| 引用本文：张奇林,欧阳娅婷.我国多层次医疗保障与医疗资源配置的耦合协调关系研究[J].中国卫生政策研究,2025,18(9):48-56 |
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| 我国多层次医疗保障与医疗资源配置的耦合协调关系研究 |
| 投稿时间：2025-07-29 修订日期：2025-09-10 PDF全文浏览 HTML全文浏览 |
| 张奇林，欧阳娅婷 |
| 武汉大学政治与公共管理学院 湖北武汉 430072 |
| 摘要:目的 分析多层次医疗保障与医疗资源配置的耦合协调关系，揭示两系统协调发展的障碍因素与空间差异动态演变特征。方法 基于我国31个省份（除港澳台外）的面板数据，构建多层次医疗保障与医疗资源配置指标体系，使用熵权法、耦合协调度模型、障碍度模型、Dagum基尼系数等方法分析两系统的耦合协调情况、障碍因素及空间分布特征。结果 我国多层次医疗保障与医疗资源配置的耦合协调度稳步提升，但整体水平仍然偏低，且受多重障碍因素影响；两系统耦合协调度的整体空间差异呈下降趋势，这种差异主要是由区域间差异导致的。结论 建议加强政策统筹与部门协作，提升耦合协调水平；构建高效医保支付机制，提升医疗资源供给质量；实施区域差异化政策，促进区域均衡发展。 |
| 关键词:多层次医疗保障 医疗资源配置 耦合协调 障碍因素 |
| 基金项目:教育部人文社会科学重点研究基地重大项目（22JJD630016）；国家社会科学基金后期资助重点项目（24FGLA005） |
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| Study on the coupling and coordination relationship between multi-level medical security and medical resource allocation in China |
| ZHANG Qi-lin, OUYANG Ya-ting |
| School of Political Science and Public Administration， Wuhan University， Wuhan Hubei 430072， China |
| Abstract:Objective To analyze the coupling and coordination relationship between multi-level medical security and medical resource allocation， and reveal the obstructive factors and dynamic evolution characteristics of spatial differences in the coordinated development of the two systems.Method Based on the panel data of 31 provinces in China （excluding Hong Kong， Macao and Taiwan）， a multi-level medical security and medical resource allocation index system was constructed. Entropy weight method， coupling coordination degree model， obstacle degree model， Dagum Gini coefficient and other methods were used to analyze the coupling coordination situation， obstacle factors and spatial distribution characteristics of the two systems.Result The coupling and coordination degree of multi-level medical security and medical resource allocation in our country has steadily improved， but the overall level is still relatively low and is affected by multiple obstructive factors. The overall spatial difference in the coupling coordination degree of the two systems shows a downward trend， and this difference is mainly caused by the differences between regions.Conclusion It is recommended to enhance policy coordination and departmental collaboration to improve the level of coupling and coordination. Build an efficient medical insurance payment mechanism and improve the quality of medical resource supply. Implement differentiated regional policies to promote balanced regional development. |
| Key words:Multi-level medical security Medical resource allocation Coupling and coordination Obstacle factors |
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