Coupling and Coordination between Medical security Services and Regional Economic Development in Beijing, Tianjin and Hebei：A Comparative Analysis for 2020 and 2022

Yinhan Wang; Xue Zhu; Cai Liu

doi:10.54097/pr5grd80

Authors

Yinhan Wang
Xue Zhu
Cai Liu

DOI:

https://doi.org/10.54097/pr5grd80

Keywords:

Beijing, Tianjin, and Hebei; medical security services; coupling coordination; economic development.

Abstract

Objective: To assess the coupling coordination interaction between medical security service capacity and regional economic development level in the Beijing-Tianjin-Hebei region, and provide recommendations for medical reform and residents’ well-being improvement. Methods: The output was obtained by using comprehensive evaluation, coupling coordination, and relative development degree models to analyze the data collated from 2020 and 2022 statistical yearbooks. Results: Significant regional disparities in coupling coordination status were evidenced in 2020 and 2022, with Beijing in the Intermediate coordination stage (D=0.754), while Tianjin (D=0.574) and Hebei (D=0.564) in dyscoordination. Beijing exhibited lagging type of medical security service capacity (A41), while Tianjin demonstrated coordinated development type between regional economic (A32). And Hebei was a lagging type of regional economic development (A33). In 2022, Beijing's relative development degree increased to 0.781, whereas Tianjin's decreased to 0.849. Development types remained unchanged for Beijing, Tianjin and Hebei. Conclusion: Regional disparities exist in medical security service capacity among Beijing, Tianjin and Hebei in 2020 and 2022, revealing a differentiated development pattern. Future strategies should prioritize the improvement actions: (1) innovating regional coordination mechanisms; (2) optimizing medical resources in Beijing; (3) focusing on elderly medical insurance in Tianjin; and (4) strengthening positive feedback mechanisms in Hebei to foster coordinated development.

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References

[1] S. Rajak, A. Summaq, M. P. Kumar, A. Ghosh, K. Elumalai and S. Chinnadurai, Revolutionizing Healthcare With 6G: A Deep Dive Into Smart, Connected Systems, in IEEE Access, 2024, 12:194150-194170.

[2] He, W. J. Optimization of the medical security system based on common prosperity. [J]. China Higher Education Social Sciences, 2024, (05): 56-66+158.

[3] Yao, H. Y., Tao, S. Q., Tao, Q. S , et al. Coupling coordination and spatiotemporal characteristics between basic medical insurance and regional economic development [J]. Journal of Nanjing Medical University (Social Science), 2024, 24 (03): 215-223.

[4] Cai, Y. D. Impact of regional economic development on the level of basic medical insurance [D]. Shanghai University of Finance and Economics, 2023.

[5] Liu, L. J., Xiao, L. H., Liu, X. L., et al. Coordinated development between health system and socio-economy from the perspective of total health expenditure. [J]. Health Economics Research , 2014(05):7-11.

[6] Mao, H. Y Institutional innovation and regional policy for coordinated development of the Beijing-Tianjin-Hebei Region. [J]. Progress in Geography,2017,36(01):2-14.

[7] Zha, Y. N., & Gao, X. Analysis of coupling coordination degree between basic medical insurance and regional economy in China. [J]. Medicine and Society 2024, 37 (01): 130-136.

[8] Cooper MM. The Dartmouth Atlas of Health Care: what is it telling us?[J]Health Systems Review,1996,29(29):44-5.47.

[9] Wennberg John E, Fisher Elliott S, Skinner Jonathan S. Geography and the debate over Medicare reform.[J]. Health affairs (Project Hope),2002,Suppl Web Exclusives.

[10] Kujawska, J. Efficiency of Healthcare Systems in European Countries-The DEA Network Approach. Metody Ilościowe w Badaniach Ekonomicznych = Quantitative Methods in Economics,2019(1)60-70.

[11] Liu H, Dai W. An Empirical Study on the Benefits Equity of the Medical Security Policy: the China Health and Nutrition Survey (CHNS). International Journal of Environmental Research and Public Health. 2020; 17(4):1203. https://doi.org/10.3390/ijerph17041203

[12] Xiao, H. W. Macro-level analysis of the development of basic medical insurance in China [J]. Journal of Insurance Professional College,2015,29(04):17-20.

[13] Ma, D., Han, X. W., Du, J., et al. Evaluation of coupling level between primary healthcare service capacity and regional economy in Shandong Province. [J]. Chinese Health Resources,2022,25(03):363-366.

[14] Shao Y.M, Liu Z.Q. Research on the Collaborative Development Path of Medical Security in the Beijing-Tianjin-Hebei Region [J]. Review of Economic Research,2017,2838(62):28-33.

[15] Zhou M.J, Zhou KS, Z J.M. Spatiotemporal Differentiation and Coupling Coordination of Medical Services and Economic Development in the Yangtze River Delta [J]. Journal of Inner Mongolia Normal University (Natural Science Chinese Edition),2023,52(01):42-48.

[16] Zhou J.M, Xu Q, Li Y.S. Research on the Collaboration between Commercial Medical insurance and Basic Medical Insurance in China—Based on Spatiotemporal Evolution Analysis of Coupling Coordination [J]. China Medical insurance,2022(12):104-110.

[17] Liang J.F, Yang Q.Q. Research on the Coupling Coordination Degree between Traditional Chinese Medicine Service Capability and Regional Economy in China [J]. Health Economics Research,2021,38(05):22--26.

[18] Zhang FL, Li Y, Zhang J.Q, et al. Research on the Coupling Coordination Degree of Supply and Demand of Traditional Chinese Medicine Human Resources in Eastern, Central and Western Regions of China [J]. Soft Science of Health,2022,36(05):22-26.

[19] Yu T.H. Analysis of the Spatiotemporal Evolution of Coupling and Coordinated Development between China's Circulation Industry and Urbanization [J]. Southeast Academic Research,2018(05) : 175-182.

[20] Bi G.H, Yang Q.Y, Liu.S. Coupling and Coordinated Development of Ecological Civilization Construction and Urbanization in Chinese Provinces [J]. Economic Geography,2017,37(01):50-58.

[21] Zhang Y, Shi Y.J, Li T.Y, et al. Realizing Intelligent Unified Management of Hospital-wide Beds Based on ECRS Optimization Principles [J]. Chinese Hospitals, 2025, 29(01): 89-92.

[22] Wu F, Chu Y.J, Cai Han. Demand Analysis of Tianjin's Health Material Resources Allocation from the Perspective of Hierarchical Medical Treatment [J]. China Health Industry, 2023, 21(04): 223-226.

[23] Dong X.X. Analysis of the Service Status and Countermeasures of Primary Medical and Health Institutions in Y County, Hebei Province [D]. Hebei: Hebei University, 2023.

[24] Huang S.H. Accelerating the Construction of a New Development Pattern to Promote High-Quality Development During the 14th Five-Year Plan Period [J]. Administrative Reform, 2021(05): 4-15.

[25] Wang J.l. Beijing's Medical Function Renewal Policies and Market Responses from the Perspective of Relocation [J]. Urban and Regional Planning Studies, 2022, 14(01): 183-194.

[26] Wang H.J. Undertaking the Capital's Medical Service Functions: Current Status and Development Proposals for Hebei Xiongan New Area [C] School of Public Administration, Yanshan University; Hebei Public Policy Evaluation and Research Center, 2023: 221-225.

[27] Zhao P, Li S, Liu D. Unequable spatial accessibility to hospitals in developing megacities: New evidence from Beijing. Health Place. 2020;65:102406.