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To explore the current situation and development trend of coupling coordination between medical and health resource allocation and service utilization in eastern, central, and western regions and provinces of China, and to provide suggestions for promoting the coordinated development of medical and health resource allocation and service utilization.
The related index data of medical and health resource allocation and service utilization from 2018 to 2022 were selected, and the comprehensive development level index and relative development degree were used to evaluate the medical and health resource allocation and service utilization. The coupled coordination degree model was used to analyze the coupling coordination relationship and development trend of the two systems.
There were significant differences in the comprehensive development level of medical and health resource allocation among provinces, and the overall structure of relative development degree in 2021 was “9-11-11”. From 2017 to 2021, the coupling coordination degree of medical and health resource allocation and service utilization decreased, showing a decreasing trend from east to west as a whole. The overall coordination between the allocation of medical and health resources and the utilization of services in China was poor. Only 12 provinces achieved coordinated development in 2021. Xizang was still in the dilemma of serious imbalance.
It is suggested to improve the accuracy of medical and health resources allocation, reduce the differences in the development level of resource allocation between provinces, and build a multi-party co-governance pattern. The improvement strategy of coordination level should be accurately formulated according to the relative development of medical and health resource allocation and service utilization in each province.
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| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |
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