Introduction:China’s organised health system has remained outdated for decades. Current health systems in many less market-oriented countries still adhere to traditional administrative-based directives and linear planning. Furthermore, they neglect the responsiveness and feedback of institutions and professionals, which often results in reform failure in integrated care. Complex adaptive system theory (CAS) provides a new perspective and methodology for analysing the health system and policy implementation.Methods:We observed the typical case of Qianjiang’s Integrated Health Organization Reform (IHO) for 2 years to analyse integrated care reforms using CAS theory. Via questionnaires and interviews, we observed 32 medical institutions and 344 professionals. We compared their cooperative behaviours from both organisational and inter-professional levels between 2013 and 2015, and further investigated potential reasons for why medical institutions and professionals did not form an effective IHO. We discovered how interested parties in the policy implementation process influenced reform outcome, and by theoretical induction, proposed a new semi-organised system and corresponding policy analysis flowchart that potentially suits the actual realisation of CAS.Results:The reform did not achieve its desired effect. The Qianjiang IHO was loosely integrated rather than closely integrated, and the cooperation levels between organisations and professionals were low. This disappointing result was due to low mutual trust among IHO members, with the main contributing factors being insufficient financial incentives and the lack of a common vision.Discussion and Conclusions:The traditional organised health system is old-fashioned. Rather than being completely organised or adaptive, the health system is currently more similar to a semi-organised system. Medical institutions and professionals operate in a middle ground between complete adherence to administrative orders from state-run health systems and completely adapting to the market. Thus, decision-making, implementation and analysis of health policies should also be updated according to this current standing. The simplest way to manage this new system is to abandon linear top-down orders and patiently wait for an explicit picture of IHO mechanisms to be revealed after complete and spontaneous negotiation between IHO allies is reached. In the meantime, bottom-up feedback from members should be paid attention to, and common benefits and fluid information flow should be prioritised in building a successful IHO.

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The USBL (Ultra-Short Base Line) positioning system is widely used in underwater acoustic positioning systems due to its small size and ease of use. The traditional USBL positioning system is based on ‘slant range and azimuth’. The positioning error is an increasing function with the increase in distance and the positioning accuracy depends on the ranging accuracy of the underwater target. This method is not suitable for long-distance underwater positioning operations. This paper proposes a USBL positioning calculation model based on depth information for ‘rotating array and reusing elements’. This method does not need to measure the distance between the USBL acoustic array and target, so it can completely eliminate the influence of long-distance ranging errors in USBL positioning. The theoretical analysis and simulation experiments show that the new USBL positioning model based on ‘rotating array and reusing elements’ can completely eliminate the influence of the wavelength error and spacing error of underwater acoustic signals on the positioning accuracy of USBL. The positioning accuracy can be improved by approximately 90%, and the horizontal positioning error within a positioning distance of 1000 m is less than 1.2 m. The positioning method has high precision performance in the long distance, and provides a new idea for the engineering design of a USBL underwater positioning system.

Appropriate fault isolation and system reconfiguration scheme is of great significance to ensure the reliability and precision of the tightly coupled global navigation satellite system/inertial navigation system (GNSS/INS). Currently, the commonly used methods include fault isolation method and fault adaptation method. However, the performance of them is not compared and analyzed fully in the existing literatures. In this paper, the principle of them is analyzed and the performance of them under different conditions is compared in theory firstly. On this basis, to improve the effectiveness and adaptability of fault detection and isolation, an adaptive fault isolation and system reconfiguration method is proposed. The radial basis function neural network (RBFNN) is used to predict the pseudo-GNSS measurement for the measurement reconfiguration. Besides, taking the variety of observation conditions into consideration, an adaptive adjustment criterion is introduced to realize the switch of fault isolation and measurement reconfiguration. The performance of the proposed method is verified and compared with the traditional methods by using the field test data. The results show that the fault isolation method can obtain higher filtering precision than the fault adaptation method in theory, compared with these two methods, the proposed method has better adaptability to the complex environment, and can improve the reliability and precision of the navigation system effectively.

For the integration of global navigation satellite system (GNSS) and inertial navigation system (INS), real-time and accurate fault detection is essential to enhance the reliability and precision of the system. Among the existing methods, the residual chi-square detection is still widely used due to its good real-time performance and sensibility of fault detection. However, further investigation on the performance of fault detection for different observational conditions and fault models is still required. In this paper, the principle of chi-square detection based on the predicted residual and least-squares residual is analyzed and the equivalence between them is deduced. Then, choosing the chi-square detection based on the predicted residual as the research object, the influence of satellite configuration and fault duration time on the performance of fault detection is analyzed in theory. The influence of satellite configuration is analyzed from the number and geometry of visible satellites. Several numerical simulations are conducted to verify the theoretical analysis. The results show that, for a single-epoch fault, the location of faulty measurement and the geometry have little effect on the performance of fault detection, while the number of visible satellites has greater influence on the fault detection performance than the geometry. For a continuous fault, the fault detection performance will decrease with the increase of fault duration time when the value of the fault is near the minimal detectable bias (MDB), and faults occurring on different satellite’s measurement will result in different detection results.

The angle misalignment error of a USBL (Ultrashort Baseline) acoustic array is one of the major error sources of the strapdown inertial navigation system/USBL positioning system, which will directly affect the positioning accuracy of the USBL positioning system. For the traditional calibration method cannot accurately estimate the angle misalignment error due to its strict trajectory requirements in the field experiment and the high-precision layout of the transceiver array elements, a new method for estimating the angle misalignment error of a USBL acoustic array based on single transponder and dual-vector reconstruction is studied in this paper. The precondition of USBL misalignment calibration is to locate the underwater transponder accurately. In this paper, the single transponder segmentation iterative long baseline method is used to locate the underwater target transponder. The dual-vector reconstruction method is studied to control the estimation accuracy of USBL misalignment error calibration based on the traditional single transponder method, which provides a theoretical basis for the determination of the iteration times to the USBL angle misalignment error estimation module. The underwater experiment results show that the positioning error could be reduced to less than 1 m after the angle misalignment error compensation. The underwater transponder positioning and the angle misalignment error estimation of USBL could be accomplished in a circle sailing. It is a new method with good performance of high estimation accuracy, simple operation, and easy realization.