China's economy and health synergy has gradually come to the fore with development. The rural economy of Ningxia in the period 2015-2020 has maintained a rapid growth trend, and investment in primary health care organizations has been increasing. However, the effectiveness of such investment warrants further study, and few scholars have explored the coupling coordination between the health service sector and regional economic development.

To study the coupling coordination and spatial distribution of grassroots medical service capacity and regional economic development in Ningxia, and explore its driving forces.

By constructing an evaluation index system for grassroots medical service capacity and regional economic development in Ningxia, entropy method, coupled coordination model, geographic detector, etc. were used to study the coordination between the service capacity of 203 township health centers in 22 counties (districts) of Ningxia and regional economic development from 2015 to 2020.

The comprehensive evaluation index of regional economy in Ningxia was higher than the comprehensive evaluation index of grassroots medical service capacity. The coupling coordination degree of the two subsystems shows an upward trend in time series, and a gradually decreasing distribution pattern in spatial layout from south to north. Factors such as health resources and medical service volume have become important factors driving the coordinated development of the two systems, while regional economic factors are gradually weakening.

There is significant room for improvement in the coupling and coordination between the grassroots medical service capacity and regional economy in Ningxia, with significant regional differences. It is necessary to continuously improve the grassroots medical service capacity by increasing health investment and strengthening medical prevention integration. Focusing on the high-quality development of regional economy, we will gradually strengthen the level of grassroots medical services and promote the coordinated development of the two systems.

随着我国经济与卫生事业的协同推进，二者的相互促进作用日益凸显。2015—2020年宁夏农村经济保持快速增长态势，对基层医疗卫生机构的投入力度不断加大，但效果如何值得研究，且目前鲜有学者将基层卫生服务领域与区域经济发展进行耦合协调研究。

研究宁夏基层医疗卫生服务能力与区域经济发展的耦合协调及空间分布，并探索其驱动力。

通过构建宁夏基层医疗卫生服务能力和区域经济发展两个系统评价指标体系，采用熵值法、耦合协调模型、地理探测器等对2015—2020年宁夏22个县（区）203个乡镇卫生院服务能力与区域经济发展两个系统之间的协调性进行研究。

宁夏区域经济综合评价指数高于基层医疗卫生服务能力综合评价指数；基层医疗卫生服务能力和区域经济发展两个系统的耦合协调度在时间序列上呈现上升态势，在空间布局上呈由南向北逐渐下降的分布格局；卫生资源、医疗服务量等因子成为驱动两个系统协调发展的重要因子，区域经济因子逐渐弱化。

宁夏基层医疗卫生服务能力与区域经济的耦合协调度有较大的提升空间，区域间差异显著，需从加大卫生投入、强化医防融合等方面持续提升基层医疗卫生服务能力；以区域经济高质量发展为着力点，逐步强化基层医疗服务水平，推动两个系统协同发展。