摘要
目的:旨在深化健康投资与经济增长耦合协调发展的理解,为我国十大城市群健康政策制定提供科学依据。方法:基于2013—2022年十大城市群省级面板数据,采用熵权法、耦合协调度模型、空间自相关模型和分位数回归模型进行分析。结果:在观测期内,两系统耦合协调度由2013年的0.397增长至2022年的0.645;全局Moran’s I由-0.020降至-0.357。基于局部莫兰指数的时空跃迁分析显示,22.2%的省份经历了正向跃迁,而16.7%的省份则呈现负向跃迁。分位数回归结果表明,高等教育人数比例、城镇化水平和劳动力水平对两系统耦合协调度有正向影响,β系数呈现先上升后下降趋势;医学科研机构在0.1、0.2、0.3分位点上对两系统耦合协调度有负向影响;外商投资水平在0.1分位点上有正向影响,在0.6、0.7、0.8分位点上有负向影响。人均地区生产总值对两系统耦合协调度的作用很弱。结论:十大城市群两系统耦合协调度呈整体上升,但存在区域差异,且受科教融合、经济水平和人力资源影响。
Objective:It aims to deepen the understanding of the coupled and coordinated development of health investment and economic growth,and to provide a scientific basis for the development of health policies for China's ten largest urban ag-glomerations.Methods:Based on the provincial panel data of ten major urban agglomerations from 2013 to 2022,entropy weight method,coupled coordination degree model,spatial autocorrelation model and quantile regression model are used for analysis.Results:In observation period,the level of two-system coupling and coordination grows from 0.397 in 2013 to 0.645 in 2022;the global Moran's I decreases from-0.020 to-0.357.In the dynamic leapfrog analysis,22.2%of provinces and munici-palities experience positive leapfrogging,while 16.7%of provinces and municipalities show negative leapfrogging.Baesd on lo-calised Moran Index,the quantile regression results show that the proportion of the people in higher education,the level of ur-banization and the level of labor force have a positive influence on the level of coupling and coordination between these two sys-tems,with theβcoefficient showing a tendency of increasing and then decreasing;medical research institutes have a negative influence on the level of coupling and coordination between these two systems on the 0.1-0.3 quantile;the level of foreign invest-ment has a positive influence on the 0.1 quantile,and the 0.6-0.8 quartile has a negative effect.GDP per capita has a weak ef-fect on the level of coordination between these two systems.Conclusion:The two-system coupling and coordination level of the ten major urban agglomerations shows an overall increase,but there are regional differences,and it is affected by the integra-tion of science and education,economic level and human resources.
作者
宋天敕
黄佳佳
宋志龙
吴向未
陈洁婷
Song Tianchi;Huang Jiajia;Song Zhilong(Medical College,Shihezi University,Shihezi,Xinjiang,832003,China;不详)
出处
《中国卫生经济》
北大核心
2025年第6期81-87,共7页
Chinese Health Economics
基金
石河子大学科研基金资助项目(ZZZC202148)
2023年自治区研究生创新项目(XJ2023G211)。
关键词
十大城市群
耦合协调
莫兰指数
分位数回归
健康投资
ten urban agglomerations
coupled coordination
Moran index
quantile regression
health investment
作者简介
通信作者:陈洁婷,E-mail:76640204@qq.com。
