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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Vet. Sci.</journal-id>
<journal-title>Frontiers in Veterinary Science</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Vet. Sci.</abbrev-journal-title>
<issn pub-type="epub">2297-1769</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fvets.2025.1661775</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Veterinary Science</subject>
<subj-group>
<subject>Original Research</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Enhancing rural veterinary governance: coupling veterinary human resources with public attention to animal welfare</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Xu</surname>
<given-names>Xianhang</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref rid="fn1001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2713025/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/methodology/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
</contrib>
<contrib contrib-type="author" equal-contrib="yes">
<name>
<surname>Liu</surname>
<given-names>Hong</given-names>
</name>
<xref ref-type="aff" rid="aff3"><sup>3</sup></xref>
<xref rid="fn1001" ref-type="author-notes"><sup>&#x2020;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3194934/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Yang</surname>
<given-names>Jiejing</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="aff" rid="aff4"><sup>4</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Arshad</surname>
<given-names>Mohd Anuar</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/1403513/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/supervision/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>He</surname>
<given-names>Yinglei</given-names>
</name>
<xref ref-type="aff" rid="aff5"><sup>5</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/3194872/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/visualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Chen</surname>
<given-names>Qianqian</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<role content-type="https://credit.niso.org/contributor-roles/formal-analysis/"/>
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<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Yu</surname>
<given-names>Chenshu</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
</contrib>
</contrib-group>
<aff id="aff1"><sup>1</sup><institution>School of Management, Chongqing Institute of Engineering</institution>, <addr-line>Chongqing</addr-line>, <country>China</country></aff>
<aff id="aff2"><sup>2</sup><institution>School of Management, Universiti Sains Malaysia</institution>, <addr-line>Penang</addr-line>, <country>Malaysia</country></aff>
<aff id="aff3"><sup>3</sup><institution>School of Economics and Management, Tianjin Tianshi College</institution>, <addr-line>Tianjin</addr-line>, <country>China</country></aff>
<aff id="aff4"><sup>4</sup><institution>School of Business, Henan Kaifeng College of Science Technology and Communication</institution>, <addr-line>Kaifeng</addr-line>, <country>China</country></aff>
<aff id="aff5"><sup>5</sup><institution>School of Foreign Languages and Literature, Heilongjiang University</institution>, <addr-line>Harbin</addr-line>, <country>China</country></aff>
<author-notes>
<fn fn-type="edited-by" id="fn0003">
<p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/2695541/overview">April A. Kedrowicz</ext-link>, North Carolina State University, United States</p>
</fn>
<fn fn-type="edited-by" id="fn0004">
<p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3036933/overview">Darlington David Faijue</ext-link>, City University of London, United Kingdom</p>
<p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/3147880/overview">Alwyn Tan</ext-link>, National Parks Board, Singapore</p>
</fn>
<corresp id="c001">&#x002A;Correspondence: Jiejing Yang, <email>yangjiejing1989@gmail.com</email>; Mohd Anuar Arshad, <email>anuar_arshad@usm.my</email>; Qianqian Chen, <email>04390@cqie.edu.cn</email></corresp>
<fn fn-type="equal" id="fn1001"><p><sup>&#x2020;</sup>These authors have contributed equally to this work</p></fn>
</author-notes>
<pub-date pub-type="epub">
<day>25</day>
<month>09</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>12</volume>
<elocation-id>1661775</elocation-id>
<history>
<date date-type="received">
<day>11</day>
<month>07</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>08</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2025 Xu, Liu, Yang, Arshad, He, Chen and Yu.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>Xu, Liu, Yang, Arshad, He, Chen and Yu</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<abstract>
<sec id="sec1">
<title>Objective</title>
<p>This study aims to evaluate the coordination between veterinary human resources (VHR) and public awareness of animal welfare (PAAW) within the context of rural veterinary governance in China. It investigates how mismatches between institutional service capacity and public demand affect the development of animal health systems and human&#x2013;animal relationships.</p>
</sec>
<sec id="sec2">
<title>Methods</title>
<p>The study proposes a framework to examine the coupling between veterinary service supply and public awareness through the VHR and PAAW subsystems across 31 Chinese provinces from 2014 to 2023. It calculates annual scores using the entropy weight method, checks causal links with a panel vector autoregression (PVAR) model, and assesses coordination using the coupling coordination degree (CCD) model to assess their alignment. The relative development degree (RDD) model is further applied to evaluate development imbalances, while geographic information system (GIS) mapping visualizes spatial coordination patterns.</p>
</sec>
<sec id="sec3">
<title>Results</title>
<p>PAAW has steadily increased in most areas, while VHR has grown more slowly. There is a unidirectional relationship where VHR significantly drives PAAW, but the reverse effect is weak. The overall CCD remains low, with most provinces showing a &#x201C;VHR Lag&#x201D; type, pointing to structural imbalances in supply&#x2013;demand coordination.</p>
</sec>
<sec id="sec4">
<title>Conclusion</title>
<p>The study highlights the need to enhance the veterinary workforce and promote public engagement to improve animal health governance. The proposed framework offers a transferable tool for assessing implementation gaps and regional disparities in veterinary service provision, contributing to integrated approaches that connect veterinary systems, public awareness, and rural development.</p>
</sec>
</abstract>
<kwd-group>
<kwd>veterinary human resources</kwd>
<kwd>animal welfare</kwd>
<kwd>public awareness</kwd>
<kwd>coupling coordination degree</kwd>
<kwd>rural governance</kwd>
</kwd-group>
<counts>
<fig-count count="10"/>
<table-count count="5"/>
<equation-count count="11"/>
<ref-count count="81"/>
<page-count count="18"/>
<word-count count="12397"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Veterinary Humanities and Social Sciences</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec5">
<label>1</label>
<title>Introduction</title>
<p>Public interest in human&#x2013;animal relationships has grown noticeably in recent years (<xref ref-type="bibr" rid="ref1">1</xref>). The quality of relationships affects not only animals&#x2019; survival but also human emotional support, mental health, and social ethics (<xref ref-type="bibr" rid="ref2">2</xref>). Ensuring both physical health and emotional well-being of animals has become increasingly important, and animal welfare is now studied across many different fields (<xref ref-type="bibr" rid="ref3">3</xref>). Most research so far has looked at things like animal nutrition, disease control, and living conditions. But there has been little focus on how public awareness, service systems, and animal welfare work together as a whole (<xref ref-type="bibr" rid="ref4">4</xref>, <xref ref-type="bibr" rid="ref5">5</xref>). One major problem is public needs and service supply often do not match, which has become a serious barrier to putting animal welfare into practice (<xref ref-type="bibr" rid="ref6">6</xref>).</p>
<p>In rural and developing areas, local veterinary services are the main support for animal care (<xref ref-type="bibr" rid="ref7">7</xref>). They are responsible for preventing disease outbreaks, treating common diseases, and guiding animal husbandry practices (<xref ref-type="bibr" rid="ref8">8</xref>). How well they work mainly depends on human resources&#x2014;how many veterinarians are available, how skilled they are, and how they are rewarded (<xref ref-type="bibr" rid="ref9">9</xref>). At the same time, more people are paying attention to animal health and welfare. This is evident in the frequency of online search activities and digital discourse (<xref ref-type="bibr" rid="ref10">10</xref>). These actions are now a key driving force for improving public services and animal care (<xref ref-type="bibr" rid="ref11">11</xref>).</p>
<p>In this context, rural veterinary governance has become a critical link in advancing animal health and public interest (<xref ref-type="bibr" rid="ref12">12</xref>). There is growing recognition that public attention and veterinary service capacity must be jointly considered to ensure responsive and inclusive animal health systems (<xref ref-type="bibr" rid="ref13">13</xref>). Many countries are now bringing veterinary services, disease control, and public awareness into one system to build stronger and more responsive health systems (<xref ref-type="bibr" rid="ref14">14</xref>). Under this approach, public attention to animal welfare (PAAW) is not just about ethics. It also affects public safety and the ability of systems to respond (<xref ref-type="bibr" rid="ref15">15</xref>).</p>
<p>However, most current studies still examine veterinary human resources (VHR) and PAAW as separate dimensions. They often miss the possible link between supply and demand, and the risks of mismatch across regions. In rural areas, especially, the lack of information and limited resources make this imbalance worse. These gaps hinder effective coordination between veterinary infrastructure and public expectations at the local level.</p>
<p>To address this issue, this study removes the emphasis on theoretical framings, such as One Health, and instead focuses on the practical coordination between service provision and public concern in rural animal health governance. It develops an analysis framework by combining statistical yearbook data with online search data to examine the coupling dynamics between service supply and public awareness. Focusing on the VHR and PAAW subsystems, the study examines their development, relationship, and coordination across regions. While centered on the case of China, the study also aims to provide insights for developing countries seeking to build data-driven, public-oriented animal health systems. Accordingly, the study raises the following research questions (RQs):</p>
<disp-quote>
<p><italic>RQ1</italic>: How can a multi-dimensional index system be constructed and applied to assess the levels of VHR and PAAW?</p>
</disp-quote>
<disp-quote>
<p><italic>RQ2</italic>: Is there a causal relationship between VHR and PAAW?</p>
</disp-quote>
<disp-quote>
<p><italic>RQ3</italic>: What are the spatiotemporal characteristics of coordination between VHR and PAAW?</p>
</disp-quote>
<p>This study develops a framework linking veterinary services and public awareness through the VHR and PAAW subsystems. In this way, it moves animal welfare research from focusing on just one side to looking at how the whole system works together. On the practical side, it evaluates how well local veterinary services and public concern are aligned across regions, offering evidence to support better resource allocation and targeted governance strategies. In terms of methods, the study combines the entropy weight method, panel vector autoregression (PVAR), the coupling coordination degree (CCD) model, and geographic information system (GIS) mapping. This shows the potential for cross-disciplinary work that links animal science, rural governance, and public data analysis, offering insights into how veterinary services can better respond to social needs in underserved regions.</p>
</sec>
<sec id="sec6">
<label>2</label>
<title>Literature review</title>
<sec id="sec7">
<label>2.1</label>
<title>Veterinary human resources</title>
<p>VHR is a key part of the animal health system on the supply side (<xref ref-type="bibr" rid="ref16">16</xref>). It includes the quantity, quality, structure, and allocation efficiency of veterinary professionals (<xref ref-type="bibr" rid="ref17">17</xref>). VHR directly affects the level of technical support and public services in livestock development and plays an important role in promoting sustainable agriculture (<xref ref-type="bibr" rid="ref18">18</xref>). As a vital link between policy and local practice, veterinary stations take on basic tasks in disease prevention, animal health, and rural public services (<xref ref-type="bibr" rid="ref19">19</xref>).</p>
<p>Current research mainly focuses on the quantity and structure of VHR. Common indicators include the number of veterinary personnel per thousand livestock, the education level of personnel, and the share of senior professional titles (<xref ref-type="bibr" rid="ref20">20</xref>). However, the real challenges go beyond staff shortages. They also include the aging of rural veterinary teams, low job appeal, and limited promotion opportunities (<xref ref-type="bibr" rid="ref21">21</xref>). These issues have led to weaker professional capacity, lower motivation to serve, and higher turnover among veterinary personnel (<xref ref-type="bibr" rid="ref22">22</xref>).</p>
<p>To better reflect the structure and capacity of veterinary teams, recent studies have started to include factors like performance output and incentive systems (<xref ref-type="bibr" rid="ref17">17</xref>). For example, the work efficiency of each staff member can show how well human resources are used and how skills are applied in practice (<xref ref-type="bibr" rid="ref23">23</xref>). Income levels reflect job attractiveness and policy support, both of which matter for staff stability and long-term service delivery (<xref ref-type="bibr" rid="ref24">24</xref>). The way performance and incentives work together has become an important factor affecting the quality of local veterinary services (<xref ref-type="bibr" rid="ref25">25</xref>).</p>
<p>Overall, most studies on VHR focus on static analysis of quantity and structure. They rarely consider the combined effects of factors like performance and incentives, and few offer a systematic evaluation framework. As a result, it is hard to fully capture the differences and real issues in human resource allocation across regions. Therefore, it is necessary to build a comprehensive index with multiple indicators that reflect regional features and changing trends. This can help improve the quality of public veterinary services and support better talent planning.</p>
</sec>
<sec id="sec8">
<label>2.2</label>
<title>Public attention to animal welfare</title>
<p>PAAW shows how people think and feel about animal health, medical care, and related services (<xref ref-type="bibr" rid="ref26">26</xref>). It is increasingly seen as an important measure of social progress and public governance capacity (<xref ref-type="bibr" rid="ref27">27</xref>). With the rapid growth of digital technology, studies on public attention no longer rely only on surveys or interviews. They also use online behavior data and tools, such as search trends, social media content, and digital interactions (<xref ref-type="bibr" rid="ref28">28</xref>).</p>
<p>Studies have found that factors such as media coverage, unexpected events, and government responses often have a strong impact on PAAW issues (<xref ref-type="bibr" rid="ref29">29</xref>). This is especially clear in cases related to animal disease outbreaks, food safety incidents, or animal abuse (<xref ref-type="bibr" rid="ref30">30</xref>). For example, events like African swine fever or problems with livestock products often lead to a sharp rise in search activity, showing the emotional sensitivity and public resonance of animal welfare topics (<xref ref-type="bibr" rid="ref31">31</xref>, <xref ref-type="bibr" rid="ref32">32</xref>).</p>
<p>On the methodological side, platforms like Google Trends, Twitter, and Baidu Index are widely used to track the time patterns and geographic spread of public attention. These tools help reveal regular cycles and regional differences in interest (<xref ref-type="bibr" rid="ref33">33</xref>). In areas with higher internet use and more advanced urbanization, public attention tends to be more consistent, rational, and structured (<xref ref-type="bibr" rid="ref34">34</xref>).</p>
<p>Although existing research has made progress in both theory and method, most work still focuses on responses to specific events or general trend analysis (<xref ref-type="bibr" rid="ref35">35</xref>). There is limited attention to how public awareness connects with local public services. Recently, some scholars have begun to study how people understand animal diseases and respond to prevention services, trying to learn more about their needs and habits (<xref ref-type="bibr" rid="ref36">36</xref>). This provides new ideas for building an index that can measure public awareness while reflecting regional differences. It also helps explore how public attention relates to the allocation of veterinary service resources.</p>
</sec>
<sec id="sec9">
<label>2.3</label>
<title>The relationship between VHR and PAAW</title>
<p>VHR and PAAW form a supply&#x2013;demand relationship in animal health governance (<xref ref-type="bibr" rid="ref37">37</xref>). On the supply side, a strong and skilled veterinary team is key for disease control, welfare checks, and emergency services (<xref ref-type="bibr" rid="ref15">15</xref>, <xref ref-type="bibr" rid="ref38">38</xref>). This is especially important in rural areas, where the quantity, ability, and motivation of local veterinarians directly affect service access and response speed (<xref ref-type="bibr" rid="ref14">14</xref>). On the demand side, public awareness for animal health shows up not only in emotions and online searches, but also in public opinion and social pressure that can push for better policies and services (<xref ref-type="bibr" rid="ref13">13</xref>, <xref ref-type="bibr" rid="ref39">39</xref>).</p>
<p>Recent studies have started to examine the relationship between VHR and PAAW, drawing on the One Health framework or online data sources (<xref ref-type="bibr" rid="ref40">40</xref>, <xref ref-type="bibr" rid="ref41">41</xref>). However, much of this research remains fragmented and lacks systematic analysis, often treating VHR and PAAW as separate issues without exploring how they interact or whether supply and demand are aligned across regions. Therefore, it is necessary to build an integrated framework that connects VHR and PAAW. This can help identify supply&#x2013;demand coordination across regions and support more precise and adaptive animal health governance.</p>
</sec>
</sec>
<sec sec-type="methods" id="sec10">
<label>3</label>
<title>Methodology</title>
<sec id="sec11">
<label>3.1</label>
<title>Research design</title>
<p>The study aims to assess the development of VHR and PAAW across Chinese provinces from 2014 to 2023 and to uncover their causal relationship and coupling patterns. Based on the two dimensions of service supply and public awareness, a dual-system framework is developed. Using data from different sources and several quantitative methods, the study follows four main steps: constructing subsystem index, evaluating each subsystem, conducting causality analysis, and performing coupling coordination analysis (see <xref ref-type="fig" rid="fig1">Figure 1</xref>).</p>
<fig position="float" id="fig1">
<label>Figure 1</label>
<caption>
<p>Research process.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g001.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Flowchart illustrating a process with four main sections. At the top is "Subsystem Index Construction" featuring two subsystems: VHR with components such as workforce size, and PAAW with elements like notifiable animal diseases. Below is "Subsystem Evaluation" using the Entropy Weight Method, followed by "Causality Analysis" using PVAR Model and related tests. The bottom section is "Coupling Coordination Analysis" labeled as CCD+RDD.</alt-text>
</graphic>
</fig>
</sec>
<sec id="sec12">
<label>3.2</label>
<title>Research scope and data sources</title>
<p>While this study includes all 31 provinces of mainland China, it also refers to the conventional six-region geographic division (<xref ref-type="bibr" rid="ref42">42</xref>) (see <xref ref-type="fig" rid="fig2">Figure 2</xref>) for basic spatial orientation. However, all analyses are conducted at the provincial level, which better reflects policy implementation and veterinary governance structures.</p>
<fig position="float" id="fig2">
<label>Figure 2</label>
<caption>
<p>List of regions of China.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g002.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Map of China divided into regions by color: Northeast in light green, South Central in green, East in yellow, North in orange, Northwest in dark blue, and Southwest in purple. Regions labeled with names like Xinjiang, Qinghai, and Beijing. An inset shows Taiwan and nearby areas.</alt-text>
</graphic>
</fig>
<p>Data on VHR are sourced from the <italic>China Animal Husbandry and Veterinary Yearbook</italic>, available in the CNKI Yearbooks Database.<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> This includes information on the number of staff in township-level animal husbandry and veterinary stations (TAHVS) across provinces, as well as their technical structure, work efficiency, and salary levels. These indicators provide a comprehensive view of the supply characteristics of VHR in terms of quantity, quality, and efficiency. PAAW data come from Baidu Index.<xref ref-type="fn" rid="fn0002"><sup>2</sup></xref> Public attention is measured by tracking search interest for eight keywords closely related to animal welfare: &#x201C;avian influenza (&#x79BD;&#x6D41;&#x611F;),&#x201D; &#x201C;foot-and-mouth disease (&#x53E3;&#x8E44;&#x75AB;),&#x201D; &#x201C;pig disease (&#x732A;&#x75C5;),&#x201D; &#x201C;chicken disease (&#x9E21;&#x75C5;),&#x201D; &#x201C;animal quarantine (&#x52A8;&#x7269;&#x68C0;&#x75AB;),&#x201D; &#x201C;animal epidemic prevention (&#x52A8;&#x7269;&#x9632;&#x75AB;),&#x201D; &#x201C;animal husbandry and veterinary (&#x755C;&#x7267;&#x517D;&#x533B;),&#x201D; and &#x201C;livestock station (&#x755C;&#x7267;&#x7AD9;).&#x201D; All data were retrieved in Mandarin at the provincial level using the Baidu Index platform and are collected annually from 2014 to 2023 for use in index construction and coupling analysis.</p>
</sec>
<sec id="sec13">
<label>3.3</label>
<title>Evaluation index construction</title>
<sec id="sec14">
<label>3.3.1</label>
<title>VHR subsystem</title>
<p>As noted earlier, VHR is a key factor in ensuring animal health and supporting the development of the livestock industry (<xref ref-type="bibr" rid="ref18">18</xref>). Differences in the quantity, structure, skill, and incentives of VHR directly affect the accessibility and professionalism of veterinary services at the local level (<xref ref-type="bibr" rid="ref17">17</xref>). Based on this, the study builds a province-level evaluation index of VHR to measure regional differences in human resource allocation and service capacity.</p>
<p>Considering both data availability and comparability across provinces, the VHR subsystem is designed around four dimensions: workforce size, technical structure, work efficiency, and incentive mechanisms (see <xref ref-type="table" rid="tab1">Table 1</xref>). These indicators aim to capture how VHR supports livestock development and rural veterinary services across different regions.</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Evaluation index of VHR subsystem.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Dimension</th>
<th align="left" valign="top">Indicator</th>
<th align="left" valign="top">Unit</th>
<th align="center" valign="top">Attribute</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Workforce size</td>
<td align="left" valign="middle">Number of staff in TAHVS</td>
<td align="left" valign="middle">Person</td>
<td align="center" valign="middle">+</td>
</tr>
<tr>
<td align="left" valign="middle">Technical structure</td>
<td align="left" valign="middle">Proportion of staff with senior professional titles in TAHVS</td>
<td align="left" valign="middle">%</td>
<td align="center" valign="middle">+</td>
</tr>
<tr>
<td align="left" valign="middle">Work efficiency</td>
<td align="left" valign="middle">Annual average output per staff in TAHVS</td>
<td align="left" valign="middle">RMB</td>
<td align="center" valign="middle">+</td>
</tr>
<tr>
<td align="left" valign="middle">Incentive mechanisms</td>
<td align="left" valign="middle">Annual average salary of staff in TAHVS</td>
<td align="left" valign="middle">RMB</td>
<td align="center" valign="middle">+</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Specifically, the workforce size dimension is measured by the number of staff in TAHVS, reflecting the overall supply capacity of local human resources in each region (<xref ref-type="bibr" rid="ref43">43</xref>). The technical structure dimension is represented by the proportion of staff with senior professional titles, indicating the technical composition and qualification level of local veterinary teams (<xref ref-type="bibr" rid="ref44">44</xref>). The work efficiency dimension is assessed by the annual average output per staff, which reflects the economic contribution per person and the service performance of the workforce (<xref ref-type="bibr" rid="ref45">45</xref>). The incentive mechanisms dimension is measured by the annual average salary of staff, representing the strength of institutional support and the attractiveness of the position (<xref ref-type="bibr" rid="ref46">46</xref>).</p>
<p>Unlike existing studies that focus mainly on static workforce size or educational background, this study incorporates efficiency and incentive dimensions to enable a more comprehensive assessment of VHR. The index covers four aspects: quantity, structure, efficiency, and incentives. It gives a clear picture of the overall strength of local veterinary teams in different regions and provides a solid base for the next-step coupling analysis with PAAW.</p>
</sec>
<sec id="sec15">
<label>3.3.2</label>
<title>PAAW subsystem</title>
<p>As discussed above, PAAW has become an important social force driving improvements in local veterinary service systems (<xref ref-type="bibr" rid="ref26">26</xref>). Public attention to animal diseases, prevention behaviors, and institutional services not only reflects responsiveness at the level of information behavior but also reveals potential preferences for services and a willingness to participate in governance (<xref ref-type="bibr" rid="ref27">27</xref>). Therefore, building an index that can quantify and describe public attention across multiple dimensions helps identify how well supply and demand are aligned and where structural mismatches may exist.</p>
<p>This study draws on the three-dimensional animal welfare framework proposed by the World Organisation for Animal Health (WOAH), which includes physical health, emotional and mental state, and expression of natural behaviors (<xref ref-type="bibr" rid="ref47">47</xref>). Based on this, the PAAW subsystem is developed using four dimensions: notifiable animal diseases, common diseases, preventive measures, and the service system. The subsystem is designed to reflect both the rural context and the characteristics of online behavior (see <xref ref-type="table" rid="tab2">Table 2</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Evaluation index of PAAW subsystem.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Dimension</th>
<th align="left" valign="top">Indicator</th>
<th align="left" valign="top">Unit</th>
<th align="center" valign="top">Attribute</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle" rowspan="2">Notifiable animal diseases</td>
<td align="left" valign="middle">Avian influenza</td>
<td align="left" valign="middle">Baidu Index (points)</td>
<td align="center" valign="middle">+</td>
</tr>
<tr>
<td align="left" valign="middle">Foot-and-mouth disease</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="2">Common diseases</td>
<td align="left" valign="middle">Pig diseases</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle">Chicken diseases</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="2">Preventive measures</td>
<td align="left" valign="middle">Animal quarantine</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle">Animal epidemic prevention</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle" rowspan="2">Service system</td>
<td align="left" valign="middle">Animal husbandry and veterinary</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
<tr>
<td align="left" valign="middle">Livestock station</td>
<td align="left" valign="top">Baidu Index (points)</td>
<td align="center" valign="top">+</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>In selecting the indicators, priority was given to data availability on the Baidu Index platform, relevance to rural information-seeking behavior, and the representativeness of each keyword within animal welfare dimensions. For the notifiable animal diseases dimension, &#x201C;avian influenza&#x201D; and &#x201C;foot-and-mouth disease&#x201D; were selected to reflect public risk perception of highly pathogenic animal diseases and concern for the basic welfare condition of &#x201C;freedom from disease&#x201D; (<xref ref-type="bibr" rid="ref32">32</xref>). The common diseases dimension includes &#x201C;pig diseases&#x201D; and &#x201C;chicken diseases,&#x201D; which are closely tied to the everyday language of rural livestock keepers and signal continued public attention to frequent health issues in daily farming practices (<xref ref-type="bibr" rid="ref48">48</xref>). For preventive measures, the keywords &#x201C;animal quarantine&#x201D; and &#x201C;animal epidemic prevention&#x201D; correspond to routine tasks performed by local veterinary workers and reflect public awareness of basic disease prevention and service efforts (<xref ref-type="bibr" rid="ref49">49</xref>). Finally, in the service system dimension, &#x201C;animal husbandry and veterinary&#x201D; and &#x201C;livestock station&#x201D; were used to gauge how the public perceives the capacity, accessibility, and structure of grassroots veterinary services (<xref ref-type="bibr" rid="ref50">50</xref>).</p>
<p>All eight keywords selected in this study are directly related to the &#x201C;physical health&#x201D; dimension of animal welfare, covering animal disease prevention and control, treatment of common diseases, vaccination behaviors, and veterinary service supply. These represent the fundamental baseline of animal welfare. The keywords &#x201C;animal quarantine&#x201D; and &#x201C;animal epidemic prevention&#x201D; also reflect standardized operational procedures, which may influence animals&#x2019; emotional states and are therefore indirectly linked to the &#x201C;emotional and mental state&#x201D; dimension. Meanwhile, &#x201C;livestock station,&#x201D; as a representative of local service platforms, supports the &#x201C;expression of natural behaviors&#x201D; through its role in feeding guidance and environmental management.</p>
<p>Overall, the PAAW subsystem establishes a measurable, structured, and rural-adaptive indicator framework, providing both data and conceptual foundations for the subsequent coupling coordination analysis with the VHR subsystem.</p>
</sec>
</sec>
<sec id="sec16">
<label>3.4</label>
<title>Subsystem evaluation</title>
<p>To ensure objectivity in weight assignment, this study applies the entropy weight method to calculate indicator weights for the VHR and PAAW subsystems, and to compute the scores for each province. The entropy method is a widely used way to assign weights based on data. It helps reduce personal bias and makes the results more reliable (<xref ref-type="bibr" rid="ref51">51</xref>). However, the weights generated by this method may be sensitive to variations in data distribution and indicator selection, which could influence results. This limitation is further discussed in the limitations. The weights are calculated separately for each year to avoid interference from differences in data distribution across periods.</p>
<list list-type="simple">
<list-item>
<p>(1) Data standardization</p>
</list-item>
</list>
<p>To eliminate differences in scale and units among the indicators, the min&#x2013;max normalization method is used to transform the data into a dimensionless form.</p>
<p>For a positive indicator:</p>
<disp-formula id="E1">
<label>(1)</label>
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<mml:msub>
<mml:mi>Y</mml:mi>
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</mml:msub>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
</mml:mfrac>
</mml:math>
</disp-formula>
<p>For a negative indicator:</p>
<disp-formula id="E2">
<label>(2)</label>
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</mml:mrow>
</mml:mfrac>
<mml:mspace width="0.25em"/>
</mml:math>
</disp-formula>
<p>To avoid unreasonable outcomes where the minimum value results in a score of zero, all normalized values equal to 0 are replaced with a small constant (set at 0.01). This ensures that each indicator contributes at least minimally to the final score.</p>
<list list-type="simple">
<list-item>
<p>(2) To calculate the entropy:</p>
</list-item>
</list>
<disp-formula id="E3">
<label>(3)</label>
<mml:math id="M3">
<mml:msub>
<mml:mi>P</mml:mi>
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</mml:math>
</disp-formula>
<disp-formula id="E4">
<label>(4)</label>
<mml:math id="M4">
<mml:msub>
<mml:mi>e</mml:mi>
<mml:mi>i</mml:mi>
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</mml:msub>
<mml:mspace width="0.25em"/>
</mml:math>
</disp-formula>
<list list-type="simple">
<list-item>
<p>(3) Apply weights to the indicators:</p>
</list-item>
</list>
<disp-formula id="E5">
<label>(5)</label>
<mml:math id="M5">
<mml:msub>
<mml:mi>w</mml:mi>
<mml:mi>i</mml:mi>
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<mml:mi>j</mml:mi>
</mml:msub>
</mml:mrow>
</mml:mfrac>
</mml:math>
</disp-formula>
<list list-type="simple">
<list-item>
<p>(4) The score of a subsystem for province <italic>i</italic> in year <italic>t</italic> is calculated as:</p>
</list-item>
</list>
<disp-formula id="E6">
<label>(6)</label>
<mml:math id="M6">
<mml:msub>
<mml:mover accent="true">
<mml:mi>Y</mml:mi>
<mml:mo stretchy="true">&#x0302;</mml:mo>
</mml:mover>
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<mml:mi>Y</mml:mi>
<mml:mi mathvariant="italic">it</mml:mi>
</mml:msub>
</mml:math>
</disp-formula>
</sec>
<sec id="sec17">
<label>3.5</label>
<title>Panel vector autoregression model</title>
<p>This study assumes a causal relationship between VHR and PAAW, where both subsystems interact and evolve together within the animal health governance system. Coupling coordination requires dynamic linkages between systems rather than independent operation (<xref ref-type="bibr" rid="ref52">52</xref>). Therefore, before assessing the level of coordination, it is necessary to determine whether interaction and causality exist between them.</p>
<p>To address this, the study applies a panel vector autoregression (PVAR) model. PVAR keeps the benefits of VAR in showing how things change over time and adds the strength of panel data to handle differences across regions and improve accuracy. This approach is well suited for exploring time-based interactions and causal links in multi-actor systems (<xref ref-type="bibr" rid="ref53">53</xref>). By using the PVAR model, the study aims to uncover how VHR and PAAW influence each other over time, providing a solid foundation for the following coupling coordination analysis. The model is specified as follows:</p>
<disp-formula id="E7">
<label>(7)</label>
<mml:math id="M7">
<mml:msub>
<mml:mi>Y</mml:mi>
<mml:mrow>
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</mml:mrow>
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<mml:mn>2</mml:mn>
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<mml:mi>i</mml:mi>
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<mml:mo>+</mml:mo>
<mml:msub>
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<mml:mi>t</mml:mi>
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<mml:mrow>
<mml:mi>i</mml:mi>
<mml:mo>,</mml:mo>
<mml:mi>t</mml:mi>
</mml:mrow>
</mml:msub>
</mml:math>
</disp-formula>
<p>Here, <italic>Y<sub>i,t</sub></italic>&#x202F;=&#x202F;[<italic>VHR<sub>i,t</sub></italic>, <italic>PAAW<sub>i,t</sub></italic>]&#x2032; represents the panel vector of variables, <italic>A<sub>1</sub></italic> and <italic>A<sub>2</sub></italic> are the lag coefficient matrices to be estimated, <italic>&#x03BC;<sub>i</sub></italic> denotes region-specific fixed effects, <italic>&#x03BB;<sub>t</sub></italic> represents time fixed effects, and <italic>&#x03B5;<sub>i,t</sub></italic> is the disturbance term.</p>
<p>To ensure the validity of the PVAR model specification, unit root tests must be conducted before estimation to confirm that the variables are stationary and to avoid spurious regression. Levin&#x2013;Lin&#x2013;Chu (LLC) and Im&#x2013;Pesaran&#x2013;Shin (IPS) are two common methods used to test unit roots in panel data. Both can deal with time trends, unequal variances, and correlations across regions (<xref ref-type="bibr" rid="ref54">54</xref>). LLC is suitable for homogeneous panels, while IPS allows for heterogeneous unit root processes, making it more flexible and widely applicable (<xref ref-type="bibr" rid="ref55">55</xref>).</p>
<p>In addition to LLC and IPS, the augmented Dickey&#x2013;Fuller (ADF) test was used as a robustness check. The ADF test evaluates the null hypothesis that a unit root exists in a time series, indicating non-stationarity. Rejecting the null supports the assumption of stationarity, which is a necessary precondition for valid dynamic modeling. Although commonly applied to time series, ADF helps validate the stationarity of variables and supports the reliability of panel-based results.</p>
<p>The optimal lag order is determined using several information criteria, including the Akaike Information Criterion (AIC), Bayesian Information Criterion (BIC), and Hannan&#x2013;Quinn Information Criterion (HQIC). Based on the selected lag length, Granger causality tests and impulse response analysis are conducted. In the PVAR framework, the Granger test is used to identify the direction and strength of causality between VHR and PAAW (<xref ref-type="bibr" rid="ref56">56</xref>). The impulse response function (IRF) is then applied to examine the time-path effects of external shocks on each variable, revealing the lagged response mechanism and duration of influence between the two systems (<xref ref-type="bibr" rid="ref57">57</xref>).</p>
</sec>
<sec id="sec18">
<label>3.6</label>
<title>Coupling coordination analysis</title>
<p>To quantify the interaction between VHR and PAAW, this study constructs a coupling coordination degree (CCD) model and a relative development degree (RDD) model to assess the coupling status of the two subsystems across provinces each year.</p>
<sec id="sec19">
<label>3.6.1</label>
<title>Coupling coordination degree model</title>
<p>The coupling degree is widely used to reveal complex coupling mechanisms among systems (<xref ref-type="bibr" rid="ref58">58</xref>). The formula is as follows:</p>
<list list-type="simple">
<list-item>
<p>(1) Coupling degree</p>
</list-item>
</list>
<disp-formula id="E8">
<label>(8)</label>
<mml:math id="M8">
<mml:mi>C</mml:mi>
<mml:mo>=</mml:mo>
<mml:mn>2</mml:mn>
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<mml:mo stretchy="true">]</mml:mo>
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<mml:mo>/</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:math>
</disp-formula>
<p>Here, C represents the coupling degree between the systems. <italic>U<sub>V</sub></italic> and <italic>U<sub>A</sub></italic> denote the comprehensive contribution values of VHR and PAAW to the combined system, respectively.</p>
<list list-type="simple">
<list-item>
<p>(2) Coupling coordination degree</p>
</list-item>
</list>
<p>The level of coupling alone does not reflect the development status of the two subsystems. A high coupling degree may still occur even when both VHR and PAAW are at low levels, which differs in meaning from high-level coordination. Therefore, a coupling coordination degree (CCD) model is introduced to evaluate how well the two subsystems develop in a balanced and coordinated manner. The CCD is calculated as follows:</p>
<disp-formula id="E9">
<label>(9)</label>
<mml:math id="M9">
<mml:mi>T</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi mathvariant="italic">&#x03B1;U</mml:mi>
<mml:mi>V</mml:mi>
</mml:msub>
<mml:mo>+</mml:mo>
<mml:msub>
<mml:mi mathvariant="italic">&#x03B2;U</mml:mi>
<mml:mi>A</mml:mi>
</mml:msub>
</mml:math>
</disp-formula>
<disp-formula id="E10">
<label>(10)</label>
<mml:math id="M10">
<mml:mi>D</mml:mi>
<mml:mo>=</mml:mo>
<mml:msup>
<mml:mrow>
<mml:mo stretchy="true">(</mml:mo>
<mml:mi>C</mml:mi>
<mml:mo>&#x00D7;</mml:mo>
<mml:mi>T</mml:mi>
<mml:mo stretchy="true">)</mml:mo>
</mml:mrow>
<mml:mrow>
<mml:mn>1</mml:mn>
<mml:mo>/</mml:mo>
<mml:mn>2</mml:mn>
</mml:mrow>
</mml:msup>
</mml:math>
</disp-formula>
<p>Here, D represents the CCD, and T is the comprehensive coordination index, reflecting the joint contribution of VHR and PAAW to overall coordination. <italic>&#x03B1;</italic> and <italic>&#x03B2;</italic> are coefficients to be determined. Since VHR and PAAW are complementary and hold equal weight in their interaction, both <italic>&#x03B1;</italic> and <italic>&#x03B2;</italic> are set to 0.5.</p>
<list list-type="simple">
<list-item>
<p>(3) Classification of CCD</p>
</list-item>
</list>
<p>Following previous studies (<xref ref-type="bibr" rid="ref59">59</xref>, <xref ref-type="bibr" rid="ref60">60</xref>), this study adopts a ten-level classification to interpret CCD values, ranging from extremely uncoordinated to perfectly coordinated. The classification is shown in <xref ref-type="table" rid="tab3">Table 3</xref>. This approach allows for nuanced identification of coordination intensity across regions and time.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Classification of the CCD between VHR and PAAW.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">CCD (D)</th>
<th align="left" valign="top">0.0&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.1</th>
<th align="left" valign="top">0.1&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.2</th>
<th align="left" valign="top">0.2&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.3</th>
<th align="left" valign="top">0.3&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.4</th>
<th align="left" valign="top">0.4&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.5</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">Coordination level</td>
<td align="left" valign="middle">Extremely uncoordinated</td>
<td align="left" valign="middle">Severely uncoordinated</td>
<td align="left" valign="middle">Moderately uncoordinated</td>
<td align="left" valign="middle">Slightly uncoordinated</td>
<td align="left" valign="middle">Nearly uncoordinated</td>
</tr>
<tr>
<td align="left" valign="middle">CCD (D)</td>
<td align="left" valign="middle">0.5&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.6</td>
<td align="left" valign="middle">0.6&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.7</td>
<td align="left" valign="middle">0.7&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.8</td>
<td align="left" valign="middle">0.8&#x202F;&#x2264;&#x202F;D&#x202F;&#x003C;&#x202F;0.9</td>
<td align="left" valign="middle">0.9&#x202F;&#x2264;&#x202F;D&#x202F;&#x2264;&#x202F;1.0</td>
</tr>
<tr>
<td align="left" valign="middle">Coordination level</td>
<td align="left" valign="middle">Barely coordinated</td>
<td align="left" valign="middle">Primarily coordinated</td>
<td align="left" valign="middle">Moderately coordinated</td>
<td align="left" valign="middle">Well coordinated</td>
<td align="left" valign="middle">Perfectly coordinated</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec20">
<label>3.6.2</label>
<title>Relative development degree model</title>
<p>To explore the internal constraints affecting the coordinated development of VHR and PAAW, this study introduces the relative development degree (RDD), denoted as R, which is defined as the ratio between VHR and PAAW.</p>
<disp-formula id="E11">
<label>(11)</label>
<mml:math id="M11">
<mml:mi>R</mml:mi>
<mml:mo>=</mml:mo>
<mml:msub>
<mml:mi>U</mml:mi>
<mml:mi>V</mml:mi>
</mml:msub>
<mml:mo>&#x00F7;</mml:mo>
<mml:msub>
<mml:mi>U</mml:mi>
<mml:mi>A</mml:mi>
</mml:msub>
</mml:math>
</disp-formula>
<p>Based on the RDD values of the two subsystems and drawing on previous studies (<xref ref-type="bibr" rid="ref61">61</xref>, <xref ref-type="bibr" rid="ref62">62</xref>), the coupling development relationship between VHR and PAAW can be classified into three types: VHR lag (R&#x202F;&#x003C;&#x202F;0.9), VHR-PAAW synchronization (0.9&#x202F;&#x2264;&#x202F;R&#x202F;&#x2264;&#x202F;1.1), and PAAW lag (R &#x003E; 1.1).</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="sec21">
<label>4</label>
<title>Results</title>
<sec id="sec22">
<label>4.1</label>
<title>Subsystem evaluation results</title>
<p>According to <xref ref-type="disp-formula" rid="E1">Equations 1</xref>&#x2013;<xref ref-type="disp-formula" rid="E6">6</xref>, this study uses the entropy method to determine the weights of evaluation indicators and calculates the scores of VHR and PAAW for each province. The results are analyzed to reveal spatial patterns and regional disparities by comparing development levels across different areas.</p>
<sec id="sec23">
<label>4.1.1</label>
<title>Patterns and evolution of VHR</title>
<p>As shown in <xref ref-type="fig" rid="fig3">Figure 3</xref>, there are clear regional differences in the development of VHR across provinces in China from 2014 to 2023. Some provinces&#x2014;particularly in the southwest&#x2014;demonstrate strong and consistent growth. For example, several provinces in this region reached their highest VHR levels in 2023, indicating robust workforce expansion in local veterinary institutions. In contrast, parts of northeastern and northern China experienced earlier peaks around 2015, followed by gradual declines or stagnation, suggesting weakening or plateauing capacity in workforce renewal. VHR levels in central and eastern provinces remain relatively low throughout the study period. Some of these areas reached their lowest points around 2020, likely due to shifting policy priorities or limited investment in grassroots animal health services. Meanwhile, certain western and northwestern provinces have shown a steady upward trajectory since 2018, reflecting progress in targeted rural veterinary workforce development.</p>
<fig position="float" id="fig3">
<label>Figure 3</label>
<caption>
<p>VHR level of China&#x2019;s regions (2014&#x2013;2023). For visualization purposes only, provinces are grouped into six traditional geographic regions. All statistical analyses are conducted at the provincial level.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g003.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Line chart depicting Veterinary Human Resources (VHR) trends from 2014 to 2023 across different regions in China. North China, Northeast China, East China, South Central China, Southwest China, and Northwest China show varying trends, with South Central China peaking in 2023 and East China displaying consistent values.</alt-text>
</graphic>
</fig>
<p>To provide a more detailed view, <xref ref-type="fig" rid="fig4">Figure 4</xref> presents VHR scores at the provincial level. Provinces such as Yunnan and Sichuan consistently perform well, with Yunnan ranking first nationwide in several years and Sichuan showing steady growth since 2017. This reflects effective talent attraction mechanisms and sustained local investment. In contrast, economically developed eastern provinces such as Shanghai, Zhejiang, and Guangdong have relatively low VHR levels. This is not due to weak economic strength but rather to their industrial structure&#x2014;animal husbandry accounts for a smaller share of their economy, which limits the actual demand for veterinary talent.</p>
<fig position="float" id="fig4">
<label>Figure 4</label>
<caption>
<p>VHR level of China&#x2019;s provinces (2014&#x2013;2023). Each cell displays the VHR score for a given province and year, normalized to a 0&#x2013;1 scale using the entropy weight method. Darker colors indicate higher VHR levels. Provinces are ordered vertically following standard national administrative divisions.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g004.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Heatmap showing Veterinary Human Resources (VHR) across Chinese provinces from 2014 to 2023. Provinces are listed on the vertical axis, and years on the horizontal. Shades range from light to dark blue, indicating low to high VHR values. Yunnan shows the highest values throughout the years, while regions like Beijing and Shanghai have lower values. A color gradient bar on the right represents VHR scale from 0.1 to 0.6.</alt-text>
</graphic>
</fig>
<p>Meanwhile, regions like Ningxia, Guizhou, and Chongqing in central and western China have seen steady improvements, suggesting early progress in human resource development. However, provinces such as Hainan, Qinghai, Gansu, and Anhui continue to lag, with little sign of significant improvement. The northeastern provinces show considerable fluctuations and have not yet achieved stable development.</p>
<p>Overall, VHR development across the country follows a regional pattern: the Southwest leads, the East lags, the Northeast remains unstable, and the Central and Western regions are catching up. This reflects a structural imbalance in VHR development and highlights the urgent need for region-specific strategies to promote coordinated regional growth.</p>
</sec>
<sec id="sec24">
<label>4.1.2</label>
<title>Patterns and evolution of PAAW</title>
<p>Based on <xref ref-type="fig" rid="fig5">Figure 5</xref>, the development of PAAW reveals significant disparities across provinces from 2014 to 2023. The East region consistently recorded the highest level of public attention, peaking in 2016, indicating a high level of public awareness and sensitivity to animal welfare issues. The Northeast region also showed relatively high levels, with a trend like the East region, though with slightly greater fluctuations. The North and South Central regions maintained moderate levels, with a slight decline in recent years, possibly due to changes in industrial structure and information dissemination frequency. The Southwest region showed lower levels of public attention with noticeable fluctuations, while the Northwest region remained at the lowest level over time, reflecting a serious lack of public awareness.</p>
<fig position="float" id="fig5">
<label>Figure 5</label>
<caption>
<p>PAAW level of China&#x2019;s regions (2014&#x2013;2023). For visualization purposes only, provinces are grouped into six traditional geographic regions. All statistical analyses are conducted at the provincial level.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g005.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Line graph showing Public Attention to Animal Welfare (PAAW) from 2014 to 2023 across six regions of China: North, Northeast, East, South Central, Southwest, and Northwest. East China consistently ranks highest, while Northwest China shows the lowest attention. Trends vary, with some regions peaking in 2016 and others declining towards 2023.</alt-text>
</graphic>
</fig>
<p>To provide a more detailed spatial comparison, <xref ref-type="fig" rid="fig6">Figure 6</xref> presents PAAW levels for each province and year. The overall distribution further confirms that eastern and southeastern provinces tend to have higher PAAW levels, while western and inland regions remain comparatively lower. Guangdong, Shandong, and Jiangsu consistently ranked among the top provinces, with Guangdong leading nationwide for several years. This reflects stronger public sensitivity to animal welfare issues and better access to information in economically developed areas. Attention levels were also relatively high in provinces such as Sichuan, Zhejiang, and Henan, suggesting that animal welfare awareness is gradually expanding in some central regions. In contrast, Tibet, Qinghai, Ningxia, and Hainan stayed at the low end throughout the period, showing continued gaps in information access, education, and local systems.</p>
<fig position="float" id="fig6">
<label>Figure 6</label>
<caption>
<p>PAAW level of China&#x2019;s provinces (2014&#x2013;2023). Each cell displays the PAAW score for a given province and year, normalized to a 0&#x2013;1 scale using the entropy weight method. Darker colors indicate higher PAAW levels. Provinces are ordered vertically following standard national administrative divisions.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g006.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Heat map depicting Public Attention to Animal Welfare (PAAW) across various Chinese provinces from 2014 to 2023. Darker shades indicate higher attention levels. Guangdong consistently shows high scores, while Tibet displays the lowest. The right side features a gradient legend from light to dark green representing the range of attention scores from 0.0 to 1.0.</alt-text>
</graphic>
</fig>
<p>In general, the spatial differences in PAAW across regions come from many factors, including the level of economic development, access to information, public awareness, the quality of animal health service systems, and the distribution of the livestock industry. Future efforts should match local conditions and improve policies and outreach to help raise PAAW and support balanced development.</p>
</sec>
</sec>
<sec id="sec25">
<label>4.2</label>
<title>Causal relationship between VHR and PAAW</title>
<p>Based on <xref ref-type="disp-formula" rid="E7">Equation 7</xref>, this study uses PVAR model to check whether two subsystems are linked and if one causes changes in the other. Before analyzing how well VHR and PAAW work together, this study uses the PVAR model to test their causal relationship. The results are shown below.</p>
<sec id="sec26">
<label>4.2.1</label>
<title>Stationarity test</title>
<p>This study first checks whether the VHR and PAAW scores are stable over time. ADF tests for each province are used to simulate the IPS method (see <xref ref-type="table" rid="tab4">Table 4</xref>). The results show that 80.6% of the provinces pass the test for VHR at the 5% level, meaning the data are stable. For PAAW, 61.3% of the provinces pass the same test. Based on the rule that most provinces must pass for the data to count as stable, both VHR and PAAW are considered stable overall. So, they are suitable for the PVAR model in the next step.</p>
<table-wrap position="float" id="tab4">
<label>Table 4</label>
<caption>
<p>Stationarity analysis of VHR and PAAW.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Subsystem</th>
<th align="center" valign="top">Number of stationary provinces</th>
<th align="center" valign="top">Proportion</th>
<th align="center" valign="top">Stationarity status</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">VHR</td>
<td align="center" valign="middle">25</td>
<td align="center" valign="middle">80.6%</td>
<td align="center" valign="middle">Yes</td>
</tr>
<tr>
<td align="left" valign="middle">PAAW</td>
<td align="center" valign="middle">19</td>
<td align="center" valign="middle">61.3%</td>
<td align="center" valign="middle">Yes</td>
</tr>
</tbody>
</table>
</table-wrap>
</sec>
<sec id="sec27">
<label>4.2.2</label>
<title>Granger causality test</title>
<p>This study uses AIC, BIC, and HQIC to decide the number of lags. All three suggest using two lags. Based on this, a PVAR model with two lags is built. The Granger causality test and impulse response analysis are both carried out under this setting to check how stable and useful the model is. <xref ref-type="table" rid="tab5">Table 5</xref> shows the Granger test results for whether VHR and PAAW have a two-way causal link.</p>
<table-wrap position="float" id="tab5">
<label>Table 5</label>
<caption>
<p>Granger causality testing results of VHR and PAAW.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Original hypothesis</th>
<th align="center" valign="top">F-statistic</th>
<th align="center" valign="top"><italic>p</italic>-value</th>
<th align="left" valign="top">Conclusion</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="middle">VHR is not the Granger cause of PAAW</td>
<td align="center" valign="middle">&#x2248; 8.05</td>
<td align="center" valign="middle">&#x2248; 0.02</td>
<td align="left" valign="middle">Reject</td>
</tr>
<tr>
<td align="left" valign="middle">PAAW is not the Granger cause of VHR</td>
<td align="center" valign="middle">&#x2248; 0.41</td>
<td align="center" valign="middle">&#x2248; 0.68</td>
<td align="left" valign="middle">Do not reject</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>The results show that at the 5% level, VHR has a clear Granger causal effect on PAAW. This means that investing in VHR can help raise PAAW over time. On the other hand, the effect of PAAW on VHR is not clear. This suggests that public awareness alone is not strong enough to change the structure of veterinary services. These findings support the next step of impulse response analysis and provide a basis for building the coupling coordination model. They also show the direction in which VHR affects PAAW.</p>
</sec>
<sec id="sec28">
<label>4.2.3</label>
<title>Impulse response function analysis</title>
<p>After confirming the Granger causality between VHR and PAAW, this study uses the impulse response function (irf) to explore how the two subsystems affect each other over time. <xref ref-type="fig" rid="fig7">Figure 7</xref> shows the results of their two-way responses.</p>
<fig position="float" id="fig7">
<label>Figure 7</label>
<caption>
<p>Impulse response of VHR and PAAW.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g007.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Two line graphs compare impulse response levels over ten periods. Graph (a) "VHR to PAAW" shows a peak response followed by a decline, with a range from -0.5 to 1.5. Graph (b) "PAAW to VHR" displays a dip then a rise, ranging from -1.0 to 0.4. Both graphs include lines for impulse response estimates and 95% confidence intervals.</alt-text>
</graphic>
</fig>
<p>Findings indicate that a positive shock to VHR leads to a clear positive response in PAAW starting in the first period. The effect peaks in the second period, then gradually weakens and levels off after the fifth period. This suggests that VHR has a strong and sustained influence on PAAW in the medium term.</p>
<p>In contrast, the response of VHR to a shock from PAAW appears weak and volatile, with no consistent direction or pattern. While this supports the short-term unidirectional relationship identified by the Granger test, it does not necessarily rule out longer-term or indirect feedback effects. Institutional inertia or policy delays may obscure potential responses to public attention, which could become more apparent over longer time horizons. Further research could explore whether public attention exerts delayed or mediated influence on resource allocation through other channels.</p>
<p>In short, the IRF analysis confirms that VHR plays a leading and important role in raising PAAW. These results also provide evidence for the next step&#x2014;analyzing the coordination between VHR and PAAW.</p>
</sec>
</sec>
<sec id="sec29">
<label>4.3</label>
<title>Coupling coordination results</title>
<sec id="sec30">
<label>4.3.1</label>
<title>Coordination level analysis</title>
<p>Based on <xref ref-type="disp-formula" rid="E8">Equations 8</xref>&#x2013;<xref ref-type="disp-formula" rid="E10">10</xref>, the CCD between VHR and PAAW is calculated, reflecting the extent to which public demand aligns with veterinary service capacity. As shown in <xref ref-type="fig" rid="fig8">Figure 8</xref>, for visualization purposes, CCD values are displayed by grouping provinces into six traditional geographic regions. While this provides a general sense of spatial distribution, all analytical interpretations are conducted at the provincial level.</p>
<fig position="float" id="fig8">
<label>Figure 8</label>
<caption>
<p>CCD level of China&#x2019;s regions (2014&#x2013;2023). For visualization purposes only, provinces are grouped into six traditional geographic regions. All statistical analyses are conducted at the provincial level.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g008.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Line graph showing the Coupling Coordination Degree from 2014 to 2023 for six regions in China: North, Northeast, East, South Central, Southwest, and Northwest. North China, represented by a red line, starts at around 0.530 and trends slightly downward overall. Northeast China, in orange, shows a similar pattern but ends higher in 2023. East China, in purple, maintains a relatively stable trajectory. South Central China, shown in light purple, trends downward. Southwest China, in blue, has noticeable fluctuations with a rise in 2023. Northwest China, in green, starts lowest but gradually increases, ending just below 0.450.</alt-text>
</graphic>
</fig>
<p>From 2014 to 2023, CCD trends varied across provinces. The South Central region provinces remained in the barely coordinated state throughout the period, indicating limited but stable interaction between the two systems. The Northeast, North, and East regions reached relatively high levels around 2015 but then declined. The drop in the East was especially sharp, with some years falling to the lower end of the coordinated range. The Southwest region remained stable, with small fluctuations, and consistently stayed in the barely coordinated range. The Northwest region remained at a low level throughout the period. In some years, it fell into the nearly or slightly uncoordinated state, reflecting weak interaction between the two systems.</p>
<p>A more detailed analysis at the provincial scale is presented in <xref ref-type="fig" rid="fig9">Figure 9</xref>, which shows CCD scores for selected years (2014, 2017, 2020, and 2023). The results indicate that most provinces remained in the &#x201C;barely coordinated&#x201D; to &#x201C;moderately coordinated&#x201D; range (between 0.5 and 0.8) throughout the observation period.</p>
<fig position="float" id="fig9">
<label>Figure 9</label>
<caption>
<p>CCD level of China&#x2019;s provinces. CCD between VHR and PAAW across China&#x2019;s provinces in selected years (2014, 2017, 2020, and 2023). CCD values range from 0.0 to 1.0 and are classified into ten levels from &#x201C;extremely uncoordinated&#x201D; to &#x201C;perfectly coordinated.&#x201D; Darker colors indicate stronger coordination between the two subsystems.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g009.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four maps depict changes in data across regions of China from 2014 to 2023. Each map shows a color gradient from light to dark purple, representing values from 0.0 to 1.0, with darker shades indicating higher values. Maps A, B, C, and D correspond to the years 2014, 2017, 2020, and 2023, respectively. The regions with the highest values are concentrated in the south-central and southeastern areas throughout these years, shown in the darkest purple. A small inset map appears in the southeast corner of each panel.</alt-text>
</graphic>
</fig>
<p>Provinces like Jiangsu, Shandong, Sichuan, and Yunnan maintained high CCD levels, mostly in the &#x201C;Primarily&#x201D; to &#x201C;Moderately coordinated&#x201D; range (between 0.6 and 0.8), with some years approaching &#x201C;well coordinated&#x201D; status. Beijing, Zhejiang, and Guangdong&#x2014;despite being economically developed&#x2014;showed relatively stable CCD. Though there were small fluctuations, they generally remained within the &#x201C;barely&#x201D; to &#x201C;primarily coordinated&#x201D; range (between 0.5 and 0.7).</p>
<p>In contrast, less developed western provinces such as Tibet, Qinghai, Ningxia, and Gansu remained mostly in the &#x201C;Uncoordinated state&#x201D; (below 0.5), indicating much weaker CCD performance between VHR and PAAW.</p>
<p>In summary, the CCD distribution across provinces reveals a clear spatial pattern. Provinces with stronger economic bases and more established veterinary systems tend to achieve better coordination between supply and demand. Conversely, provinces with limited investment in veterinary infrastructure or public awareness show persistently low coordination levels.</p>
<p>These findings underscore the need for province-specific strategies to strengthen the alignment between service capacity and public expectations. Improving CCD requires simultaneous attention to workforce development, digital outreach, and governance consistency&#x2014;especially in provinces with historically weak performance. Tailored interventions in these areas will help promote a more balanced and integrated animal health governance system across China.</p>
</sec>
<sec id="sec31">
<label>4.3.2</label>
<title>Coordinated development patterns</title>
<p>The relative development degree (RDD) is calculated using <xref ref-type="disp-formula" rid="E11">Equation 11</xref>. Based on the RDD classification, the coupling relationship between VHR and PAAW is divided into three types: VHR lag, PAAW lag, and VHR-PAAW synchronization (see <xref ref-type="fig" rid="fig10">Figure 10</xref>).</p>
<fig position="float" id="fig10">
<label>Figure 10</label>
<caption>
<p>Coordinated development patterns of VHR and PAAW.</p>
</caption>
<graphic xlink:href="fvets-12-1661775-g010.tif" mimetype="image" mime-subtype="tiff">
<alt-text content-type="machine-generated">Four maps of China from 2014, 2017, 2020, and 2023 show regional classifications. Regions are color-coded: green for VHR Lag, orange for VHR-PAAW Synchronization, blue for PAAW Lag, and white for unstudied areas. Each map indicates changes in these classifications over the years, highlighting temporal and spatial variations across different regions, such as Sichuan, Gansu, and more. A legend provides color meanings.</alt-text>
</graphic>
</fig>
<p>In terms of spatial and temporal patterns, the &#x201C;VHR lag&#x201D; type is the most common. It is widely found in South Central and East China, such as Henan, Hunan, Jiangxi, Anhui, and Fujian, as well as Sichuan in Southwest China. These provinces are characterized by intensive livestock production and rising PAAW. The persistent lag in VHR suggests that local veterinary services have not kept pace with growing public demand, especially in areas such as disease prevention, diagnosis, and health management.</p>
<p>The &#x201C;PAAW lag&#x201D; type mainly appears in the Northeast and Northwest regions, such as Heilongjiang, Inner Mongolia, and Gansu. Although these places have relatively strong veterinary capacity, low PAAW levels suggest challenges in information access, farming practices, or public awareness. The &#x201C;VHR-PAAW synchronization&#x201D; type appears only in a few provinces and specific years, such as Fujian, Liaoning, and Shaanxi. These cases often result from short-term factors like policy shifts, disease outbreaks, or media coverage. They tend to be temporary, which suggests that the coordination between supply and demand systems is not yet stable or sustained.</p>
<p>In summary, the overall relationship between VHR and PAAW shows a supply&#x2013;demand mismatch. This reflects ongoing gaps between institutional support, resource allocation, service capacity, and public awareness. To achieve coordinated development, it is necessary to strengthen local veterinary service systems while also improving public understanding of animal welfare.</p>
</sec>
</sec>
</sec>
<sec sec-type="discussion" id="sec32">
<label>5</label>
<title>Discussion</title>
<sec id="sec33">
<label>5.1</label>
<title>Interpretation of key findings</title>
<p>This study assessed the development levels of VHR and PAAW across Chinese provinces from 2014 to 2023. It explored their causal relationship and coupling coordination patterns. The findings support some existing studies while also offering new insights.</p>
<sec id="sec34">
<label>5.1.1</label>
<title>Spatial disparities in VHR and PAAW</title>
<p>In terms of VHR, the Southwest region&#x2014;especially Yunnan and Sichuan&#x2014;shows strong capacity in resource allocation and continued investment. These areas have made clear progress in attracting veterinary talent and building local service systems. In contrast, eastern developed provinces like Shanghai, Zhejiang, and Guangdong have relatively low VHR levels. This is mainly due to their industrial structure, which focuses on services and high-end manufacturing, with limited demand for veterinary services because of the smaller livestock sector. These findings reveal structural differences in China&#x2019;s animal health system across regions (<xref ref-type="bibr" rid="ref63">63</xref>).</p>
<p>Regarding PAAW, public attention remains high in coastal and northeastern regions. Provinces such as Guangdong, Shandong, and Jiangsu consistently rank at the top in Baidu search data. In contrast, PAAW levels are much lower in Central and West regions, especially in pastoral and less developed provinces. This shows clear regional disparities, shaped by differences in information access, education, institutional support, and economic development (<xref ref-type="bibr" rid="ref29">29</xref>, <xref ref-type="bibr" rid="ref34">34</xref>, <xref ref-type="bibr" rid="ref64">64</xref>, <xref ref-type="bibr" rid="ref65">65</xref>).</p>
</sec>
<sec id="sec35">
<label>5.1.2</label>
<title>Unidirectional causal relationship between VHR and PAAW</title>
<p>The Granger causality test shows that VHR has a significant impact on changes in PAAW, while the reverse path from PAAW to VHR is not significant. This supports a supply-driven mechanism, in which stronger veterinary capacity contributes to increased public awareness of animal welfare (<xref ref-type="bibr" rid="ref37">37</xref>). It also reflects the role of institutional capability in shaping public responsiveness (<xref ref-type="bibr" rid="ref66">66</xref>).</p>
<p>The impulse response analysis reinforces this finding. When VHR receives a positive shock, PAAW responds quickly, reaches a peak, and then stabilizes. This shows that improvements in VHR can have a sustained effect on public engagement in the medium term. It supports earlier findings that information and resource supply can influence public digital behavior in its early stages (<xref ref-type="bibr" rid="ref67">67</xref>).</p>
<p>However, the response from VHR to changes in PAAW is weak and unstable. This does not necessarily mean that public attention has no influence. Rather, such influence may take longer to manifest, possibly mediated through policy feedback mechanisms, budget cycles, or media-driven political agendas (<xref ref-type="bibr" rid="ref68">68</xref>, <xref ref-type="bibr" rid="ref69">69</xref>). Therefore, while current evidence highlights the leading role of VHR, future research should consider longitudinal approaches or qualitative methods (e.g., policy tracing, stakeholder interviews) to examine whether public demand gradually feeds back into institutional adjustments over time.</p>
</sec>
<sec id="sec36">
<label>5.1.3</label>
<title>Regional disparities in VHR-PAAW coordination</title>
<p>In terms of regional patterns, provinces like Jiangsu, Shandong, and Yunnan show high levels of CCD. This suggests a good match between public resource allocation and public demand. In contrast, regions in the west, such as Tibet, Qinghai, and Ningxia, remain close to or within the range of imbalance. These areas show weak system interaction and poor resource integration. Such regional differences point to an uneven coupling mechanism between service capacity and public demand across provinces (<xref ref-type="bibr" rid="ref33">33</xref>).</p>
<p>The analysis of RDD shows that most provinces fall into the &#x201C;VHR lag&#x201D; group, where PAAW grows faster than local veterinary service capacity. This reflects a common pattern in developing countries, where investment in human resources often falls behind rising public awareness of animal health (<xref ref-type="bibr" rid="ref13">13</xref>). The &#x201C;PAAW lag&#x201D; type is mostly found in the Northeast and Northwest, where basic veterinary services are in place, but public attention remains low. This may result from limited access to information, livestock structure, and cultural acceptance, suggesting that digital access and social norms shape public awareness (<xref ref-type="bibr" rid="ref70">70</xref>). The &#x201C;VHR-PAAW synchronization&#x201D; type appears only in a few provinces and usually in short periods. These cases are often driven by sudden policy actions or media events, leading to short-term changes in public attention (<xref ref-type="bibr" rid="ref29">29</xref>), and a stable coordination mechanism has yet to form.</p>
<p>The regional disparities in CCD and RDD patterns can be explained by differences in institutional environments, governance models, and communication infrastructures. For instance, Yunnan exhibits relatively high CCD levels despite being a less economically developed province. This may be attributed to strong grassroots demand for animal health services in its livestock-intensive areas and provincial efforts to expand rural veterinary access (<xref ref-type="bibr" rid="ref71">71</xref>). In contrast, Guangdong, despite its economic strength and developed infrastructure (<xref ref-type="bibr" rid="ref72">72</xref>), shows only moderate CCD levels, suggesting that public attention and veterinary resource allocation may not be well aligned or equally prioritized across sectors.</p>
<p>In the Northeast and Northwest regions, where PAAW lag is common, the presence of veterinary systems has not translated into high public engagement. Factors such as limited information access, traditional farming practices, and cultural attitudes toward animal welfare may have contributed to weak public awareness (<xref ref-type="bibr" rid="ref73">73</xref>). Meanwhile, provinces like Tibet and Qinghai remain in a persistently uncoordinated state, which may be associated with weaker institutional coordination and limited investment in rural service infrastructure. These findings suggest that beyond economic development, policy alignment and targeted public outreach play a critical role in shaping VHR-PAAW coordination.</p>
<p>Overall, VHR plays a leading role in driving changes in PAAW. However, structural imbalances and coordination gaps remain between regions. Unlike traditional approaches that treat supply and public behavior as separate issues, this study builds a joint framework linking VHR and PAAW. It reveals the dynamic interaction among institutions, resources, and public behavior. This offers a new way to understand structural mismatches in animal health systems and helps guide policy design.</p>
</sec>
</sec>
<sec id="sec37">
<label>5.2</label>
<title>Recommendations</title>
<p>The findings show that VHR plays a basic role in guiding PAAW. However, in most regions, there is still a gap between service supply and public awareness. To improve coordination, this study suggests action on talent supply, public engagement, and regional governance.</p>
<p>First, efforts should be made to strengthen local veterinary teams and improve both service access and professionalism. In regions like the West and Northeast, where VHR remains weak, more government support is needed. This includes restoring staffing plans for township veterinary stations, hiring more personnel, and making the jobs more attractive and stable. Training and continuing education should also be improved, especially to help young veterinarians work in rural areas. These steps can raise their ability in disease control, vaccination, and farming advice (<xref ref-type="bibr" rid="ref74">74</xref>). Past studies have also stressed that talent stability and technical skills are key for strong public service systems (<xref ref-type="bibr" rid="ref75">75</xref>). In addition, veterinary education should focus more on animal welfare and communication skills. This will help veterinarians better respond to public awareness (<xref ref-type="bibr" rid="ref76">76</xref>).</p>
<p>Second, public awareness of animal welfare should be improved, and more ways for public engagement and feedback should be built. This study shows that public understanding of animal health and veterinary services varies by region. In places with less access to information, people usually pay less attention to animal welfare. It is suggested to use local platforms such as rural communities, schools, and cooperatives to promote basic knowledge about animal health and welfare. These efforts should match local language and communication habits to raise public awareness of risks and responsibilities (<xref ref-type="bibr" rid="ref77">77</xref>). At the same time, tools such as satisfaction surveys, opinion collection, and complaint channels should be developed. Including public feedback in service management can make the system more responsive and open.</p>
<p>Third, region-based strategies are needed to match supply and demand. The study finds that regions differ greatly in their coordination level, causal patterns, and development stages. A single policy may not meet all needs. Local governments should design tailored measures based on local conditions (<xref ref-type="bibr" rid="ref78">78</xref>). In VHR lag areas, service capacity should be improved quickly. In PAAW lag regions, value promotion and policy guidance are needed. Where VHR and PAAW grow together, but coordination is unstable, better service and management practices should be introduced. It is also helpful for local governments to use online behavior data to support policy making. This can help track social needs and react faster. Using data in this way has proven effective for making public services more sensitive and forward-looking (<xref ref-type="bibr" rid="ref79">79</xref>).</p>
</sec>
<sec id="sec38">
<label>5.3</label>
<title>Research significance</title>
<p>This study focuses on VHR and PAAW, assessing their development, relationship, and coordination. The findings respond to the practical question of how supply and demand connect in animal welfare, while contributing new theoretical and methodological insights to current research.</p>
<p>Theoretically, this study shifts from single-focus approaches to system-based analysis. Earlier studies often examined animals&#x2019; physical conditions, individual health, or ethical issues, but few explored the interaction between service supply and public awareness. By building a dual-subsystem framework, this research demonstrates that local veterinary resources play a crucial role in welfare governance. The integration of social behavior data with service systems provides fresh theoretical support and enhances understanding of how people, institutions, and public responses interact in animal health management.</p>
<p>Practically, the study identifies alignment between VHR and PAAW across Chinese provinces, revealing clear spatial differences. Many regions show insufficient VHR or low PAAW. By measuring coordination levels and development types, the study offers data-driven and regional strategies for improving veterinary services in China and provides insights for advancing One Health practices in other developing countries.</p>
<p>Methodologically, the study builds an integrated analysis framework combining indicator development, causal analysis, and coupling coordination assessment. Using diverse data sources and integrating the entropy method, PVAR model, and CCD model, it expands empirical tools for animal welfare research. This replicable approach can serve as a reference for studying supply&#x2013;demand relationships in other public service areas, including rural healthcare and agricultural extension.</p>
</sec>
<sec id="sec39">
<label>5.4</label>
<title>Limitations and future research</title>
<p>Although this study explores the dynamic link between VHR and PAAW through a structured framework, integrated data, and empirical modeling at the provincial level, a full understanding of their interaction and structural fit still requires further development in data, methods, and spatial coverage. Future research can move forward in several directions:</p>
<p>First, the data used still has some limitations. This study relies on publicly available sources such as statistical yearbooks and Baidu Index data. While these sources are representative and comparable, Baidu search data may disproportionately reflect the attention of younger, urban, and digitally connected users, while underrepresenting rural farmers, elderly individuals, and others with limited internet access. This may affect the comprehensiveness of the PAAW indicator, particularly in remote or less-connected regions. Future studies could consider triangulating Baidu Index data with other sources such as rural survey data, local media usage reports, or field interviews to better capture public awareness across diverse demographic and geographic groups (<xref ref-type="bibr" rid="ref80">80</xref>). Additionally, the current keyword selection for PAAW relies mainly on formal or institutional terminology (e.g., &#x201C;avian influenza&#x201D;), which may not fully reflect how the public searches for related topics in everyday language. Colloquial terms such as &#x201C;bird flu&#x201D; or region-specific expressions could provide a more accurate picture of public interest. Future research should consider expanding the keyword list to include common vernacular and slang terms, thereby improving the inclusiveness and sensitivity of PAAW measurement.</p>
<p>Second, the study mainly uses quantitative methods, which limits the explanation of how the interaction works. While the models effectively capture statistical linkages and directionality, they do not fully account for the deeper institutional, cultural, or historical factors that shape these dynamics across regions. Additionally, the entropy weight method, although objective and widely used, is sensitive to the distribution and selection of indicators. Variability in input data can affect weight assignments and, consequently, influence subsystem scores and coupling results. These limitations highlight the need for mixed-methods approaches in future studies. Combining statistical models with qualitative tools&#x2014;such as case comparisons, policy discourse analysis, or stakeholder interviews&#x2014;can provide a more nuanced understanding of regional disparities and the underlying coordination mechanisms (<xref ref-type="bibr" rid="ref81">81</xref>).</p>
<p>Third, the analysis is based on provincial-level data, which does not capture differences within each region. Using 31 provinces allows for national comparison, but it misses variation between cities, counties, and rural and urban areas. Future research could build datasets at the city or county level, where possible, to better reflect local patterns and give more detailed policy support to local governments.</p>
</sec>
</sec>
<sec sec-type="conclusions" id="sec40">
<label>6</label>
<title>Conclusion</title>
<p>This study integrates the VHR and PAAW subsystems to build a framework that links service supply and public awareness across 31 Chinese provinces from 2014 to 2023. It systematically evaluates their development levels, causal relationship, and coordination status. The results show clear regional imbalances: PAAW is stronger in the East region, VHR is weaker in Central and East regions, while the Southwest shows a relative lead. The PVAR model finds a one-way causal relationship from VHR to PAAW, suggesting that local service capacity plays a key role in shaping public awareness. CCD scores reveal that most regions remain at a primary or moderate level, with some areas showing structural mismatches between supply and demand.</p>
<p>On the theoretical side, this study brings veterinary services and public attention into one analysis framework, expanding animal welfare research from a single focus to a system-based approach. On the practical side, it measures how well local veterinary capacity aligns with public awareness, and identifies regional gaps to support targeted resource planning. On the methodological side, it proposes an interdisciplinary approach combining the entropy method, PVAR model, and CCD model, offering a replicable framework for empirical research in animal health governance. This framework may inform One Health governance in other developing countries.</p>
<p>However, the study has some limitations in terms of data sources, methods, and spatial scale. It does not fully uncover the micro-level mechanisms. Future work could bring in more data types and qualitative insights to deepen the understanding of how different actors interact across multiple levels, and to further improve the design and delivery of animal health services.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec41">
<title>Data availability statement</title>
<p>Publicly available datasets were analyzed in this study. The data underlying this study are available at <ext-link xlink:href="https://index.baidu.com" ext-link-type="uri">https://index.baidu.com</ext-link> (Baidu Index) and <ext-link xlink:href="https://www.cnki.net/knavi/Yearbook.html" ext-link-type="uri">https://www.cnki.net/knavi/Yearbook.html</ext-link> (China Yearbooks Database).</p>
</sec>
<sec sec-type="ethics-statement" id="sec42">
<title>Ethics statement</title>
<p>This study uses publicly available secondary data and does not involve human or animal subjects directly.</p>
</sec>
<sec sec-type="author-contributions" id="sec43">
<title>Author contributions</title>
<p>XX: Conceptualization, Methodology, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing, Formal analysis. HL: Conceptualization, Writing &#x2013; review &#x0026; editing, Writing &#x2013; review &#x0026; editing Validation, Funding acquisition. JY: Conceptualization, Writing &#x2013; review &#x0026; editing, Funding acquisition, Validation. MA: Supervision, Writing &#x2013; review &#x0026; editing. YH: Visualization, Writing &#x2013; review &#x0026; editing. QC: Formal analysis, Writing &#x2013; original draft, Writing &#x2013; review &#x0026; editing. YC: Writing &#x2013; review &#x0026; editing, Validation.</p>
</sec>
<sec sec-type="funding-information" id="sec44">
<title>Funding</title>
<p>The author(s) declare that financial support was received for the research and/or publication of this article. This study was supported by the Chongqing Education and Research Experimental Base (Grant No. JD2024G028), Kaifeng Philosophy and Social Sciences Planning Project (Grant No. ZXSKGH-2024-1659) and the Research Plan Projects of the Tianjin Municipal Education Commission (Grant No. 2022SK154).</p>
</sec>
<sec sec-type="COI-statement" id="sec45">
<title>Conflict of interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec46">
<title>Generative AI statement</title>
<p>The authors declare that no Gen AI was used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec47">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<fn-group>
<fn id="fn0001"><p><sup>1</sup><ext-link xlink:href="https://www.cnki.net/knavi/Yearbook.html" ext-link-type="uri">https://www.cnki.net/knavi/Yearbook.html</ext-link></p></fn>
<fn id="fn0002"><p><sup>2</sup><ext-link xlink:href="https://index.baidu.com" ext-link-type="uri">https://index.baidu.com</ext-link></p></fn>
</fn-group>
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