摘要
研究综合运用熵值法、耦合协调模型与灰色关联模型,对2016—2022年长三角地区“三医”综合发展水平、耦合协调状态及驱动因素进行实证分析。结果表明,2016—2022年,长三角地区“三医”发展整体向好但呈现不均衡特征;“三医”耦合协调度整体呈上升趋势,由0.580升至0.680,从“勉强协调”进入“初级协调”阶段,但省际差异显著,呈现“浙江>江苏>长三角地区均值>安徽>上海”的阶梯式分布格局;医疗服务效率与医药产业规模是推动“三医”协同发展的关键因素,灰色关联度分别为0.873和0.807。基于此,应推动“三医”均衡同步发展,破除政策壁垒,因地制宜选择差异化发展路径,构建“效率—规模”双轮驱动机制,以促进长三角地区“三医”协同发展。
This study employs the entropy method,coupling coordination degree model,and grey relation analysis to conduct an empirical analysis of the comprehensive development level,coupling coordination status,and driving factors of the“medical-insurance-medicine linkage”system in the Yangtze River Delta region from 2016 to 2022.The results indicate that from 2016 to 2022,the overall development of this system in the Yangtze River Delta region improved,but remained unbalanced characteristics.The coupling coordination degree showed an overall upward trend,increasing from 0.580 to 0.680,progressing from“barely coordinated”to“primarily coordinated”.However,substantial inter-provincial disparities were observed,presenting a stepwise distribution pattern of Zhejiang>Jiangsu>Yangtze River Delta region mean>Anhui>Shanghai Municipality.The efficiency of medical services and the scale of the pharmaceutical industry were identified as key factors to promote the coordinated development of the“medical-insurance-medicine linkage”system,with grey relational degrees of 0.873 and 0.807,respectively.Based on these findings,it is vital to promote balanced and synchronous development of the“medical-insurance-medicine linkage”system,eliminate policy barriers,adopt tailored development paths according to local conditions,and establish a dual driving mechanism focusing on efficiency and scale to foster the coordinated development of the“medical-insurance-medicine linkage”system in the Yangtze River Delta region.
作者
郭瑞瑞
李德勋
邓晶
汪士龙
宋丹
GUO Ruirui;LI Dexun;DENG Jing;WANG Shilong;SONG Dan(School of Pharmaceutical Economics and Management,Anhui University of Chinese Medicine,Hefei 230012,China;Key Laboratory of Data Science and Innovation of Traditional Chinese Medicine,Philosophy and Social Sciences of Anhui Province,Anhui University of Chinese Medicine,Hefei 230012,China)
出处
《南京医科大学学报(社会科学版)》
2026年第1期37-44,共8页
Journal of Nanjing Medical University(Social Sciences)
基金
安徽省高校协同创新项目“数据科学与中医药创新发展安徽省哲学社会科学重点实验室”(GXXT-2022-095)
安徽省教育厅新时代培人质量工程项目“医学院校公共管理学科研究生双创教育培养改革研究”(2023cxcys116)
中国卫生经济学会医药卫生体制改革第二批重点研究项目“‘三医’政策协同现状及保障机制研究”(CHEATGZZ20250203)。
关键词
医疗服务
医疗保障
医药产业
“三医”协同
驱动因素
medical services
medical insurance
pharmaceutical industry
“medical-insurance-medicine linkage”coordination
driving factors
