Research on the symbiotic mechanism between large tertiary hospitals and adjacent spaces under the social system theory：Taking the "Medical Neighbor Ecological Circle" of Qilu Hospital in Jinan as an Example

The imbalance between supply and demand of high-quality medical resources has led to overloading within the emergence of derivative phenomena such as renting houses for medical treatment outside, collectively forming a medical neighborhood ecosystem characterized by intertwined functions but scarce resources, spatial disorder, and community conflicts. Based on the social system theory, this article takes Jinan Qilu Hospital as a typical case and comprehensively employs in-depth interviews and spatial big data analysis to deeply explore the symbiotic mechanisms and paths between resource supply and diverse demands within the "medical neighborhood ecosystem". The results show that the symbiotic mechanisms include functional embedding and buffering mechanisms at the spatial level, complementary flow and matching mechanisms at the resource level, and interest negotiation and consultation mechanisms at the community level. According to the three-stage evolution path of adaptation-integration-symbiosis, governance strategies are proposed from three aspects: spatial form integration, social relationship coordination, and service model innovation.