Ecosystem health (EH) maintenance and improvement are important goals in environmental and ecological management, and help realize regional sustainable development goals. EH assessment and the regulatory mechanism have remained popular research fields in landscape ecology science. However, the improvement in EH assessment methods is ongoing, the influences of EH and socioeconomic development on agricultural production remain unclear. In this study, we chose Fujian Province in China as the study area, first quantitatively assess EH based on the Vigor–Organization–Resilience–Services (VORS) model, and thereafter explore the response of tea production to EH and socioeconomic development using the structural equation model (SEM). We found that the mean EH value in Fujian Province was 0.52 in 2010, which was 6.12% and 10.64% higher than that in 2000 and 2020, respectively. The high-EH-value regions were distributed in the northwest, while the southeastern regions exhibited low-EH-value agglomerations. According to the temporal evolution characteristics of EH, the kernel density curve patterns exhibited single peaks, and the curves shifted from a broad to a narrow peak from 2000 to 2020, indicating a trend toward a more balanced distribution of EH spatially. SEM results showed a significant positive effect of EH on tea production with a coefficient of 0.86. However, there is a significant trade-off between EH and economic development, as indicated by a coefficient of −0.6. There are also negative indirect effects on tea development when mediated by economic development. However, the overall effect of EH on tea production is 0.8, indicating that EH is still effective in promoting tea production. The results of this study have implications for the integration of ecosystem management and agricultural production management in the region.