Measurement of Coupling Coordination Level and Analysis of Spatial and Temporal Evolution Characteristics of Commercial Health Insurance and Basic Medical Insurance

doi:10.19546/j.issn.1674-3830.2025.5.014

China Health Insurance ›› 2025, Vol. 0 ›› Issue (5) : 103-111. DOI: 10.19546/j.issn.1674-3830.2025.5.014

Author information +

History +

Abstract

Objective: Based on the perspective of coordinated development, this paper measures the coupling and coordination level and spatial-temporal evolution characteristics of commercial health insurance and basic medical insurance, and provides reference for promoting the effective connection of the two systems. Methods: Based on the panel data of 31 provincial-level administrative regions in China from 2013 to 2022, the evaluation index system of commercial health insurance and basic medical insurance was constructed. The entropy weight TOPSIS method, comprehensive evaluation model, coupling coordination degree model and spatial autocorrelation ArcGis10.8 were used to analyze the coordinated development and spatial distribution pattern of commercial health insurance and basic medical insurance. Results: In the time dimension, the coupling coordination degree of commercial health insurance and basic medical insurance showed a fluctuating upward trend, and the overall span range was 0.135~0.586. In the spatial dimension, there is a positive spatial correlation between commercial health insurance and basic medical insurance, and the spatial distribution is dominated by "high-high clustering" and "low-low clustering". Conclusion: Commercial health insurance and basic medical insurance show a phased non-synchronous trend in the development process. The two shows an unbalanced development pattern in regional development and significant spatial agglomeration characteristics in spatial evolution. In this context, it is necessary to strengthen the top-level design of the government and improve the level of coordinated development of the system, adjust measures to local conditions and enable balanced and coordinated development of regions, and integrate resources to actively exert spatial spillover effects.

Key words

commercial health insurance / basic medical insurance / coupling coordination / spatial autocorrelation

Cite this article

EndNote

Ris (Procite)

Bibtex

Download Citations

Measurement of Coupling Coordination Level and Analysis of Spatial and Temporal Evolution Characteristics of Commercial Health Insurance and Basic Medical Insurance[J]. China Health Insurance. 2025, 0(5): 103-111 https://doi.org/10.19546/j.issn.1674-3830.2025.5.014

References

[1] 曾望峰.基本医疗保险省级统筹:经验、困境与对策[J].卫生经济研究,2024,41(09):34-37.
[2] 新华社.高举中国特色社会主义伟大旗帜为全面建设社会主义现代化国家而团结奋斗——在中国共产党第二十次全国代表大会上的报告[EB/OL].(2022-10-16)[2025-02-11].https://www.gov.cn/xinwen/2022-10/25/content_5721685.htm.
[3] 岳希明,吴宇涵.我国基本医疗保险制度对居民收入分配的影响[J].中国卫生政策研究,2024,17(12):59-67.
[4] 王文卿,陈字旺.中国省域商业健康保险市场结构、空间依赖性与条件收敛研究[J].中央财经大学学报,2024(12):45-56.
[5] 付芮,邰蕾蕾,朱旺旺.我国医疗卫生支出效率与区域经济耦合协调发展研究[J].卫生经济研究,2023,40(08):63-68.
[6] 孙瑜,吴爽.我国东中西部地区卫生资源配置效率比较及影响路径研究[J].医学与社会,2024,37(04):61-67.
[7] 马振涛,郎堃,林琛.商业健康保险嵌入多层次医疗保障体系:定位作用与改善进路[J].卫生经济研究,2024,41(11):32-35+39.
[8] 王宁,刘宏伟,龚宇润.新质生产力发展水平测度、动态演进与时空收敛特征[J].统计与决策,2024(18):103-108.
[9] 曹琳剑,徐若琳,朱媛媛,等.数字经济、低碳发展与新型城镇化耦合协调时空演变分析[J].华中农业大学学报,2024,43(06):114-126.
[10] 蒋柳鹏,翁艳君,雷智鹢.基于云模型和TOPSIS模型的区域综合交通发展水平评价[J].重庆交通大学学报(自然科学版),2024,43(10):47-53+69.
[11] 陈清.我国科技创新效率与经济发展水平的耦合协调研究[J].中国商论,2024(10):117-121.
[12] 王泽嘉毓,李怡栎,袁烙希,等.我国医疗资源供给与利用效率的耦合协调发展研究[J].卫生经济研究,2023,40(08):58-62+68.
[13] 张策,吕王勇,张萍,等.基于Moran's I的多变量空间自相关研究与应用[J].四川师范大学学报(自然科学版),2024,47(06):818-829.
[14] 李静,马仪亮.探索性空间数据分析(ESDA)在区域旅游经济差异性及对策制定中的应用研究[J].西南大学学报(自然科学版),2024,46(11):128-137.
[15] 付凯云,尹文强,宋雅蕾,等.2021年我国养老机构资源配置效率及空间自相关分析[J].现代预防医学,2024,51(07):1249-1254.
[16] 李丽清,杨苏乐,陈振生.医疗资源配置与经济、社会耦合协调发展的时空演化与趋势预测[J].中国卫生经济,2025,44(01):40-46.
[17] 王珞珈,达福文,魏丽华,等.中国省域数字经济、新型城镇化与经济高质量发展时空耦合及驱动因素[J].兰州财经大学学报,2025,41(02):81-94.
[18] 韩烨.社会保障视域下商业保险与社会保险互动机制的耦合协调度研究[J].税务与经济,2019(05):23-31.
[19] 刘佳程,陈凯,姚奕,等.商业健康险续保决策中的社会网络效应[J].保险研究,2024(08):84-99.
[20] 陈俊利,王璐,任建学,等.健康老龄化背景下我国城乡居民基本养老保险空间分布及影响因素研究[J].中国全科医学,2024,27(19):2382-2387.
[21] 周金满,许晴,李雅诗.我国商业健康保险与基本医疗保险协同研究——基于耦合协调的时空演化分析[J].中国医疗保险,2022,(12):104-110.
[22] 刘雨璇,王军永,周佳佳,等.我国医疗服务水平、居民健康水平与区域经济水平耦合协调时空演变分析[J].医学与社会,2024,37(06):51-58.
[23] 郑明贵,温东洪,倪京生,等.天然气基建、环境保护与区域经济耦合协调发展研究[J].生态经济,2025,41(03):158-165+173.
[24] 高月霞,郭芳琪.共同富裕视域下如何有效提升人民的医疗保障与服务水平——基于CHARLS数据的实证分析[J].社会保障研究,2024(04):18-30.
[25] 陈星宇,胡琳琳.我国乳腺癌筛查政策执行困境及优化策略——基于政策网络理论[J].卫生经济研究,2024,41(09):1-5.
[26] 童禧辰,张璐莹.我国基本医疗保险与商业健康保险的耦合协调发展研究[J].中国卫生事业管理,2022,39(12):903-905+945.
[27] 江海兰,王军永,吴海波,等.中医医疗资源配置与区域经济耦合协调研究[J].中国医院,2024,28(09):32-36.
[28] 丁玲,王江萍.健康城市视角下基本医疗保险定点设施空间集聚研究——以武汉市为例[J].现代城市研究,2023(10):27-33.
[29] 姚恒宇,陶世奇,陶群山,等.基本医疗保障与区域经济发展耦合协调及时空特征分析[J].南京医科大学学报(社会科学版),2024,24(03):215-223.