To evaluate the policy effects of medical resource allocation and service utilization in the Beijing-Tianjin-Hebei region, identify regional disparities, analyze policy outcomes, and propose recommendations.

Based on panel data from 30 provinces (autonomous regions and municipalities) across China from 2010 to 2022, the synthetic control method was employed to assess the policy effects of coordinated medical and health development in the Beijing-Tianjin-Hebei region.

Under the influence of the policy, the growth of medical resources and service utilization in Beijing has continued to decline, with non-capital core functions effectively relocated. In Hebei, the growth of medical resources and service utilization has increased significantly, showing remarkable results in medical resource expansion. For Tianjin, the policy effects on some indicators were unstable, but it remained affected by the policy.

It is recommended to innovate service models,promote the balanced distribution of medical resources, improve the efficiency of service utilization, and enhance the level of homogenized services.