Objective: Based on the synergistic development strategy of Beijing, Tianjin and Hebei, it explores the current situation of coordinated development of health resource allocation and economy in Beijing, Tianjin and Hebei, and provide references for quantifying the effectiveness of synergistic development and formulating relevant plans. Methods: The coupled coordination relationship of health resource allocation and economic development systems in the region was analyzed by entropy value method and coupled coordination degree model, and the obstacle factors affecting and restricting the coordinated development were identified with the help of obstacle degree model. Results: Except for the year 2020, which was affected by unexpected health events, the coupling coordination degree of Beijing, Tianjin and Hebei basically increased year by year from 2014 to 2021, but there were still some regional gaps. From 2016, the development of the health resource allocation system began to synchronize or even exceed the economic development. The insufficient medical staffing and low economic efficiency were the key factors limiting the coordinated development. Conclusion: Play the role of inter-regional linkage, pay attention to the coordination within the system, allocate medical staff reasonably, and improve economic efficiency to promote the coordinated development of these two systems.