Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt

BackgroundPromoting high-level coupling coordination between the provision of medical services (PMS) and high-quality economic development (HED) has emerged as a critical issue in China’s pursuit of high-quality development and is now a significant subject of concern in the area of welfare economics...

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Main Authors: Shipeng Yang, Hongtao Yan, Yefang Gong, Siying Zeng
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-01-01
Series:Frontiers in Public Health
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpubh.2023.1298875/full
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author Shipeng Yang
Hongtao Yan
Yefang Gong
Siying Zeng
author_facet Shipeng Yang
Hongtao Yan
Yefang Gong
Siying Zeng
author_sort Shipeng Yang
collection DOAJ
description BackgroundPromoting high-level coupling coordination between the provision of medical services (PMS) and high-quality economic development (HED) has emerged as a critical issue in China’s pursuit of high-quality development and is now a significant subject of concern in the area of welfare economics.Materials and methodsBased on panel data from 11 provinces and municipalities in the Yangtze River Economic Belt, covering the period from 2010 to 2020, this study conducted an empirical analysis of the coupling coordination between PMS and HED and its influencing factors. Methods combined a comprehensive evaluation model, a coupling coordination model, and a panel Tobit model.ResultsThe study found that: (1) Regarding the overall situation in the Yangtze River Economic Belt, the overall PMS demonstrates a fluctuating upward trend, while HED fluctuates within the lower range of 0.3 to 0.4. The coupling coordination degree between PMS and HED fluctuates within the moderate range of 0.5 to 0.6. (2) In terms of the spatiotemporal evolution trends, there still exists substantial spatial disparity among provinces and municipalities within the Yangtze River Economic Belt regarding PMS; nonetheless, this gap is gradually narrowing. Significant regional disparities are also observed in HED, with Shanghai, Jiangsu, and Zhejiang leading among the provinces and municipalities in the Yangtze River Economic Belt. The coupling coordination degree between PMS and HED displays notable spatial discrepancies, where downstream areas of the Yangtze River Economic Belt such as Shanghai, Jiangsu, and Zhejiang exhibit a higher coupling coordination degree compared to other provinces and municipalities. However, most provinces and municipalities outside this group remain at a moderately coordinated stage concerning the degree of coupling coordination between PMS and HED. (3) Economic development level and local government competition had a significant negative impact on coupling coordination between PMS and HED, whereas there was a significantly positive impact on the degree of fiscal autonomy and urbanization.DiscussionThis study contributes to comprehensively understanding the coupling and coordination relationship between the PMS and HED across provinces and municipalities in the Yangtze River Economic Belt. It provides empirical evidence for the collaborative evolution of PMS and HED.
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spelling doaj.art-572c993bb5854c74807e3f69743e6e3b2024-01-05T05:02:17ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-01-011110.3389/fpubh.2023.12988751298875Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic BeltShipeng YangHongtao YanYefang GongSiying ZengBackgroundPromoting high-level coupling coordination between the provision of medical services (PMS) and high-quality economic development (HED) has emerged as a critical issue in China’s pursuit of high-quality development and is now a significant subject of concern in the area of welfare economics.Materials and methodsBased on panel data from 11 provinces and municipalities in the Yangtze River Economic Belt, covering the period from 2010 to 2020, this study conducted an empirical analysis of the coupling coordination between PMS and HED and its influencing factors. Methods combined a comprehensive evaluation model, a coupling coordination model, and a panel Tobit model.ResultsThe study found that: (1) Regarding the overall situation in the Yangtze River Economic Belt, the overall PMS demonstrates a fluctuating upward trend, while HED fluctuates within the lower range of 0.3 to 0.4. The coupling coordination degree between PMS and HED fluctuates within the moderate range of 0.5 to 0.6. (2) In terms of the spatiotemporal evolution trends, there still exists substantial spatial disparity among provinces and municipalities within the Yangtze River Economic Belt regarding PMS; nonetheless, this gap is gradually narrowing. Significant regional disparities are also observed in HED, with Shanghai, Jiangsu, and Zhejiang leading among the provinces and municipalities in the Yangtze River Economic Belt. The coupling coordination degree between PMS and HED displays notable spatial discrepancies, where downstream areas of the Yangtze River Economic Belt such as Shanghai, Jiangsu, and Zhejiang exhibit a higher coupling coordination degree compared to other provinces and municipalities. However, most provinces and municipalities outside this group remain at a moderately coordinated stage concerning the degree of coupling coordination between PMS and HED. (3) Economic development level and local government competition had a significant negative impact on coupling coordination between PMS and HED, whereas there was a significantly positive impact on the degree of fiscal autonomy and urbanization.DiscussionThis study contributes to comprehensively understanding the coupling and coordination relationship between the PMS and HED across provinces and municipalities in the Yangtze River Economic Belt. It provides empirical evidence for the collaborative evolution of PMS and HED.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1298875/fullYangtze River Economic Beltprovision of medical serviceshigh-quality economic developmentcoupling coordinationpanel Tobit model
spellingShingle Shipeng Yang
Hongtao Yan
Yefang Gong
Siying Zeng
Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
Frontiers in Public Health
Yangtze River Economic Belt
provision of medical services
high-quality economic development
coupling coordination
panel Tobit model
title Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
title_full Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
title_fullStr Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
title_full_unstemmed Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
title_short Coupling coordination of the provision of medical services and high-quality economic development in the Yangtze River Economic Belt
title_sort coupling coordination of the provision of medical services and high quality economic development in the yangtze river economic belt
topic Yangtze River Economic Belt
provision of medical services
high-quality economic development
coupling coordination
panel Tobit model
url https://www.frontiersin.org/articles/10.3389/fpubh.2023.1298875/full
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AT yefanggong couplingcoordinationoftheprovisionofmedicalservicesandhighqualityeconomicdevelopmentintheyangtzerivereconomicbelt
AT siyingzeng couplingcoordinationoftheprovisionofmedicalservicesandhighqualityeconomicdevelopmentintheyangtzerivereconomicbelt