摘要
为了解基层医疗卫生服务能力与经济发展的耦合协调性及变化趋势,促进二者协调发展,文章通过熵值法、综合评价函数、耦合协调度等方法评价2012—2021年中部地区基层医疗卫生服务能力与经济发展水平的耦合协调关系。结果表明,2012—2021年,中部地区基层医疗卫生服务能力与经济发展水平整体趋向协调发展,二者耦合协调度均值由0.397增长到0.709,耦合协调等级由轻度失调转变为中级协调。其中耦合协调水平最高的是河南省,达到了优质协调水平,其次是湖南省和湖北省,为良好协调发展,耦合协调水平最低的是山西省,处于中级失调阶段。中部地区虽然整体耦合协调水平较为平稳,但各个地区的协调发展仍不稳定,且出现基层医疗卫生服务能力滞后于经济发展水平的状态,仍需要进一步提高基层医疗卫生服务能力与经济发展的耦合协调度,并缩小地区间的耦合协调度差异。
This article evaluates the coupling coordination relationship between primary healthcare service capacity and economic development level in the central region from 2012 to 2021 through the entropy value method,comprehensive evaluation function,and coupling coordination degree to understand the coupling coordination between primary healthcare service capacity,economic development,and its change trend,thereby further promoting the coordinated development between the two systems.The results show that from 2012 to 2021,the capacity of primary healthcare services and the level of economic development in the central region tended to develop in a coordinated manner,and the mean value of the coupling coordination degree of the two systems grew from 0.397 to 0.709.The coupling coordination level changes from mildly dysfunctional to intermediate coordinated.The one with the highest coupling coordination level is Henan Province,reaching the level of high-quality coordination,followed by Hunan Province and Hubei Province for good-coordinated development.The one with the lowest coupling coordination level is Shanxi Province,which is at the stage of intermediate dissonance.Although the overall coupling coordination level in the central region is relatively stable,the coordinated development of each region is still unstable,with a state in which the capacity of primary healthcare services lags the level of economic development.Therefore,it is necessary to improve the coupling coordination between the capacity of primary healthcare services and economic development,and reduce the differences in the coupling coordination level between each region.
作者
马荣菲
宋天煜
吕邦亮
汤质如
MA Rongfei;SONG Tianyu;LV Bangiang;TANG Zhiru(School of Health Management,Anhui Medical University,Hefei 230032,China)
出处
《南京医科大学学报(社会科学版)》
2023年第6期517-523,共7页
Journal of Nanjing Medical University(Social Sciences)
基金
安徽医科大学医院管理研究所项目“医联体背景下基于耦合理论的慢性病分级诊疗实施效果研究”(2023gykj04)。
关键词
基层医疗服务
区域经济发展
耦合协调度
中部地区
primary healthcare service
regional economic development
coupling coordination
central region