Identifying the factors constraining the coupling coordination of primary medical resource allocation and high-quality economic development are essential for targeted promoting the coordinated development of the two system coupling. However, there are little research on the influencing factors that hinders the level of coordinated development of coupling.

To compare and analyze the coupling coordination level and its hindrance factors between primary medical resource allocation and high-quality economic development in China during the "12th Five-Year Plan" and the "13th Five-Year Plan" periods, identify barrier factors, and predict the coupling coordination trend of the two systems during the "14th Five-Year Plan".

The research was conducted from July 2022 to May 2023. The evaluation index system was constructed using 17 indicators, covering three dimensions from the primary medical resource allocation system (health equipment, health technicians, and healthcare funding) and five dimensions from the high-quality economic development system (innovation, coordination, openness, shared development, and green development). Data were sourced from the 2012-2021 China Statistical Yearbook and the corresponding China Health and Family Planning Statistical Yearbook. The entropy value method and comprehensive evaluation function were employed to assess the allocation of primary medical resources and economic high-quality development during the "12th Five-Year Plan" and "13th Five-Year Plan" periods. The coupling coordination model was constructed to facilitate this analysis. In order to ascertain the level of coupling coordination, an obstacle function was established in order to diagnose and identify obstacle factors affecting the coupling coordinated development. Furthermore, a grey model was employed in order to predict the trend of the coupling coordination of the two systems during the "14th Five-Year Plan" period.

The degree of coordination between the allocation of primary medical resources and high-quality economic development in China increased from 0.15 to 0.68 between the "12th Five-Year Plan" and the "13th Five-Year Plan" periods. This overall trend was observed to be increasing year by year. However, the coupling model exhibited a low level of coordination, despite the relatively fast growth rate. The main obstacles to the coupling level of primary healthcare resource allocation and economic high-quality development binary composite system in the "12th Five-Year Plan" and "13th Five-Year Plan" periods are health equipment, health technicians, shared and green development. The modified GM (1, 1) prediction model indicates that during the "14th Five-Year Plan" period, the coupling degree of the primary medical system and the economic development level system fluctuates around 1.00, and the whole system is in the stage of the coupling degree of coordination rises from 0.73 to 1.12, indicating a rising trend in the overall situation. Furthermore, the degree of relative development is greater than 1.20, which is indicative of an oversupply state.

In order to empower the development of grass-roots medical and health systems, it is recommended that the development concept of green sharing is recommended to promote the rationalization of medical resources from three aspects from promoting coordinated development of systems, improving the conditions of grass -roots medical facilities, opening up primary medical talents, and integrating primary medical resources.

精准识别制约基层医疗资源配置与经济高质量耦合协调发展的因素，对于有针对性地推动两系统耦合协调共进至关重要。然而，当前鲜有研究深入探讨阻碍两者耦合协调发展的关键因素。

对比分析"十二五"和"十三五"时期我国基层医疗资源配置与经济高质量发展的耦合协调水平，识别障碍因子，并预测"十四五"时期两系统的耦合协调趋势。

于2022年7月—2023年5月，从基层医疗资源配置系统选取卫生设施、卫生人员数、卫生经费3个维度，从经济高质量发展系统选取创新、协调、开放、共享、绿色5个维度，最终选取17项指标建立评价指标体系，指标数据源于2012—2021年的《中国统计年鉴》和相应卫生健康统计年鉴。借助熵值法与综合评价函数测算"十二五"与"十三五"时期基层医疗资源配置与经济高质量发展的综合评价值，通过构建耦合协调度模型测算其耦合协调水平，建立障碍函数诊断与识别影响耦合协调发展的障碍因子，引用灰色模型预测"十四五"期间两系统的耦合协调趋势。

"十二五"和"十三五"期间我国基层医疗资源配置与经济高质量发展耦合协调度由0.15上升到0.68，整体呈逐年上升的态势，虽增速较快但层次较低。卫生设施、卫生人员数、经济共享与绿色发展是制约"十二五"与"十三五"时期基层医疗资源配置与经济高质量发展二元复合系统耦合协调水平的主要障碍因子。借助修正GM（1，1）预测模型预测可知，"十四五"时期基层医疗系统与经济发展水平系统的耦合度在1.00左右微浮动，整体处于高耦合阶段，耦合协调度由0.73上升至1.12，总体呈上升态势，相对发展度>1.20，处于过度供给状态。

为赋能基层医疗卫生体系的可持续发展，建议秉承绿色、共享的发展理念，从促进系统协调发展、完善基层医疗设施条件和打通基层医疗人才输送路径等方面着手，推动两系统和谐发展。