摘要
基于2017—2022年30个省份的面板数据,运用改进的CRITIC熵权组合赋权法和耦合协调发展模型等方法量化我国中医药服务与养老服务的耦合协调度,并探讨耦合协调度的空间联系、区域差异与动态演进特征。研究发现,2017—2022年中医药服务与养老服务的耦合协调度处于过渡调和发展阶段;空间联系不断强化,表现出显著的空间邻近性和区域集聚效应;耦合协调度的区域差异程度逐渐减小,其主要来源是区域间差异;耦合协调度存在一定的高水平和低水平俱乐部趋同特征。研究表明,中医药服务与养老服务的耦合协调水平仍有待提高,未来要加强跨区域合作,发挥空间联系的带动效应,缩小区域差距,并因地制宜制定发展措施,推动耦合协调水平向上跃迁。
Based on the panel data of 30 provinces from 2017 to 2022,this study measured the coupling coordination degree between traditional Chinese medicine services and elderly care services in China by applying the improved CRITIC entropy weight combination weighting method and the coupling coordination development model,while also further exploring the spatial connection,regional disparities,and dynamic evolutionary characteristics of the coupling coordination degree.The findings revealed that the coupling coordination degree between traditional Chinese medicine services and elderly care services was in the transitional and developmental stage from 2017 to 2022.The spatial linkage was continuously strengthened,showing significant spatial proximity and regional agglomeration effects.Regional disparities in the coupling coordination degree gradually decreased,primarily derived from the inter-regional differences.There were certain club convergence characteristics in the coupling coordination degree at both high and low level.Based on this,the study indicates that the coupling coordination level between traditional Chinese medicine services and elderly care services still needs improvement.Moving forward,it is essential to strengthen cross-regional cooperation,maximize the driving effect of spatial linkage,and narrow the regional gaps.Development measures should be formulated tailored to local conditions to promote the upward transitions in the coupling coordination degree.
作者
阮智慧
胡秋雨
杜莹莹
袁梦
苏敏艳
RUAN Zhihui;HU Qiuyu;DU Yingying;YUAN Meng;SU Minyan(School of Digital and Intelligent Medical Technology,Jiangsu Health Vocational College,Nanjing 211800;School of Management,Xuzhou Medical University,Xuzhou 221004;Office of Development Planning,Nanjing University of Chinese Medicine,Nanjing 210023,China)
出处
《南京医科大学学报(社会科学版)》
2026年第1期24-31,共8页
Journal of Nanjing Medical University(Social Sciences)
基金
高校哲学社会科学研究一般项目“积极老龄化视角下南京市老年人参与‘时间银行’互助养老意愿及影响机制研究”(20223SJYB0324)
中国卫生经济学会医药卫生体制改革第二批重点研究课题“积极应对老龄化深化医药卫生体制改革政策研究”(CHEATGZZ20250216)
国家中医药管理局监测统计研究课题“基于尺度效应的江苏省公立中医院经济运行效率特征研究”(2025JCTJD5)
江苏卫生健康职业学院校级科研项目“知行差距视角下基层医生工作动机对医疗服务质量的影响机制研究”(JKD202428)。
关键词
中医药服务
养老服务
耦合协调度
空间联系
区域差异
动态演进
traditional Chinese medicine services
elderly care services
coupling coordination degree
spatial linkage
regional disparities
dynamic evolution
