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第5期 总第136期 南京医科大学学报（社会科学版）京医科大学学报（社会科学版） ·
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2026年10月 Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） · 529
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（11）：2914-2939 学版），2024，24（4）：114-126
［22］王劲峰，徐成东. 地理探测器：原理与展望［J］. 地理学 ［24］ 刘晖，何欣悦，寇丽圆，等. 组态视角下多层次医疗保
报，2017，72（1）：116-134 障体系驱动机制研究［J］. 中国预防医学杂志，2024，25
［23］杨佩卿，白媛媛. 黄河流域数字经济与新型城镇化耦合 （9）：1166-1171
协调及驱动机制［J］. 西北农林科技大学学报（社会科 （本文编辑：姜 鑫）

Spatio⁃temporal evolution and influencing factors of coupling

coordination between the digital economy and the multi⁃level
healthcare security system in China

Fang Zheng，Shen Chen，Tao Qunshan
School of Medical Economics and Management，Anhui University of Chinese Medicine，Hefei 230012，China
Abstract：This study uses panel data from 30 provincial⁃level administrative divisions in China from 2014
to 2024 to construct a comprehensive evaluation index system for the digital economy and multi⁃level medical
security. Employing the entropy weight method， the coupling coordination degree model， kernel density
estimation，the obstacle degree model，and the optimal parameter geographic detector，the study systematically
examines the spatio⁃temporal evolution，obstacle factors，and driving mechanisms of the coupling coordination
between the two systems. The results show that the development levels of both the digital economy and multi⁃
level healthcare security continue to improve，with their coupling coordination degree shifting from imbalance to
coordination，showing a spatial pattern characterized by higher in the east，lower in the west，and higher in
coastal areas， lower in inland areas. Second， the main obstacles are concentrated in digital industrial
development， the basic medical security level， software business development， and medical assistance
coverage. Third，information development and residents’consumption capacity are important driving factors，
and interactions among factors generally exhibit a two ⁃ factor augmentation effect. Overall，although the
coordinated development of the digital economy and multi⁃level healthcare security has made notable progress，
it remains in a transitional stage from low⁃level coordination toward high⁃quality synergy. Future efforts should
focus on implementing differentiated and systematic strategies tailored to regional disparities and structural
weaknesses.
Key words：digital economy；medical security；coupling coordination；spatio⁃temporal evolution