Study on the coupling coordination between the allocation of health resource and economic development in Tianjin
Objective To research the coupling coordination relationship and obstacles between the allocation of health resources and economic development in Tianjin,in order to provide basis for decision-making to promote the synergistic development of health resources and socio-economic.Methods The relevant data from the 2023 Tianjin Statistical Yearbook on the economic development and the allocation of health resource of each administrative district in Tianjin for the year 2022 was obtained.The weights of each indicator were calculated by entropy weight method,the coupling coordination model was utilized to evaluate the degree and development status of the allocation of health resource and economic development,and the obstacle degree analysis model was applied to identify the obstacle factors affecting the coupling coordination degree of the two systems.Results In 2022,Binhai New Area was the region in Tianjin with the largest population and the highest gross domestic product,general public budget expenditure,and health expenditure;Ninghe District had the lowest average annual wage,proportion of tertiary industry,general public budget expenditure,number of hospitals,number of beds in health institutions,and number of beds in hospitals.The economic development in Dongli District,Xiqing District,and Binhai New Area outpaced the allocation of health resources,while in other administrative districts,economic development lagged behind the allocation of health resources.Binhai New Area exhibited good coordination between economic development and the allocation of health resource,with a coupling coordination degree of 0.84;Ninghe District showed severe maladjustment,with a coupling coordination degree of 0.16.In the economic development system,the proportion of tertiary industry was the main obstacle factor for the coupling coordination degree in Binhai New Area;general public budget expenditure and gross domestic product were the main obstacle factors in other administrative districts;in the allocation of health resource system,the main obstacle factors in Heping District,Hedong District,Hexi District,Nankai District,Hebei District,and Hongqiao District were different,while the main obstacle factors in other administrative districts were the number of registered nurses per thousand,the number of licensed doctors per thousand,and the number of beds per thousand.Conclusion The coordination degree between the allocation of health resource and economic development in Tianjin is relatively low,with economic development generally lagging behind the allocation of health resources,and the obstacle factors are complex.To address these issues,it is recommended to enhance investment in underdeveloped areas,improve the quality of health resources while controlling their expansion,increase health expenditure,and adopt differentiated measures based on administrative districts characteristics to promote the synergistic development of the allocation of health resource and economic development.
TianjinAllocation of health resourcesEconomic developmentCoupling coordination