Blue Sky Research Articles

Exploring spatiotemporal distribution characteristics of air quality and driving factors: empirical evidence of 288 cities in China.

Excellent air quality is important for China to achieve high quality economic development. The paper analyses the spatial and temporal distribution characteristics of the air quality index (AQI) in 288 Chinese cities, and further investigates the driving factors affecting air quality using the spatial Durbin model (SDM) based on the panel data of 288 Chinese cities from 2014 to 2021. The results of the study show that: (1) China's air quality level has improved in general, but there are large differences in air quality between regions; (2) China's AQI has significant spatial positive autocorrelation, and the Moran's scatter plot shows a high-high and low-low agglomeration; (3) The driving factors of air quality have different effects, and regional heterogeneity is obvious. Some developed regions in China have already crossed the inflexion point of the environmental Kuznets curve (EKC); promoting industrial upgrading and reducing pollutant emissions can significantly improve urban PM2.5 concentrations; and the "Three-Year Strategy for Conquering the Blue Sky War" policy has lowered the AQI in North China and improved PM2.5 concentrations nationwide. Based on the above findings, the paper puts forward corresponding policy recommendations.

Dry deposition fluxes and inhalation risks of toxic elements in total suspended particles in the Bohai Rim region: Long-term trends and potential sources

Long-term changes in dry deposition fluxes (DDF) and health risks for toxic elements (TE) in total suspended particles (TSP) in the Bohai Rim region are important for assessing control effects of pollution sources. Thus, we investigated the trends in DDF and concentrations for TSP and TE and health risks of TE in eight cities in the region from 2011–2020. TSP concentration and DDF showed general downward trends. Compared to the before Clear Air Action Plan (BCAAP, 2011–2012) period, concentration and DDF of TE over the Clear Air Action Plan (CAAP, 2013–2017) period substantially decreased, with the highest decrease rates in Zn, Cd, and Cr. During the study period, non-carcinogenic (HI) and total carcinogenic (TCR) risks for children and adults were 0.09 and 0.04, and 1.54 × 10−5 and 2.65 × 10−5, respectively, with Cr6+ and As being dominant contributors. Compared to the BCAAP period, HI and TCR over the CAAP period decreased by 36.8 % and 32.4 %, respectively. However, their risks increased over the Blue Sky Protection Campaign (BSPC, 2018–2020) period. Potential source contribution function suggested substantial changes in potential risk areas over different control periods, with the BSPC primarily being on land and the Yellow Sea.

Fiscal decentralization, leader localization, and reduction of pollution and carbon emissions —empirical evidence from China's fiscal “province-managing-county” reform

The fiscal system plays an important role in the government's environmental governance efforts. There is currently no consensus on how fiscal structure adjustments impact pollution and carbon reduction. This paper uses China's fiscal “province-managing-county” reform (FPMCR) implemented in 2004 as a quasi-natural experiment, utilizing panel data from 1670 counties in China from 2000 to 2020 to investigate the impact of fiscal decentralization on reduction pollution and carbon emissions (RPCE), as well as its underlying mechanisms. The results show that (1) from 2000 to 2020, China's RPCE shows an overall trend of fluctuating increase, with its value turning positive after 2013. China's RPCE exhibits a spatial pattern characterized by “lower in the north, higher in the south; higher in the east, lower in the west”. (2) After implementing FPMCR, the RPCE levels in reformed counties decreased by −1.44%, showing that reformed county-level governments prioritize economic development over environmental protection. (3) The mechanism analysis found that after implementing FPMCR, reformed counties experienced a 9.16% increase in nighttime light intensity (NLI), and a 3.99% and 4.34% increase in the number of large-scale industrial enterprises (NLIE) and industrial agglomeration (IA), respectively. This suggests that FPMCR leads to radical urbanization and rapid industrialization in counties, which is detrimental to the improvement of RPCE levels. (4) The spatial heterogeneity analysis found that FPMCR's impact coefficient on RPCE levels in the eastern regions is −1.96%, while in the western regions it is −1.16%. This indicates that reformed counties in the eastern regions are more likely to invest expanded fiscal resources in economic development projects, leading to a decrease in RPCE levels. (5) The temporal heterogeneity analysis found that after the promulgation of the “Three-Year Action Plan to Win the Blue Sky Defense Battle” in 2018, the adverse impact of FPMCR on RPCE is completely reversed, leading to a 1.76% increase in RPCE levels. (6) Further analysis reveals that localizing leaders can slow down the promotion of county-level urbanization and industrialization by the FPMCR, benefiting the improvement of RPCE levels. In other words, “the outsider monk will not recite scriptures as well as a local one”. This study has clarified the causal relationship and underlying mechanisms between fiscal decentralization and environmental governance, providing reliable theoretical support for optimizing grassroots fiscal systems and reducing environmental pollution in other transitional economies. It enriches the field of environmental economics related to fiscal decentralization.

You See a Wall, I See Blue Skies: A Perception-Based Model of Constraints and Creativity

ABSTRACT Creative professionals from those in the DJ Booth to the writer’s room and in the C-Suite to the R&D department have demonstrated and argued for the importance of constraints for creativity. In contrast to this view, the empirical and academic literature on constraints has produced less conclusive and resounding results on the constraint-creativity relationship. In this paper, I argue that creativity researchers have focused too heavily on constraints such as a “main effect” on creativity and as a result, over constrained our own thinking in this area. In line with recent and emerging work, I propose a framework that shifts our thinking away from a direct influence of constraints on creativity, to one driven by perceptions of constraints based on individual and situational factors. Following, suggestions for future research and advancing our thinking in this area are proposed.

Rezension: Boyle, T. Coraghessan, Blue Skies

Rezension: Boyle, T. Coraghessan, Blue Skies

Accuracy comparison of single- and double-sleeve endodontic guides for fiber post removal

BackgroundThis study aimed to assess the accuracy of two different endodontic guides for fiber post removal.MethodsIn this in vitro study, 54 maxillary canine fiber posts were mounted on 36 maxillary stone casts; 18 teeth were mounted unilaterally, and 36 teeth were mounted bilaterally. Static endodontic guides were fabricated according to baseline cone-beam computed tomography (CBCT) and intraoral optical scans using Blue Sky software. In the single-sleeve endodontic guides group (SSG), two anterior and two posterior teeth were included in a 5-unit guide. In the double-sleeve endodontic guides group (DSG) group, the guide was passed through the midline to include both canine teeth and extended by 2 teeth posterior to the canine teeth bilaterally (a 10-unit guide). After drilling, postoperative CBCT scans were taken and superimposed on the virtually designed path, and the maximum coronal deviation (MCD) at the marginal entry point of the tooth, maximum apical deviation (MAD) at 10 mm apical to the tooth margin, and maximum angular deflection (MAnD) of the drill were calculated.ResultsThe mean MCD, MAD, and MAnD were 0.34 mm, 0.6 mm, and 2.32 degrees, respectively, in the SSG and 0.31 mm, 0.7 mm, and 2.37 degrees, respectively, in the DSG. The two groups were not significantly different from each other in terms of MCD (P = 0.573), MAD (P = 0.290), or MAnD (P = 0.896).ConclusionsThe accuracies of the two techniques, the extended double sleeve guide and the single sleeve guide, were comparable and thus DSG may be used for removal of fiber posts in adjacent or distant teeth.

Evaluating free segmentation tools for CBCT-derived models: Cost-effective solutions.

This study evaluated the segmentation accuracy and reliability of free software packages and compared them with commercial alternatives. A total of 36 stone models were scanned using a desktop scanner and then imaged by cone beam computed tomography (CBCT). The CBCT volumes were segmented using 2 free software packages (3D Slicer and Blue Sky Plan) and 2 commercial software packages (Mimics and OnDemand3D). Stereolithography (STL) files generated by the desktop scanner were used as the control group (reference models). The accuracy of segmentation was evaluated by (1) comparing 6 linear measurements taken from each STL model generated by the 4 software packages with that obtained by the scanner, and (2) deviation analysis of each STL model generated by the 4 software packages with that obtained by the scanner. Absolute error and percentage error, repeated measures anova and Friedman test followed by post hoc analysis, intraclass correlation coefficient (ICC), and Pearson's r were used to evaluate the accuracy of the tested software packages. There was no statistically significant difference in all intra-arch measurements obtained using the four software packages. Measurements obtained using the free software packages and the scanner showed excellent positive correlation, ranging from 0.825 to 0.988, confirming equivalence with commercial software packages. Within the settings of the current study, accurate and time-saving segmentations with high positive correlation could be performed using the tested free segmentation software packages (3D Slicer and Blue Sky Plan). Nevertheless, further evaluation is necessary to gage their accuracy using different CBCT modalities.

Air Pollution and the Effects on House Prices: A Push for Sustainability

Environmental sustainability has become an important issue of concern throughout many countries. Among the many sources of concern include air pollution, the effects of which are often capitalized into house prices. In this article, we focus on air pollution in the city of Changsha, China, and the impacts of new pollution regulations on the relationship between pollution exposure and house sales prices. We use the Air Quality Index (Aqi) data from 10 air quality monitoring stations in Changsha to interpolate a previous 12-month average Aqi value for each dwelling unit in the city, based on geographical location. Controlling for important house characteristics such as the living area and the distance to the nearest subway stations, we use the Blue Sky Protection Campaign action plan (BSPC) as the quasi-natural experiment to identify the causal effect of air pollution on house prices. We find dwelling units that were previously in relatively higher-polluted neighborhoods saw their values increase by about 2% after the pollution regulation was implemented, which is statistically significant. This implies China could achieve greater housing wealth for its homeowners by implementing further pollution restrictions, both in Changsha and perhaps also in other parts of the country. Other Asian countries could potentially learn from the results of this analysis.

How does the impact of a two-stage air pollution control policy on air quality different? Evidence from 258 cities in China

Air pollution control has become a core task in the construction of China's “ecological civilization”. From 2013 to 2020, the Chinese government successively implemented two consecutive environmental management policies targeting air pollution, namely the Air Pollution Prevention and Control Action Plan (APPCAP) and the Blue Sky Defense War (BSDW). To compare and analyze the effects of these two consecutive policies on air pollution control and their differences in governance mechanisms, this paper employs daily air pollution data from 258 cities in China from January 2013 to September 2020 for empirical analysis. We examines the direct impact of the two-stage policies on air pollution and explores the impact mechanisms from three aspects: technological effects, structural effects, and scale effects. The results indicate: (1) Both APPCAP and BSDW significantly reduced AQI, PM2.5, PM10, SO2, nitrogen dioxide, and CO. (2) Compared to APPCAP, BSDW had a stronger effect on reducing nitrogen dioxide and managed O3 in coordination. (3) APPCAP did not have significant impacts on technology, scale, and structure effects, whereas BSDW significantly promoted technological innovation and industrial restructuring but significantly suppressed the scale effect. Our work provides new empirical evidence for the policy heterogeneity in air pollution control and offers useful policy implications for improving air quality and coordinated pollution control.

Temporal dynamics and forecasting of aerosol optical depth in megacities Lahore and Karachi: Insights from the Indo-Gangetic Basin and southern Pakistan, and implications for Sustainable development

This scientific study investigates the temporal dynamics and forecasts aerosol optical depth (AOD) in Lahore and Karachi, Pakistan's two most populated cities. Lahore, in the center of the Indo-Gangetic Basin, and Karachi, on the southern coast, have issues from growing urbanization and significant aerosol emissions. Understanding AOD trends is critical for successful environmental management, public health planning, and climate change mitigation. Using the Box-Jenkins ARIMA models, this work systematically analyses monthly AOD fluctuations from July 2002 to May 2023 to confirm their predicting accuracy. The autocorrelation function (ACF) and partial autocorrelation function (PACF) have been employed to estimate the suitable model and identify significant lags to maintain prediction accuracy. The study concludes with a judgment that Model A is ideal for the ecology of Karachi and Model B for the ecology of Lahore. The forecast till January 2030 is available to look at several trends on AOD, namely, periods of seasonal solid fluctuations for both sites. This diversity emphasizes the need for specific actions, such as stricter environmental regulations, air quality monitoring, and providing greener transport solutions, which will result in blue skies. Utilizing the in-depth observations and forecast of the changing distribution of AOD values, the study helps develop approaches for reducing aerosol pollution. This is also one of the key contributions. We investigated critical environmental problems in the cities of Karachi and Lahore and provided means for such issues' resolution, enabling sustainable development and clean air.

Postdramatic Tendencies in Martin Crimp’s Fewer Emergencies

Martin Crimp has been one of the most prominent playwrights on the British stage since his first appearance. Although his oeuvre consists of absurdist and postdramatic plays, he translated classic texts such as Cyrano De Bergerac, Rhinoceros, The Seagull and The Misanthrope. Fewer Emergencies is a short play that forms part of Crimp's triptych, which also includes Whole Blue Sky and Face to the Wall. In Fewer Emergencies, Crimp creates a theatrical atmosphere that deconstructs the tenets of conventional dramatic theatre. In the playlet the characterisation is reminiscent of his earlier thought-provoking Attempts on Her Life, which had no obvious character attributions. In Fewer Emergencies he makes a similar kind of characterisation. He simply numbers the characters 1, 2, 3. In this way, Crimp creates an inspiring theatrical space. The aim of this study is to uncover the postdramatic theatricality of Crimp's Fewer Emergencies.

Why is the sky blue? A new question for political science

The future of political science in this crucial century requires that it (i) adopt the contemporary scientific paradigm, (ii) open itself to pluri-, inter- and transdisciplinarity, and (iii) redefine the main political actor, ourselves, in light of post-anthropocentric and relational turns. A theoretical revolution to a post-normal and eco-political science is needed and, through the influence of new fields such as sustainability science, is probably already in motion. In the Anthropocene, it implies paying attention to biological links that once seemed extemporaneous. And this is when we realize that the sky has become co-vulnerable. We may actually be at risk of losing blue sky through anthropogenic actions, including global warming or solar geoengineering. Politics will be crucial in determining whether or not to preserve its blue, and everything that goes with it. The article explores, through the answer to the blue question, this new super-wicked problem to illustrate the stated objectives for political science and the need to apply them. The proposals that have emerged from this also provide a new framework for Clean Air strategies for blue skies that are being developed at international and national levels.

Unveiling the Hidden Potential of Simple but Promising Blood Cell Parameters on Acute Myocardial Infarction Prognostication

Background: Non-ST-elevation myocardial infarction (NSTEMI), a disease of mounting interest, continues to pose challenges and cast shadows of doubt on determining the optimal timing for revascularization. The current guidelines on NSTEMI recommend coronary angiography based on the GRACE score, emphasizing the critical need for early invasive assessment (within 24 h); very-high-risk patients have to undergo this intervention even sooner, within 2 h. We believe that a reality check of these assumptions is needed and that we should endeavor to update these strategies using new predictive markers. Materials and methods: Our study included patients hospitalized for NSTEMI over the course of 16 months. Simple blood parameters, namely MCV (mean corpuscular volume), MPV (mean platelet volume), RDW (red blood cell distribution width), and PDW (platelet distribution width), were analyzed in correlation with the extent of the myocardial infarction area and with complications during hospitalization and at 30-day follow-up. Results: The parameters mentioned above have been identified as statistically relevant indicators of prognosis in patients with NSTEMI. Conclusions: In the present day, living in the world of the blue sky concept allows us to search for new diagnostic algorithms. Therefore, the combination of these parameters can constitute the DNA strands of a new and up-to-date score stratification.

Variations in optical properties of water- and methanol-soluble organic carbon in PM2.5 in Tianjin and Handan over the Wintertime of 2018–2020

The impact of the Three-year Action Plan for winning the “blue sky defense battle” on the pollution levels and chemical characteristics of fine particulate matter has been intensively studied over the past few years. However, the effect of air pollution control on light absorption of brown carbon remains unclear. In this study, the light absorption and fluorescence properties of water- and methanol-soluble organic carbon (WSOC and MSOC) in PM2.5 in Tianjin and Handan in North China Plain were measured and evaluated for three consecutive winters during the Three-year Blue-Sky Action (2018–2020). Overall, the WSOC and MSOC mass concentrations and light absorption coefficients of WSOC and MSOC at 365 nm generally decreased from 2018 to 2020, indicating that the emission of solvent-soluble organic carbon has been effectively controlled with the implementation of pollution abatement measures, such as the enforcement of clean energy policies. The light absorption coefficient and mass absorption efficiency at 365 nm of MSOC were 1.41–3.82 and 1.13–1.72 times higher than that of WSOC, respectively. Fluorescent spectra coupled with parallel factor analysis indicated that less‑/highly‑oxygenated humic-like (LO-/HO-HULIS) and non-N aromatic species (non-Nas) were the major fluorophores in both WSOC and MSOC in the two cities, with LO-HULIS and HO-HULIS as two major contributors to WSOC light absorption, while both HULIS and non-Nas fluorophores had a strong correlation with MSOC light absorption. Correlation analysis with source tracers and fluorescent indices indicated that the influence of combustion emissions remains significant, and secondary formation made a non-negligible contribution to the light absorption and fluorescent components of WSOC and MSOC in both cities. This work will contribute to a better understanding of the evolution of concentration levels and optical properties of WSOC and MSOC during pollution abatement and will inform the subsequent development of measures to achieve a win-win situation for both air quality and climate change.

‘Me and the Sky’: smashing the glass ceiling in Come from Away, neoliberal feminism, and climate change

ABSTRACT This article considers neoliberal feminism and environmental concerns in Irene Sankoff and David Hein’s musical Come from Away. While the musical is not directly concerned with anthropogenic climate change, many types of skies appear as thematic and metaphorical preoccupations in the piece: feminist blue skies, stormy Newfoundland skies, the clear skies of the American Dream, skies of terror, and skies of war. I argue that Come from Away hides the tragedy of climate change in plain sight, in the sky. Undertaking a close analysis of the showstopping number ‘Me and the Sky,’ sung by the airline pilot Beverly Bass – based on the real-life woman of the same name – I observe the rift between neoliberal feminist success, acts of terror, and the slow-moving tempo of a changing climate. Come from Away’s celebration of neoliberal feminism is cut short in the song, but it foreshadows the possibilities of a more successful recognition of the conjunction between feminist and environmental awareness.

Blue Sky Thinking: Physician Assistant Accreditation and the Potential Impact on the Programs, Faculty, and the Profession.

Blue sky thinking references the opportunity to brainstorm about a topic without limits… to consider what things might be like if creative thoughts were unconstrained by current philosophies or other boundaries. This article is a call to our fellow educators to consider how blue sky thinking applied to physician assistant (PA) program accreditation might further advance programs, faculty, and the profession. To develop and maintain a PA program, institutions must voluntarily undergo evaluation by the Accreditation Review Commission on Education for the Physician Assistant. Compliance with accreditation encourages sound educational practices, promotes program self-study, stimulates innovation, maintains confidence with the public, and focuses on continuous quality improvement. In addition, accreditation "can hold institutions accountable for desired outcomes and professional standards." Indeed, while the PA profession has promulgated across the globe, the 50+ years of graduating PAs educated with the highest quality education assures that the United States remains a gold standard. As the 5th edition of the standards are implemented and planning for the 6th edition is underway, in the spirit of continuous quality improvement, we encourage stakeholders of the PA profession to contemplate ways in which accreditation might continue to purposefully advance a desired future state for the profession. In this article, we draw on examples from other health professions which might inform a discussion around the future of PA accreditation. Specifically, the topics of a unified profession title and degree, a specific title and position for program leadership, a modification to how PA programs receive medical direction, and efforts to advance scholarship are addressed.

Blue Sky Protection Campaign: Assessing the Role of Digital Technology in Reducing Air Pollution

Air pollution severely threatens people’s health and sustainable economic development. In the era of the digital economy, modern information technology is profoundly changing the way governments govern, the production mode of enterprises, and the living behavior of residents. Whether digital technology can bring ecological welfare needs to be further studied. Based on panel data from 269 Chinese cities from 2006 to 2021, this study empirically examines the impact of digital technology on air pollution by using the two-way fixed effect model. The results show that digital technology will significantly reduce the concentration of fine particles in the air and help protect the atmospheric environment. The results are still valid after using the interactive fixed effect model and the two-stage least square method after the robustness test and causality identification. Digital technology can also reduce the air pollution by promoting green innovation, improving energy efficiency, and easing market segmentation. The effect of digital technology on reducing the concentration of fine particles in the air is heterogeneous. Digital technology plays a more substantial role in reducing pollution in resource-based cities and areas with a high degree of modernization of the commodity supply chain. The positive effect of digital technology in reducing air pollution is affected by the amount of air pollutants emitted. When the concentration of PM2.5 in the air is high, the role of digital technology in protecting the atmosphere will be strongly highlighted. This research is a beneficial exploration of protecting the atmospheric environment by using digital technology while building an ecological civilization society. The conclusion will help urban managers, the public, and business operators entirely use modern equipment such as 5G, remote sensing, and the Internet of Things in their respective fields to protect the atmospheric environment.

Bilinmeyen Karakterler ve Yitik Bütünlük: Martin Crimp’ın Whole Blue Sky Oyunundaki Postdramatic Yansımalar

This study aims to reveal the postdramatic theatricalities in Martin Crimp's Whole Blue Sky (2005). Martin Crimp has been one of the most prolific, controversial and satirical playwrights since his plays were first staged in British theatres in the late 1980s. While his early plays evoke the absurdist tradition, his later plays emphasize innovative theatrical elements labelled in-yer-face, postdramatic and New Writing. Considering Crimp's wideranging body of work, his distinctive theatrical style is clearly recognizable. Although postdramatic theater is usually associated with theater movements that emerged after the 1990s, it dates back to the theater of Bertold Brecht. For this reason, postdramatic debates are briefly discussed in the Introduction. Whole Blue Sky (2005), which is the field of application of this study, is a short play in the collection of Fewer Emergencies (2005) and Face to the Wall (2005). Moreover, the text in question is completely anonymous and consists of three characters numbered 1, 2 and 3. It is known that character 1 is the only female character in the text. In addition, it is seen that the plot and other traditional principles of theatre evaporate in the play. This study presents an evaluation of Crimp's Whole Blue Sky (2005) in terms of postdramatic theatrical features.

Innovation driver and county air pollution: cost-benefit analysis perspective.

Innovation is the first power to drive the county's green and low-carbon. It is crucial to explore the impact of innovation on air pollution from the perspective of counties at the bottom of the administrative division hierarchy. The article is aimed at exploring the direct impact effects, spatial spillover effects, impact mechanism pathways, non-linear relationships, and cost-benefits of innovation drive on air pollution in counties. To this end, based on the collection of county-level data from 2007 to 2020 in mainland China, the article constructs a fixed-effects model, a dynamic panel model, and a spatial Durbin model for analysis. For every 1% increase in the quantity of innovation, the county SO2 emission concentration decreases by 0.2% on average; for every 1% increase in the quality of innovation, the county SO2 emission concentration decreases by 0.3% on average. When the county innovation quantity driver increases by one standard deviation, the county SO2 concentration decreases by an average of 0.29%; when the county innovation quality driver each standard deviation increases, the county SO2 concentration is reduced by 0.33% on average. The significant entry of high-end factors, the increased frequency of regulation by the environmental protection department, and the increasing efficiency of energy use are the important mechanism pathways for innovation-driven reduction of air pollution in counties. There is no significant "(inverted) U-shaped" relationship between innovation-driven air pollution in the county samples. There is a negative spatial spillover effect of the innovation quality drive on air pollution control in all Chinese county samples. Innovation to drive the declining size of the county's sulfur dioxide can bring about one billion yuan (about 139.81 million U.S. dollars) in comprehensive economic benefits. In the coming period, county governments should build a new pattern of "blue sky and white clouds" with neighboring regions in terms of spatial agglomeration of high-end elements, green transformation and utilization of energy, and intelligent monitoring and supervision of pollution.

Evaluation, Driving Mechanism and Spatial Correlation Analysis of Atmospheric Environmental Efficiency in the “2+26” Cities Based on the Nonradial MEA Model

The “2+26” cities are 26 cities in Beijing, Tianjin and the surrounding cities, constituting a region characterized by economic prosperity and diverse industries but plagued by severe atmospheric pollution. As a focal area for atmospheric pollution control, a scientific assessment of atmospheric environmental efficiency in the “2+26” cities that measures the degree of coordination between the economy and air pollution is very important for winning the battle of blue sky defense. Based on this, this study comprehensively used the nonradial multi-directional efficiency analysis (MEA) model, Global Reference Malmquist Model and spatial correlation analysis to evaluate the atmospheric environmental efficiency, calculate the driving factors and explore the spatiotemporal distribution characteristics of the “2+26” cities from 2009 to 2018. The research findings indicate the following: (1) Atmospheric environmental efficiency showed a trend of first decreasing and then increasing, with a significant improvement potential of 26.7% in the future. (2) There was a significant discrepancy between the best- and worst-performing cities, with the best being 0.910 and the worst being 0.573, demonstrating imbalanced development between cities. The relatively low-efficiency cities were mainly located in Hebei, Shanxi and Henan provinces. (3) A value of technological efficiency change (EC) less than 1 was the main restrictive factor for improving atmospheric environmental efficiency, whereas a value of technological change (TC) greater than 1 enhanced it. (4) The atmospheric environmental efficiency presented a distinct spatial distribution pattern of high–high and low–low aggregation, forming high-value areas centered in the Beijing–Tianjin region and along the Zibo–Zhengzhou line. The western and central regions were relatively low, whereas the northern and eastern regions were relatively high, with significant regional differences in spatial distribution. The conclusions from this article’s empirical analysis can help concerned developing countries determine key factors to improve their atmospheric environmental efficiency and then formulate policies for sustainable economic and environmental development.