2018-2021年我国东中西部地区医防协同耦合协调度分析

Analysis of coupling coordination degree of the coordination of medical and preventive care in the eastern,central and western regions of China from 2018 to 2021

[目的]探究我国东中西部地区医防协同耦合协调度水平,为我国医防协同发展提供参考。[方法]基于文献研究法构建评价指标体系,运用熵权法和耦合协调度模型测算医防协同耦合协调度水平。[结果]2018-2021年我国东中西部地区平均耦合协调度分别为0.527、0.531、0.470,耦合协调度水平整体偏低。[结论]2018-2021年我国东中西部地区医防协同机制不完善,重医轻防现象严重,两系统发展不协调现象日益加剧,提示应提升预防在健康中国战略中的地位,逐渐改善“重医疗、轻预防”的局面,构建医疗与公共卫生有效协同机制。

Objective To explore the coupling coordination degree of the coordination of medical and preventive care in the eastern,central and western regions of China and to provide the reference for the coordinated development of medical and preventive care in China.Methods The evaluation index system was constructed based on the literature research method,and the entropy weight method and the coupling coordination degree model were used to measure the coupling coordination degree of the coordination of medical and preventive care.Results From 2018 to 2021,the average coupling coordination degree in the eastern,central and western regions of China was 0.527,0.531 and 0.470,respectively,indicating that the coupling coordination degree was generally low.Conclusions From 2018 to 2021,the coordination mechanism of medical and preventive care in China's eastern,central and western regions is not perfect.The phenomenon of prioritizing medical treatment over preventive care is prominent,and the development of the two systems is increasingly uncoordinated.It suggests that preventive care should be enhanced in the Healthy China strategy;“prioritizing medical treatment over preventive care”should be gradually changed,and an effective coordination mechanism between healthcare and public health should be established.