【摘要】 目的：探究我国各省份区域创新对医疗保障的影响及空间效应，为推进“健康中国”与区域协调发展战略协同提供科学依据。方法：基于2007—2023年我国31个省份的面板数据，结合医疗保险基金支出状况，运用莫兰指数检验、双向固定效应模型、空间杜宾模型以及空间中介模型等方法，全面分析我国区域创新对医疗保障的直接影响、空间溢出效应和中介路径。结果：观测期内，我国各省份医疗保障水平总体呈波动上升趋势且有明显的区域差异，其中，东部地区医疗保障水平明显高于中西部地区；区域创新对医疗保障水平具有明显正向直接效应和空间溢出效应；区域创新可通过促进医疗财政支出增长和医疗专利转化，进而提升医疗保障水平。结论：建议深化区域创新与医疗保障的协同机制，优化医疗财政资源配置，推动技术创新成果转化，缩小区域之间的发展差距。更多还原

【Abstract】 Objective:To investigate the impact of regional innovation on medical security and its spatial effects across 31 provinces in China, providing scientific evidence for synergizing the “Healthy China” strategy with regional coordinated development.Methods:Based on provincial panel data from 2007 to 2023,the medical insurance fund expenditure was employed as a proxy for medical security. Methodologies include Moran’s I tests, dual-way fixed effects models, Spatial Durbin Models(SDM) with adjacency and inverse-distance matrices,and spatial mediation models were applied to comprehensively analyze the direct effects,spatial spillover effects,and mediating pathways of regional innovation on medical security.Results:During the observation period,medical security levels in all provinces showed a fluctuating upward trend with significant regional disparities,where eastern provinces outperformed central and western regions. Regional innovation exhibited significant positive direct effects and spatial spillover effects on medical security. Regional innovation can improve medical insurance coverage by promoting growth in medical financial expenditure and the conversion of medical patents.Conclusion:Policy recommendations include deepening the synergy between regional innovation and medical security,optimizing the allocation of medical fiscal resources,accelerating the transformation of technological innovations,and narrowing regional development gaps.更多还原