heterogeneous agglomeration. These findings provide valuable inspiration and reference for resilient city construction and coordinated regional development to a certain extent.

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