Objective:To analyze the coupling and coordination relationship between multi-level medical security and medical resource allocation,and reveal the obstructive factors and dynamic evolution characteristics of spatial differences in the coordinated development of the two systems.Method:Based on the panel data of 31 provinces in China(excluding Hong Kong,Macao and Taiwan),a multi-level medical security and medical resource allocation index system was constructed.Entropy weight method,coupling coordination degree model,obstacle degree model,Dagum Gini coefficient and other methods were used to analyze the coupling coordination situation,obstacle factors and spatial distribution characteristics of the two systems.Result:The coupling and coordination degree of multi-level medical security and medical resource allocation in our country has steadily improved,but the overall level is still relatively low and is affected by multiple obstructive factors.The overall spatial difference in the coupling coordination degree of the two systems shows a downward trend,and this difference is mainly caused by the differences between regions.Conclusion:It is recommended to enhance policy coordination and departmental collaboration to improve the level of coupling and coordination.Build an efficient medical insurance payment mechanism and improve the quality of medical resource supply.Implement differentiated regional policies to promote balanced regional development.

Objective:To analyze the coupling and coordination relationship between multi-level medical security and medical resource allocation,and reveal the obstructive factors and dynamic evolution characteristics of spatial differences in the coordinated development of the two systems.Method:Based on the panel data of 31 provinces in China(excluding Hong Kong,Macao and Taiwan),a multi-level medical security and medical resource allocation index system was constructed.Entropy weight method,coupling coordination degree model,obstacle degree model,Dagum Gini coefficient and other methods were used to analyze the coupling coordination situation,obstacle factors and spatial distribution characteristics of the two systems.Result:The coupling and coordination degree of multi-level medical security and medical resource allocation in our country has steadily improved,but the overall level is still relatively low and is affected by multiple obstructive factors.The overall spatial difference in the coupling coordination degree of the two systems shows a downward trend,and this difference is mainly caused by the differences between regions.Conclusion:It is recommended to enhance policy coordination and departmental collaboration to improve the level of coupling and coordination.Build an efficient medical insurance payment mechanism and improve the quality of medical resource supply.Implement differentiated regional policies to promote balanced regional development.