京津冀医疗保障与区域经济耦合协调研究  

Coupling coordination of healthcare security with economic development in the Beijing-Tianjin-Hebei region

作　　者：汪吟寒 崔灿 刘彩 Wang Yinhan;Cui Can;Liu Cai(School of Management,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)

机构地区：[1]天津中医药大学管理学院,天津301617

出　　处：《中国医疗管理科学》2024年第6期6-12,共7页Chinese Journal Of Medical Management Sciences

基　　金：2023年度天津中医药大学研究生科研创新资金立项资助项目(YJSKC-20231039)。

摘　　要：目的了解2009年新医改后京津冀医疗保障与区域经济发展水平的耦合协调现状,为推动医疗保障制度改革提供参考。方法采用熵值法基于2009年—2020年京津冀卫生健康数据,通过耦合协调度和相对发展度分析两系统协调发展能力。结果京津冀两系统存在紧密关系,耦合度值均大于0.9。北京处于中级耦合协调,天津处于初级耦合协调,河北处于勉强耦合协调,且津冀耦合协调度存在上升趋势。北京、天津均属于医疗保障滞后型,河北属于区域经济发展滞后型。结论推动京津冀两系统协调发展,需政府加大医疗保障制度改革,还需加强各级各类医疗机构间医疗保障资源整合,提高居民就医获得感。Objective To investigate the coupling coordination between healthcare security and economic development in the Beijing-Tianjin-Hebei region following the implementation of the new medical reform in 2009,thereby providing references in the promotion of healthcare security system reforms.Methods Using the entropy method and the healthcare data in the Beijing-Tianjin-Hebei region spanning the period from 2009 to 2020,this study analyzed the capacity of the two systems to develop in a coordinated manner based on both coupling coordination degree and relative development degree.Results The two systems exhibited a strong interrelationship in the Beijing-Tianjin-Hebei region,with all the coupling degree values exceeding 0.9.In the context of coupling coordination,Beijing was characterized by an intermediate level,whereas Tianjin was at the primary level,and Hebei was at the threshold of coupling coordination.Furthermore,there was an upward trend in the coupling coordination degree in the three regions.Both Beijing and Tianjin were experiencing a relative lag in the domain of healthcare security,while Hebei was observed to be trailing in terms of economic development.Conclusion To promote the coordinated development of healthcare security and economic development in the Beijing-Tianjin-Hebei region,reform on healthcare security system should be enhanced.Additionally,there is a pressing need to enhance the integration of healthcare security resources across medical institutions at multiple levels,thereby elevating the residents'perceived accessibility to healthcare services.

关 键 词：京津冀 医疗保障 耦合协调度 经济发展 

分 类 号：R197[医药卫生—卫生事业管理]