Area Of Management Research Articles

A multicriteria decision analysis for selecting rainwater harvesting systems in rural areas: a tool for developing countries.

Global water provision challenges have promoted decentralized water supply alternatives such as rainwater harvesting systems (RWHS). RWHS sustainability demands involve social, technical, and economic criteria in planning. Generally, in rural areas, water provision is more complex due to multiple uses of water, scattering of households, and low economies of scale. This research proposes a multicriteria tool for selecting RWHS in rural areas, considering social, technical, and economic criteria. The tool was developed by systematically identifying subcriteria and their hierarchization through the analytical hierarchy process (AHP), the technique for order of preference by similarity to ideal solution (TOPSIS), and a case study validation. Seven subcriteria were identified. The hierarchy of criteria was social (49.7%), technical (26.4%), and economic (23.9%). The tool involved: (i) users' consultation about the perceived ease of use and availability of water sources other than rainwater; (ii) system dimensioning to establish supply size, maintenance requirements, and required water quality; and (iii) costs and benefits estimation. Tool validation in a rural area included the evaluation of the alternatives proposed: (a) alternative 1: potable domestic uses (PD) and non-potable (NPD); (b) alternative 2: PD and NPD, irrigation of crops and chicken farming for self-consumption; and alternative 3: PD and NPD and chicken farming for profit sale. The sensitivity analysis showed the tool's consistency and robustness. Tool validation highlights the importance of integrating the three dimensions in selecting RWHS. The study provides a systematic methodology to assess and prioritize RWHS, appealing to policymakers, engineers, and practitioners facilitating water management and supply processes in rural areas.

Resolution of Coastal Resource Management Disputes in Jerowaru District, East Lombok Regency

This research aims to analyze the factors that cause coastal resource management disputes in Jerowaru sub-district and to analyze efforts to resolve coastal resource management disputes in Jerowaru sub-district. By using empirical legal research methods. The results of this research show that there are 3 factors that cause disputes, namely PT Temada's non-compliance with Law No. 27 of 2007 concerning the management of coastal areas and small islands and the East Lombok Regency RTRW regional regulation concerning coastal areas, where PT Temada violates related development permit regulations. with the beach border and then there is no public access to the beach because PT Temada has carried out concrete fencing up to the shoreline, which means there is no access road for the surrounding community. Lack of government supervision of permits issued regarding coastal borders. Permits issued by the government should be accompanied by supervision when the development process begins. Then there are efforts to resolve disputes by means of litigation and non-litigation legal settlement, where non-litigation legal settlement is expected to be able to resolve the conflict problem.

Gateway community stakeholders’ perceived impacts of protected area management actions: The case of North Carolina (U.S.) state parks

Many protected area managers contend with increasing demand and insufficient funding (e.g., overcrowding, overuse, maintenance shortfalls, and staffing shortages). To combat these challenges, managers are exploring management actions (i.e., differential pricing, amenity pricing, reservation systems, and demand-based pricing) to increase revenue and distribute or reduce visitor use during peak times. However, implementation of these management actions may displace visitors, affecting gateway community stakeholders (e.g., park staff, affiliated nonprofits, tourism operators, destination management/marketing organizations (DMO), and elected officials) who benefit from state parks. Therefore, it is crucial to understand the effects these actions may have on gateway community stakeholders. Utilizing Weber's theory of formal and substantive rationality (WTFSR) coupled with the triple bottom line (economic, environmental, and social impacts), we conducted a concurrent, nested mixed methods study with 25 gateway community stakeholders of North Carolina State Parks (NCSP). Analysis of 25 semi-structured interviews and embedded rating and ranking questions provided a deeper understanding of stakeholders' preferred management actions, motivations for those preferences, and perceived impacts of NCSP management actions. Apart from demand-based pricing, gateway community stakeholders expressed overall positive economic, environmental, and social sentiments towards the proposed management actions, suggesting a suite of actions may be ideal for increasing revenue and distributing or reducing visitor use during peak times in protected areas. Management implications•Gateway community stakeholders can effectively differentiate between suites of management options to enhance environmental protections, community benefits, and profits.•State resident discounts, amenity pricing, and reservation systems were all highly ranked across multiple stakeholder groups, suggesting NCSP has multiple options to increase revenue and distribute or reduce visitor use during peak times. However, demand-based pricing had limited support from stakeholders suggesting NCSP should prioritize other management actions. The varying levels of support for management actions makes it crucial for NCSP to communicate their management action decisions with stakeholders.•Protected area managers must sustain relationships with gateway community stakeholders to be able to understand stakeholders' perspectives on the impacts of management actions.•Beyond NC, this study provides a strategy for protected areas facing similar challenges to assess how management actions may impact gateway community stakeholders or other key stakeholders (e.g., park users, underserved communities).

Application of Overground Rock Film Mulching (ORFM) Technology in Karst Rocky Desertification Farmland: Improving Soil Moisture Environment and Crop Root Growth

Overground rock is a prominent feature of rocky desertification landscape in karst farmland; however, people often pay attention to their adverse effects, leaving their positive effects on ecohydrological processes and plant growth as rarely studied and utilized. In this study, the effects of overground rock film mulching (ORFM) on soil water flow behavior, soil water content and temporal and spatial heterogeneity were investigated through a dye tracer test and soil moisture measurement. Moreover, the effects of this technology on the root characteristics of crops (maize and broad bean) were analyzed. The results showed that ORFM treatment significantly increased soil water content and its spatio-temporal heterogeneity by preventing preferential flow at the rock–soil interface. It suggested that this practice can provide a more favorable soil moisture environment for crop growth, which was confirmed by the differences in root characteristics of crops (maize and broad bean) under different treatments in this study. It was found that ORFM treatment reduced the root radial extent of crops but increased the root biomass and root bifurcation rate, which are widely considered to be key factors in improving the efficiency of fine root absorption. Therefore, we believe that ORFM has great potential to improve the effective use of soil water and agricultural water management in karst areas, which is essential for sustainable agricultural development in the region.

Coordination and Disaster Response: A Humanitarian Organizational Network perspective in Uganda

This paper examined the relationship between humanitarian organizational network, coordination and disaster response in Uganda. Contextually, most research in the area of disaster management rotates around the entire disaster management process/stages. There is inadequate research that tends to study a single stage in the disaster management cycle especially the response stage. Additionally, there are limited studies that have been conducted in developing countries like Uganda, most studies have been and continue to be conducted in highly disaster-prepared, coordinated and developed states. The study used a cross-sectional survey design in which quantitative methods were applied. Findings indicate that coordination positively influenced disaster response. Based on the literature and findings, the study concludes that disaster response is dependent on coordination. The study recommends that responding organizations should establish clear communication channels, build trust and social capital, and ensure that there is learning and adaptation to complex disaster environments. This will lead to better coordination within the humanitarian organizational networks and in turn successful disaster response operations.

Predicting the potential risk of Caragana shrub encroachment in the Eurasian steppe under anthropogenic climate change

Climate change and human activities drive widespread shrub encroachment in global grassland ecosystems, particularly in the Eurasian steppe. Caragana shrubs, the primary contributors to shrub encroachment in this region, play a crucial role in shaping the ecosystem's structure and function. Future changes in the suitable distribution range of Caragana species will directly affect the ecological security and sustainable socio-economic development of the Eurasian steppe ecosystem. We used an ensemble modeling approach to predict Caragana shrub-dominated plant communities' current and future distribution in three major steppe subregions: the Black Sea-Kazakhstan steppe, the Tibetan Plateau steppe, and the Central Asian steppe. We assessed the potential risk of Caragana shrub encroachment by predicting changes in the suitable distribution area of 19 Caragana shrub species under future climate changes. Our research findings suggest that the expansion of Caragana species in different subregions of the Eurasian steppe is influenced by the effects of climate change in various ways. The distribution of Caragana species is primarily influenced by precipitation and temperature, and the global human modification (ghm) has a significant impact on the Central Asian and Tibetan Plateau subregions. Minimal changes are expected in the Black Sea-Kazakhstan subregion, a slight increase on the Tibetan Plateau, and a substantial rise in the Central Asian subregion, which suggests a higher potential risk of Caragana species shrub encroachment in that area. Our research provides valuable insights into the response of Caragana shrub encroachment to changing climates and human activities. It also has implications for the sustainable management of different areas of the vast Eurasian steppe ecosystem.

Evaluation of River and Groundwater Quality in the Mzimvubu to Tsitsikamma Water Management Area (WMA7)

This paper assessed and evaluated the river and groundwater quality of five major catchments in the Mzimvubu to Tsitsikamma Water Management Area (WMA7). The river assessment and evaluation considered the present state maximum, minimum and mean seasonal values of physiochemical parameters (EC, NO3 + NO2, Cl, pH, NH4-N, PO4-P and Mg). The study was able to successfully make use of statistical analysis and a water quality index in order to explain seven-year trends and the present state of all five catchments within the study area. The statistical analysis results showed that water quality parameters such as PO4, NH4 and NO3 + NO2 were not complying with the South African Water Quality Guidelines (SAWQG) limits, suggesting that the study area was impacted by anthropogenic activities such as agriculture, sewage works, etc. The application of WQI showed that the Gamtoos catchment was in a good water quality state (49.71) while the other four catchments were in a poor to very poor state, according to the WQI classification. Based on the groundwater quality assessment, the physicochemical parameters (NH4, EC, Ca, NO3 + NO2, pH, Na, Cl, Mg, F, K, SO4 and CaCO3) were selected and the main parameters of concern were EC (salinity), NO3 + NO2 and SO4. However, groundwater assessment revealed that groundwater quality was chemically suitable for drinking purposes in most parts of the study area. Therefore, the study recommended resource-directed measures to improve surface and groundwater resource protection, especially in areas where surface and groundwater quality for other uses remains a challenge. Further, strong water resource compliance monitoring and enforcement to control water resource pollution sources is critical.

Lean approach applied to the blood gas system in point-of-care testing (POCT): The IRCCS San Gerardo dei Tintori experience

ABSTRACT Costs of medical care have increased worldwide, which may be due to unnecessary operational inefficiency. Different approaches exist to enhance procedural processes, and the Lean concept is used to improve quality and performance by systematically eliminating waste. In this study, Lean methodology with the four-stage Deming cycle (Plan, Do, Check, and Act) was applied to the point-of-care testing (POCT) system of the IRCCS San Gerardo dei Tintori. Starting from the evaluation of the current strategies used in the clinical laboratory, our goal was to facilitate workflow standardization, increase the efficiency, appropriateness, and quality standards in the execution of blood gas analysis in POCT, and to plan improvements, staff satisfaction, and safety. Six qualitative key process indicators, such as workflow, work area management, visual checks, reagents and supplies inventory, sample traceability, and work standardization, were used to investigate problems and identify solutions. The adoption of cutting-edge technologies, the training of personnel on the best pre-analytical practices, the standardization of cleaning procedures, the distribution of easy check workflow charts, and standardized material request documents reduced manual operations from 70 to 40% and patient identification errors of 10x. This approach created a diffuse collaborative culture and improved standardization of processes and safety.

May Measure Month 2022 in Italy: A Focus on Fixed-dose Combination, Therapeutic Adherence, and Medical Inertia in a Nationwide Survey.

Hypertension is the main risk factor for cardiovascular diseases (CVD). Notably, only about half of hypertensive patients manage to achieve the recommended blood pressure (BP) control. Main reasons for the persistence of uncontrolled BP during treatment are lack of compliance on the patients' side, and therapeutic inertia on physicians' side. During the global BP screening campaign "May Measure Month" (MMM) (May 1st to July 31st, 2022), a nationwide, cross-sectional, opportunistic study endorsed by the Italian Society of Hypertension was conducted on volunteer adults ≥ 18 years to raise awareness of the health issues surrounding high BP. A questionnaire on demographic/clinical features and questions on the use of fixed-dose single-pills for the treatment of hypertension was administered. BP was measured with standard procedures. A total of 1612 participants (mean age 60.0±15.41 years; 44.7% women) were enrolled. Their mean BP was 128.5±18.1/77.1±10.4 mmHg. About half of participants were sedentary, or overweight/obese, or hypertensive. 55.5% individuals with complete BP assessment had uncontrolled hypertension. Most were not on a fixed-dose combination of antihypertensive drugs and did not regularly measure BP at home. Self-reported adherence to BP medications was similar between individuals with controlled and uncontrolled BP (95% vs 95.5%). This survey identified a remarkable degree of therapeutic inertia and poor patients' involvement in the therapeutic process and its monitoring in the examined population, underlining the importance of prevention campaigns to identify areas of unsatisfactory management of hypertension, to increase risk factors' awareness in the population with the final purpose of reducing cardiovascular risk.

Pesquisas sobre o jogo de damas: uma revisão de literatura

Draughts, considered an intellectual sport, has an interdisciplinary characteristic, presenting itself as a leisure sport, school sport and performance sport. The objective was to carry out a literature review aiming to identify and analyze the scientific and academic production on the modality, especially on the topic of modality Management. A narrative review of the literature was carried out through a survey of records in Portuguese, English, Spanish, Russian, Italian and French on Google Scholar, up to the year 2023, analyzing the areas of knowledge; themes of publications and countries and/or authors that produce studies on the topic. 39 works were obtained in different formats, with emphasis on the areas of Computer Science and Artificial Intelligence. Brazil is responsible for publications in Portuguese and leads the number of studies identified. The gap in studies in the area of Physical Education, Sport and Sport Management is confirmed, and new studies are suggested in order to expand knowledge on the topic.

What secondary research evidence exists on the effects of forest management after disturbances: a systematic map protocol

BackgroundForest disturbances are projected to increase in intensity and frequency in the upcoming decades. The projected change in disturbance regimes is expected to alter the provision of ecosystem services and affect biodiversity. Both are critical for forest ecosystems to provide livelihoods for human societies. Forest management after natural disturbances shapes successional pathways of forest ecosystems. Therefore, the management of post-disturbance sites deserves critical attention to avoid negative effects of management interventions on ecosystem services and biodiversity. The two most common management interventions after natural disturbances are salvage logging (comparator: no salvage logging) and tree planting (comparator: natural regeneration). This planned systematic map of reviews aims to aggregate the existing evidence syntheses on the implications of common forest management interventions after natural disturbances on successional trajectories with regard to selected ecosystem services and biodiversity. Evidence-based post-disturbance management is highly relevant for protected area management as well as for the management of commercial forests.MethodsWe will systematically search the databases Scopus, Web of Science Core Collection and the Forest Science Collection of the CABI Digital Library for reviews and meta-analyses (after 2003). We will apply eligibility criteria for review selection and assess the evidence synthesis validity of selected reviews using the most recent version of CEESAT (Collaboration for Environmental Evidence Synthesis Assessment Tool). The results will be displayed in topic subgroups in summary of scope and summary of findings tables.

Mercury Concentrations in Two Populations of the most Endangered Dolphin (Pontoporia blainvillei) from the Southwestern Atlantic Ocean.

Mercury contamination has been aggravated by emerging environmental issues, such as climate change. Top predators present concerning Hg concentrations once this metal bioaccumulates and biomagnifies. This study evaluated total mercury (THg) concentrations in tissues of 43 franciscanas (Pontoporia blainvillei) from two populations: the Franciscana Management Area (FMA) IIb and FMA IIIa. Animals from FMA IIIa showed mean concentration 5-times and 2.5-times higher in the liver and kidney (4.73 ± 6.84 and 0.52 ± 0.51µg.g-1, w.w., respectively) than individuals from FMA IIb (0.89 ± 1.04 and 0.22 ± 0.15µg.g-1, w.w., respectively). This might be due to: (I) individuals sampled from FMA IIIa being larger and older, and/or (II) the area near FMA IIIa presents environmental features leading to higher THg availability. Coastal contamination can affect franciscanas' health and population maintenance at different levels depending on their life history and, therefore, it should be considered to guide specific conservation actions.

Contribution of Wildlife-based Tourism to Household Income and Income Inequality: A Case of Burunge Wildlife Management Area in Tanzania

Contribution of Wildlife-based Tourism to Household Income and Income Inequality: A Case of Burunge Wildlife Management Area in Tanzania

Long-Term Response of Floodplain Meadow Normalized Difference Vegetation Index to Hydro-Climate and Grazing Pressure: Tamir River Plains, Mongolia

The greenery of floodplain meadows in arid regions, such as Mongolia, is influenced by climate, hydrology, and land use. In this study, we analyzed the NDVI (Normalized Difference Vegetation Index) of two floodplain meadows located along the South Tamir and Tamir Rivers using LANDSAT images. Our goal was to observe NDVI spatial changes, variations, and mean values in mid-August every six years from 1991 to 2015 and to identify the factors driving these differences. To achieve this, we conducted variance analysis to identify changes in NDVI and implemented Principal Component Analysis to determine the influence of hydro-meteorological factors and grazing intensity. Our findings indicate a significant decrease in greenness, as measured by pixel-scale NDVI, during the late summer period. This decrease was consistently observed, except for a series of harsh winters that followed relatively dry summers, resulting in a disastrous event called dzud, which led to the death of livestock. The decrease in NDVI was amplified by lower precipitation in June, higher temperatures and wind speed in July, and increased precipitation in August, along with a higher frequency of days with convective rain. Our findings have important implications for managing grazing in Mongolia’s grasslands, promoting sustainable land use, and mitigating sandstorms. The variance and average values of NDVI at the pixel level can serve as reliable markers of sustainable pasture management in areas where other vegetation measures are limited.

Water Infiltration Policy for Urban Flood Management

This research was conducted to determine the implementation of water absorption policies for flood management in urban areas, especially in the city of Cirebon at the Cirebon City Public Works and Spatial Planning (DPUPR) department. The research approach used is normative juridical, conceptualizing law as written norms so that this research emphasizes studies in the form of legislative products, namely those that regulate water absorption such as regional regulation number 38 of 2019 concerning the implementation of groundwater conservation through infiltration wells and infiltration holes. biopore. Policy implementation in flood management by the Cirebon City PUPR Service has included handling floods and puddles as a priority in the Regional Government Work Plan (RKPD) for 2025. For handling urban drainage, the PUPR Service's work target is to reach up to 83% by 2024, and 86% for 2025, and 89% for 2026. One of the strategies taken includes the creation of retention ponds, absorption wells and eco-drainage. However, there are still several obstacles in implementing this policy, such as limited resources and lack of community participation. To overcome these obstacles, efforts need to be made such as increasing the budget, providing adequate human resources, and educating the public about the importance of water absorption. Overall, the implementation of the water absorption policy for flood management in Cirebon City has shown a positive direction. With continued efforts and collaboration from various parties, it is hoped that this policy can be more effective in minimizing the risk of flooding in urban areas.

Sosialisasi Pengelolaan Sampah Plastik di Kawasan Wisata Pantai Tanjug Kasuari Kota Sorong

Tanjung Kasuari Beach is one of the famous beach attractions in Sorong City, Papua Barat Daya, and has an unspoiled natural atmosphere. Plastic waste management in the Tanjung Kasuari beach area aims to increase public awareness regarding the negative impact of plastic waste on the environment and the importance of keeping beaches clean. Plastic waste management is a priority program based on the condition of the most abundant and frequently encountered piles of plastic waste. Therefore, local people and tourists will better understand the negative impact of plastic waste on the environment. It can also encourage reducing the amount of plastic waste thrown away carelessly, thereby reducing pollution in coastal areas. In this way, the beach will become more beautiful for tourists, positively impacting the local tourism sector.

Invisible, Uncontrollable, Unpredictable: Illness Experiences in Women with Sjögren Syndrome.

Background/Objectives: Sjögren's Syndrome (SS) is a chronic degenerative rheumatic disease. Because of its chronic nature, it significantly affects the quality of life of those who suffer from it. Methods: This qualitative study investigated disease experience among women suffering from SS to understand its impact on their overall well-being. In-depth interviews were conducted with 15 women who suffer from SS. Interviews were analyzed using the Grounded Theory methodology, using open, axial, and selective coding. Results: Three central phenomena of disease experience were identified: invisibility; uncontrollability; and unpredictability. Conclusions: SS disease experience has a strong imprint on emotional well-being and sense of self-control among middle-aged women. Understanding SS impacts on women's lives is important to better understand the disease and contribute to recognizing potential areas of management and social support in relevant windows of opportunity within the health-disease continuum.

The Readiness Of Shipping Companies In Tegal Region To Implement IMO Regulations In The Field Of Marine Pollution Prevention

Marine pollution that occurs due to ship waste increasingly threatens Indonesian waters. Sources of marine pollution are caused by shipping and port activities. Handling this pollution must be carried out with facilities and infrastructure holding marine pollution in accordance with international standards on board ships and at loading and unloading ports, so competent professionals are also needed in their fields. The purpose of this study is to determine and analyze the readiness of shipping companies in the Tegal region to face IMO rules in the field of marine pollution prevention. The study used qualitative description methods by conducting observations, interviews, and literature. Based on the results of the research, it was found that the problem that occurred was administrative; companies related to human resources could meet competencies. Shipping agents in the Tegal area are limited to serving ship document management, while the procurement or repair of pollution prevention equipment is under the authority of the ship owner through his representative, who will conduct a survey when the ship carries out docking/repair at TUKS or Tersus. There are still docking companies that handle the remaining sludge waste from OWS, which is landfilled, so if it accumulates a lot, it can cause soil pollution. The lack of public awareness and limited facilities and infrastructure for ship waste management in the port area are problems for the government and other stakeholders at the port.

Using sustainability pillar indicators to evaluate the management effectiveness of three protected areas in the state of Selangor, Peninsular Malaysia

The existing methodologies to measure management effectiveness of protected area have often been focus on identifying weaknesses and strengths to set priorities in terms of policy intervention, resource distribution and adaptive management. It is not adequately captured the extent of protected area sustainability as a conservation site even though management effectiveness is influenced by the interaction of environment, socioeconomics and governance, which are pillars of sustainability. Thus, the objective of this study was to propose a methodology based on sustainability pillar indicators to evaluate management effectiveness, using three protected areas in Peninsular Malaysia as case studies: Sungai Dusun, Bukit Kutu and Klang Gate wildlife reserves. In this study, a questionnaire survey was used to evaluate the management effectiveness of the study sites. The evaluation framework of the questionnaire was based on six components of management effectiveness and indicators from three sustainability pillars or aspects: environment, socioeconomics and governance. Respondents of the survey consisted of local residents in each study site and management staff involved in the management of the protected areas. Each indicator from different aspects of evaluation was assigned a selected parameter to be rated by the respondents from ‘1’ (strongly disagree) to ‘5’ (strongly agree). Based on the rating values the percentage of optimum value was calculated to determine the overall management rating for each study site which interpreted according to five management levels from ‘unsatisfactory’ to ‘very satisfactory’. The percentage of optimum values revealed that the environment and governance aspects of all study sites had moderately satisfactory while for socioeconomic only Klang Gate had moderately satisfactory but satisfactory for Bukit Kutu and Sungai Dusun. The overall percentage of optimum revealed that the management effectiveness level of all reserves was moderately satisfactory. However, Sungai Dusun had the highest percentage of optimum (71.3%), followed by Bukit Kutu (67.7%) and Klang Gate (66.5%). In conclusion, the sustainability level of the reserves is still functioning as intended despite deficiencies especially in governance aspect. Thus, the proposed methodology is simple and has adoptable way to measure both management effectiveness and capture the sustainability of the protected areas.

Does integrated health management within a county medical consortium improve rural type 2 diabetic patients’ self-management behavior and quality of life? An empirical analysis from Eastern China

BackgroundLevels of self-management behaviors (SMB) and quality of life (QoL) are suboptimal in Chinese adults with type 2 diabetes (T2D), especially in rural China. Integrated health management within a county medical consortium, featuring multi-level teams of doctors, nurses, and other professionals offering follow-up services such as check-ups, assessments, treatment, and health education, is promising in improving this. This study aimed to assess the effect of integrated health management within a county medical consortium on the SMB and QoL of rural T2D patients in China.MethodsBased on a survey conducted on the county medical consortium in Eastern China, this study initially employed propensity score matching (PSM), a nonparametric technique, to precisely estimate the average treatment effect on the treated (ATT) of integrated health management on SMB and QoL in rural T2D patients. Subsequently, quantile regression was also performed to estimate the relationship between the implementation of integrated health management, sociodemographic factors, follow-up services (offered during integrated health management) and both SMB and QoL.ResultsThe ATT values for SMB and QoL, representing the net effect of integrated health management within a county medical consortium on SMB and QoL, were significantly positive. They ranged from 4.34 to 4.67 for SMB and from 0.89 to 1.06 for QoL, respectively, based on the four different PSM modalities. The results of quantile regression also revealed a statistically significant positive association between the implementation of integrated health management and both SMB (coef. = 4.15) and QoL (coef. = 1.54). These findings suggest that integrated health management within a county medical consortium can effectively improve SMB and QoL in rural T2D patients. Furthermore, frequency of follow-up service and health behavior guidance were positively associated with SMB and QoL. Conversely, on-call follow-up services, medication guidance and follow-up services at medical institutions were negatively correlated with SMB or QoL.ConclusionsThe study highlights the effectiveness of integrated health management within a county medical consortium in improving SMB and QoL among individuals with T2D in rural China. The findings offer invaluable insights for the advancement of chronic disease management in rural areas of developing countries.