Original Residents Research Articles

Participation of Social Media Influencers in Communicating the Global Health Crisis: An Observation of Chinese-Origin Influencers Across Argentina, the UK, and Spain During COVID-19

This work focuses on the digital communicative practices of influencers, as the COVID-19 pandemic has opened a communicational doorway from diverse perspectives, and social media has emerged as an important tool for people to maintain contact and acquire information. Additionally, the preventive and obligatory social distancing measures have driven us to reconsider methods of human interaction. Digital communication as the primary means of connection in the context of COVID-19 encompasses social interaction, entertainment, and informative channels. These facets usually coalesce within a single space or intersect when the practices of influencers are observed. Therefore, three influencers of Chinese origin residing in different countries are analysed, given that China was the initial epicentre of COVID-19. Influencers of Chinese descent living in the United Kingdom, Spain, and Argentina are selected to enable an exploration of more sociocultural diversity. The significance of influencers in disseminating information and content to society continues, according to observation, particularly among younger demographics. Although their main efforts do not reside in communicating COVID-19 within the context of the pandemic, their contribution indicates a complementary solution to fostering social interaction and debunking discourses of hatred aimed at individuals of Chinese or Asian descent.

Be Water: The Beliefs and Blurred Cultural Boundaries of the Boat People of Kau Lau Wan, Hong Kong

This paper examines the On Lung Ching Chiu (安龍清醮, Ritual of Settling Down the Dragon for Purification) in Kau Lau Wan village, Hong Kong, analyzing how the boat people have manipulated religious rituals to blur the identity of the original Hakka residents and strengthen their own cultural identity. The research finds that although the On Lung festival originated from Hakka tradition, over the past decades, this ritual has been replaced and reconstructed by the boat people of Kau Lau Wan, becoming an important medium for expressing their self-identity and community space. Through adjustments to the ritual content, spatial arrangements, and participant composition, the boat people have gradually ‘fisherized’ the originally Hakka ritual. Meanwhile, they have utilized cross-border fishing community networks to invite deities from different regions to participate in the festival, further establishing Kau Lau Wan’s status as a boat people community. This study’s timing during the COVID-19 pandemic (2021-2023) provided unique insights into the ritual’s significance for the diaspora community. Despite travel restrictions and logistical challenges, overseas villagers’ determination to return for the festival highlighted the On Lung Ching Chiu’s crucial role in maintaining community bonds and cultural identity across geographical boundaries. The pandemic context revealed how the ritual serves as an anchor for transnational community networks while adapting to contemporary circumstances. This study reveals how this subaltern group has reconstructed their cultural boundaries and discursive power through the manipulation of traditional religious practices.

The World of Migrants from Ryazan in the Post-Reform Period: Methods of Studying Migration and Local Adaptation in the Altai

The study describes a new method of integrating field and archival sources relevant to the migration of peasant families from the Ryazan Governorate to the Altai in the 1880s. Late 19th to early 20th century documents from the archives of the Ryazan and Tomsk regions were used. A new comparative method was applied to analyze the findings of ethnographic surveys in places of the original (Ryazan) and subsequent (Shubinka Volost, Biysk Uyezd, Altai) residence of migrants. Based on interviews with their descendants, adaptation to the new areas of residence was explored. Both before and after the 1917 Revolution, the migrants retained their two basiс distinctions—Orthodoxy and the Southern Russian dialect. Adaptation processes included development of the new habitat and marriages not only with members of their group but also with Siberian old residents. These adaptive strategies opposed migrants from Ryazan to those from other Southern Russian Governorates such as Kursk, Voronezh, etc., who maintained ties mostly with migrants from Poltava, Chernigov, and other southern regions.

Explanatory models of common mental disorders among South Asians in high-income countries: A systematic review.

Mental health service use by individuals of South Asian origin living outside of South Asia is influenced by cultural factors such as endorsing psycho-social-spiritual over biological explanations, somatisation, and stigma. The aim of this review is to synthesise the evidence about (a) explanatory models of common mental disorders (CMDs) among people of South Asian origin residing in high-income countries, and (b) their help-seeking for CMDs, including formal and informal care. The systematic review protocol was registered a priori on Prospero (registration number CRD42021287583). We ran extensive searches on explanatory models and help-seeking of people of South Asian origin across five databases (MEDLINE, Embase, Cumulated Index to Nursing and Allied Health (CINAHL), PsycINFO, and Global Health). We extracted the data and conducted a narrative synthesis. We included 33 reports and 29 studies (9,030 participants). The participants in the included studies viewed CMDs through a psychosocial rather than a biological lens (e.g., resulting from family issues vs. neurotransmitters). Causal attributions included life stressors and attitudinal and religious/spiritual factors. Commonly used help-seeking strategies included private coping (i.e., crying or praying), speaking to friends and family, and visiting their General Practitioner. We can conclude that cultural factors play an important role in how South Asian individuals experience and understand CMDs. To cope, they use pluralistic help-seeking strategies. Implications for clinical practice and policy include increasing research on the explanatory models of CMDs, involving family in services, and developing community-based interventions for individuals who do not engage with formal care.

Racism and sexism during pandemic times: Experiences, narratives, and coping mechanisms among Chinese women in the Netherlands

This article presents findings from a qualitative study on the experiences of racism and sexism of Chinese-origin women living in the Netherlands during the pandemic. The emergence of the COVID-19 in Wuhan, China, and its labeling as the ‘Chinese virus’ in public discourse has triggered xenophobia and racial discrimination against people of Chinese and Asian descent worldwide. This study seeks to shed light on how women of Chinese origin residing in the Netherlands experienced racism during the pandemic, the intersectionality of racism and sexism, and their coping strategies. Participants’ orientations toward the possibilities of digital media in relation to their coping strategies were also explored. Espousing a multiactor frame of reference, semistructured in-depth interviews were conducted with 15 Chinese women residing in four major Dutch cities located within the Randstad Region (Amsterdam, The Hague, Rotterdam, and Utrecht) as well as one nongovernmental organization representative, one artist, and one activist. Participants’ narratives provide rich insights for feminist and antiracist work in the context of coping with racism, evaluations of Dutch society and gendered stereotypes of Asian women.

Employment of Ethnic Minorities Migrating from the Northern Mountains to the Central Highlands, Vietnam: A Case Study of Pleiku, Gia Lai Province

The Central Highlands includes five provinces: Lam Dong, Dak Nong, Dak Lak, Gia Lai, and Kontum. The Central Highlands is rich in resources, and fertile land is convenient for agricultural cultivation, especially industrial crops. With that great potential, after 1975, the State organized migration. It redistributed the population and owners throughout the region to the Central Highlands to establish agricultural and forestry farms, especially in the "new economic" regions. In addition to organized migration, the State's plan includes the "free migration" phenomenon of ethnic minorities from the northern mountainous provinces to the Central Highlands provinces. Unlike the original residents regarding soil, climate, and farming methods, the Central Highlands is a promising land that can bring a better life than their native homeland; they come to reclaim, establish villages, cultivate, and organize life on the new land. This paper presents the employment problem of ethnic minorities in the North who migrated to the Central Highlands, Vietnam, through a study in Pleiku City, Gia Lai Province.

The impact of national park construction on the livelihood capital of original residents: A case study of the Qilian Mountain National Park system pilot

While achieving ecological protection, the construction of national park inevitably has an impact on livelihood capital of original residents. Determining livelihood impact of national parks is essential for harmonizing ecological protection and livelihood development. In this study, we have conducted a field survey of 247 households in bordering villages of Qilian Mountain National Park (QMNP). We used difference-in-difference model (with fixed effect and with score propensity matching) to evaluate the net impact of the pilot construction of QMNP on livelihood capital of original residents. The results showed that the pilot construction of QMNP has no significant impact on the total livelihood capital of original residents. Specifically, the impact of the pilot construction of QMNP on natural capital and physical capital was negative. Households inside the pilot area experienced more significant reductions in grassland area, arable area and the scale of large livestock production. At the same time, we also observed a significant increase in social capital. This should be the result of increasing the diversity of livelihoods or changing livelihood strategies. The ecological compensation system close to the needs of residents and the rational development of economic activities in the general control area will help to achieve the balance between ecological protection and livelihood development in QMNP. Our study results can provide a reference for evaluating the effects of national park construction and improving policy design.

Understanding temporary residential mobility during urban renewal: Insights from a structured community survey and machine learning analysis

Existing studies on urban renewal have primarily focused on the final effects of urban redevelopment, while often overlooked the social costs incurred during the temporary displacement phase. This gap is significant, as many residents must vacate their homes for an average of 3–5 years during Shantytown redevelopment, which brings about challenges of renting houses and the associated negative impacts on their well-being before returning to their resettled homes. Therefore, this study focuses on examining the temporary residence arising during Shantytown redevelopment while awaiting resettlement. We selected Heze city as our case study area, which has been through China's most intensive redevelopment between 2016 and 2018 that affected about 1.2 million population. A structured community survey was conducted, and 1035 valid samples were collected. We then applied spatiotemporal analysis and the Random Forest model to examine stability, direction, and distance of temporary residence mobility, along with its influencing factors. Findings reveal that 92.4% of households move just once or twice during the temporary phase, indicating the preference for stable residence. Regarding moving direction, households seek life service centers rather than city centers, and prefer familiar community environments. Furthermore, 74.8% of households resettled within 2.5 km of their original residence, indicating a preference for nearby temporary housing. The built environment emerged as the most critical factor influencing the mobility, followed by family socioeconomic status, while housing costs, surprisingly, having the minimal impact. This study highlights the importance of considering the interim social costs in urban renewal projects and provides valuable insights for housing market regulation and urban planning to mitigate these effects.

Folk arts and crafts of the indigenous peoples of Ugra: results of a sociological survey

The purpose of the study is to analyze the current state of folk art according to a sociological survey among representatives of the indigenous peoples of the North. Studying the specifics of folk arts and crafts through a survey of craftsmen allows us to better understand the cultural characteristics of the Khanty-Mansiysk Autonomous Okrug – Yugra, as a territory with the original residence of Mansi, Khanty, Nenets. The author examines in detail such aspects of the topic as the continuity and transmission of traditions in folk crafts, the motivational attitudes of craftsmen, as well as the needs and problems in creating traditional products. The participants of the survey are masters of folk arts and crafts living in urban and rural settlements of the district. The questionnaire contained questions aimed at identifying various aspects of the masters' activities. The timing of the online survey is September-October 2024. The results of the survey can be used for further analysis and comparative research. A special contribution of the author is a comprehensive study of the field of folk arts and crafts, including several aspects: cultural, social and economic. The main conclusions of the study are that the culture of the peoples of the North continues to preserve the traditional type of transfer of experience – orally. The continuity of traditions functions within the family-tribal system. At the same time, such a form of training as conducting seminars on certain types of products is becoming more and more popular. Making traditional clothes, shoes and household items remains a relevant and important occupation for the Ob Ugrians. It serves not only as a means of preserving cultural heritage, but also plays an important economic and social role in the modern life of the indigenous peoples of the North.

두뇌 유입(Brain Gain) 관점에서 외국인 유학생의 국내 고용 활성화를 위한 IPA 분석 : 정부출연연구기관 이공계 석·박사과정을 중심으로

With Korea's total fertility rate recorded at 0.72 in 2023, there is even a pessimistic prospect that it will become the 'first country to extinguish the population'. In the face of serious demographic challenges such as a population decline, regions disappear, and a lack of high-quality human resources in the industry due to a rapid decline in the fertility rate, the Korean government and each local government are pouring out various policies to alleviate these problems by utilizing the capabilities of international students. This study analyzed the importance of domestic employment promotion activities and differences in the degree of implementation of the employment support system for international students studying as master's and doctoral students at government-funded research institutes using the importance-performance analysis(IPA) methodology. As a result of the analysis, 'recommendation of supervisors' and 'industrial cooperation projects' were evaluated as the most important employment promotion activities, and in the employment support system, 'flexible visa system' and 'simplification of immigration procedures' for researchers were recognized as important. In addition, it was found that there is a difference in perception between the importance and performance of international students depending on the region of residence and country of origin, so a strategy for promoting employment tailored to the region of residence and country of origin is necessary. This study is limited to international students in science and engineering who are enrolled in U graduate university, so there is a limit to the generalization of research results. In future research, extended research is needed including international students from science and technology specialized universities and base national universities. In addition, it is proposed to expand the study on how the expectations and demands of the employment support system of international students differ according to the cultural context by comprehensively considering the country and cultural background and economic conditions that affect the employment activation of international students.

Who Drives Neighborhood Income Growth? An Analysis of New Versus Long-Term Residents in the Northern California Megaregion

Increases in neighborhood income are often attributed to the in-migration of higher income people. We use individual tax records from 1994 to 2015 to show a more nuanced finding. New residents generally have lower incomes than existing residents when they first move into a zip code. However, in-movers have steeper income growth and catch up with original residents within ten years. This pattern is mediated by turnover and generally short tenures for younger people, highlighting the importance of selective migration in combination with incumbents’ income growth in differentiating high- and low-growth zip codes.

Seismic Performance of a Single-Story Timber-Framed Masonry Structure Strengthened with Fiber-Reinforced Cement Mortar.

Timber-framed masonry structures are widely used around the world, and their seismic performance is generally poor. Most of them have not been seismically strengthened. In areas with high seismic fortification intensity, there are great potential safety hazards. And it is urgent to carry out effective seismic reinforcement. However, due to the complicated construction process of the existing reinforcement technology, the poor durability of the reinforcement materials, and the significant disturbance to the life of the original residents, an efficient single-story timber-framed masonry structure reinforcement technology suitable for comprehensive promotion and application has not been explored. In this paper, a fiber-reinforced cement mortar (FRCM) material was proposed. A 1/2 scale model of a single-story timber-framed masonry structure was taken as the research object. The method of strengthening a single-story timber-framed masonry structure with FRCM layer was adopted. And the shaking table test of the model before and after reinforcement was carried out in turn. The dynamic characteristics, failure modes, acceleration response and displacement response of the FRCM layer-strengthened structure were analyzed through comparisons of the two cases. The experimental results showed that the FRCM layer significantly improved the seismic performance of the seismic-damaged single-story timber-framed masonry structures. The X- and Y-direction natural frequencies of the model structure were increased by 31.30% and 30.22%, respectively, after the structure was strengthened with FRCM. During a rare eight-degree earthquake, the inter-story displacement angles in the X- and Y-direction of the unreinforced model reached 1/98 and 1/577, respectively, and the structure was destroyed, while the inter-story displacement angle of the FRCM-reinforced model was only 1/2 of that the unreinforced model. During a rare nine-degree earthquake, the X-direction inter-story displacement angle of the model strengthened with FRCM reached 1/78 and the Y-direction inter-story displacement angle reached 1/178. At this time, the reinforced model structure was destroyed, but there was no collapse of the structural components, which met the seismic design objectives of "operational under the design minor seismic intensity, repairable damage under the design seismic precautionary intensity, and collapse prevention under the design rare seismic intensity", which proved that the FRCM layer was an effective and feasible way to strengthen the existing single-story wood-masonry rural building.

Making the Case: Exploring the Role of Case Management in Relocation and Return Decisions in Choice Neighborhoods Initiative

Leveraging novel case management data, we present the first comprehensive investigation into the role of case management services in housing relocation and return decisions within the framework of the Choice Neighborhoods Initiative (CNI), the current place-based public housing revitalization program. Our study employs multinomial logistic (MNL) regression models to demonstrate that a higher level of involvement in case management services is correlated with an increased probability of moving to a higher-income neighborhood during the redevelopment process, as well as a greater likelihood of returning to the revitalized neighborhood afterward. By achieving these outcomes, case management services play a crucial role in enhancing the chances for original CNI residents to reap the benefits of neighborhood redevelopment—a matter of enduring concern among social scientists. These findings are contextualized with both sociodemographic and neighborhood characteristics associated with relocation and return decisions.

682 Impact of Regionalisation of Major Trauma Services on Hip Fracture Care in England: A Comparative Study

Abstract Aim Following the establishment of Major Trauma Networks in England in 2012, there were concerns that pressures regarding resource allocation in Major Trauma Centres (MTCs) may negatively impact their care of hip fracture patients. This study aimed to compare outcomes in hip fracture care between MTCs and trauma units (TUs). Method National Hip Fracture Database data was extracted from 01/01/2015 to 31/12/2022 for all hospitals in England. Outcome measures included perioperative medical and physiotherapy assessments, time to surgery, Best Practice Tariff (BPT) compliance, discharge to original residence, and mortality. Data was pooled and weighted for MTCs and remaining hospitals (TUs). Results 487,089 patients were included from 167 hospitals (23 MTCs, 144 TUs). MTCs achieved marginally higher rates of orthogeriatrician assessment within 72 hours of admission (91.1% vs 90.4%, p<0.001) and mobilisation by first postoperative day (81.9% vs 79.7%, p<0.001). Fewer patients underwent surgery by the day after admission in MTCs (65.2% vs 69.7%, p<0.001). There was poorer compliance with BPT criteria in MTCs (57.3% vs 60.4%, p<0.001), and fewer MTC patients were discharged to their original residence (60.4% vs 63.5%, p<0.001). There was no difference between MTCs and TUs in 30-day mortality (6.8% vs 6.8%, p=0.825). Conclusions This study demonstrates that MTCs have greater difficulty in providing prompt surgery to hip fracture patients. However, their marginally superior perioperative care outcomes appear to compensate for this, with similar mortality rates compared to TUs. These findings suggest that the regionalisation of major trauma in England has not significantly compromised the overall care of hip fracture patients.

Emergency Department-Based Physical Function Measures for Falls in Older Adults and Outcomes: A Secondary Analysis of GAPcare.

Falls are the leading reason for injury-related emergency department (ED) visits for older adults. The Geriatric Acute and Post-acute Fall Prevention Intervention (GAPcare), an in-ED intervention combining a medication therapy management session delivered by a pharmacist and a fall risk assessment and plan by a physical therapist, reduced ED revisits at 6 months among older adults presenting after a fall. Our objective was to evaluate the relationship between measures of function obtained in the ED and clinical outcomes. This was a secondary analysis of data from GAPcare, a randomized controlled trial conducted from January 2018 to October 2019 at 2 urban academic EDs. Standardized measures of function (Timed Up and Go [TUG] test, Barthel Activity of Daily Living [ADL], Activity Measure for Post Acute Care [AM-PAC] 6 clicks) were collected at the ED index visit. We performed a descriptive analysis and hypothesis testing (chi square test and analysis of variance) to assess the relationship of functional measures with outcomes (ED disposition, ED revisits for falls, and place of residence at 6 months). Emergency department disposition status refers to discharge location immediately after the ED evaluation is complete (eg, hospital admission, original residence, skilled nursing facility). Among 110 participants, 55 were randomized to the GAPcare intervention and 55 received usual care. Of those randomized to the intervention, 46 received physical therapy consultation. Median age was 81 years; participants were predominantly women (67%) and White (94%). Seventy-three (66%) were discharged to their original residence, 14 (13%) were discharged to a skilled nursing facility and 22 (20%) were admitted. There was no difference in ED disposition status by index visit Barthel ADLs (P = .371); however, TUG times were faster (P = .016), and AM-PAC 6 clicks score was higher among participants discharged to their original residence (P ≤ .001). Participants with slower TUG times at the index ED visit were more likely to reside in nursing homes by six months (P = .002), while Barthel ADL and AM-PAC 6 clicks did not differ between those residing at home and other settings. Measures of function collected at the index ED visit, such as the AM-PAC 6 clicks and TUG time, may be helpful at predicting clinical outcomes for older adults presenting for a fall. Based on our study findings, we suggest a novel workflow to guide the use of these clinical measures for ED patients with falls.

The 'Discovery' of Gentrification

This paper examines the rise of gentrification in 1970s Amsterdam, based on coverage of the Jordaan neighborhood in Het Parool and a limited number of other Dutch newspapers. Although the term was not yet common at the time, newspaper articles from the 1970s already show a critical attitude toward social change in a working-class neighborhood. Far before policymakers were talking about it, journalists identified the negative effects of gentrification, such as rising rents and a loss of neighborhood identity. The resistance and criticisms of Het Parool and original residents bear striking similarities to contemporary criticisms on gentrification, as visible in the mocking and stereotyping of gentrifiers. Interestingly, developments in American cities were used as a frame of reference for Dutch newspapers in this regard. This exploration of the initial phase of gentrification in Amsterdam shows that both residents and journalists have always viewed the process of gentrification with suspicion.

Resilience, Emotional Reactivity, Positive Attachment and Alienation among Adolescents of Indian Origin Residing in Australia

Resilience, Emotional Reactivity, Positive Attachment and Alienation among Adolescents of Indian Origin Residing in Australia

DXA-based appendicular composition measures in healthy aging Caucasian Greek women: a cross-sectional study.

As the global population of older persons increases, age-related medical conditions will have a greater impact on public health. DXA-derived bone and soft tissue metrics are associated with adverse clinical events in aging persons. This study aims to investigate the regional body composition of the appendices by whole-body DXA scans, and the age-related relationships between measures of bone and soft tissue in healthy Caucasian females of a Greek origin residing in the Mediterranean area. Body composition of the legs and the arms was analyzed, and lean mass (LM) and fat mass (FM) metrics were calculated in 330 women aged 20-85years, using DXA. Peak bone mineral density (BMD) of the legs and arms was achieved between ages 20-30 and 41-50years, respectively. The overall BMD reduction with age was for the legs 43% and the arms 32.2% (p < 0.001). Peak %LM of the legs and the arms was achieved between ages 20-30. The overall reduction of %LM with age was for the legs 22.5% (p < 0.001) and arms 6.6% (p < 0.05). Peak %FM of the legs and arms was attained between ages 31-40 and 61-70, respectively. The overall %FM reduction with age was for the legs and arms 7.5% and 1.9% (p > 0.05). In appendicular sites, Greek women reach peak values of bone mass in the legs first, in early adulthood. Bone loss predominates in the legs as women age. Also, with advancing age Greek women show preferential significant decreases of %LM and %FM in the legs as opposed to the arms. Although variation in appendicular bone and soft tissue metrics is present, the implications of variable biological crosstalks among the tissue components as women age may ultimately lay the foundation for future clinical trials aimed at healthy aging.

Gentrification outcomes of greening in different urbanization stages: A longitudinal analysis of Chinese cities, 2012–2020

Green-space-triggered gentrification, wherein original residents are displaced by wealthier individuals owing to the creation of new green spaces, has been criticized for exacerbating environmental injustice. While previous studies have explored green-space-triggered gentrification in individual cities, few have examined heterogeneities across multiple cities, especially in developing countries where cities are at different stages of expansion. The roles of green space in different stages of urbanization can produce varying outcomes of gentrification. This study investigated the relationship between green space and gentrification in Chinese cities from 2012 to 2020. The normalized difference vegetation index (NDVI), distance to adjacent parks, and area of adjacent parks were used as indicators of green space, while nighttime lights and residential land prices were used as proxies for gentrification. Nationwide analyses indicated that both increasing NDVI and building new parks nearby could lead to gentrification, but the park area had a marginal effect. Stratified analyses further showed that the effect of green space on gentrification was related to the different roles of green space associated with the stage of urbanization. Cities with higher urbanization rates were more affected by NDVI but less affected by park distance. Our findings provide insights for urban planners and decision-makers on developing localized strategies that mitigate the varying outcomes of gentrification at different stages of urban development.

IMPACT OF REGIONALIZATION OF MAJOR TRAUMA SERVICES ON HIP FRACTURE CARE IN ENGLAND: A COMPARATIVE STUDY

Following the establishment of regional Major Trauma Networks in England in 2012, there were concerns that pressures regarding resource allocation in Major Trauma Centres (MTCs) may have a detrimental impact on the care of patients with hip fractures in these hospitals. This study aimed to compare outcomes in hip fracture care between MTCs and trauma units (TUs).National Hip Fracture Database data was extracted from 01/01/2015 to 31/12/2022 for all hospitals in England. Outcome measures included perioperative medical and physiotherapy assessments, time to surgery, consultant supervision in theatre, Best Practice Tariff (BPT) compliance, discharge to original residence, and mortality. Data was pooled and weighted for MTCs and remaining hospitals (TUs).A total of 487,089 patients with hip fractures were included from 167 hospitals (23 MTCs and 144 TUs). MTCs achieved marginally higher rates of orthogeriatrician assessment within 72 hours of admission (91.1% vs 90.4%, p&lt;0.001) and mobilisation out of bed by first postoperative day (81.9% vs 79.7%, p&lt;0.001). A lower proportion of patients underwent surgery by the day after admission in MTCs (65.2% vs 69.7%, p&lt;0.001). However, there was significantly higher consultant surgeon and anaesthetist supervision rates during surgery in MTCs (71.8% vs 61.6%, p&lt;0.001). There was poorer compliance with BPT criteria in MTCs (57.3% vs 60.4%, p&lt;0.001), and proportionately fewer MTC patients were discharged to their original residence (63.5% vs 60.4%, p&lt;0.001). There was no difference between MTCs and TUs in 30-day mortality (6.8% vs 6.8%, p=0.825).This study demonstrates that MTCs have greater difficulty in providing prompt surgery to hip fracture patients. However, their marginally superior perioperative care outcomes appear to compensate for this, as their mortality rates are similar to TUs. These findings suggest that the regionalisation of major trauma in England has not significantly compromised the overall care of hip fracture patients.