关键词: 基层医疗卫生机构, 资源配置, 经济发展, 耦合协调

Abstract: Background　The equity and rationality of primary care resource allocation and their adaptation to economic development will affect the improvement of regional economic development level. At present，there is little research on the coupling and coordinated development between primary care resource allocation and regional economy. Objective　To measure the degree of coordination between primary care resource allocation and economic development in eastern，central and western China to clarify the coordination development relationship，to provide a reference for achieving balanced development between them via promoting sound interaction. Methods　By consulting China's Health and Family Planning Statistical Yearbook，China's Health Statistics Yearbook and China Statistical Yearbook（2014—2019 volumes），relevant indicators measuring primary care resource allocation and economic level were collected，and the degree of coordination between the two aspects was evaluated empirically using a coordination model constructed using the entropy method and comprehensive evaluation function. Results　On the whole，the degree of coordination between primary care resource allocation and regional economic development was not high，only six regions had achieved coordinated development. In general，the degree of coordination between them seemed to come to a halt with appearance of regression，and the average annual growth rates of coordination degree in eastern，central and western regions were -0.31%，-1.69% and -0.45%，respectively. Geography-based analysis found that the degree of coordination between primary care resource allocation and regional economic development in eastern China was 0.63，which was in the primary coordination stage（0.6，1］. The promotion of the coordination was restricted by the lagging allocation of primary care resources. Central and western China owned a degree of coordination of 0.45 and 0.44，respectively，both were in the barely coordinated stage（0.4，0.6］. The lagging economy restricted the degree of coordination between primary care resource allocation and regional economic development. Conclusion　To achieve a good coordinated development between primary care resource allocation and economy at the national level，it is necessary to reduce regional development differences，and improve the levels and sound interaction of regional primary care resource allocation and economic development.

Key words: Primary health institutions, Resource allocation, Economic development, Coupling and coordination