ORIGINAL RESEARCH article

Front. Public Health

Sec. Health Economics

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1581834

This article is part of the Research TopicPublic Health Outcomes: The Role of Social Security Systems in Improving Residents' Health WelfareView all 50 articles

Coupling Coordination and Regional Health Equity: An Empirical Study of Economic, Social, and Healthcare Systems in Zhejiang Province, China

Provisionally accepted
  • 1Hangzhou Normal University, Hangzhou, Zhejiang Province, China
  • 2Zhejiang Evaluation Centre For Medical Service and Administration, Hangzhou, China

The final, formatted version of the article will be published soon.

This study examines the coordination between economic, social, and healthcare systems in Zhejiang Province, China, with a focus on regional health equity.By analyzing data from 86 counties over a three-year period (2020-2022), the research assesses the coupling coordination degree (CCD) as an indicator of system integration.The findings reveal that regions with strong social assistance and healthcare accessibility consistently achieve higher levels of CCD, whereas areas with slower economic development face challenges in aligning these systems. Despite overall improvements, significant regional disparities remain, particularly in mountainous and island areas. The study highlights the need for targeted policy interventions that integrate social welfare programs and healthcare infrastructure to foster balanced regional development. These insights provide a foundation for designing effective policies to reduce healthcare disparities and promote equitable access across different regions.

Keywords: health equity, Health Services Accessibility, Fuzzy-set qualitative comparative analysis, Coupling coordination, Regional health

Received: 26 Feb 2025; Accepted: 22 May 2025.

Copyright: © 2025 XIUWEN and KAI. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: LIN KAI, Zhejiang Evaluation Centre For Medical Service and Administration, Hangzhou, China

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