Full
Outline
To explore the coupling-coordination relationship among the three systems of public health, medical services, and medical insurance in China, so as to provide a reference for promoting the in-depth development of the medical and health system and the modernization of governance capacity.
Based on panel data from 31 provinces in China from 2013 to 2022, a coupling coordination evaluation index system for the "Prevention-Treatment-Insurance" system was constructed. The entropy weight-TOPSIS model, kernel density estimation, Dagum Gini coefficient and its decomposition, and spatial autocorrelation model were employed to analyze the spatio-temporal evolution characteristics and regional differences of the coupling coordination degree.
The overall coupling-coordination degree of “prevention-treatment-insurance” showed an increasing trend, with a distribution pattern of “eastern>western>central regions”. The national, central and western regions exhibited different polarization phenomena, with obvious intra-regional differences but an overall convergence trend, and the differences were derived from inter-regional gaps. Moran’s scatter plot showed the existence of “low-low” and “high-low” agglomerations. Spatially, the distribution was characterized by contiguous reluctant coordination, the disappearance of near imbalance, and the increase of primary and intermediate coordination.
The coupling and coordination level of “prevention, treatment, and protection” across provinces has shown steady improvement, with a downward trend in regional disparities and significant spatial spillover effects. There is a need to further optimize the coordinated development mechanism of “prevention, treatment, and protection” and address the obstacles and challenges in its operation.
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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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