我国省域医疗服务能力与经济耦合协调度影响因素分析OA北大核心CSTPCD

Aim:To investigate the main factors affecting the coupling degree of coordination of health care services and economy in China's provincial regions.Methods:A total of 279(31×9)sets of data on the coupling degree of coordi-nation between health care services and economy of 31 provinces(autonomous regions,municipalities directly under the Cen-tral Government)in China from 2012 to 2020 were collected.The study selects 13 influential variables from 8 aspects,in-cluding health service input,medical service utilization,resident health management level,etc,following the principle of var-iable selection and considering the characteristics of the development of medical health and economy.Tobit model analysis was used to analyze the factors that affect the coordinated development of health care services and economy.The substitution variable method was used to assess the robustness of the original regression outcomes(replacing local fiscal health expendi-ture with governmental health expenditure,while holding other variables constant).Results:The resident annual hospitaliza-tion rate[β(95%CI)was 6.403(1.270-11.555),P=0.014]and the number of effective invention patents[β(95%CI)was 1.609(0.252-2.966),P=0.020]had a promoting effect on the coordinated development of health care services and economy,while the population birth rate[β(95%CI)was-5.965(-11.501--0.429),P=0.035]had an inhibitory effect.Conclusion:Actively developing health care services to meet the needs of residents and leveraging technological in-novations to support high-quality economic development,could promote the development of the two systems.