Improving carbon emission efficiency is the most direct and effective way to reduce pollution. Leading the construction of a resource-saving and environment-friendly society is an important goal of the coordinated development of urban agglomerations in the middle reaches of the Yangtze River. However, there is no systematic evidence to prove whether this policy can improve carbon emission efficiency. Taking 31 cities in the urban agglomeration in the middle reaches of the Yangtze River as the research area, we aimed to use the index decomposition method, the super-efficiency slack-based model, and the difference-in-difference model to examine the effect of policies on improving carbon efficiency. The results show that (1) regional coordinated development policies have a significant effect on improving the carbon emission efficiency of urban agglomerations, and there is an obvious imbalance in carbon emission efficiency among cities. (2) The impact of regional coordinated development policies on urban carbon emission efficiency is heterogeneous. We have grouped 31 cities according to their centrality, industrial transfer characteristics, and urban cluster characteristics. Policies have heterogeneous effects on cities with different functions and positioning. (3) Policy effects have opposite effects on urban carbon emission efficiency through urbanization rate and population density, while the effect of urban greening rate is not significant. The research results can provide a reference for China's urban agglomeration to achieve sustainable development and promote the construction of low-carbon cities.
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