Research on the Coupling and Coordinated Development of Medical Security and Common Prosperity in China

Xie Hejun; Feng Rongguang; Zhang Meng

Abstract：Objective:To reveal the current status and existing problems in the coupling and coordinated development of medical security and common prosperity in China,and to provide decision-making references for advancing the high-quality development of medical security,achieving the goal of common prosperity,and promoting the coordinated development of both systems.Methods:The entropy weight method was employed to measure the levels of medical security and common prosperity across 31 provinces from 2013 to 2022.A coupling coordination degree model was utilized to explore the coupling dynamic relationship between these two systems.Kernel density estimation was applied to analyze the dynamic evolution of their coupling coordination,while Moran's I and Dagum's Gini coefficient were used to investigate the spatial differentiation characteristics of their coupling coordination.Results:Over the decade,both medical security and common prosperity levels in different pronvinces improved significantly,with regional disparities continuously narrowing.The coordinated development degree between medical security and common prosperity achieved a substantial leap,shifting from provinces predominantly categorized as"barely coordinated"and"primary coordination"to those concentrated in"intermediate coordination".The coordinated development of medical security and common prosperity exhibits spatial spillover effects and spatial disparities,with the primary source of spatial differences stemming from disparities between the eastern region and other areas.Conclusion:Future efforts should focus on integrating the medical security system to enhance operational efficiency and reduce costs,promoting the scientific and rational allocation of medical resources guided by common prosperity,and driving high-quality coupling and coordinated development through dual-way empowerment between medical security and common prosperity.