To study the coordinated development of healthcare resource allocation and service utilization in Jiangsu Province.

Using various statistical methods, its spatio-temporal evolution characteristics and driving factors were profiled.

The degree of coupling coordination showed an overall upward trend during 2015-2021, which declined in 2020 but quickly rebounded in the following year; the province’s entropy-weighted TOPSIS composite index was basically below 0.5, with Nanjing, Wuxi, and Suzhou’s composite scores significantly higher than those of other cities, and the service utilization index as a whole was significantly higher than that of the resource allocation index; Lianyungang, in terms of the value of the degree of relative development, was much higher than that of the province’s other cities, presenting an extremely significant resource over-advancement type; the influence factors selected in this paper can be better realistic and statistically significant in terms of selection objectives and significance.

The coordinated development of medical resource allocation and service utilization of health institutions in prefecture-level cities in Jiangsu Province has obvious geographical boundaries of spatial and temporal changes,2015-2021. In addition, although the better economically developed areas performs better than the relatively less economically developed areas in terms of healthcare resource allocation and service utilization but shows a regression in the composite scores, healthcare resource allocation may be an entry point for the balanced development of the province. The study also find that factors such as population distribution and level of economic development have a significant impact on the degree of coordination over the seven years.