| 引用本文：王明慧,陆天慧,徐其其.健康中国战略下河北县域健康养老资源与区域经济耦合的空间特征及政策启示[J].中国卫生政策研究,2025,18(12):58-66 |
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| 健康中国战略下河北县域健康养老资源与区域经济耦合的空间特征及政策启示 |
| 投稿时间：2025-10-29 修订日期：2025-11-26 PDF全文浏览 HTML全文浏览 |
| 王明慧，陆天慧，徐其其 |
| 华北理工大学经济管理学院 河北唐山 063210 |
| 摘要:目的 探讨河北省县域健康养老资源与区域经济耦合协调性的空间分异特征及其影响因素。方法 选取河北省94个县域作为研究对象，运用熵权法、耦合协调模型、空间自相关分析和地理探测器进行综合评价。结果 县域健康养老资源与区域经济的耦合度整体较高，但协调度层级分化显著，呈现“核心—边缘”空间格局。高协调区集中于经济发达县域，低协调区则连片分布于山区及传统农区。常住人口、社会保障与就业支出、城乡居民基本养老保险参保人数以及是否为乡村振兴重点帮扶县是影响耦合协调度的关键因素。结论 河北省县域健康养老资源与区域经济的耦合协调度总体偏低，空间极化现象突出，应实施分类指导、区域协同与精准施策，以提升协调发展水平。 |
| 关键词:县域 健康养老资源 区域经济 耦合协调 空间分异特征 |
| 基金项目:河北省社会科学发展研究课题重点课题（202401037） |
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| Spatial characteristics and policy implications of the coupling between health and elderly care resources and regional economy in county areas of Hebei province under the healthy China strategy |
| WANG Ming-hui, LU Tian-hui, XU Qi-qi |
| School of Economics and Management， North China University of Science and Technology， Tangshan Hebei 063210，China |
| Abstract:Objective To explore the spatial differentiation characteristics and influencing factors of the coupling coordination between health and elderly care resources and regional economy in counties of Hebei Province.Methods 94 counties in Hebei Province were selected as the research objects， and the entropy weight method， coupling coordination model， spatial autocorrelation analysis and geographical detector were used for comprehensive evaluation.Results The coupling degree between health and elderly care resources and regional economy in counties was generally high， but the coordination degree showed significant hierarchical differentiation， presenting a "core-periphery" spatial pattern. High coordination areas were concentrated in economically developed counties， while low coordination areas were distributed in contiguous mountainous and traditional agricultural areas. Permanent resident population， social security and employment expenditure， the number of participants in the basic old-age insurance for urban and rural residents， and whether it is a key county for rural revitalization assistance are the key factors affecting the coupling coordination degree.Conclusions The coupling coordination degree between health and elderly care resources and regional economy in counties of Hebei Province is generally low， with a prominent spatial polarization phenomenon. Therefore， classified guidance， regional coordination and precise policies should be implemented to enhance the level of coordinated development. |
| Key words:County regions Health and elderly care resources Regional economy Coupling coordination Spatial differentiation characteristics |
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