医疗服务业与医药制造业发展耦合协调度的测度及影响因素  

On the Measurement of the Coupling Coordination Degree of Development between the Medical Services and the Pharmaceutical Industry and the Influencing Factors

作　　者：陶春海[1] 胡萌 史言信[2] TAO Chun-hai;HU Meng;SHI Yan-xin(Jiangxi University of Finance and Economics,Nanchang 330013,China)

机构地区：[1]江西财经大学统计学院,江西南昌330013 [2]江西财经大学产业经济研究院,江西南昌330013

出　　处：《当代财经》2021年第2期113-123,共11页Contemporary Finance and Economics

基　　金：国家社会科学基金重点项目“资源错配视角下我国医药制造业集聚的区域经济增长效应测度研究”(20ATJ003);深圳市哲学社会科学规划项目“资源错配视角下深圳生物医药产业集聚的区域经济增长效应测度研究”(SZ2020B017)。

摘　　要：基于耦合协调度模型,通过构建耦合协调度评价指标体系,测度我国除港澳台地区以外的31个省(直辖市、自治区)医疗服务业与医药制造业发展耦合协调度,并在对比分析医疗服务业和医药制造业发展水平对耦合协调度影响的基础上,采用分别纳入地理矩阵与嵌套矩阵的空间杜宾模型,探究医疗服务业与医药制造业发展耦合协调度的影响因素及其空间溢出效应。研究结果表明:自新医改以来,我国政府卫生投入的增加推动了医疗服务业迅猛发展,而医药制造业发展水平相对缓慢,从而导致我国医疗服务业与医药制造业耦合协调发展为初级耦合协调。固定资本投入、知识创新对本地区医疗服务业与医药制造业发展耦合协调度具有正向影响,而协同集聚、政府扶持、外商投资具有负向影响,以上各因素对邻近地区医疗服务业与医药制造业发展耦合协调度均具有正向影响。Based on the coupling coordination degree model(CCDM),this paper firstly measures the coupling coordination degree of the development of the medical service industry and the pharmaceutical manufacturing industry in China’s 31 provinces except for Hong Kong,Macao and Taiwan by constructing an index system of coupling coordination degree.Then on the basis of a contrastive analysis of the impact of the development level of the two industries on the coupling coordination degree,it explores the affecting factors on the coupling coordination degree of the two industries and its spatial spillover effect by employing the spatial Dubin model(SDM)that incorporates the geographic matrix and the nested matrix respectively.The findings show that,since China's new health care reform,the increase of government health investment has promoted the rapid development of the medical service industry,while the development of the pharmaceutical manufacturing industry has been relatively slow.Thus the coupling coordinated development of the two industries remains at a primary coupling coordination stage.Fixed capital investment and knowledge innovation have a positive effect on the degree of coupling coordinated development between the local pharmaceutical manufacturing industry and the medical service industry,while collaborative aggregation,government support and foreign investment have a negative role in it.The aforementioned factors all have a positive effect on the degree of coupling coordination of the development of the two industries in the neighboring regions.

关 键 词：医疗服务业 医药制造业 耦合协调度 溢出效应 

分 类 号：R197.1[医药卫生—卫生事业管理] F426[医药卫生—公共卫生与预防医学]