高质量发展视角下长三角城市群医疗服务价格与经济社会发展耦合协调分析

Analysis of Coupling and Coordination between Medical Service Prices and Economic and Social Development in the Yangtze River Delta City Cluster under a Perspective on High-Quality Development

目的:探索测量长三角城市群医疗服务价格与经济社会发展的协调性,分析存在的短板及问题,为长三角地区医疗服务价格一体化发展提供决策依据。方法:以长三角27个城市为观察样本,构建经济社会发展及医疗服务价格项目指标,采用熵权法确定各指标的权重系数,使用耦合协调度模型对两个维度的协调程度进行测量,同时基于相对发展度指标进行短板分析。结果:27个城市的经济发展及医疗服务价格变异大,耦合协调度最高为0.95,最低为0.12,协调的城市占比为67%,但各地协调发展程度变异大。其中,优质协调城市有3个,分别为上海,南京及苏州。严重失调有3个,分别为安庆、池州和宣城,主要短板是经济社会发展。结论:长三角城市群医疗服务价格与经济社会发展发展总体呈现较好的协调发展格局,但仍存在中度及严重失调地区,医疗服务价格滞后是未来改革重点。

Objective:It aims to investigate the coordination between medical service prices and economic and social development in the Yangtze River Delta urban agglomeration.It involves analyzing shortcomings and problems to provide a decision-making basis for the integrated development of medical service prices in the Yangtze River Delta Region.Methods:A total of 27 cities and municipalities in the Yangtze River Delta were selected as observation samples.Indices for economic and social development and medical service price items were constructed.Weight coefficients for each index were determined using the entropy weighting method.The degree of coordination between the two dimensions was measured by the coupled degree of coordination model.Simultaneously,a short board analysis was conducted based on the relative degree of development index.Results:The economic development and medical service price varied significantly among the 27 cities and municipalities.The highest coupled coordination degree was 0.95,the lowest was 0.12,and 67%of cities exhibited coordination.However,the degree of coordinated development varied widely across the region.There were 3 quality coordinated cities,namely Shanghai,Nanjing and Suzhou.There were 3 severely dysfunctional cities,namely Anqing,Chizhou and Xuancheng,where the main shortcoming was economic and social development.Conclusion:The general pattern of coordinated development between the price of medical services and economic and social development in the Yangtze River Delta City Cluster was positive.Nevertheless,moderate and severe dysfunctions persist,with the lagging price of medical services identified as a focal point for future reform.