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

摘要： 背景　基层医疗资源配置的公平和合理及与经济发展的适应情况将会影响区域经济发展水平的提升。目前，对于基层医疗资源配置与区域经济之间的耦合协调发展情况鲜有研究。目的　测算我国东、中、西部基层医疗资源配置与经济发展的耦合协调度，明确两者的协调发展关系，为促进两者间良性互动、实现均衡发展提供参考。方法　通过查阅2014—2019年《中国卫生和计划生育统计年鉴》《中国卫生健康统计年鉴》《中国统计年鉴》，收集衡量基层医疗资源配置和经济水平的相关指标，基于熵值法、综合评价函数等构建耦合协调模型，对我国基层医疗资源配置与经济水平两者的耦合协调度进行实证研究。结果　我国基层医疗资源配置与区域经济协调发展水平不高，全国仅6个省（直辖市）实现协调发展。总体上两者的耦合协调发展处于停滞状态并出现倒退现象，东、中、西部地区耦合协调度年均增长率分别为-0.31%、-1.69%、-0.45%。从地理分布看，东部地区基层医疗资源配置与经济发展耦合协调度为0.63，处于初级协调阶段（0.6，1］，协调发展等级提升受基层医疗资源配置滞后制约；中部地区和西部地区耦合协调度分别为0.45和0.44，均处于勉强协调阶段（0.4，0.6］，经济发展落后成为基层医疗资源配置与经济协调发展的限制因素。结论　为实现基层医疗资源配置与经济的协调发展，应缩小地区间发展差异，各地区需结合自身实际，提高基层医疗资源配置和经济发展水平，促进两者间良性互动，达到优质协调发展。

关键词: 基层医疗卫生机构, 资源配置, 经济发展, 耦合协调