Spatial Characteristics and Policy Implications of the Coupling Between Health and Elderly Care Resources and Regional Economy in County Areas of Hebei ProvinceUnder the Healthy China Strategy

Corresponding author: WANG Ming-hui, wmhlgc@126.com

DOI: 10.12201/bmr.202601.00011

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  Abstract: Objective: To explore the spatial differentiation characteristics and influencing factors of the coupling coordination between health and elderly care resources and regional economy in counties of Hebei Province. Methods: 94 counties in Hebei Province were selected as the research objects, and the entropy weight method, coupling coordination model, spatial autocorrelation analysis and geographical detector were used for comprehensive evaluation. Results: The coupling degree between health and elderly care resources and regional economy in counties was generally high, but the coordination degree showed significant hierarchical differentiation, presenting a core-periphery spatial pattern. High coordination areas were concentrated in economically developed counties, while low coordination areas were distributed in contiguous mountainous and traditional agricultural areas. Permanent resident population, social security and employment expenditure, the number of participants in the basic old-age insurance for urban and rural residents, and whether it is a key county for rural revitalization assistance are the key factors affecting the coupling coordination degree. Conclusion: The coupling coordination degree between health and elderly care resources and regional economy in counties of Hebei Province is generally low, with a prominent spatial polarization phenomenon. Therefore, classified guidance, regional coordination and precise policies should be implemented to enhance the level of coordinated development.

  Key words: County-level administrative regions; health and elderly care resources; regional economy; coupling coordination; spatial differentiation characteristics

  Submit time: 5 January 2026

  Copyright: The copyright holder for this preprint is the author/funder, who has granted biomedRxiv a license to display the preprint in perpetuity.
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