There exists the practical dilemma of uneven distribution of high-quality medical resources and uncoordinated regional development among the six central provinces in China.

The objective of this study is to explore the temporal characteristics, spatial effects, spatial correlation patterns, and dynamic evolution laws of the coordinated development of high-quality medical resources and the economy and society in the six central provinces of China from 2013 to 2023. The findings of this study will provide a scientific reference basis for the promotion of synergistic and orderly development of medical and healthcare undertakings and the economy and society.

The data of this study were sourced from the China Statistical Yearbook (2014-2024), the China Health and Family Planning Statistical Yearbook (2014-2017), and the China Health Statistics Yearbook (2018-2024). The present study introduced the theory of coupling coordination and constructs a "time + space" two-dimensional dynamic coupling coordination degree model. The spatial correlation analysis method was then employed to thoroughly examine the spatial and temporal evolution of the coupling coordination level of China's healthcare resource allocation and the economy and society from 2013 to 2023. Utilizing the gray prediction model, the subsequent section aims to dynamically predict the future development of the coupling and coordination level in the central region of China from 2024 to 2028.

From a chronological perspective, from 2013 to 2023, the coupling and coordination degree of quality medical resources and economic and social economy exhibited a stepwise rise, though significant regional differentiation was observed, with only Jiangxi and Henan entering the stage of barely coordinated by 2023 (D=0.507, 0.512), and the remaining provinces are exhibiting imminent dysfunctionality (D<0.500). From a spatial perspective, the quality of medical care in central China and the economic and social coupling; From a spatial perspective, the level of coordination between quality healthcare and economic and social coupling in central China exhibits an imbalanced characteristic of "point-like breakthrough, piecewise lag". In terms of future forecasts, the coupling coordination degree of the six central provinces is expected to undergo a rapid escalation from 2024 to 2028, reaching a high-quality coordination level in general by 2026 (D=1.000).

The enhancement of the coordination between quality medical resources and economic and social coupling in the six central provinces of China is a systematic project, which necessitates the consideration of spatial and temporal differences, policy synergy, and mechanism innovation. In the future, it is imperative to adopt a multifaceted approach guided by the principles of "balanced, intelligent, and coordinated" and to promote the modernization of health governance through the optimization of resource allocation, the strengthening of regional linkage, and the deepening of institutional innovation. This comprehensive strategy is expected to provide a practical paradigm for the implementation of the Healthy China Strategy in the central region.

我国中部六省存在优质医疗资源分布不均、区域发展不协调的现实困境。

系统考察2013—2023年我国中部六省优质医疗资源与区域经济社会协调发展的动态历程、空间关联结构及其演进机制，为推动医疗卫生事业与区域经济社会的协同发展提供科学依据。

本研究资料来源于2014—2024年《中国统计年鉴》、2014—2017年《中国卫生和计划生育统计年鉴》、2018—2024年《中国卫生健康统计年鉴》。基于耦合协调理论，选取优质医疗资源、经济与社会3个维度的相关指标，构建"时间-空间"双维度动态耦合协调模型；结合空间相关性分析探讨优质医疗资源与经济社会系统的协调关系，并采用灰色预测模型对2024—2028年的发展趋势进行动态预测。

时序上，2013—2023年优质医疗资源与经济社会的耦合协调度虽呈阶梯式上升，但区域分化显著，至2023年仅江西省、河南省迈入勉强协调阶段（D=0.507、0.512），其余省份仍滞后于濒临失调状态（D<0.500）。空间上，我国中部地区优质医疗与经济社会耦合协调水平呈现"点状突破、片状滞后"的非均衡特征。在未来预测方面，2024—2028年中部六省耦合协调度将快速跃升，至2026年普遍达到优质协调水平（D=1.000）。

中部地区优质医疗资源-经济-社会系统协调水平总体偏低且存在明显空间分异；未来应通过差异化政策引导、跨区域协作机制构建与资源配置优化，推动形成智能协同的区域健康治理体系，为相关战略在中部地区的实施提供参考依据。