School of Hospital Economics and Management, Anhui University of Chinese Medicine, Hefei, China.
Key Laboratory of Philosophy and Social Science of Anhui Province on Data Science and Traditional Chinese Medicine Innovation and Development, Anhui University of Chinese Medicine, Hefei, China.
Front Public Health. 2024 May 7;12:1352141. doi: 10.3389/fpubh.2024.1352141. eCollection 2024.
The coordination of health service supply and regional economy is an integral path to promote China's prosperity.
Based on the coupling mechanism of health service supply and regional economy, we sampled the data from 30 provinces in China from 2009 to 2021 in this study and constructed the evaluation index system. Additionally, we calculated the coupling coordination degree (HED) of the two through the coupling coordination degree model. We further used the kernel density estimation, Moran's I index, and spatial β convergence model to assess the dynamic evolution trends, spatial aggregation effect, and spatial convergence characteristics of coupling coordination.
(1) HED in China showed a rising trend during the study period but with large regional differences, forming a gradient distribution pattern of "high in the east and low in the west." (2) The results of Kernel density estimation show that HED has formed a gradient differentiation phenomenon within each region in China. (3) HED has modeled spatial clustering characteristics during the study period, with high-value clusters mainly appearing in the eastern region and low-value clusters appearing in the northwestern region. (4) There are absolute β-convergence and conditional β-convergence trends in HED in China and the three major regions during the study period, but there is an obvious regional heterogeneity in the control factors. The research provides a reference for accurately implementing policies according to different levels of health service supply and economic development, in addition to narrowing the regional differences of the coupling coordination between the regional economy and health service supply.
协调卫生服务供给与区域经济发展是促进我国繁荣的必经之路。
本研究基于卫生服务供给与区域经济的耦合机制，选取 2009-2021 年中国 30 个省份的面板数据，构建评价指标体系，运用耦合协调度模型测算两者的耦合协调度（HED）。进一步采用核密度估计、Moran's I 指数和空间 β 收敛模型，对耦合协调的动态演进趋势、空间集聚效应和空间收敛特征进行评估。
（1）研究期间，中国的 HED 呈上升趋势，但区域差异较大，形成“东高西低”的梯度分布格局。（2）核密度估计结果表明，HED 在我国各地区内部已形成梯度分化现象。（3）HED 在研究期间具有空间聚类特征，高值集聚主要出现在东部地区，低值集聚主要出现在西北地区。（4）研究期间，中国及三大地区 HED 存在绝对β收敛和条件β收敛趋势，但控制因素存在明显的区域异质性。本研究为根据卫生服务供给和经济发展的不同水平准确实施政策提供了参考，有助于缩小区域经济与卫生服务供给耦合协调的区域差异。
