我国中部六省医疗资源配置与经济耦合协调发展的时空演变及影响因素分析

Empirical Research on Spatial-Temporal Evolution Rules and Influencing Factors of Coupling and Coordinated Development of Medical Resource Allocation and Economy in Six Provinces of Central China

目的:探讨我国中部6省医疗资源配置与经济耦合协调发展的时空演变规律及其影响因素,为促进中部6省医疗卫生事业与区域经济协同、有序发展提出合理建议。方法:综合运用耦合协调度模型与固定效应模型探究中部6省医疗资源配置与经济耦合协调发展的时空演变特征及其驱动因素。结果:2010—2020年中部6省医疗资源配置与经济发展耦合协调水平总体呈稳步上升趋势,但整体水平较低,区域差距显著。经济发展水平、产业结构、政府投入、科技投入均对中部6省医疗资源配置与经济协调发展具有正向效应。其中,经济发展水平作用最大,产业结构次之,科技投入最小。结论:中部6省应加快产业结构转型升级,提高经济发展水平,加大财政支持力度,实施差异化财政政策,不断优化医疗资源配置,促进区域医疗资源配置与经济耦合协调发展。

Objective:To explore the spatiotemporal evolution characteristics and driving factors of the degree of coupling and co-ordination between the allocation of medical resources and economic development in the six provinces in central China,so as to pro-vide rational suggestions for promoting the synergistic and orderly development of health care and regional economy in 6 central provinces.Methods:Exploring the spatial-temporal evolution of the coupling and coordinated development of healthcare resource alloca-tion and economy in 6 central provinces and its driving factors by combining the coupled coordination degree model and fixed effects model.Results:The overall level of coupling and coordination between medical resource allocation and economic development in 6 central provinces from 2010 to 2020 shows a steady upward trend,but the overall level is low,with significant regional disparities.The level of economic development,industrial structure,government investment and investment in science and technology all have a positive effect on the coordinated development of medical resource allocation and economy in 6 central provinces.The level of economic development has the greatest effect,followed by the industrial structure and the least by the investment in science and technology.Conclusion:For six central provinces,it is needed to accelerate the transformation and upgrading of their industrial structure,im-prove their economic development,increase financial support,implement differentiated fiscal policies,continuously optimize the alloca-tion of medical resources and promote the coordinated development of regional medical resource allocation and economic coupling.